WorldWideScience

Sample records for grinnell regional medical

  1. 77 FR 42427 - Amendment of Class E Airspace; Grinnell, IA

    Science.gov (United States)

    2012-07-19

    ...) is not a ``significant rule'' under DOT Regulatory Policies and Procedures (44 FR 11034; February 26..., 40113, 40120; E.O. 10854, 24 FR 9565, 3 CFR, 1959-1963 Comp., p. 389. Sec. 71.1 0 2. The incorporation... Federal Aviation Administration 14 CFR Part 71 Amendment of Class E Airspace; Grinnell, IA AGENCY:...

  2. Science and Sentiment: Grinnell's Fact-Based Philosophy of Biodiversity Conservation.

    Science.gov (United States)

    Shavit, Ayelet; Griesemer, James R

    2017-09-04

    At the beginning of the twentieth century, the biologist Joseph Grinnell made a distinction between science and sentiment for producing fact-based generalizations on how to conserve biodiversity. We are inspired by Grinnellian science, which successfully produced a century-long impact on studying and conserving biodiversity that runs orthogonal to some familiar philosophical distinctions such as fact versus value, emotion versus reason and basic versus applied science. According to Grinnell, unlike sentiment-based generalizations, a fact-based generalization traces its diverse commitments and thus becomes tractable for its audience. We argue that foregrounding tractability better explains Grinnell's practice in the context of his time as well as in the context of current discourse among scientists over the political "biases" of biodiversity research and its problem of "reproducibility."

  3. The Grinnell Science Project: Results of Over Two Decades of Reform Aimed at Inclusion in Science and Mathematics

    Science.gov (United States)

    Mahlab, Minna; Grinnell Science Project Team--Grinnell College

    2015-01-01

    The Grinnell Science Project (GSP) is a program that was developed starting in the early 1990's at Grinnell College -- a selective liberal arts college in Grinnell, Iowa. The GSP program is committed to developing the talents of all students interested in science and mathematics, especially those from groups underrepresented in the sciences -- students of color, first-generation college students, and women in physics, mathematics and computer science. The program developed over several years, drawing on national studies and efforts, and aimed at addressing barriers to success in the sciences. It has involved curricular and mentoring changes, activities and structures that foster acclimation to college life and a community of scientists, and improvement of student achievement. Prior to the full implementation of the Grinnell Science Project, from 1992-1994, an average of 42 science majors graduated annually who were women and eight who were students of color. By 2008, those numbers had jumped to 90 women (a 114% increase) and 21 students of color (a 162.5% increase). In 2009, the GSP was honored with the Presidential Award for Excellence in Science, Engineering, Mathematics, and Engineering Mentoring, administered by the National Science Foundation. Components of the GSP are now mainstream throughout the science curriculum at Grinnell, and almost all science and math faculty have played some role in the program.

  4. Regional medical campuses: a new classification system.

    Science.gov (United States)

    Cheifetz, Craig E; McOwen, Katherine S; Gagne, Pierre; Wong, Jennifer L

    2014-08-01

    There is burgeoning belief that regional medical campuses (RMCs) are a significant part of the narrative about medical education and the health care workforce in the United States and Canada. Although RMCs are not new, in the recent years of medical education enrollment expansion, they have seen their numbers increase. Class expansion explains the rapid growth of RMCs in the past 10 years, but it does not adequately describe their function. Often, RMCs have missions that differ from their main campus, especially in the areas of rural and community medicine. The absence of an easy-to-use classification system has led to a lack of current research about RMCs as evidenced by the small number of articles in the current literature. The authors describe the process of the Group on Regional Medical Campuses used to develop attributes of a campus separate from the main campus that constitute a "classification" of a campus as an RMC. The system is broken into four models-basic science, clinical, longitudinal, and combined-and is linked to Liaison Committee on Medical Education standards. It is applicable to all schools and can be applied by any medical school dean or medical education researcher. The classification system paves the way for stakeholders to agree on a denominator of RMCs and conduct future research about their impact on medical education.

  5. Thinking regionally: narrative, the medical humanities and region.

    Science.gov (United States)

    Waddington, Keir

    2015-06-01

    Drawing on multiple literatures from history, geography, anthropology, sociology and literature, this essay asks questions about what we mean by region and why narratives of region should matter to the medical humanities. The essay surveys how region can be used as a lens of analysis, exploring the various academic approaches to region and their limitations. It argues that regions are dynamic but also unstable as a category of analysis and are often used uncritically by scholars. In encouraging scholars working in the medical humanities to be aware that regions are not simple objective or analytical boxes, the essay shows how an awareness of region helps challenge metropolitan whiggism and ideas of core and periphery to give a more prominent place to hinterlands, market towns and rural environments. Furthermore, the essay considers how incorporating region into our understanding of illness can offer new insights. It demonstrates the need for scholars to be attuned to the narratives constructed around regions, suggesting that regions can be viewed as discursive formations that provide a frame for understanding both collective and personal ideas of, and responses to, health and illness, disease and healing, to create what Megan Davies calls a more nuanced 'intellectual cartography'.

  6. [The study of regional specification for the medical equipment acceptance].

    Science.gov (United States)

    Cao, Shaoping; Zhang, Lifang; Su, Ying

    2012-09-01

    Standardization of medical equipment acceptance regional specification is elaborated., by virtue of regional resources to further improve the acceptance level, to strengthen the quality management of medical devices is strengthened through the improvement of acceptance level with regional shared resources.

  7. Multiphase Systems for Medical Image Region Classification

    Science.gov (United States)

    Garamendi, J. F.; Malpica, N.; Schiavi, E.

    2009-05-01

    Variational methods for region classification have shown very promising results in medical image analysis. The Chan-Vese model is one of the most popular methods, but its numerical resolution is slow and it has serious drawbacks for most multiphase applications. In this work, we extend the link, stablished by Chambolle, between the two classes binary Chan-Vese model and the Rudin-Osher-Fatemi (ROF) model to a multiphase four classes minimal partition problem. We solve the ROF image restoration model and then we threshold the image by means of a genetic algorithm. This strategy allows for a more efficient algorithm due to the fact that only one well posed elliptic problem is solved instead of solving the coupled parabolic equations arising in the original multiphase Chan-Vese model.

  8. Medical e-commerce for regional Australia.

    Science.gov (United States)

    Kumar, D K; Mikelaitis, P

    2001-12-01

    The residents of rural and regional Australia have less access to health care services than in capital cities. There is a reluctance of General Practitioners to practice in the country. New information technology and government initiatives are now addressing this problem. High bandwidth videoconferencing is now being routinely used to provide psychiatric consultations to areas without this service. But this (like many other implementations of telecommunication technologies to health) has resulted in loss of revenue to regional Australia while benefiting capital cities. Thus, the current implementation of telecommunication technology to health has resulted in loss of revenue of the regions while increasing the bias towards the cities. Further, the system is not economically viable and requires the Government to inject funds for the smooth operation of the system. This paper proposes the use of telecommunication technology for enabling the communities of regional Australia to access health facilities via physical and virtual clinics. The proposed technique is self supporting and is based in the country with the intent to prevent the drain of resources from regional Australia. The technique attempts to eradicate the problem at the root level by providing a business opportunity that is based in and to cater for the needs of the remote communities. The proposed system would provide health services by physical and virtual clinics and while serving the communities would be profit centres- and thus attracting doctors and other resources to the remote communities.

  9. Research status and development of medical science in cold regions

    Directory of Open Access Journals (Sweden)

    Jing-hai SUN

    2013-09-01

    Full Text Available Objective To propose the concept, objects of study,tasks and roles of military medical sciences in cold regions(CM, and provide a theoretical basis and academic reference for its establishment anddevelopment. Methods  Literature concerning medical sciences in cold regions were retrieved with infomatics method to analyze the research status and development of medical sciences in cold regions in the military,domestic and abroad, and venture to propose the strategy and direction of development of medical sciences in cold regions. Results CM is a comprehensive medical science composing of multiple speciaties.A large area of Chinese territory is situated in frigid area, where the garrison servicemen have to take up onerous duties, so that the establishment anddevelopment of CM should be considered as a special subject and an important specialty in military medical support. Conclusion Research work on CM in PLA is in preliminary stage.For developing CM in the future,it is suggested to integrate medical resources of CM, with the aim of gathering and rectifying interrelated medical resources,improving related medical equipment,in order to establish abasic and clinical research platform for improving the health level of garrison forces both at peacetime and during military conflicts, and also in prevention of organic and psychological diseases.Therefore,it is important to emphasize the establishment of such specialty, with an effort to accelerate team construction of science and technology of medicine of cold regions, with an increase in funding for research andimprovement in improve the scientific innovation, with a purpose of safeguarding andimproving the combat effectiveness of troops in cold regions.

  10. Planning for a library system: Connecticut Regional Medical Program.

    Science.gov (United States)

    Truelson, S R

    1969-07-01

    A formal medical library system is developing nationally to improve library service, but not all users or even all librarians are alert to the need. The main stimulus seems to come from federal money and from leaders at the top, rather than from the small local library and its user, yet progress depends on participation at all levels. Planning for a state-wide medical library system as part of the Connecticut Regional Medical Program began with a survey of the state's medical library resources, which led to a grant request for operating funds to strengthen reference and inter-library loan service in Connecticut and to begin a training and consultation program for medical librarians in the state. These activities are intended to expand and intensify in Connecticut those back-up services provided for all of New England by the New England regional medical library service at the Countway Library in Boston and also are related to the other Regional Medical Program activities planned for Connecticut.

  11. Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need Additional Management Oversight

    Science.gov (United States)

    2016-04-28

    HEALTH AFFAIRS) AUDITOR GENERAL , DEPARTMENT OF THE ARMY SUBJECT: Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need...accordance with generally accepted government auditing standards. We considered management comments on a draft of this report when preparing the final...Inspector General . RHCE UBO will adhere to ABACUS grouping code reports and the message logs under the legacy process to ensure tracking of delinquent

  12. A new region descriptor for multi-modal medical image registration and region detection.

    Science.gov (United States)

    Xiaonan Wan; Dongdong Yu; Feng Yang; Caiyun Yang; Chengcai Leng; Min Xu; Jie Tian

    2015-08-01

    Establishing accurate anatomical correspondences plays a critical role in multi-modal medical image registration and region detection. Although many features based registration methods have been proposed to detect these correspondences, they are mostly based on the point descriptor which leads to high memory cost and could not represent local region information. In this paper, we propose a new region descriptor which depicts the features in each region, instead of in each point, as a vector. First, feature attributes of each point are extracted by a Gabor filter bank combined with a gradient filter. Then, the region descriptor is defined as the covariance of feature attributes of each point inside the region, based on which a cost function is constructed for multi-modal image registration. Finally, our proposed region descriptor is applied to both multi-modal region detection and similarity metric measurement in multi-modal image registration. Experiments demonstrate the feasibility and effectiveness of our proposed region descriptor.

  13. [The Universidad Austral de Chile Medical School: a regional commitment].

    Science.gov (United States)

    Grob, C

    1997-07-01

    The Universidad Austral de Chile Medical School was created in 1966. Its general goal was to train a general physician with capacities to integrate biological, psychological and social issues, to deal with prevalent diseases as well as with the non referable casualties, to analyze health situations and to manage health teams. From its beginning, it incorporated anthropological and the public health contents to medical curriculum. Moreover, the formal teaching formation was reduced to 5 years, increasing the internship cycle to 2 years, with an important practice on primary health care in regional hospitals, that included a research project on health administration. A revision of the School curriculum showed the need of a better horizontal and vertical integration of medical education. Consequently, global courses were organized to gather knowledge that, until now, was delivered in a fragmented form. Our Medical School has a major impact in the southern region of the country and over 60% of its graduates have settled in this zone, improving its physician/inhabitant relationship and the number of specialists.

  14. Regional Inequality of Medical Doctors in Turkey(1897-2004

    Directory of Open Access Journals (Sweden)

    Murat Ciftci

    2010-07-01

    Full Text Available This paper looks at long-term change of inter-regional human utility from medical doctors in provinces between Ottoman and Modern Turkey. Using data from the first statistical yearbook of the Ottoman Empire for dynastic period and TUIK web side for republic period and applying method is based on Atkinson inequality index. The indices have revealed that there is imbalance in the regional distribution of doctors when compared to the population in the 1897. It is mean that there are dramatic declines in the rate of social utility for the people. According to that have been calculated for people, level of social utility from pshycians had been found out to be 49.2% for all over the Empire and 41.5% for the provinces in the border of Turkey in the 1897. In contrary to the Ottomans period, there exist high levels of improve in social utility of health service in modern Turkey. Level of social utility from specialized pshycians have been found out to be 64.3%; from medical doctors 84, and from both of doctors 77.3% in the 2004. It is shown that the inter-regional social utility from medical doctors has improved between two periods.

  15. [The neck -- a sonographically interesting region for many medical fields].

    Science.gov (United States)

    Seitz, K

    2005-04-01

    The soft tissues of the neck can be examined at the highest resolution with ultrasound probes of high frequencies due to their superficial position. There are many clinically important diagnostic issues concerning the thyroid gland, the parathyroid, lymph nodes, vessels of the neck, salivary glands and other structures of the field of ENT and even the nerves of this region. Numerous different medical departments therefore work in this field either together or I a parallel fashion. In addition to different sub-specialties of internal medical and surgical departments, radiologists, neurologists, ENT doctors, gnathologists and radio-oncologists are all active here. Even intensive care personnel and anaesthesiologists use ultrasound for sonographically guided punctures. It is therefore obvious that the cervical region is of special importance for an interdisciplinary journal, constituting a large part of publications. In the last 2 (1/2) years, we published two articles about cervical lymph nodes , eight concerning the topic of vessels , two articles about salivary glands and three dealing with the parathyroid glands . The present issue again contains three publications concerning this area, characteristically from three different medical specialties, each of great significance for various medical fields. An important article deals with deQuervain thyroiditis . Albeit this is not a common disease, any clinician working on the cervical region should be well aware of this entity, as the patients concerned often go through a medical "odyssey" with different specialists before the right diagnosis is made. An important addition to sonographical interventional techniques is percutaneous instillation therapy for focal autonomous adenomas of the thyroid : it is fast acting and effective, representing a genuine therapeutic alternative to surgery or radioactive iodine treatment in many cases. The case report on a - fortunately non-permanent - partial laryngeal necrosis resulting

  16. [Regional health and autonomy conferences (CRSAs): the implications for medical democracy at a regional level].

    Science.gov (United States)

    Devictor, Bernadette

    2010-01-01

    The HPST law seeks to reorganize the governance of healthcare at a regional level and to maintain the existence of regional health conferences, now known as regional health and autonomy conferences (CRSAs). The purpose of this article is to examine the new duties attributed to the CRSAs and to consider the various issues raised by their practice. The article also provides an analysis of the preconditions required for the successful implementation of medical democracy at a regional level, ie.: the involvement of the CRSAs in the assessment of regional healthcare policies, the mobilization of funds, the composition of the CRSAs (including the full range of healthcare areas), the importance of providing adequate support for territorial conferences, and the elaboration of a communicative space for fostering exchanges between CRSAs.

  17. [Research of regional medical consumables reagent logistics system in the modern hospital].

    Science.gov (United States)

    Wu, Jingjiong; Zhang, Yanwen; Luo, Xiaochen; Zhang, Qing; Zhu, Jianxin

    2013-09-01

    To explore the modern hospital and regional medical consumable reagents logistics system management. The characteristics of regional logistics, through cooperation between medical institutions within the region, and organize a wide range of special logistics activities, to make reasonable of the regional medical consumable reagents logistics. To set the regional management system, dynamic management systems, supply chain information management system, after-sales service system and assessment system. By the research of existing medical market and medical resources, to establish the regional medical supplies reagents directory and the initial data. The emphasis is centralized dispatch of medical supplies reagents, to introduce qualified logistics company for dispatching, to improve the modern hospital management efficiency, to costs down. Regional medical center and regional community health service centers constitute a regional logistics network, the introduction of medical consumable reagents logistics services, fully embodies integrity level, relevance, purpose, environmental adaptability of characteristics by the medical consumable reagents regional logistics distribution. Modern logistics distribution systems can increase the area of medical consumables reagent management efficiency and reduce costs.

  18. A study on an information security system of a regional collaborative medical platform.

    Science.gov (United States)

    Zhao, Junping; Peng, Kun; Leng, Jinchang; Sun, Xiaowei; Zhang, Zhenjiang; Xue, Wanguo; Ren, Lianzhong

    2010-01-01

    The objective of this study was to share the experience of building an information security system for a regional collaborative medical platform (RCMP) and discuss the lessons learned from practical projects. Safety measures are analyzed from the perspective of system engineering. We present the essential requirements, critical architectures, and policies for system security of regional collaborative medical platforms.

  19. Facilities and regionalization--emergency medical services systems.

    Science.gov (United States)

    Stewart, R D

    1990-02-01

    Advanced life support and the modern EMS system were born out of the hope that by extending hospital emergency facilities outside the bounds of the hospital, earlier and more intensive care could be provided to those patients requiring it. EMS systems have since left the nest and only recently, following a turbulent adolescence, is prehospital care returning as a partner with the medical facilities and physicians that presided over their modern origins. The next decade will see the continuing trend toward hospitals and practitioners regaining some influence in the design and direction of prehospital care.

  20. Country and regional variations in purchase prices for essential cancer medications.

    Science.gov (United States)

    Cuomo, Raphael E; Seidman, Robert L; Mackey, Tim K

    2017-08-24

    Accessibility to essential cancer medications in low- and middle-income countries is threatened by insufficient availability and affordability. The objective of this study is to characterize variation in transactional prices for essential cancer medications across geographies, medication type, and time. Drug purchase prices for 19 national and international buyers (representing 29 total countries) between 2010 and 2014 were obtained from Management Sciences for Health. Median values for drug pricing were computed, to address outliers in the data. For comparing purchase prices across geographic units, medications, and over time; Mann-Whitney U tests were used to compare two groups, Kruskal Wallis H tests were used to compare more than two groups, and linear regression was used to compare across continuous independent variables. During the five-year data period examined, the median price paid for a package of essential cancer medication was $12.63. No significant differences in prices were found based on country-level wealth, country-level disease burden, drug formulation, or year when medication was purchased. Statistical tests found significant differences in prices paid across countries, regions, individual medications, and medication categories. Specifically, countries in the Africa region appeared to pay more for a package of essential cancer medication than countries in the Latin America region, and cancer medications tended to be more expensive than anti-infective medications and cardiovascular medications. Though preliminary, our study found evidence of variation in prices paid by health systems to acquire essential cancer medications. Primarily, variations in pricing based on geographic location and cancer medication type (including when comparing to essential medicines that treat cardiovascular and infectious diseases) indicate that these factors may impact availability, affordability and access to essential cancer drugs. These factors should be taken into

  1. Identifying regions of interest in medical images using self-organizing maps.

    Science.gov (United States)

    Teng, Wei-Guang; Chang, Ping-Lin

    2012-10-01

    Advances in data acquisition, processing and visualization techniques have had a tremendous impact on medical imaging in recent years. However, the interpretation of medical images is still almost always performed by radiologists. Developments in artificial intelligence and image processing have shown the increasingly great potential of computer-aided diagnosis (CAD). Nevertheless, it has remained challenging to develop a general approach to process various commonly used types of medical images (e.g., X-ray, MRI, and ultrasound images). To facilitate diagnosis, we recommend the use of image segmentation to discover regions of interest (ROI) using self-organizing maps (SOM). We devise a two-stage SOM approach that can be used to precisely identify the dominant colors of a medical image and then segment it into several small regions. In addition, by appropriately conducting the recursive merging steps to merge smaller regions into larger ones, radiologists can usually identify one or more ROIs within a medical image.

  2. Design of Spiral Inflector and Central Region for a Medical Cyclotron

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    CYCIAE-14 is a medical cyclotron designed to accelerate H- ions and extract protons, and it adopts the external ion source and axial injection line. The spiral inflector and the central region are the important

  3. SKILL LEVEL OF ECONOMIC DEPARTMENT PERSONNEL OF MEDICAL ESTABLISHMENTS OF THE SVERDLOVSK REGION

    OpenAIRE

    I. L. Leontiev

    2010-01-01

    The problem of condition regarding a professional level of economic staff of medical establishments has been developed. A detailed analysis of conformity of professional level of economic department specialists by the example of the Sverdlovsk region has been presented.

  4. Utilization of a Marketing Strategy at Naval Regional Medical Center Great Lakes, Great Lakes, Illinois

    Science.gov (United States)

    1983-06-01

    UTILIZATION OF A MARKETING STRATEGY AToNAVAL REGIONAL MEDICAL CENTER GREAT LAKES NGREAT LAKES, ILLINOIS I DTIC S1 ELECTE I A Graduate Research...IWORK UNIT ELEMENT NO. NO. NO. rCCESSION NO. 11. TITLE (bw* u S.wufty asification) Utilization of A Marketing Strategy At Naval Regional Medical Center...Applied Research Question. ........ 37 Summary of the Steps of a Marketing Strategy .. ..... 38 Applicability to the Military Health Care System

  5. The Regional Medical Library Grant Program of the National Library of Medicine.

    Science.gov (United States)

    Douglass, C D

    1968-01-01

    Recognizing the utility of a regional medical library system in improving the availability of existing and future medical library resources in the country, the Congress included provisions for the support of such a system in the Medical Library Assistance Act. Grants will be made to major medical libraries which have the potential to provide supportive services to other libraries within a geographic area encompassing a major fraction of the nation's health professional manpower. Approximately ten of these regional libraries will receive these grants. Support for the system and consequently the extension of the services of the system will of necessity by implemented in a stepwise fashion. The central function of a regional medical library is to provide back-stopping interlibrary loan service and also to provide access to MEDLARS services for the region. Additional services for the region will include traditional reference service, training, surveillance of regional needs, announcement services, support for programs of continuing education for the health professions, and certain central technical processing for the region.

  6. Medical Image Fusion Algorithm Based on Nonlinear Approximation of Contourlet Transform and Regional Features

    Directory of Open Access Journals (Sweden)

    Hui Huang

    2017-01-01

    Full Text Available According to the pros and cons of contourlet transform and multimodality medical imaging, here we propose a novel image fusion algorithm that combines nonlinear approximation of contourlet transform with image regional features. The most important coefficient bands of the contourlet sparse matrix are retained by nonlinear approximation. Low-frequency and high-frequency regional features are also elaborated to fuse medical images. The results strongly suggested that the proposed algorithm could improve the visual effects of medical image fusion and image quality, image denoising, and enhancement.

  7. Heat Stroke: A Medical Emergency Appearing in New Regions

    Directory of Open Access Journals (Sweden)

    Sofie Søndergaard Mørch

    2017-01-01

    Full Text Available Heat stroke is an acute, life-threatening emergency characterized clinically by elevated body temperature and central nervous system dysfunction. Early recognition and treatment including aggressive cooling and management of life-threatening systemic complications are essential to reduce morbidity and mortality. This case report describes two Danish patients diagnosed with heat stroke syndrome during a heat wave in the summer of 2014. Both patients were morbidly obese and had several predisposing illnesses. However since heat stroke is a rare condition in areas with temperate climate, they were not diagnosed until several days after admittance; hence treatment with cooling was delayed. Both patients were admitted to the intensive care unit, where they were treated with an external cooling device and received treatment for complications. Both cases ended fatally. As global warming continues, more heat waves will occur in previously cooler regions. Therefore it is important to raise awareness of heat stroke since outcome depends on early recognition and rapid cooling.

  8. Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK: a regional survey

    Directory of Open Access Journals (Sweden)

    Payne Karl Frederick

    2012-10-01

    Full Text Available Abstract Background Smartphone usage has spread to many settings including that of healthcare with numerous potential and realised benefits. The ability to download custom-built software applications (apps has created a new wealth of clinical resources available to healthcare staff, providing evidence-based decisional tools to reduce medical errors. Previous literature has examined how smartphones can be utilised by both medical student and doctor populations, to enhance educational and workplace activities, with the potential to improve overall patient care. However, this literature has not examined smartphone acceptance and patterns of medical app usage within the student and junior doctor populations. Methods An online survey of medical student and foundation level junior doctor cohorts was undertaken within one United Kingdom healthcare region. Participants were asked whether they owned a Smartphone and if they used apps on their Smartphones to support their education and practice activities. Frequency of use and type of app used was also investigated. Open response questions explored participants’ views on apps that were desired or recommended and the characteristics of apps that were useful. Results 257 medical students and 131 junior doctors responded, equating to a response rate of 15.0% and 21.8% respectively. 79.0% (n=203/257 of medical students and 74.8% (n=98/131 of junior doctors owned a smartphone, with 56.6% (n=115/203 of students and 68.4% (n=67/98 of doctors owning an iPhone. The majority of students and doctors owned 1–5 medical related applications, with very few owning more than 10, and iPhone owners significantly more likely to own apps (Chi sq, p Conclusions This study found a high level of smartphone ownership and usage among medical students and junior doctors. Both groups endorse the development of more apps to support their education and clinical practice.

  9. A STUDY OF SELF MEDICATION AMONG THE PEOPLE OF BHOPAL REGION MADHYA PRADESH, INDIA

    Directory of Open Access Journals (Sweden)

    Malvi Reetesh

    2011-12-01

    Full Text Available The aim of study is to gather information on extent of self medication practice. The outcome of the study will provide data regarding reasons, public awareness and safety aspects of self medication in Bhopal city. It was a questionnaire based survey which was conducted on adult male and female population in Bhopal region. On a personal interview session questions were asked to the participants and responses were noted. Questionnaire include the variables like conditions, reason, system of medicine used, type of medicine consumed and source of information etc of self medication. Self medication is practiced mostly by males (58.6% favoring the age group of 20-30 years. Out of 116 participants 56.8% said that they got information on self medication from chemist, 25% people got information by advertisements. Maximum participants (58.6% considered that they use self medication for quick relief, 23.2% said that they have lack of time to go to doctors due to their busy schedule. Very common medicine used for self medication is paracetamol which was preferred by 34.4% of the participants and 18.9% like to have Disprin. Self medication for headache (25.8%, fever (36.2 % and body pain (32.7% are most common. Self medication is very common among the young male with high prevalence rate. Literacy and the economy are the major factors of self medication in the peoples. Although generally people have knowledge, but more awareness on self medication is needed.

  10. [A multicenter trial of regional medical cooperation for cancer chemotherapy after the great East Japan earthquake].

    Science.gov (United States)

    Akiyama, Shoko; Seya, Yukiko; Murayama, Motoko; Ogasawara, Kimiyo; Kisara, Shigeki; Ishii, Tadashi; Sugawara, Michie; Chida, Yasunori; Kanbe, Mariko; Kakudo, Yuichi; Mano, Nariyasu; Ishioka, Chikashi

    2013-03-01

    The Great East Japan Earthquake was the first disaster we experienced after the administration of oncology care had mostly shifted from hospitals to outpatient departments in Japan. Disaster medical assistance teams(DMATs)were deployed immediately after the disaster, and actively assisted during the acute phase of the catastrophe. After experiencing the earthquake, we realized the necessity of medical support teams, even for chronic disease. Here we report a multicenter trial of regional medical cooperation for cancer chemotherapy. First, soon after the earthquake, representatives from the regional hospitals discussed the proper roles for each institution. As agreed to in the discussion, cancer patients were redistributed from a disaster base hospital to a local general hospital, and oncologists supported the other regional hospitals on a regular basis. This broad regional network functioned well and patients resumed their treatment as soon as the situation allowed. Second, we performed a survey of the patients and found that the most important problem was patients' lack of understanding of their own illnesses. Third, we conducted an opinion survey of medical professionals on regional medical cooperation. Based on the trial, we found it important in disasters to establish regional cooperation and solid communication systems, and to promote patient education.

  11. Medical diplomacy and global mental health: from community and national institutions to regional centers of excellence.

    Science.gov (United States)

    Aggarwal, Neil Krishan; Kohrt, Brandon A

    2013-12-01

    We explore how regional medical diplomacy can increase funding for global mental health initiatives. Interventions for infectious diseases have dominated medical diplomacy by focusing on security concerns. The global mental health movement has adopted similar strategies, but unsuccessfully since mental illnesses do not cause international epidemics. Instead, realpolitik arguments may increase funding by prioritizing economic productivity and regional diplomacy based on cultural ties to advance mental health services and research at the community level. In South Asia, initiatives to train personnel and provide refugee services offer a foundation for regional centers of excellence. This model can be expanded elsewhere.

  12. Diversity of United States medical students by region compared to US census data

    Directory of Open Access Journals (Sweden)

    Smith MM

    2015-05-01

    Full Text Available Mark M Smith,1 Steven H Rose,1 Darrell R Schroeder,2 Timothy R Long1 1Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN, USA; 2Division of Biomedical Statistics and Informatics, Mayo Clinic College of Medicine, Rochester, MN, USA Purpose: Increasing the diversity of the United States (US physician workforce to better represent the general population has received considerable attention. The purpose of this study was to compare medical student race data to that of the US general population. We hypothesized that race demographics of medical school matriculants would reflect that of the general population. Patients and methods: Published race data from the United States Census Bureau (USCB 2010 census and the 2011 Association of American Medical Colleges (AAMC allopathic medical school application and enrollment by race and ethnicity survey were analyzed and compared. Race data of enrolled medical students was compared to race data of the general population within geographic regions and subregions. Additionally, race data of medical school applicants and matriculants were compared to race data of the overall general population. Results: Race distribution within US medical schools was significantly different than race distribution for the overall, regional, and subregional populations of the US (P<0.001. Additionally, the overall race distribution of medical school applicants differed significantly to the race distribution of the general population (P<0.001. Conclusion: This study demonstrated that race demographics of US medical school applicants and matriculants are significantly different from that of the general population, and may be resultant of societal quandaries present early in formal education. Initiatives targeting underrepresented minorities at an early stage to enhance health care career interest and provide academic support and mentorship will be required to address the racial disparity that exists in US

  13. Novel lattice Boltzmann method based on integrated edge and region information for medical image segmentation.

    Science.gov (United States)

    Wen, Junling; Yan, Zhuangzhi; Jiang, Jiehui

    2014-01-01

    The lattice Boltzmann (LB) method is a mesoscopic method based on kinetic theory and statistical mechanics. The main advantage of the LB method is parallel computation, which increases the speed of calculation. In the past decade, LB methods have gradually been introduced for image processing, e.g., image segmentation. However, a major shortcoming of existing LB methods is that they can only be applied to the processing of medical images with intensity homogeneity. In practice, however, many medical images possess intensity inhomogeneity. In this study, we developed a novel LB method to integrate edge and region information for medical image segmentation. In contrast to other segmentation methods, we added edge information as a relaxing factor and used region information as a source term. The proposed method facilitates the segmentation of medical images with intensity inhomogeneity and it still allows parallel computation. Preliminary tests of the proposed method are presented in this paper.

  14. Technology complementing military psychology programs and services in the Pacific Regional Medical Command.

    Science.gov (United States)

    Stetz, Melba C; Folen, Raymond A; Van Horn, Sandra; Ruseborn, Daniel; Samuel, Kevin M

    2013-08-01

    The Tripler Army Medical Center is the only federal tertiary care hospital serving the Pacific Regional Medical Command. Due to Tripler's large area of responsibility, many behavioral health professionals are starting to employ more technology during their sessions. As explained in this article, virtual reality and telepsychology efforts are proving to benefit military service members and their families in the Pacific Rim. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  15. FEATURES OF MEDICAL AID FOR NEUROTRAUMA IN REGION WITH LOW POPULATION DENSITY

    OpenAIRE

    O. V. Moguchaya; V. V. Shchedrenok; N. V. Anikeev; I. A. Simonova

    2011-01-01

    The system of medical aid for neurotrauma in the region with low population density in the case of the Komi Republic was studied. Neurosurgical care to the population of the republic last decade had an intense focus of development. Currently, neurosurgical service is based entirely in Syktyvkar, and is represented by three neurosurgical departments. Due to the low population density (2.3 people 1 km2), the centralization of specialized medical care and inadequate equipment of district and reg...

  16. Monograph support provided by the National Library of Medicine and its regional medical libraries in the medical behavioral sciences.

    Science.gov (United States)

    Saye, J D; Griffith, B C

    1988-01-01

    The National Library of Medicine's (NLM) monographic resources in the medical behavioral sciences (MBS) were examined to assess NLM's ability to support the needs of researchers writing in this area. A sample of 239 representative monographs derived from citations in MBS-related articles published in 61 journals in 1981 were evaluated. These monographs were limited to works published between 1978 and 1981, inclusive. The subject distribution of the sample included fourteen of the twenty-one main classes in the LC classification, although BF (psychology), H (social sciences), and R (medicine) constituted 80.3% of the sample. The study revealed that NLM held 48.5% of the sample. The holdings of ten research medical libraries, including six of the seven regional medical libraries, were also evaluated in order to gauge NLM's ability to support that element of the medical library network. The holding rates of these libraries ranged widely (9.6% to 36%), although NLM was found to have far more extensive holdings overall, and when assessed against classes BF, H, and R. Overall, NLM could have supplied from 28.8% to 44.5% of the monographs not held by the medical libraries. In only a few cases were the ten medical libraries able to provide access to monographs not held by NLM. The findings of the study indicate that, regardless of NLM's indication of support to the MBS area, the holdings of more general research and academic libraries are essential to support the monograph needs of MBS researchers. PMID:3224221

  17. Structural disproportions in regional medical standards in treatment of blood circulatory disorders

    Directory of Open Access Journals (Sweden)

    Sazanova G.Yu.

    2012-03-01

    Full Text Available The research goal is to consider the opinion of physicians about the financial medical assistance standards to patients with blood circulatory disorders. Materials and methods: 530 doctors of different specialties were interviewed. Some sociological and statistical methods were used in the study. Results: The majority of respondents (83% considered that it was necessary to coordinate financial support of diagnostic and treatment expenditures with the standards of the regional program of rendering free medical aid to patients with blood circulatory disorders. Conclusion: The issue of medical standards fully depends on the staff organization and medicamentous provision

  18. FEATURES OF MEDICAL AID FOR NEUROTRAUMA IN REGION WITH LOW POPULATION DENSITY

    Directory of Open Access Journals (Sweden)

    O. V. Moguchaya

    2011-01-01

    Full Text Available The system of medical aid for neurotrauma in the region with low population density in the case of the Komi Republic was studied. Neurosurgical care to the population of the republic last decade had an intense focus of development. Currently, neurosurgical service is based entirely in Syktyvkar, and is represented by three neurosurgical departments. Due to the low population density (2.3 people 1 km2, the centralization of specialized medical care and inadequate equipment of district and regional hospitals, special significance remote consultation, as well as adequate ways of evacuation with neurotrauma.

  19. Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK): a regional survey

    Science.gov (United States)

    2012-01-01

    Background Smartphone usage has spread to many settings including that of healthcare with numerous potential and realised benefits. The ability to download custom-built software applications (apps) has created a new wealth of clinical resources available to healthcare staff, providing evidence-based decisional tools to reduce medical errors. Previous literature has examined how smartphones can be utilised by both medical student and doctor populations, to enhance educational and workplace activities, with the potential to improve overall patient care. However, this literature has not examined smartphone acceptance and patterns of medical app usage within the student and junior doctor populations. Methods An online survey of medical student and foundation level junior doctor cohorts was undertaken within one United Kingdom healthcare region. Participants were asked whether they owned a Smartphone and if they used apps on their Smartphones to support their education and practice activities. Frequency of use and type of app used was also investigated. Open response questions explored participants’ views on apps that were desired or recommended and the characteristics of apps that were useful. Results 257 medical students and 131 junior doctors responded, equating to a response rate of 15.0% and 21.8% respectively. 79.0% (n=203/257) of medical students and 74.8% (n=98/131) of junior doctors owned a smartphone, with 56.6% (n=115/203) of students and 68.4% (n=67/98) of doctors owning an iPhone. The majority of students and doctors owned 1–5 medical related applications, with very few owning more than 10, and iPhone owners significantly more likely to own apps (Chi sq, papp usage of several times a day. Over 24hours apps were used for between 1–30 minutes for students and 1–20 minutes for doctors, students used disease diagnosis/management and drug reference apps, with doctors favouring clinical score/calculator apps. Conclusions This study found a high level of

  20. Organization of Medical Care to Children with Road Traffic Injury in the Rostov Region

    Directory of Open Access Journals (Sweden)

    I.I. Babich

    2009-01-01

    Full Text Available Objective: to analyze the efficiency of the Rostov Region’s medical care service for children with severe traumatic injuries due to road traffic accidents. Results. It has been established that the service meets the generally accepted stepwise principles and has a multilevel network of hospitals, which allows the earliest performance of the required volume of medical care in relation to the pattern and severity of lesions. It has been shown that 58.3% of the children with severe traumatic lesions are primarily admitted to the central district hospitals and emergency care ones that are aimed at rendering medical aid to the adult population. Thus, medical care is delivered to the above contingent by non-pediatric surgical and resuscitative-anesthetic services. Conclusion. By keeping in mind the specific features of the emergency medical system existing in the region, the authors propose its further development, by organizing interregional centers on the basis of a number of central regional hospitals for the treatment of children with traumatic lesions (among other things, by allocating pediatric beds in the intensive care units. The stepwise solution of this problem is currently being done in the Rostov Region in two main directions: 1 organization by developing a round-the-clock advisory subdivision (with an exiting sanitary aviation team on the basis of – the regional children’s clinical hospital and 2 methodical maintenance of multidisciplinary h°spitals in delivering medical care to different age-groups children. Key words: road traffic accidents, emergency medical service, children, traumatic lesions.

  1. Medical waste management in Trachea region of Turkey: suggested remedial action.

    Science.gov (United States)

    Uysal, Füsun; Tinmaz, Esra

    2004-10-01

    The main objective of this paper was to analyse the present status of medical waste management in the Trachea region of Turkey and subsequently to draw up a policy regarded with generation, collection, on-site handling, storage, processing, recycling, transportation and safe disposal of medical wastes. This paper also presents the results of study about awareness on how to handle expired drugs. Initially all health-care establishments in Tekirdağ, Edirne and Kýrklareli provinces in Trachea region were identified and the amounts of hospital wastes generated by each of them were determined. Current medical waste-management practices, including storage, collection, transportation and disposal, in surveyed establishments were identified. Finally, according to results, remedial measurements for medical waste management in these establishments were suggested. Unfortunately, medical wastes are not given proper attention and these wastes are disposed of together with municipal and industrial solid wastes. The current disposal method is both a public health and environmental hazard. When landfill sites are visited, many scavengers can be seen sorting for recyclable materials, a practice which is dangerous for the scavengers. In addition, it was found that some staff in health-care establishments are unaware of the hazard of medical wastes. It is concluded that a new management system, which consists of segregation, material substitution, minimization, sanitary landfilling and alternative medical waste treatment methods should be carried out. For the best appropriate medical waste management system, health-care establishment employers, managers and especially the members of house- keeping divisions should be involved in medical waste management practice.

  2. Graduate Medical Education in the European Region. First Supplementary Report 1978.

    Science.gov (United States)

    World Health Organization, Copenhagen (Denmark). Regional Office for Europe.

    Data on graduate medical education in Europe are tabulated in this report from the World Health Organization. The information was collected from a short questionnaire distributed in 1976 to countries of the European region using the English language, and in 1977 to those countries using French and Russian. The countries surveyed include: Algeria,…

  3. MONITORING OF EXPOSURE RADIATION DOSES LOADS FROM MEDICAL EXPOSURE TO POPULATION OF THE KIROV REGION

    Directory of Open Access Journals (Sweden)

    B. N. Skolotnev

    2012-01-01

    Full Text Available The paper analyzes medical exposure to population of the Kirov region during the period of 50 years (1961–2011 from the main types of X-ray procedures. Steady eduction trend of exposure levels to population with increase of X-ray surveys frequency has been found.

  4. SKILL LEVEL OF ECONOMIC DEPARTMENT PERSONNEL OF MEDICAL ESTABLISHMENTS OF THE SVERDLOVSK REGION

    Directory of Open Access Journals (Sweden)

    I. L. Leontiev

    2010-03-01

    Full Text Available The problem of condition regarding a professional level of economic staff of medical establishments has been developed. A detailed analysis of conformity of professional level of economic department specialists by the example of the Sverdlovsk region has been presented.

  5. The impact after 50 years of a new medical education programme with a regional workforce mission.

    Science.gov (United States)

    Hays, Richard; Bowles, Sarah; Brown, Terry; Lawler, Anthony; Vickers, James

    2017-07-05

    Tasmania established its medical programme in 1965 to produce graduates to address medical workforce recruitment challenges. Many Tasmanian graduates work in Tasmania, but workforce problems continue. This paper reports the workforce outcomes of the first 42 graduating cohorts. A database for all University of Tasmania medical graduates from the years 1970 to 2011 was developed by combining information from university, registration and local workforce survey databases. A total of 2012 doctors graduated from 1971 to 2011 and 1707 (85%) were registered, most commonly in general practice (45.8%), medicine (13%), anaesthetics (7.9%), surgery (7.5%), psychiatry (4.3%), emergency medicine (35, 3.5%), paediatrics (3.4%) and pathology (3.3%). While 41.9% worked in Tasmania, they comprised 35.6% of the local workforce and were clustered around the two larger cities. The proportion entering general practice has fallen since 1980s. The contribution of the Tasmanian medical programme is substantial but appears less than other regional medical schools. Relatively few work in smaller communities, particularly in specialties other than general practice. Lifestyle choices and the availability of training opportunities and career positions might be contributing factors. The medical school has established clinical schools in rural communities, promoted admission of rural applicants and increased rural clinical placement opportunities, with some early signs of success. The Tasmanian medical programme is important in this regional, island economy, but the rural and remote communities have not benefited as much as the two larger cities. Sustaining a regional workforce mission over time might require frequent adjustments to admissions and curriculum processes. © 2017 National Rural Health Alliance Inc.

  6. Regional variation in Medicare payments for medical imaging: radiologists versus nonradiologists.

    Science.gov (United States)

    Rosman, David A; Nsiah, Eugene; Hughes, Danny R; Duszak, Richard

    2015-05-01

    The purpose of this article was to study regional variation in Medicare Physician Fee Schedule (MPFS) payments for medical imaging to radiologists compared with nonradiologists. Using a 5% random sample of all Medicare enrollees, which covered approximately 2.5 million Part B beneficiaries in 2011, total professional-only, technical-only, and global MPFS spending was calculated on a state-by-state and United States Census Bureau regional basis for all Medicare Berenson-Eggers Type of Service-defined medical imaging services. Payments to radiologists versus nonradiologists were identified and variation was analyzed. Nationally, mean MPFS medical imaging spending per Medicare beneficiary was $207.17 ($95.71 [46.2%] to radiologists vs $111.46 [53.8%] to nonradiologists). Of professional-only (typically interpretation) payments, 20.6% went to nonradiologists. Of technical-only (typically owned equipment) payments, 84.9% went to nonradiologists. Of global (both professional and technical) payments, 70.1% went to nonradiologists. The percentage of MPFS medical imaging spending on nonradiologists ranged from 32% (Minnesota) to 69.5% (South Carolina). The percentage of MPFS payments for medical imaging to nonradiologists exceeded those to radiologists in 58.8% of states. The relative percentage of MPFS payments to nonradiologists was highest in the South (58.5%) and lowest in the Northeast (48.0%). Nationally, 53.8% of MPFS payments for medical imaging services are made to nonradiologists, who claim a majority of MPFS payments in most states dominated by noninterpretive payments. This majority spending on nonradiologists may have implications in bundled and capitated payment models for radiology services. Medical imaging payment policy initiatives must consider the roles of all provider groups and associated regional variation.

  7. Aviation and the delivery of medical care in remote regions: the Lesotho HIV experience.

    Science.gov (United States)

    Furin, Jennifer; Shutts, Mike; Keshavjee, Salmaan

    2008-02-01

    In many regions of the world plagued by high burdens of disease, there is difficulty in accessing basic medical care. This is often due to logistical constraints and a lack of infrastructure such as roads. Medical aviation can play a major role in addressing some of these crucial issues as it allows for the rapid transport of patients, personnel, and medications to remote-and sometimes otherwise inaccessible-areas. Lesotho is a mountainous nation of 2 million people that provides a good example of medical aviation as a cornerstone in the delivery of health care. The population has a reported HIV seroprevalence of 25%, and many patients live in rural areas that are inaccessible by road. Mission Aviation Fellowship has joined forces with a medical team from the nongovernmental organization Partners In Health in an effort to launch a comprehensive program to address HIV and related problems in rural Lesotho. This medical aviation partnership has allowed for the provision of HIV prevention and treatment services to thousands of people living in the mountains. This commentary describes how medical aviation has been crucial in developing models to address complex, serious health problems in remote settings.

  8. Symptom clusters on primary care medical service trips in five regions in Latin America.

    Science.gov (United States)

    Dainton, Christopher; Chu, Charlene

    2015-09-01

    Short-term primary care medical service trips organized by the North American non-governmental organizations (NGOs) serve many communities in Latin America that are poorly served by the national health system. This descriptive study contributes to the understanding of the epidemiology of patients seen on such low-resource trips. An analysis was conducted on epidemiologic data collected from anonymized electronic medical records on patients seen during 34 short-term medical service trips in five regions in Ecuador, Guatemala, and the Dominican Republic between April 2013 and April 2014. A total of 22,977 patients were assessed by North American clinicians (physicians, nurse practitioners, physician assistants) on primary care, low-resource medical service trips. The majority of patients were female (67.1%), and their average age was 36. The most common presenting symptoms in all regions were general pain, upper respiratory tract symptoms, skin disorders, eye irritation, dyspepsia, and nonspecific abdominal complaints; 71-78% of primary care complaints were easily aggregated into well-defined symptom clusters. The results suggest that guideline development for clinicians involved in these types of medical service trips should focus on management of the high-yield symptom clusters described by these data.

  9. Region quad-tree decomposition based edge detection for medical images.

    Science.gov (United States)

    Dua, Sumeet; Kandiraju, Naveen; Chowriappa, Pradeep

    2010-05-28

    Edge detection in medical images has generated significant interest in the medical informatics community, especially in recent years. With the advent of imaging technology in biomedical and clinical domains, the growth in medical digital images has exceeded our capacity to analyze and store them for efficient representation and retrieval, especially for data mining applications. Medical decision support applications frequently demand the ability to identify and locate sharp discontinuities in an image for feature extraction and interpretation of image content, which can then be exploited for decision support analysis. However, due to the inherent high dimensional nature of the image content and the presence of ill-defined edges, edge detection using classical procedures is difficult, if not impossible, for sensitive and specific medical informatics-based discovery. In this paper, we propose a new edge detection technique based on the regional recursive hierarchical decomposition using quadtree and post-filtration of edges using a finite difference operator. We show that in medical images of common origin, focal and/or penumbral blurred edges can be characterized by an estimable intensity gradient. This gradient can further be used for dismissing false alarms. A detailed validation and comparison with related works on diabetic retinopathy images and CT scan images show that the proposed approach is efficient and accurate.

  10. [Medication administration practices in elderly residential facilities in Ile de France Region in 2014: findings and room for improvement].

    Science.gov (United States)

    de Saunière, Anne; Bonneau, Laetitia; Donio, Valérie; Godinot, Valérie; Flouzat, Jean-Philippe; Bensasson, Géraldine; Code, Christelle; Galay, Guillaume; Pige, Dominique

    2016-11-25

    The institutions expressed great interest in medication administration systems and tools designed to monitor all stages of medication administration. A dozen simple and pragmatic improvement actions were identified and listed in the Ile-de-France Regional Health Agency action plan to improve medication administration management of in EHPAD..

  11. Regional variation in medication-taking behaviour of new users of oral anti-hyperglycaemic therapy in Ireland

    LENUS (Irish Health Repository)

    O’Shea, M. P.

    2014-05-01

    Few studies have investigated regional variation in medication-taking behaviour. The purpose of this study was to investigate whether there are regional differences in non-persistence and non-adherence to oral anti-hyperglycaemic agents in patients initiating therapy and examine if any association exists between different types of comorbidity in terms of medication-taking behaviour.\\r\

  12. An insight into the emerging role of regional medical advisor in the pharmaceutical industry

    Directory of Open Access Journals (Sweden)

    Sandeep Kumar Gupta

    2013-01-01

    Full Text Available The position of regional medical advisor (RMA is relatively new in the pharmaceutical industry and its roles and responsibility are still evolving. The RMA is a field based position whose main mission is to foster collaborative relationships with the key opinion leaders (KOLs and to facilitate the exchange of unbiased scientific information between the medical community and the company. Field-based medical liaison teams are expanding world-wide as part of the pharmaceutical industry′s increased focus on global operations including emerging markets. Now, the position of the RMA has evolved into comprehensive, complex, highly interactive, targeted, highly strategic, innovative, and independent role since its inception by the Upjohn Company in 1967. The major objective of the RMA is to develop the professional relationships with the health-care community, particularly KOLs, through peer-to-peer contact. The RMA can facilitate investigator-initiated clinical research proposals from approval until completion, presentation, and publication. It is possible for a RMA to have valuable access to KOLs through his expertise in the clinical research. The RMA can assist in the development, review, and follow-up of the clinical studies initiated within the relevant therapeutic area at the regional/local level. The RMA can lead regional/local clinical projects to ensure that all clinical trials are conducted in compliance with the International Conference of Harmonisation Good Clinical Practice (ICH GCP guidelines.

  13. A Study on Strategic Planning and Procurement of Medicals in Uganda's Regional Referral Hospitals.

    Science.gov (United States)

    Masembe, Ishak Kamaradi

    2016-12-31

    This study was an analysis of the effect of strategic planning on procurement of medicals in Uganda's regional referral hospitals (RRH's). Medicals were defined as essential medicines, medical devices and medical equipment. The Ministry of Health (MOH) has been carrying out strategic planning for the last 15 years via the Health Sector Strategic Plans. Their assumption was that strategic planning would translate to strategic procurement and consequently, availability of medicals in the RRH's. However, despite the existence of these plans, there have been many complaints about expired drugs and shortages in RRH's. For this purpose, a third variable was important because it served the role of mediation. A questionnaire was used to obtain information on perceptions of 206 respondents who were selected using simple random sampling. 8 key informant interviews were held, 2 in each RRH. 4 Focus Group Discussions were held, 1 for each RRH, and between 5 and 8 staff took part as discussants for approximately three hours. The findings suggested that strategic planning was affected by funding to approximately 34% while the relationship between funding and procurement was 35%. The direct relationship between strategic planning and procurement was 18%. However when the total causal effect was computed it turned out that strategic planning and the related variable of funding contributed 77% to procurement of medicals under the current hierarchical model where MOH is charged with development of strategic plans for the entire health sector. Since even with this contribution there were complaints, the study proposed a new model called CALF which according to a simulation, if adopted by MOH, strategic planning would contribute 87% to effectiveness in procurement of medicals.

  14. Iraqi health system in kurdistan region: medical professionals' perspectives on challenges and priorities for improvement

    Directory of Open Access Journals (Sweden)

    Saleh Abubakir M

    2010-11-01

    Full Text Available Abstract Background The views of medical professionals on efficiency of health system and needs for any changes are very critical and constitute a cornerstone for any health system improvement. This is particularly relevant to Iraqi Kurdistan case as the events of the last few decades have significantly devastated the national Iraqi health system while the necessity for adopting a new health care system is increasingly recognized since 2004. This study aims to examine the regional health system in Iraqi Kurdistan from medical professionals' perspectives and try to define its problems and priorities for improvement. Methods A survey questionnaire was developed and administered to a convenience sample of 250 medical professionals in Erbil governorate. The questionnaire included four items; rating of the quality of services and availability of resources in the health institutions, view on different aspects of the health system, the perceived priority needs for health system improvement and gender and professional characteristics of the respondents. Results The response rate to the survey was 83.6%. A high proportion of respondents rated the different aspects of services and resources in the health institutions as weak or very weak including the availability of the required quantity and quality of medicines (68.7%, the availability of sufficient medical equipment and investigation tools (68.7%, and the quality of offered services (65.3%. Around 72% of respondents had a rather negative view on the overall health system. The weak role of medical research, the weak role of professional associations in controlling the system and the inefficient health education were identified as important problems in the current health system (87.9%, 87.1% and 84.9%, respectively. The priority needs of health system improvement included adoption of social insurance for medical care of the poor (82%, enhancing the role of family medicine (77.2%, adopting health

  15. MEDICATION AND APPROPRIATE PHYSICAL THERAPY OF COMPLEX REGIONAL PAIN SYNDROME PATIENTS AFTER TRAUMA

    Directory of Open Access Journals (Sweden)

    P Elizabeta

    2013-05-01

    Full Text Available Objective: Treatment of patients with complex regional pain syndrome (CRPS after trauma needs a complex physical and medical therapy, according of the stage of condition. The patient with trauma is coming to rehabilitation department, after surgery treatment. The aim of our study is to represent the effect of complexity physical therapy and medical support in treatment of patients with CRPS with evaluation of decrease of pain and increase of function in affected region.Method: we are treating 35 patients overage 35-70 years with 2 including criteria, clinical reaction of CRPS and radiologicalchanges of osteoporosis. Medication includes non steroidal anti-inflammatory drugs, tricycle antidepressants, vasoactive drugs and calcitonin. Physical therapy is consisting of electro therapy, sonophoresis and paraffin.Results: The evaluation was made with observation and measurement of pain, swelling and color of skin and movements of the joint.Conclusion: the goodness of the condition with whole time of rehabilitation 3-6 months was significant p < 0.01.

  16. [Supporting system for regional medical liaison and role of a central hospital].

    Science.gov (United States)

    Kitano, Seigo

    2003-04-01

    The current status and future development of the supporting system for regional medical liaison and a role of the central hospital in the network were outlined. One of such supportive systems for regional medical network would be tele-medicine or tele-mentoring that include radiological and pathological diagnoses in distance, tele-surgery, and tele-education. Most of these systems are facilitated in the universities and affiliated hospitals and generally need high-cost communication equipment. Another approach is the information sharing system through the modern telecommunication network. Electronic patient record (EPR) systems are the key to achieving this and currently active in several areas. Since the recent progress in information technology (IT) is astonishing, community-based EPR systems are practical with the capability of clinical information exchange between different institutions and even with patients. The role of a central hospital in these systems must be capacious. Management and continuous operation of the system would be the most important affairs. For extending these supporting systems to the ones working in a broader area, the establishment of a "one ID for one patient" system is crucial. Strict security management of the data base and legal institution for distant medical practice still remain as the future tasks.

  17. Caffeine Consumption among Medical Interns and Association with GPA in Makkah Region

    Directory of Open Access Journals (Sweden)

    Alsharif Mohammed H

    2016-12-01

    Full Text Available The Vagarious amount of caffeine may become harmful in frequent use, it increased among medical interns in Makkah region. The caffeine becomes a daily routine for medical interns without attention for their side harmful effect. The purpose of our study was to evaluate the educational level of awareness of the harmful effect of caffeine consumption. This was a cross-sectional study from August to October 2016. A total number 437 of participants with GPA groups, Group I (GPA 1.5-2, Group II (GPA 2.1- 3 and Group III (GPA 3.1- 3.5. The higher percentages were the group II and female consumed caffeine frequently more than male.

  18. [Consultation per video-conferencing with regional hospitals: the MEDKOM project of the Hannover Medical University].

    Science.gov (United States)

    Link, H; Poliwoda, H

    1999-01-01

    Consultations between doctors are necessary tools for decisions in diagnosis and treatment of patients. The mainstay is a sound communication between the participants, using verbal and audio-visual means. Usually clinical findings and imaging results are included. Using video technology with ISDN (integrated services digital network), such consulting can be performed across any distance. The department of hematology and oncology of the Medical School Hanover has introduced such a system in 1989 for conferencing with 12 regional hospitals and two private practices. It is now a well recognized and established system being applied for 270 sessions and for 1100 Patients per year. It is an integrated part of the co-operation, also allows medical education and quality improvement.

  19. The regional commission for medical accidents and nosocomial infections set up by French law.

    Science.gov (United States)

    Bartoli, C; Piercecchi-Marti, M D; Pelissier-Alicot, A L; Cianfarani, F; Leonetti, G

    2005-07-01

    The regional commission for conciliation and compensation for medical accidents, iatrogenic diseases and nosocomial infections (commission régionale de conciliation et d'indemnisation des accidents médicaux, affections iatrogènes et infections nosocomiales, CRCI) offers victims of such events the possibility of obtaining compensation without recourse to legal proceedings. We suggest various points of view about this commission set up by the French law no. 2002-303 of 4 March 2002: the composition, role and competence of the CRCI; the place of the expert's report; the opinion pronounced by the CRCI and its outcome, the compensation of victims and, finally, interaction with other procedures.

  20. [The regional cooperation of medical services and a nutritional support team].

    Science.gov (United States)

    Maruyama, Michio

    2006-12-01

    "Community NST" is a new concept, which means a cooperation system with the hospital NST and a regional medical service. "Community NST" provides home nutritional care for the patients with nutritional problems. The function of the hospital NST for inpatients has been established in recent years. Now the patients need a continuous nutritional care not only in the hospital but at home. Percutaneous endoscopic gastrostomy (PEG) has been performed on the base of cooperation with the hospital and home care. This PEG system is one of the functions of "Community NST". The author showed several measures of "Community NST", which have been tried in the hospital.

  1. Assessing determinants of self-medication with antibiotics among Portuguese people in the Algarve Region.

    Science.gov (United States)

    Ramalhinho, Isabel; Cordeiro, Clara; Cavaco, Afonso; Cabrita, José

    2014-10-01

    was not easy to get antibiotics without a prescription: OR 0.07 (95 % CI 0.05-0.12; p < 0.001). Non-prescription acquisition, age and gender could be determinants of self-medication with antibiotics among Portuguese people in the Algarve region.

  2. Social Adversity and Regional Differences in Prescribing of ADHD Medication for School-Age Children

    DEFF Research Database (Denmark)

    Kildemoes, Helle Wallach; Skovgaard, Anne Mette; Thielen, Karsten

    2015-01-01

    Objectives: To explore whether regional variations in the initiation of attention-deficit hyperactivity disorder (ADHD) medication among school-age children are explained by differences in sociodemographic composition and/or ADHD prescribing practice, especially in children who face social...... adversity (low parental education and single parenthood). Methods: A cohort of Danish school-age children (ages 5–17) without previous psychiatric conditions (N = 813,416) was followed during 2010–2011 for incident ADHD prescribing in the individual-level Danish registers. Register information was retrieved...... regional differences prevail in prescribing practices for children facing social adversity, indicating that local cultures shape the interpretation and handling of children with ADHD-like behaviors....

  3. Regional coordination in medical emergencies and major incidents; plan, execute and teach

    Directory of Open Access Journals (Sweden)

    Hedelin Annika

    2009-07-01

    Full Text Available Abstract Background Although disasters and major incidents are difficult to predict, the results can be mitigated through planning, training and coordinated management of available resources. Following a fire in a disco in Gothenburg, causing 63 deaths and over 200 casualties, a medical disaster response centre was created. The center was given the task to coordinate risk assessments, disaster planning and training of staff within the region and on an executive level, to be the point of contact (POC with authority to act as "gold control," i.e. to take immediate strategic command over all medical resources within the region if needed. The aim of this study was to find out if the centre had achieved its tasks by analyzing its activities. Methods All details concerning alerts of the regional POC was entered a web-based log by the duty officer. The data registered in this database was analyzed during a 3-year period. Results There was an increase in number of alerts between 2006 and 2008, which resulted in 6293 activities including risk assessments and 4473 contacts with major institutions or key persons to coordinate or initiate actions. Eighty five percent of the missions were completed within 24 h. Twenty eight exercises were performed of which 4 lasted more than 24 h. The centre also offered 145 courses in disaster and emergency medicine and crisis communication. Conclusion The data presented in this study indicates that the center had achieved its primary tasks. Such regional organization with executive, planning, teaching and training responsibilities offers possibilities for planning, teaching and training disaster medicine by giving immediate feed-back based on real incidents.

  4. An analysis of determinants influencing use of ayurvedic medication in Pune region utilizing a questionnaire survey instrument

    Directory of Open Access Journals (Sweden)

    Vyawahare Neeraj

    2009-01-01

    The survey revealed that consumption of Ayurvedic medication in Pune region is increasing, wherein safety and faith are important parameters, however, like allopathic medication; people usually stick to the prescription issued by the physician. The increasing trend of self medication and lack of knowledge of herb drug interaction especially in non graduates are the major concerns need to be addressed for better outcome of the therapy.

  5. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record.

    Science.gov (United States)

    Stoop, Arjen P; Bal, Roland; Berg, Marc

    2007-06-01

    In studies on success and failure of ICT applications in health care, the 'context' is often used to explain the failure of a system and seldom to explain the success of a system. Science and Technology Studies (STS) have showed that for understanding success and failure of phenomena, one has to take a symmetrical approach and thus use the same concept for analyzing success and failure. In this article we analyze the success of OZIS, a communication protocol that makes it possible for pharmacists to exchange medication data by sharing a regionally accessible electronic medication record. Though OZIS serves a common goal - reducing medication errors - the stakeholders that are involved also have other, competing, interests. By focussing on the context and more specifically the interests of the stakeholders, we will show how the success of OZIS can be explained. By doing this, we will also show that this context is highly dynamic and that continuously changing incentives and constraints within the context lead to both facilitating and threatening the success of OZIS.

  6. Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population

    National Research Council Canada - National Science Library

    Menditto, Enrica; Guerriero, Francesca; Orlando, Valentina; Crola, Catherine; Di Somma, Carolina; Illario, Maddalena; Morisky, Donald E; Colao, Annamaria

    2015-01-01

    Objectives. The aim of the study was to assess self-reported medication adherence measure in patients selected during a health education and health promotion focused event held in the Campania region...

  7. Surveying trends in radiation oncology medical physics in the Asia Pacific Region.

    Science.gov (United States)

    Kron, Tomas; Healy, Brendan; Ng, Kwan Hoong

    2016-07-01

    Our study aims to assess and track work load, working conditions and professional recognition of radiation oncology medical physicists (ROMPs) in the Asia Pacific Region over time. A structured questionnaire was mailed in 2008, 2011 and 2014 to senior medical physicists representing 23 countries. The questionnaire covers 7 themes: education and training including certification; staffing; typical tasks; professional organisations; resources; research and teaching; job satisfaction. Across all surveys the response rate was >85% with the replies representing practice affecting more than half of the world's population. The expectation of ROMP qualifications (MSc and between 1 and 3years of clinical experience) has not changed much over the years. However, compared to 2008, the number of medical physicists in many countries has doubled. Formal professional certification is only available in a small number of countries. The number of experienced ROMPs is small in particular in low and middle income countries. The increase in staff numbers from 2008 to 2014 is matched by a similar increase in the number of treatment units which is accompanied by an increase in treatment complexity. Many ROMPs are required to work overtime and not many find time for research. Resource availability has only improved marginally and ROMPs still feel generally overworked, but professional recognition, while varying widely, appears to be improving slowly. While number of physicists and complexity of treatment techniques and technologies have increased significantly, ROMP practice remains essentially unchanged over the last 6years in the Asia Pacific Region. Copyright © 2016 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  8. Chronic disease, medications and lifestyle: perceptions from a regional Victorian Aboriginal community

    Directory of Open Access Journals (Sweden)

    Deacon-Crouch M

    2016-09-01

    Full Text Available Background: Poor medication management may contribute to the increased morbidity and mortality of Aboriginal people in Australia. Yet while there is extensive literature about the perceptions of healthcare providers on this issue, there is limited information on the perceptions of Aboriginal people themselves. Objectives: To investigate the perceptions of a group of Aboriginal people attending a Victorian regional Aboriginal Health Service (AHS with diagnosed medical conditions requiring medications, of their lifestyle, disease management and medication usage. Methods: Data was collected through one to one in depth interviews using a semi-structured ‘yarning’ process. Twenty patients were invited to participate in the study and were interviewed by Aboriginal Health Workers in a culturally appropriate manner. The interviews were recorded and transcribed verbatim. The data were analysed using descriptive statistics. Results: Our results show that the majority of participants perceived that changes in lifestyle factors such as diet, exercise, and smoking cessation would help improve their health. Most patients reported having been counselled on their medicines, and while the majority reported adherence and acknowledgement of the efficacy of their medicines, there was a lack of clarity regarding long term maintenance on regimens. Finally, while the majority reported taking over the counter products, some did not see the need to inform their doctor about this, or chose not to. Conclusion: Chronic illness was perceived as common in families and community. Patients relied mostly on their health care professionals as sources for their drug information. Patients may have benefited from further counselling in the area of complementary and other over the counter medicines, as well as on the necessity of maintenance of regimes for chronic disease management. Finally, lifestyle changes such as dietary improvements and smoking cessation were identified as

  9. Challenges and solutions in medically managed ACS in the Asia-Pacific region: expert recommendations from the Asia-Pacific ACS Medical Management Working Group.

    Science.gov (United States)

    Huo, Yong; Thompson, Peter; Buddhari, Wacin; Ge, Junbo; Harding, Scott; Ramanathan, Letchuman; Reyes, Eugenio; Santoso, Anwar; Tam, Li-Wah; Vijayaraghavan, Govindan; Yeh, Hung-I

    2015-03-15

    Acute coronary syndromes (ACS) remain a leading cause of mortality and morbidity in the Asia-Pacific (APAC) region. International guidelines advocate invasive procedures in all but low-risk ACS patients; however, a high proportion of ACS patients in the APAC region receive solely medical management due to a combination of unique geographical, socioeconomic, and population-specific barriers. The APAC ACS Medical Management Working Group recently convened to discuss the ACS medical management landscape in the APAC region. Local and international ACS guidelines and the global and APAC clinical evidence-base for medical management of ACS were reviewed. Challenges in the provision of optimal care for these patients were identified and broadly categorized into issues related to (1) accessibility/systems of care, (2) risk stratification, (3) education, (4) optimization of pharmacotherapy, and (5) cost/affordability. While ACS guidelines clearly represent a valuable standard of care, the group concluded that these challenges can be best met by establishing cardiac networks and individual hospital models/clinical pathways taking into account local risk factors (including socioeconomic status), affordability and availability of pharmacotherapies/invasive facilities, and the nature of local healthcare systems. Potential solutions central to the optimization of ACS medical management in the APAC region are outlined with specific recommendations.

  10. More than medical tourism: lessons from Indonesia and Malaysia on South–South intra-regional medical travel

    NARCIS (Netherlands)

    Ormond, M.E.; Sulianti, D.

    2014-01-01

    While scholars increasingly acknowledge that most contemporary international medical travel comprises South–South flows, these have gone curiously unexamined. Rather, policy, scholarly and media attention focuses predominantly on North–South flows of ‘medical tourists’. However, this focus diverts a

  11. More than medical tourism: lessons from Indonesia and Malaysia on South–South intra-regional medical travel

    NARCIS (Netherlands)

    Ormond, M.E.; Sulianti, D.

    2017-01-01

    While scholars increasingly acknowledge that most contemporary international medical travel comprises South–South flows, these have gone curiously unexamined. Rather, policy, scholarly and media attention focuses predominantly on North–South flows of ‘medical tourists’. However, this focus diverts

  12. More than medical tourism: lessons from Indonesia and Malaysia on South–South intra-regional medical travel

    NARCIS (Netherlands)

    Ormond, M.E.; Sulianti, D.

    2017-01-01

    While scholars increasingly acknowledge that most contemporary international medical travel comprises South–South flows, these have gone curiously unexamined. Rather, policy, scholarly and media attention focuses predominantly on North–South flows of ‘medical tourists’. However, this focus diverts a

  13. The influence of regional basic science campuses on medical students' choice of specialty and practice location: a historical cohort study

    Directory of Open Access Journals (Sweden)

    Brokaw James J

    2009-06-01

    Full Text Available Abstract Background Indiana University School of Medicine (IUSM employs eight regional basic science campuses, where half of the students complete their first two years of medical school. The other half complete all four years at the main campus in Indianapolis. The authors tested the hypothesis that training at regional campuses influences IUSM students to pursue primary care careers near the regional campuses they attended. Methods Medical school records for 2,487 graduates (classes of 1988–1997 were matched to the 2003 American Medical Association Physician Masterfile to identify the medical specialty and practice location of each graduate. Multivariate logistic regression was performed to assess the effect of regional campus attendance on students' choice of medical specialty and practice location, while simultaneously adjusting for several covariates thought to affect these career outcomes. Results Compared to Indianapolis students, those who attended a regional campus were somewhat more likely to be white, have parents with middle class occupations, and score slightly lower on the Medical College Admission Test. Any such differences were adjusted for in the regression models, which predicted that four of the regional campuses were significantly more likely than Indianapolis to produce family practitioners, and that five of the regional campuses were significantly more likely than the others to have former students practicing in the region. When analyzed collectively, attendance at any regional campus was a significant predictor of a primary care practice located outside the Indianapolis metropolitan area. Conclusion Attending a regional campus for preclinical training appears to increase the likelihood of practicing primary care medicine in local communities.

  14. iMAGE cloud: medical image processing as a service for regional healthcare in a hybrid cloud environment.

    Science.gov (United States)

    Liu, Li; Chen, Weiping; Nie, Min; Zhang, Fengjuan; Wang, Yu; He, Ailing; Wang, Xiaonan; Yan, Gen

    2016-11-01

    To handle the emergence of the regional healthcare ecosystem, physicians and surgeons in various departments and healthcare institutions must process medical images securely, conveniently, and efficiently, and must integrate them with electronic medical records (EMRs). In this manuscript, we propose a software as a service (SaaS) cloud called the iMAGE cloud. A three-layer hybrid cloud was created to provide medical image processing services in the smart city of Wuxi, China, in April 2015. In the first step, medical images and EMR data were received and integrated via the hybrid regional healthcare network. Then, traditional and advanced image processing functions were proposed and computed in a unified manner in the high-performance cloud units. Finally, the image processing results were delivered to regional users using the virtual desktop infrastructure (VDI) technology. Security infrastructure was also taken into consideration. Integrated information query and many advanced medical image processing functions-such as coronary extraction, pulmonary reconstruction, vascular extraction, intelligent detection of pulmonary nodules, image fusion, and 3D printing-were available to local physicians and surgeons in various departments and healthcare institutions. Implementation results indicate that the iMAGE cloud can provide convenient, efficient, compatible, and secure medical image processing services in regional healthcare networks. The iMAGE cloud has been proven to be valuable in applications in the regional healthcare system, and it could have a promising future in the healthcare system worldwide.

  15. Level set segmentation of medical images based on local region statistics and maximum a posteriori probability.

    Science.gov (United States)

    Cui, Wenchao; Wang, Yi; Lei, Tao; Fan, Yangyu; Feng, Yan

    2013-01-01

    This paper presents a variational level set method for simultaneous segmentation and bias field estimation of medical images with intensity inhomogeneity. In our model, the statistics of image intensities belonging to each different tissue in local regions are characterized by Gaussian distributions with different means and variances. According to maximum a posteriori probability (MAP) and Bayes' rule, we first derive a local objective function for image intensities in a neighborhood around each pixel. Then this local objective function is integrated with respect to the neighborhood center over the entire image domain to give a global criterion. In level set framework, this global criterion defines an energy in terms of the level set functions that represent a partition of the image domain and a bias field that accounts for the intensity inhomogeneity of the image. Therefore, image segmentation and bias field estimation are simultaneously achieved via a level set evolution process. Experimental results for synthetic and real images show desirable performances of our method.

  16. Medical schools can cooperate: a new joint venture to provide medical education in the Northern Rivers region of New South Wales.

    Science.gov (United States)

    Page, Sue L; Birden, Hudson H; Hudson, J Nicky; Thistlethwaite, Jill E; Roberts, Chris; Wilson, Ian; Bushnell, John; Hogg, John; Freedman, S Ben; Yeomans, Neville

    2008-02-04

    The medical schools at the University of Western Sydney, University of Wollongong and University of Sydney have developed a joint program for training medical students through placements of up to 40 weeks on the New South Wales North Coast. The new partnership agency - the North Coast Medical Education Collaboration - builds on the experience of regional doctors and their academic partners. A steering committee has identified the availability and support requirements of local practitioners to provide training, and has undertaken a comparative mapping of learning objectives and assessments from the courses of the three universities. The goals of the program include preparing doctors who can perform effectively in rural settings and multidisciplinary health care teams, and to advance research in medical education.

  17. Are patients willing participants in the new wave of community-based medical education in regional and rural Australia?

    Science.gov (United States)

    Hudson, J Nicky; Weston, Kathryn M; Farmer, Elizabeth E; Ivers, Rowena G; Pearson, Russell W

    2010-02-01

    Community-based medical education is growing to meet the increased demand for quality clinical education in expanded settings, and its sustainability relies on patient participation. This study investigated patients' views on being used as an educational resource for teaching medical students. Questionnaire-based survey. Patients attending six rural and 11 regional general practices in New South Wales over 18 teaching sessions in November 2008, who consented to student involvement in their consultation. Patient perceptions, expectations and acceptance of medical student involvement in consultations, assessed by surveys before and after their consultations. 118 of 122 patients consented to medical student involvement; of these, 117 (99%) completed a survey before the consultation, and 100 (85%) after the consultation. Patients were overwhelmingly positive about their doctor and practice being involved in student teaching and felt they themselves played an important role. Pre-consultation, patients expressed reluctance to allow students to conduct some or all aspects of the consultation independently. However, after the consultation, they reported they would have accepted higher levels of involvement than actually occurred. Patients in regional and rural settings were willing partners in developing skills of junior medical students, who had greater involvement in patient consultations than previously reported for urban students. Our study extends the findings from urban general practice that patients are underutilised partners in community-based medical training. The support of patients from regional and rural settings could facilitate the expansion of primary care-based medical education in these areas of workforce need.

  18. Under regional characteristics of rural China: a clearer view on the performance of the New Rural Cooperative Medical Scheme.

    Science.gov (United States)

    Liu, Dan; Tsegai, Daniel; Litaker, David; von Braun, Joachim

    2015-12-01

    The New Cooperative Medical Scheme (NCMS) was implemented in 2003 in response to the poor state of health care in rural China. Considering the substantial differences in regional socioeconomics, preferences for health care needs, and concurrent implementation of other health-related policies, the extent to which the impact of the NCMS differs in rural communities across China is unclear. The objective of this paper, therefore, was to explore the variation in the determinants of household enrolment and the impact of enrolment on health care utilization and medical expenditures in three large geographic regions in China. A quasi-experiment study was designed based on the panel data of the China Health and Nutrition Survey. The bounding approach was used to conduct a robust check of impact estimation under the assumption of unobserved bias. A major finding is that household income plays no significant role for enrolment, which indicates the equity of program coverage in income terms. However, regional circumstances matter. In the generally poorer western regions, households with a high ratio of migrant workers are less attracted to the NCMS program, and adoption of the program is related to the regional infrastructure environment variables in the eastern and western regions. The NCMS has improved medical care utilization for poor income groups and regions (western regions). The NCMS's impact on reducing the incidence of catastrophic expenditures is not shown for all regions.

  19. Regional inequity in financing New Cooperative Medical Scheme in Jiangsu, China.

    Science.gov (United States)

    Dai, Baozhen; Zhou, Lulin; Mei, Y John; Zhan, Changchun

    2014-01-01

    This study examined the regional inequity in the New Cooperative Medical Scheme (NCMS) financing in Jiangsu, China. Counties were classified into three categories according to socio-economic development level: South Jiangsu, Middle Jiangsu and North Jiangsu. Five counties (Changshu, Danyang, Gaoyou, Jiangyan and Ganyu) were selected on the basis of the following criteria: (i) NCMS had been implemented before 2005; (ii) county governments were willing and able to collaborate with the research team; and (iii) counties had different socio-economic development status representing the low, medium and high level of socio-economic development in Jiangsu. As shown in this study, local governments in Jiangsu took the major NCMS financing responsibilities (75.2% in 2009), and local governments (county and lower) subsidies ranged from 220 RMB per capita in South Jiangsu to 18 RMB per capita in North Jiangsu in 2009, with a larger contribution (73.3%) in South than that in Middle (40.0%) and North Jiangsu (18.0%). For achieving more equity in NCMS financing and carrying NCMS forward, we propose that provincial and municipal governments should increase their contribution to NCMS for balancing the regional inequity in subsidies from county and lower-level governments, and the risk pool of NCMS should be promoted to a higher level (e.g., provincial).

  20. Region-of-interest reconstruction on medical C-arms with the ATRACT algorithm

    Science.gov (United States)

    Dennerlein, Frank; Maier, Andreas

    2012-03-01

    Between 2006 and 2008, the business volume of the top 20 orthopedic manufacturers increased by 30% to about 35 Billion. Similar growth rates could be observed in the market of neurological devices, which went up in 2009 by 10.9% to a volume of 2.2 Billion in the US and by 7.0% to 500 Million in Europe.* These remarkable increases are closely connected to the fact that nowadays, many medical procedures, such as implantations in osteosynthesis or the placement of stents in neuroradiology can be performed using minimally-invasive approaches. Such approaches require elaborate interoperative imaging technology. C-arm based tomographic X-ray region-of-interest (ROI) tomography can deliver suitable imaging guidance in these circumstances: it can offer 3D information in desired patient regions at reasonably low X-ray dose. Tomographic ROI reconstruction, however, is in general challenging since projection images might be severely truncated. Recently, a novel, truncation-robust algorithm (ATRACT) has been suggested for 3D C-arm ROI imaging. In this paper, we report for the first time on the performance of ATRACT for reconstruction from real, angiographic C-arm data. Our results indicate that the resulting ROI image quality is suitable for intraoperative imaging. We observe only little differences to the images from a non-truncated acquisition, which would necessarily require significantly more X-ray dose.

  1. A Feasibility Study on the Implementation of Teleophthalmology in the Medical Treatment Facilities in the Great Plains Regional Medical Command

    Science.gov (United States)

    2004-06-01

    noted that the prevalence of eye complications is directly related to the duration of the disease. “3.6% of younger-onset patients (aged ណ years...and older At time of diagnosis Yearly Prior to pregnancy Prior to conception or early first trimester 3 months Source: American College of...1520. Massachusetts Medical Society (2000). Retinopathy and nephropathy in patients with Type 1 diabetes four years after a trial of intensive

  2. [How to make regional medicine revive from the medical crisis or collapse due to the severe paucity of medical doctors: a plan with "the magnet hospital"].

    Science.gov (United States)

    Itoh, Tsunetoshi

    2009-01-01

    In 2002-2003, the practice of doctors lending their names to appear as "staff" of hospitals became known. Problems regarding funds from public hospitals were also revealed. Tohoku University asked regional societies how to improve the medical situation, and redefined its responsibilities. The Educational Development Center for Local Medicine and Department of Local Medical Service System were set up (2005-2008). A severe shortage of medical doctors prevails in Japan: the number of doctors per population is at the 4th lowest among OECD countries, and the number per hospital bed is the lowest. We have no nursing homes whose beds are not counted as hospital beds. The number of faculty staff in Japanese medical schools is 1/3 to those of Western countries. The reported number of doctors working in hospitals and offices surpasses that by census for medical doctors by >40,000. Japanese doctors work for >60 hours per week. I propose essential plans to improve Japanese situation for medical service: 1. Immediately increase the number of doctors by at least 50%. Based on our calculation, we need 450,000 doctors. 2. When the shortage of doctors is severe, establish a magnet hospital with c.a. 500 beds for every 200,000 population, capable of treating highly emergency patients and attracting doctors who need medical training. Hospitals should not belong to each city or town. 3. Establish a comprehensive organization to nurture doctors on a long-term basis. It should consist of a medical school, hospitals, and the prefectural government. It should help doctors to move between hospitals, and be responsible both for designing doctors' career paths and for allocating them appropriately.

  3. Fast Intra and Inter Prediction Mode Decision of H.264/AVC for Medical Image Compression Based on Region of Interest

    Directory of Open Access Journals (Sweden)

    Mehdi Jafari

    2012-01-01

    Full Text Available This paper aims at applying H.264 in medical video compression applications and improving the H.264 Compression performance with better perceptual quality and low coding complexity. In order to achieve higher compression of medical video, while maintaining high image quality in the region of interest, with low coding complexity, here we propose a new model using H.264/AVC that uses lossless compression in the region of interest, and very high rate, lossy compression in other regions. This paper proposes a new method to achieve fast intra and inter prediction mode decision that is based on coarse macroblocks for intra and inter prediction mode decision of the background region and finer macroblocks for region of interest. Also the macroblocks of the background region are encoded with the maximum quantization parameter allowed by H.264/AVC in order to maximize the number of null coefficients. Experimental results show that the proposed algorithm achieves a higher compression rate on medical videos with a higher quality of region of interest with low coding complexity when compared to our previous algorithm and other standard algorithms reported in the literature.

  4. A hybrid method based on fuzzy clustering and local region-based level set for segmentation of inhomogeneous medical images.

    Science.gov (United States)

    Rastgarpour, Maryam; Shanbehzadeh, Jamshid; Soltanian-Zadeh, Hamid

    2014-08-01

    medical images are more affected by intensity inhomogeneity rather than noise and outliers. This has a great impact on the efficiency of region-based image segmentation methods, because they rely on homogeneity of intensities in the regions of interest. Meanwhile, initialization and configuration of controlling parameters affect the performance of level set segmentation. To address these problems, this paper proposes a new hybrid method that integrates a local region-based level set method with a variation of fuzzy clustering. Specifically it takes an information fusion approach based on a coarse-to-fine framework that seamlessly fuses local spatial information and gray level information with the information of the local region-based level set method. Also, the controlling parameters of level set are directly computed from fuzzy clustering result. This approach has valuable benefits such as automation, no need to prior knowledge about the region of interest (ROI), robustness on intensity inhomogeneity, automatic adjustment of controlling parameters, insensitivity to initialization, and satisfactory accuracy. So, the contribution of this paper is to provide these advantages together which have not been proposed yet for inhomogeneous medical images. Proposed method was tested on several medical images from different modalities for performance evaluation. Experimental results approve its effectiveness in segmenting medical images in comparison with similar methods.

  5. Using Tools of Strategic Management in Medical Facilities of Lublin Region

    Directory of Open Access Journals (Sweden)

    Jaworzynska Magdalena

    2017-06-01

    Full Text Available The purpose of this article is to evaluate the use of tools of strategic management in hospitals in Lublin region. The study was conducted among 14 medical entities from the area of Lublin Voivodeship. The survey was addressed to economic directors or chief accountants of health care facilities and sent by post. The questionnaire was also helpful in conducting an in-depth interview as it provided a required structure. As part of the interviews with managers of health care facilities, information beyond the questionnaire was acquired, e.g. about the mission. According to studies, most health care facilities develop strategic plans (71.4%. For 21.4% of the studied facilities, the strategic plan is known mainly to management. In contrast, 28.6% of entities do not have a strategic plan. The presented results of the research can increase the effectiveness of activities in each area of the health care facility, continuous process improvement and rapid response to changes in the environment.

  6. Level Set Segmentation of Medical Images Based on Local Region Statistics and Maximum a Posteriori Probability

    Directory of Open Access Journals (Sweden)

    Wenchao Cui

    2013-01-01

    Full Text Available This paper presents a variational level set method for simultaneous segmentation and bias field estimation of medical images with intensity inhomogeneity. In our model, the statistics of image intensities belonging to each different tissue in local regions are characterized by Gaussian distributions with different means and variances. According to maximum a posteriori probability (MAP and Bayes’ rule, we first derive a local objective function for image intensities in a neighborhood around each pixel. Then this local objective function is integrated with respect to the neighborhood center over the entire image domain to give a global criterion. In level set framework, this global criterion defines an energy in terms of the level set functions that represent a partition of the image domain and a bias field that accounts for the intensity inhomogeneity of the image. Therefore, image segmentation and bias field estimation are simultaneously achieved via a level set evolution process. Experimental results for synthetic and real images show desirable performances of our method.

  7. [No-fault medical accidents: review of two years' activity of the regional commission for the compensation of medical accidents of the Provence-Alpes-Côtes d'Azur region (PACA)].

    Science.gov (United States)

    Piercecchi-Marti, M-D; Sastre, B; Zuck, S; François, A; Genety, C; Bartoli, C; Leonetti, G

    2008-01-01

    Compensation for victims of medical accidents identified as no-fault medical accidents (NFMA) will be financed by national solidarity: this is a major and innovative feature of the Law of March 4, 2002 relative to Patients' Rights. In this review, we analyse the decisions of the regional commission on compensation of medical accidents in the Provence-Alpes-Côtes d'Azur (PACA) region of France in 2004 and 2005, and we attempt to identify the prevalence of certain surgical procedures liable to result in NFMA and to define the concept of "unintended consequences" in the context of state of health of the patient and the predictable course of the malady. We hope to improve the medical information given to the patient and thereby the overall quality of management. NFMA was acknowledged in 57 claims, about 10% of all those received by the commission during this period. Nearly half of the claims were within the competence of the commission because of the existence of serious sequelae (Permanent Partial Disability) in 47%. No typical profile of age or gender emerged in the patients with NFMA. The majority of cases occurred after surgical procedures, in particular gastrointestinal surgery and orthopaedic surgery; 91% were planned procedures. We did not identify increased risk related to any given type of surgery, particular disease condition, or precise anatomic region. Complications were those usually observed such as neurological complications in vascular surgery or perforations in gastrointestinal surgery. The interpretation of NFMA has undergone an evolution during this two-year period. In 2004, previous poor health status precluded acknowledgment of a medical accident, the argument being that there was a predisposition to the complication which occurred. In 2005, compensation was based on a reduced Partial Permanent Disability score compared to the patient's previous health status. This became a means of measuring the impact of the medical complication on an already

  8. HIN3/396: Experience of Creation of the National (Regional) Telematics Medical Corporate Network in Ukraine

    Science.gov (United States)

    Mayorov, O; Ponomarenko, V; Kalnish, V

    1999-01-01

    Introduction Ukraine has an extensive experience on creating and maintaining National Medical Networks. A variety of examples include: The National Register of the persons suffered from the Chernobyl disaster: Net of the Sanitary and Epidemiological Service of the Ministry of Health. The National Medical Network for monitoring oncology patients: this links Regional Oncology Dispensaries with Institute of Oncology. Ukraine has a membership to "EuroTransplant" and National Medical Network in this effort has linked Regional Centres with the National Informational Centre on Transplantation. Regional databases from Regional Venereologic Dispensaries, used for monitoring diseases, have been extended to include cases of AIDS. The Telemedical Cardiology Centre in Kharkiv, with trans-telephone ECG. All equipment, including portable ECG amplifiers and modems, is developed in the Ukraine. Teleconsulting Medical Centres, in Kiev, for the analysis of MRI images. The centre "Patholog", in which oncologists - cytologists carry out work. The Ukrainian Association of Computer Medicine (UACM) has created (http: //www.uacm.cit-a.net) WWW- server , which has become a nucleus of the Corporate medical network permitting to exchange the information to 78 institutional members and over 900 individual members. The UACM has created affiliate Web - EHTO-UKRAINE server on national language (http://www.ehto-ukr.cit-ua.net). Ukraine took part in the "Telemedecine Medical Care Networks within the Baltic Region" programme. Also, Ukraine started the Ukrainian- American project on the monitoring of birth defects. Methods The National Telematics Medical Corporate Network 'UkrMedNet' is under construction on the basis of existing the HealthNet and some other autonomous medical networks, with the newest of telecommunication technologies, used in Internet. This project also envisages the integration of all existing separate medical nets, universities and R&D institutes into one 'UkrMedNet', as well as

  9. Job stress and burnout in hospital employees: comparisons of different medical professions in a regional hospital in Taiwan.

    Science.gov (United States)

    Chou, Li-Ping; Li, Chung-Yi; Hu, Susan C

    2014-02-25

    To explore the prevalence and associated factors of burnout among five different medical professions in a regional teaching hospital. Cross-sectional study. Hospital-based survey. A total of 1329 medical professionals were recruited in a regional hospital with a response rate of 89%. These voluntary participants included 101 physicians, 68 physician assistants, 570 nurses, 216 medical technicians and 374 administrative staff. Demographic data included gender, age, level of education and marital status, and work situations, such as position, work hours and work shifts, were obtained from an electronic questionnaire. Job strain and burnout were measured by two validated questionnaires, the Chinese version of the Job Content Questionnaire and the Copenhagen Burnout Inventory. Among the five medical professions, the prevalence of high work-related burnout from highest to lowest was nurses (66%), physician assistants (61.8%), physicians (38.6%), administrative staff (36.1%) and medical technicians (31.9%), respectively. Hierarchical regression analysis indicated that job strain, overcommitment and low social support explained the most variance (32.6%) of burnout. Physician assistant is an emerging high burnout group; its severity is similar to that of nurses and far more than that of physicians, administrative staff and medical technicians. These findings may contribute to the development of feasible strategies to reduce the stress which results in the burnout currently plaguing most hospitals in Taiwan.

  10. Evaluation of Self Medication Amongst Nursing Students of Bastar Region: A Questionnaire Based Study

    Directory of Open Access Journals (Sweden)

    Syed Sajid Ali

    2015-07-01

    Full Text Available  Self-medication provides low cost alternative for expensive medical management but inappropriate use can cause problems. For Nursing undergraduates such practice has special significance since they have medical knowledge but very superficial and also its application is limited.  Hence the present study was planned to evaluate the status of students studying in different years of B.Sc. Nursing.To determine the prevalence, attitude and knowledge of self medication amongst the students of Government Nursing College, Jagdalpur(ChhatisgarhThis questionnaire based study was performed on 142 Nursing students of 1st, 2nd and 3rd year aged between17-24 years. Mean age was found to be 20.5 years (±2.5years. A prevalidated questionnaire was distributed amongst the participants after explaining the purpose of the study and taking informed consent. The results obtained from this study showed that out of 142 students 120 (84.50 % students used self medicationCommonest source of information for self medication were seniors and colleagues 40(33.33%, and the most common indication for self medication was common cold 41(34.16 %.D’cold Total 49(40.83% was the most common medication used as self medication .Only 16 (13.33% students were having the knowledge about content, dose, duration of therapy and adverse drug reaction of the medication that they used. The most common source to obtain medicines for self medication was pharmaceutical store 80 (66.67 %.The findings from this study highlights the striking prevalence of self medication among nursing students, the lack of knowledge and the risks associated with them. We recommend that a global approach must be taken to prevent this problem from escalating which would involve awareness and education regarding the implications of self medication, strategies to prevent the supply of medicines without prescription by pharmacies and strict rules regarding pharmaceutical advertising.

  11. The truth lies somewhere in the middle: Swinging between globalization and regionalization of medical education in Japan.

    Science.gov (United States)

    Saiki, Takuya; Imafuku, Rintaro; Suzuki, Yasuyuki; Ban, Nobutaro

    2017-10-01

    Japan is well known as a super-aging society, with a low birth rate, and has been ranked as one of the countries having the highest quality of healthcare system. Japan's society is currently approaching a major turning point with regard to societal and healthcare reforms, which are influenced by international trends and regional needs. Development of Japanese healthcare human resources, including medical students, is now expected to ride the wave of globalization, while resolving regional problems in the training and delivery of healthcare. Terms and global trends in medical education, such as outcome-based education, community-based education, reflective learning, international accreditation of medical education, and professionalization of educators are well translated into the Japanese language and embraced positively among the Japanese medical educators. However, these trends occasionally sit uncomfortably with cultural variations that are often a common approach in Japan; notably, "hansei" (introspection) and "kaizen" (change for the better). In the world facing a new era where people are unsettled between globalism and regionalism, Japan's future mission is to steer a balanced route that recognizes both global and regional influences and produce global health professionals educators.

  12. An evaluation of snake bites and antivenin use at a regional medical center.

    Science.gov (United States)

    Watson, Larry I; Spivey, Christy; Menon, Cen Rema; Kotwall, Cyrus A; Clancy, Thomas V; Hope, William W

    2010-07-01

    Snake bites are a rare but challenging problem for surgeons. The purpose of our study was to evaluate our experience with snake bites at a regional medical center. We reviewed patients treated for snake bites from 2004 to July 2008. Demographics, clinical information, and outcomes were documented. Descriptive statistics were used, and chi2, t test, and Fisher exact test were used to compare patients based on antivenin use. A P value < 0.05 was considered significant. Over the study period, 126 patients presented to the emergency department with 44 (35%) requiring hospital admission. The average age was 38 years (range, 2 to 76 years); 66 per cent were male and 95 per cent white. Bites most commonly occurred in the summer and fall months with none from December through March. Copperhead bites accounted for 50 per cent of bites. An average of 4.8 vials of antivenin was given to 61 per cent of admitted patients with 93 per cent receiving the drug within 6 hours. Minor reactions to antivenin occurred in three patients (11%). Two patients required surgery (5%), and the readmission rate was 7 per cent. There was no known morbidity or mortality. When comparing patients who received antivenin with patients who did not, the only significant clinical variables were an increased prothrombin time (12.1 vs. 11.7, respectively; P = 0.048) and a longer length of hospital stay (3 vs. 1.8 days, P = 0.0006) in patients receiving antivenin. The majority of patients with snake bites can be treated with supportive care and antivenin when indicated. Antivenin use at our institution is largely based on physical findings and not related to laboratory values.

  13. Intraoperative awareness in a regional medical system: a review of 3 years' data.

    Science.gov (United States)

    Pollard, Richard J; Coyle, Joseph P; Gilbert, Richard L; Beck, Janet E

    2007-02-01

    Intraoperative awareness in patients undergoing general anesthesia is an infrequent but well-described adverse outcome. The reported incidence of this phenomenon is between 0.1% and 0.9%. With institutional review board approval, the authors reviewed continuous quality improvement data from 3 yr (2002-2004) at the locations where the physician group provided anesthesia. Board-certified anesthesiologists supervising certified registered nurse anesthetists in the anesthesia care team model of practice delivered all anesthetics. Brain function monitors were not used in the operating room setting. Patients were interviewed twice during a 48-h postoperative period and, as part of that process, underwent a modified Brice interview to determine intraoperative awareness. All cases that met the criteria for awareness were examined by the continuous quality improvement committee to modify anesthetic practice and were included in this study. Data from 211,842 patients undergoing anesthesia were considered. Of these, the continuous quality improvement process followed up 177,468 (83.1%). Cases were not included in the study if the patient was younger than 18 yr, did not have a general anesthetic, or had a terminal event during the hospital course. By these criteria, a total of 87,361 patients followed by the continuous quality improvement process were at risk for awareness. Six patients reported instances of recall. The incidence of intraoperative awareness in this large sample of patients from a regional medical center undergoing general anesthesia was 0.0068%, or 1 per 14,560 patients, substantially less than that reported in the recent literature.

  14. Integration of the Problem of Medical Ecology on the Level of the Highly Urbanized Region

    Science.gov (United States)

    Rozenberg, Gennadiy S.; Lazareva, Natalya V.; Simonov, Yury V.; Lifirenko, Natalya G.; Sarapultseva, Lilija A.

    2016-01-01

    The urgency of the analyzed issue is due to the study of the basic issues of medical ecology: the dynamics of demographic indicators, the correlation of somatic and reproductive public health, depending on the influence of physical factors of the urban environment on public health on the basis of medical and geographic mapping. The article aims at…

  15. Nonattendance to medical specialists’ appointments and its relation to regional environmental and socioeconomic indicators in the Chilean public health system

    Directory of Open Access Journals (Sweden)

    Elizabeth Angélica Salinas Rebolledo

    2014-10-01

    Full Text Available INTRODUCTION Medical care provided by medical specialists is one of the scarcest resources in the public system. It is costly and difficult to access for the general population. Availability and accessibility of specialized care is related to economic, social and cultural aspects that vary among geographical areas. An aggravating factor for this situation is patients’ failure to appear on the date of their appointment, which is defined as the nonattendance of patients to medical specialist appointments without notice. OBJECTIVES To measure and analyze the phenomenon of nonattendance of patients to medical appointments with specialists in the public healthcare system of Chile and its relationship with environmental and socioeconomic regional indicators. METHODS Ecological design study, using medical care records in the public system and environmental and socioeconomic regional indicators potentially related to the absence of patients, between the years 2005-2010. Poisson regression models with random components were used for assessing associations. RESULTS There is 16.5% of nonattendance of patients, with a range between regions from 8.8 to 20.2%. Nonattendance is higher in the specialties of dermatology, geriatrics and nutrition (20.0%, in children (3.1% more than in adults, in areas with highest indigenous population (RR=1.3, in areas with low diversity of specialties (RR=1.1 and in the months of February, July, November and December (RR>1.1. CONCLUSIONS In Chile, socioeconomic factors and the management of healthcare resources have greater influence on the nonattendance of patients to medical specialists’ appointments than environmental factors; therefore, this phenomenon may be avoidable.

  16. Nonresearch Industry Payments to Radiologists: Characteristics and Associations With Regional Medical Imaging Utilization.

    Science.gov (United States)

    Kokabi, Nima; Junn, Jacqueline C; Xing, Minzhi; Hemingway, Jennifer; Hughes, Danny R; Duszak, Richard

    2017-03-01

    To evaluate characteristics of nonresearch industry payments to radiologists and associations with regional diagnostic imaging utilization. Using 2014 CMS Open Payment data, all disclosed nonresearch-related industry payments to radiologists were identified. Health Resources and Services Administration Area Health Resources Files were used to identify actual and population-weighted numbers of radiologists by state. Utilizing the 5% random beneficiary sample CMS Research Identifiable Files from 2014, average Medicare imaging spending per beneficiary in each state was calculated. Average frequency and dollar amounts of nonresearch nonroyalty payments to radiologists were calculated at the state level. Using the Pearson correlation coefficient, the relationship between frequency and amounts of nonresearch payments to radiologists versus per-beneficiary Medicare imaging spending was evaluated at the state level. Overall, 2,008 radiologists (1,670 diagnostic, 338 interventional) received nonresearch nonroyalty payments from industry, representing 5.2% of all 38,857 radiologists nationwide. A total of 4,975 individual transfers translated to 2.5 ± 1.3 discrete payments per receiving radiologist with a mean of $432 ± $1,976 (median $26; range $1-$34,050). Food and beverage expenses constituted the vast majority of disclosed transfers (4,111; 83%), followed by travel and lodging (444; 9%), consulting fees (279; 6%), and educational expenses (51; 1%). Considerable geographic variation in payments was observed, ranging from 0% of radiologists in Vermont to 12.9% in the District of Columbia. No correlation was identified between average per-beneficiary Medicare imaging spending and the proportion of nonresearch-funded radiologists in each state (r = 0.06). Similarly, no correlation was identified between average per-beneficiary Medicare imaging spending and the average nonresearch transfer amount to radiologists in each state (r = -0.08). In 2014, only a small minority of

  17. Medical tourism in the Caribbean region: a call to consider environmental health equity.

    Science.gov (United States)

    Johnston, R; Crooks, V A

    2013-03-01

    Medical tourism, which is the intentional travel by private-paying patients across international borders for medical treatment, is a sector that has been targeted for growth in many Caribbean countries. The international development of this industry has raised a core set of proposed health equity benefits and drawbacks for host countries. These benefits centre on the potential investment in health infrastructure and opportunities for health labour force development while drawbacks focus on the potential for reduced access to healthcare for locals and inefficient use of limited public resources to support the growth of the medical tourism industry. The development of the medical tourism sector in Caribbean countries raises additional health equity questions that have received little attention in existing international debates, specifically in regard to environmental health equity. In this viewpoint, we introduce questions of environmental health equity that clearly emerge in relation to the developing Caribbean medical tourism sector These questions acknowledge that the growth of this sector will have impacts on the social and physical environments, resources, and waste management infrastructure in countries. We contend that in addition to addressing the wider health equity concerns that have been consistently raised in existing debates surrounding the growth of medical tourism, planning for growth in this sector in the Caribbean must take environmental health equity into account in order to ensure that local populations, environments, and ecosystems are not harmed by facilities catering to international patients.

  18. Surveillance, health promotion and control of Chagas disease in the Amazon Region--Medical attention in the Brazilian Amazon Region: a proposal.

    Science.gov (United States)

    Coura, José Rodrigues; Junqueira, Angela C V

    2015-11-01

    We refer to Oswaldo Cruz's reports dating from 1913 about the necessities of a healthcare system for the Brazilian Amazon Region and about the journey of Carlos Chagas to 27 locations in this region and the measures that would need to be adopted. We discuss the risks of endemicity of Chagas disease in the Amazon Region. We recommend that epidemiological surveillance of Chagas disease in the Brazilian Amazon Region and Pan-Amazon region should be implemented through continuous monitoring of the human population that lives in the area, their housing, the environment and the presence of triatomines. The monitoring should be performed with periodic seroepidemiological surveys, semi-annual visits to homes by health agents and the training of malaria microscopists and healthcare technicians to identify Trypanosoma cruzi from patients' samples and T. cruzi infection rates among the triatomines caught. We recommend health promotion and control of Chagas disease through public health policies, especially through sanitary education regarding the risk factors for Chagas disease. Finally, we propose a healthcare system through base hospitals, intermediate-level units in the areas of the Brazilian Amazon Region and air transportation, considering the distances to be covered for medical care.

  19. Surveillance, health promotion and control of Chagas disease in the Amazon Region - Medical attention in the Brazilian Amazon Region: a proposal

    Science.gov (United States)

    Coura, José Rodrigues; Junqueira, Angela CV

    2015-01-01

    We refer to Oswaldo Cruz's reports dating from 1913 about the necessities of a healthcare system for the Brazilian Amazon Region and about the journey of Carlos Chagas to 27 locations in this region and the measures that would need to be adopted. We discuss the risks of endemicity of Chagas disease in the Amazon Region. We recommend that epidemiological surveillance of Chagas disease in the Brazilian Amazon Region and Pan-Amazon region should be implemented through continuous monitoring of the human population that lives in the area, their housing, the environment and the presence of triatomines. The monitoring should be performed with periodic seroepidemiological surveys, semi-annual visits to homes by health agents and the training of malaria microscopists and healthcare technicians to identify Trypanosoma cruzi from patients' samples and T. cruzi infection rates among the triatomines caught. We recommend health promotion and control of Chagas disease through public health policies, especially through sanitary education regarding the risk factors for Chagas disease. Finally, we propose a healthcare system through base hospitals, intermediate-level units in the areas of the Brazilian Amazon Region and air transportation, considering the distances to be covered for medical care. PMID:26560976

  20. Region of Interest-Based Tamper Detection and Lossless Recovery Watermarking Scheme (ROI-DR) on Ultrasound Medical Images.

    Science.gov (United States)

    Khor, Hui Liang; Liew, Siau-Chuin; Zain, Jasni Mohd

    2017-06-01

    Tampering on medical image will lead to wrong diagnosis and treatment, which is life-threatening; therefore, digital watermarking on medical image was introduced to protect medical image from tampering. Medical images are divided into region of interest (ROI) and region of non-interest (RONI). ROI is an area that has a significant impact on diagnosis, whereas RONI has less or no significance in diagnosis. This paper has proposed ROI-based tamper detection and recovery watermarking scheme (ROI-DR) that embeds ROI bit information into RONI least significant bits, which will be extracted later for authentication and recovery process. The experiment result has shown that the ROI-DR has achieved a good result in imperceptibility with peak signal-to-noise ratio (PSNR) values approximately 48 dB, it is robust against various kinds of tampering, and the tampered ROI was able to recover to its original form. Lastly, a comparative table with the previous research (TALLOR and TALLOR-RS watermarking schemes) has been derived, where these three watermarking schemes were tested under the same testing conditions and environment. The experiment result has shown that ROI-DR has achieved speed-up factors of 22.55 and 26.65 in relative to TALLOR and TALLOR-RS watermarking schemes, respectively.

  1. The perils of technology transfer : the Australian wheat/medic System in the Near East/North Africa region

    Directory of Open Access Journals (Sweden)

    Risopoulos, S.

    1990-01-01

    Full Text Available Yields and production of rainfed areas in the Near East and North Africa are stagnating. The Australian wheat-medic system has been tried out in several countries of the region, Increases in soil fertility and yields were expected as well as better crop-livestock integration. Difficulties were more serious than foreseen. The farmer of the region differs from his Australian counterpart by the much smaller size of his farm and by his preference for keeping his land-use options open to match climatic variability.

  2. Medical Tourism Abroad: A new challenge to Oman's health system - Al Dakhilya region experience.

    Science.gov (United States)

    Al-Hinai, Saleh S; Al-Busaidi, Ahmed S; Al-Busaidi, Ibrahim H

    2011-11-01

    This study aimed to understand why people seek medical advice abroad given the trouble and expense this entails. The types of medical problems for which treatment abroad was sought, preferred destinations and satisfaction with the treatment were explored. A secondary aim was to give feedback to stakeholders in the health care system on how to handle this issue and meet the needs of the community. 45 patients who had recently travelled abroad for treatment were asked to complete a questionnaire or were interviewed by telephone. 40 questionnaires were received. 68% of the respondents were male. Orthopaedic diseases were the most common conditions leading patients to seek treatment abroad. Thailand was the most popular destination followed by India (50% and 30% respectively). 85% of respondents went abroad for treatment only, 10% for treatment and tourism and 2.5% were healthy, but travelled abroad for a checkup. Interestingly, 15% of the participants went abroad without first seeking medical care locally. Out of those initially treated in Oman, 38.2% had no specific diagnosis and 38.2% had received treatment, but it was not effective. 73% of respondents obtained information on treatment abroad from a friend. The Internet and medical tourism offices were the least used sources of information. 15% of the patients experienced complications after their treatment abroad. Various facts about medical treatment abroad need to be disseminated to the public. This will necessitate greater effort in public health promotion and education.

  3. Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population

    Science.gov (United States)

    Menditto, Enrica; Guerriero, Francesca; Orlando, Valentina; Crola, Catherine; Di Somma, Carolina; Illario, Maddalena; Morisky, Donald E.; Colao, Annamaria

    2015-01-01

    Objectives. The aim of the study was to assess self-reported medication adherence measure in patients selected during a health education and health promotion focused event held in the Campania region. The study also assessed sociodemographic determinants of adherence. Methods. An interviewer assisted survey was conducted to assess adherence using the Italian version of the 8-item Morisky Medication Adherence Scale (MMAS-8). Participants older than 18 years were interviewed by pharmacists while waiting for free-medical checkup. Results. A total of 312 participants were interviewed during the Health Campus event. A total of 187 (59.9%) had low adherence to medications. Pearson's bivariate correlation showed positive association between the MMAS-8 score and gender, educational level and smoking (P < 0.05). A multivariable analysis showed that the level of education and smoking were independent predictors of adherence. Individuals with an average level of education (odds ratio (OR), 2.21, 95% confidence interval (CI), 1.08–4.52) and nonsmoker (odds ratio (OR) 1.87, 95% confidence interval (CI), 1.04–3.35) were found to be more adherent to medication than those with a lower level of education and smoking. Conclusion. The analysis showed very low prescription adherence levels in the interviewed population. The level of education was a relevant predictor associated with that result. PMID:26346487

  4. Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population

    Directory of Open Access Journals (Sweden)

    Enrica Menditto

    2015-01-01

    Full Text Available Objectives. The aim of the study was to assess self-reported medication adherence measure in patients selected during a health education and health promotion focused event held in the Campania region. The study also assessed sociodemographic determinants of adherence. Methods. An interviewer assisted survey was conducted to assess adherence using the Italian version of the 8-item Morisky Medication Adherence Scale (MMAS-8. Participants older than 18 years were interviewed by pharmacists while waiting for free-medical checkup. Results. A total of 312 participants were interviewed during the Health Campus event. A total of 187 (59.9% had low adherence to medications. Pearson’s bivariate correlation showed positive association between the MMAS-8 score and gender, educational level and smoking (P<0.05. A multivariable analysis showed that the level of education and smoking were independent predictors of adherence. Individuals with an average level of education (odds ratio (OR, 2.21, 95% confidence interval (CI, 1.08–4.52 and nonsmoker (odds ratio (OR 1.87, 95% confidence interval (CI, 1.04–3.35 were found to be more adherent to medication than those with a lower level of education and smoking. Conclusion. The analysis showed very low prescription adherence levels in the interviewed population. The level of education was a relevant predictor associated with that result.

  5. Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population.

    Science.gov (United States)

    Menditto, Enrica; Guerriero, Francesca; Orlando, Valentina; Crola, Catherine; Di Somma, Carolina; Illario, Maddalena; Morisky, Donald E; Colao, Annamaria

    2015-01-01

    Objectives. The aim of the study was to assess self-reported medication adherence measure in patients selected during a health education and health promotion focused event held in the Campania region. The study also assessed sociodemographic determinants of adherence. Methods. An interviewer assisted survey was conducted to assess adherence using the Italian version of the 8-item Morisky Medication Adherence Scale (MMAS-8). Participants older than 18 years were interviewed by pharmacists while waiting for free-medical checkup. Results. A total of 312 participants were interviewed during the Health Campus event. A total of 187 (59.9%) had low adherence to medications. Pearson's bivariate correlation showed positive association between the MMAS-8 score and gender, educational level and smoking (P < 0.05). A multivariable analysis showed that the level of education and smoking were independent predictors of adherence. Individuals with an average level of education (odds ratio (OR), 2.21, 95% confidence interval (CI), 1.08-4.52) and nonsmoker (odds ratio (OR) 1.87, 95% confidence interval (CI), 1.04-3.35) were found to be more adherent to medication than those with a lower level of education and smoking. Conclusion. The analysis showed very low prescription adherence levels in the interviewed population. The level of education was a relevant predictor associated with that result.

  6. Away from the mainstream: medical women in one region of rural New South Wales.

    Science.gov (United States)

    Harding, Catherine

    2010-01-01

    Despite recent research on the difficulties associated with attracting women to the rural medical workforce, and the perception that the image of the rural doctor is male, women have had a history in rural medicine in southwest New South Wales that spans a century. This paper explores the contribution to medicine of women medical practitioners working within one geographical area of rural New South Wales. It traces these women, documenting the diversity of women's medical work and some of the challenges faced. Based largely on data from contemporary reports in two local newspapers, the Daily Express and The Daily Advertiser, this paper shows that some of the silence associated with the role of women in rural medicine could be attributed to them holding positions at the margins of what is depicted as 'real' medicine, in fields that include public health and education.

  7. Strategic supporting role of a regional state-level hospital during medical rescue after Wenchuan earthquake.

    Science.gov (United States)

    Shi, Ying Kang; Zheng, Shang Wei

    2008-11-01

    Shortly after the Wenchuan earthquake, the administrative leaders of West China Hospital accurately defined the role of the hospital during the medical rescue work as the treatment center for seriously wounded people, the support center for local hospitals and clinics in the disaster areas in Sichuan Province, and the logistics support center for medical teams from other provinces. Integrated leadership of management and efficient multidepartment co-ordination and co-operation were emphasized. The hospital was immediately transformed from regular mode into a double-track emergency mode. Scientific allocation and dispatch of resources were ensured to meet the changing demand from all levels of rescue work. Three stages were defined based on the conditions of wounded people delivered to the hospital, with different main focuses for each stage. Because of the multidisciplinary co-operation and concerted efforts of a large number of experts from other provinces and countries, an effective and efficient medical rescue service was offered to all wounded people. Until 2 June 2008, 2618 injured people from the disaster area have been treated, of whom 1751 were admitted to the inpatient department, 1135 were seriously wounded, 127 were admitted into the intensive care unit, 1239 underwent surgery, and 77 were treated with haemodialysis. There was an inpatient mortality less than 0.7%. Moreover, even during such a period, routine medical service was offered to patients other than people wounded in the disaster.

  8. OLTENIA NORTHERN MEDICAL TOURISM AND DEVELOPMENT IN TERMS OF THE POSSIBILITY OF REGIONAL SUSTAINABILITY

    Directory of Open Access Journals (Sweden)

    Constanta Enea

    2013-06-01

    Full Text Available Health tourism in Romania is at the beginning - it exists, develops in some areas, shy, we do not boast of many tourists who come to us for such services, however, the data provided by NATA, now a year or two there were over 60,000 people who came to our country for health tourism. Of course, data are incomplete because not all tourists coming to say. But it seems that 250 million would have entered this area. Potential exists, and curiosity and demand for Romania there. But there is enough interest for the development of such tourism. Medical tourism (also called medical travel, health tourism or global healthcare is a term initially coined by travel agencies and the media to rapidly growing phenomenon of crossing international borders to obtain health care services. The paper tries to highlight the chances for Romania, more specifically, Northern Oltenia become a specific area of medical tourism or medical tourism practiced in other countries, to local patient survival chance.

  9. Asthma medication prescribing before, during and after pregnancy : A study in seven European regions

    NARCIS (Netherlands)

    Charlton, Rachel A; Pierini, Anna; Klungsøyr, Kari; Neville, Amanda J; Jordan, Susan; Jong-van den Berg, de Lolkje; Thayer, Daniel; Bos, H Jens; Puccini, Aurora; Hansen, Anne V; Gini, Rosa; Engeland, Anders; Nybo Andersen, Anne-Marie; Dolk, Helen; Garne, Ester

    2016-01-01

    OBJECTIVES: To explore utilisation patterns of asthma medication before, during and after pregnancy as recorded in seven European population-based databases. DESIGN: A descriptive drug utilisation study. SETTING: 7 electronic healthcare databases in Denmark, Norway, the Netherlands, Italy (Emilia Ro

  10. Etiology of Pancytopenia: An observation from a referral medical institution of Eastern Region of India

    Directory of Open Access Journals (Sweden)

    Senjuti Dasgupta

    2015-01-01

    Conclusion: Aplastic anemia was found to be the most common cause of pancytopenia in this study, which is in contrast to studies conducted from other regions of India. Delineation of etiologies of pancytopenia in various regions can help in defining diagnostic and therapeutic strategies, which is expected to contribute toward the better management of such patients.

  11. Nonadherence and factors affecting adherence of diabetic patients to anti-diabetic medication in Assela General Hospital, Oromia Region, Ethiopia

    Directory of Open Access Journals (Sweden)

    Ashebir Kassahun

    2016-01-01

    Full Text Available Background: Diabetes mellitus is a major global health problem covering approximately 347 million persons worldwide. Glycemic control has a main role in its management which mainly depends upon patient adherence to the treatment plan. Accurate assessment of medication adherence is necessary for effective management of diabetes. Objective: To assess nonadherence and factors affecting adherence of diabetic patients to anti-diabetic medication in Assela General Hospital (AGH, Oromia Region, Ethiopia. Materials and Methods: A descriptive cross-sectional study was conducted on patients seeking anti-diabetic drug treatment and follow-up at AGH using structured questionnaire and reviewing the patient record card using check list from January 24, 2014 to February 7, 2014. Descriptive analysis was used to describe the percentages and number of distributions of the variables in the study; and association was identified for categorical data. P ≤ 0.05 was considered as statistically significant. Result: Of all respondents, 149 (52.3% and 136 (47.7% were female and male, respectively. The majority of the study participants 189 (66.3% were in the age group of 30–60 years. Two-hundred nineteen (76.8% of respondents were married currently. The majority, 237 (83.2% of respondents did not have blood glucose self-monitoring equipment (glucometer. A total of 196 (68.8% respondents were adhered to anti-diabetic medication. There was a significant association between adherence to the medication and side effect, level of education, monthly income and presence of glucometer at home (P < 0.05. Conclusion: The participants in the area of study were moderately adherent to their anti-diabetic medications with nonadherence rate of 31.2%. Different factors of medication nonadherence were identified such as side effect and complexity of regimen, failure to remember, and sociodemographic factors such as educational level and monthly income.

  12. Medical irradiation risk assessment based on the data of radiation-hygienic passportization in the regions of the Russian Federation

    Directory of Open Access Journals (Sweden)

    V. Ju. Golikov

    2015-01-01

    Full Text Available This article is aimed at methodology development for collective risk assessment of medical irradiation, basing on results of radiation-hygienic passportization in the Russian Federation regions, i.e. using values of collective effective doses for big groups of medical technologies: photoroentgenography, roentgenography, roentgenoscopy, and computer tomography. Use of the effective dose concept for medical irradiation risk definition involves a number of essential restrictions. Age and sex of the employees and of general population (effective dose concept has been developed for these groups of people may essentially differ from those in patients. Lifelong risk of stochastic effects occurrence in children is 2-3 times higher than the rating values used in effective dose concept, while for elderly people (about 60 years at irradiation time it’s 4-5 times lower. The article suggests the algorithm of effective doses values correcting factors assessment for consideration of dependence of radiogenic cancer risk factors on age and sex. This enables to assess more correctly collective risk of radiology and nuclear medicine imaging. Since patients tend to be elderly and their risk factor is below the rating used in the effective dose concept, the values of these correcting factors for most radiology and nuclear medicine imaging are below one. Thus, in most cases, the effective dose concept leads to conservative assessment of medical irradiation collective risk.

  13. Comparison of the Five Danish Regions Regarding Demographic Characteristics, Healthcare Utilization, and Medication Use

    DEFF Research Database (Denmark)

    Henriksen, Daniel Pilsgaard; Rasmussen, Lotte; Hansen, Morten Rix;

    2015-01-01

    nationwide registers: The Danish National Patient Register, The Danish Civil Registration System, The Danish Register of Medicinal Product Statistics, and The Danish National Health Service Register for Primary Care. We compared the Danish regions regarding demographic and socioeconomic characteristics...

  14. SOFTWARE FOR REGIONS OF INTEREST RETRIEVAL ON MEDICAL 3D IMAGES

    Directory of Open Access Journals (Sweden)

    G. G. Stromov

    2014-01-01

    Full Text Available Background. Implementation of software for areas of interest retrieval in 3D medical images is described in this article. It has been tested against large volume of model MRIs.Material and methods. We tested software against normal and pathological (severe multiple sclerosis model MRIs from tge BrainWeb resource. Technological stack is based on open-source cross-platform solutions. We implemented storage system on Maria DB (an open-sourced fork of MySQL with P/SQL extensions. Python 2.7 scripting was used for automatization of extract-transform-load operations. The computational core is written on Java 7 with Spring framework 3. MongoDB was used as a cache in the cluster of workstations. Maven 3 was chosen as a dependency manager and build system, the project is hosted at Github.Results. As testing on SSMU's LAN has showed, software has been developed is quite efficiently retrieves ROIs are matching for the morphological substratum on pathological MRIs.Conclusion. Automation of a diagnostic process using medical imaging allows to level down the subjective component in decision making and increase the availability of hi-tech medicine. Software has shown in the article is a complex solution for ROI retrieving and segmentation process on model medical images in full-automated mode.We would like to thank Robert Vincent for great help with consulting of usage the BrainWeb resource.

  15. Implementing telehealth to support medical practice in rural/remote regions: what are the conditions for success?

    Directory of Open Access Journals (Sweden)

    Duplantie Julie

    2006-08-01

    Full Text Available Abstract Background Telehealth, as other information and communication technologies (ICTs introduced to support the delivery of health care services, is considered as a means to answer many of the imperatives currently challenging health care systems. In Canada, many telehealth projects are taking place, mostly targeting rural, remote or isolated populations. So far, various telehealth applications have been implemented and have shown promising outcomes. However, telehealth utilisation remains limited in many settings, despite increased availability of technology and telecommunication infrastructure. Methods A qualitative field study was conducted in four remote regions of Quebec (Canada to explore perceptions of physicians and managers regarding the impact of telehealth on clinical practice and the organisation of health care services, as well as the conditions for improving telehealth implementation. A total of 54 respondents were interviewed either individually or in small groups. Content analysis of interviews was performed and identified several effects of telehealth on remote medical practice as well as key conditions to ensure the success of telehealth implementation. Results According to physicians and managers, telehealth benefits include better access to specialised services in remote regions, improved continuity of care, and increased availability of information. Telehealth also improves physicians' practice by facilitating continuing medical education, contacts with peers, and access to a second opinion. At the hospital and health region levels, telehealth has the potential to support the development of regional reference centres, favour retention of local expertise, and save costs. Conditions for successful implementation of telehealth networks include the participation of clinicians in decision-making, the availability of dedicated human and material resources, and a planned diffusion strategy. Interviews with physicians and

  16. Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital?

    Science.gov (United States)

    Williams, Jackson

    2008-01-01

    This study examined states' performance on Patient Safety Indicators (PSIs), statistics on malpractice lawsuits, and analogous data on automobile accidents to identify state-level patterns in safety and claiming. Hospital safety varied in a pattern similar to highway safety on the state level, suggesting that cultural traits may play a greater role than differences in legal or other environmental factors. States performing well or poorly in hospital and driver safety tended to correspond with states grouped together in regional culture typologies developed by Elazar and Lieske. Traits of regional culture also are associated with variations in tort claiming. The paper offers a theory of social capital as an important factor affecting safety and tort claiming. Where the regional culture is one of high cohesion and trust, people may exercise a higher degree of caution and vigilance in their interaction with others, and feel less inclination to file lawsuits subsequent to accidents.

  17. DEVELOPMENT OF IT TRIAGE SYSTEM (TRACY) TO SHARE REGIONAL DISASTER MEDICAL INFORMATION

    Science.gov (United States)

    Numada, Muneyoshi; Hada, Yasunori; Ohara, Miho; Meguro, Kimiro

    We developed an IT triage system for collecting disaster medical information in real time. FeliCa cards and card readers are used to obtain the number and cond ition of patients. The system is composed of two elements. First, the number of patie nts for each triage level and the accepted number of patients in each diagnosis and treatment department are obtained in real time, including response for changing triage level. Second, this information can be shared among hospitals, the administration, and residents in real time who are searching for their family. A disaster drill utiliz ing this system was held at the University of Yamanashi Hospital with 450 participants.

  18. Report of chronic myeloid leukemia from Indira Gandhi Institute of Medical Sciences, Regional Cancer Center, 2002-2009.

    Science.gov (United States)

    Prasad, Rajiv Ranjan; Singh, Pritanjali

    2013-07-01

    Indira Gandhi Institute of Medical Sciences, Regional Cancer Center was established in 1993. It's one of the main Health-Care Institution in the state of Bihar. The data of 205 patients was presented in the ICON meeting and 98% of patients were diagnosed in chronic phase. Complete hematological response was seen in 91% of patients in 3 months. A total of 197 (96%) patients were alive at the time of analysis of which 179 (87%) were still in chronic phase with hematological remission.

  19. nter-Regional Medical Cooperation in the Caribbean: Lessons from the Ongoing Cooperation between Martinique, St Lucia, and Dominica

    Directory of Open Access Journals (Sweden)

    D Resiere

    2014-04-01

    Full Text Available Recently, Martinique was accepted as an associate member by the Council of Ministers of the Organization of Eastern Caribbean States. This membership constitutes a major asset in bringing Martiniquais closer to the other Caribbean populations and should play a key role as it relates to regional cooperation especially in the domain of healthcare. It is urgent for professionals in the Caribbean to discuss the possibilities of improving relationships between countries in training, development and continuous medical education. Cooperation between the French Caribbean departments and surrounding countries appears to be quite indispensable.

  20. Public health and medical care for the world's factory: China's Pearl River Delta Region

    Directory of Open Access Journals (Sweden)

    Rodwin Victor G

    2011-10-01

    Full Text Available Abstract While the growth of urbanization, worldwide, has improved the lives of migrants from the hinterland, it also raises health risks related to population density, concentrated poverty and the transmission of infectious disease. Will megacity regions evolve into socially infected breeding grounds for the rapid transmission of disease, or can they become critical spatial entities for the protection and promotion of population health? We address this question for the Pearl River Delta Region (PRD based on recent data from Chinese sources, and on the experience of how New York, Greater London, Tokyo and Paris have grappled with the challenges of protecting population health and providing their populations with access to health care services. In some respects, there are some important lessons from comparative experience for PRD, notably the importance of covering the entire population for health care services and targeting special programs for those at highest risk for disease. In other respects, PRD's growth rate and sheer scale make it a unique megacity region that already faces new challenges and will require new solutions.

  1. Regional PIXE facility at Chandigarh (India) and Trace Element Analysis of Aerosol and Bio-medical Samples

    Science.gov (United States)

    Govil, I. M.

    2009-03-01

    A regional Proton induced X-ray Emission (PIXE) facility is newly developed using 3 Mev Proton beam from Variable Energy Cyclotron, Panjab University, Chandigarh (India). A new target chamber has been designed to cater for Proton Induced Gamma Emission (PIGE) and Rutherford Back Scattering (RBS) along with PIXE measurements. The HPGe x-ray detector, the Ge (Li) gamma-ray detector and a silicon surface barrier (SSB) detector can be mounted simultaneously in the chamber for this purpose. A remotely controlled stepper motor is provided to move the target wheel holding 12/24 samples at a time. This facility is now routinely used for the detection of trace elements in the aerosol, medical and forensic science samples. The paper presents the analysis of Aerosol samples collected from highly polluted steel city of Mandi Govindgarh in Punjab state and relatively clean city of Jammu in Jammu & Kashmir region. The results from the analysis of these samples show some basic differences in the trace element profile of the two cities. The paper also describes the trace element analysis of fly ash in the vicinity of Ropar Thermal Power plant in Punjab. The scope of this study was to determine the concentration and composition of atmospheric particulate matter (PM) in the vicinity of coal-fired thermal power plants in India. The data taken for the Bio-medical samples are also discussed.

  2. Influence of Environmental Factors on the Population Health: Regional Approach for the Medical-Ecological Analysis (for Example, the Sumy Region of Ukraine

    Directory of Open Access Journals (Sweden)

    Anatolii O. Kornus

    2015-06-01

    Full Text Available Today is still insufficiently developed the methods of associative analysis of the medical, ecological and demographic parameters that would make it possible to determine the nature and extent of the influence of environmental factors on the population health, establish the basic laws of territorial differentiation of human diseases and to identify ways to optimize the environment. Identifying of such influence and its evaluation is the primary task of our study. The correlations between the environmental pollution of and level of morbidity prevalence of population of the Sumy region we obtained by the mathematical methods. In the analysis, we obtained the 143 pairs for which the correlation is significant at the level ≤0.05 and 50 pairs – for which the correlation is significant at the level ≤0.01, reflecting the most closely dependencies between prevalence of morbidity and the state of the environment. In the integrated form, the quality of drinking water is the most important factor, which closely correlated with the prevalence of diseases among the population of Sumy region. The influence of the ecological state of the air, including the gamma-background level, chemical and radioactive contamination of soils and crop production are also important, although less markedly.

  3. Local-regional anesthesia in the management of stingray stings: Experience of the Bouffard medical-surgical hospital in Djibouti.

    Science.gov (United States)

    Vanoye, C; Lacroix, G; Le Gonidec, E; Couret, A; Benois, A; Peigne, V

    2017-01-27

    Stingray injuries are very painful. Systemic analgesics are ineffective, and the use of local-regional anesthesia has been reported. This retrospective descriptive study reviewed all cases of stingray injuries seen at the emergency department of the Bouffard Hospital (Djbouti, Africa) between 2011 and 2014. The study included 35 patients. Most of the injuries (n= 31, 89%) concerned the lower limbs. Median pain intensity was 6 [5-8] on a visual analog scale of 0 (no pain) to 10. The following systemic medications were administered: acetaminophen to 13 (27%) patients, morphine to 8 (23%), and tramadol to 6 (17%). In all, 25 (71%) patients received local-regional anesthesia, 15 (60%) by injections at the ankle. All procedures were successful, and no adverse event was reported. This study reports clinical data about stingray injuries in the Red Sea area and highlights the interest of local-regional anesthesia in their management. Most of the procedures were distal and could be performed by trained emergency physicians.

  4. [Development of a microbiology data warehouse (Akita-ReNICS) for networking hospitals in a medical region].

    Science.gov (United States)

    Ueki, Shigeharu; Kayaba, Hiroyuki; Tomita, Noriko; Kobayashi, Noriko; Takahashi, Tomoe; Obara, Toshikage; Takeda, Masahide; Moritoki, Yuki; Itoga, Masamichi; Ito, Wataru; Ohsaga, Atsushi; Kondoh, Katsuyuki; Chihara, Junichi

    2011-04-01

    The active involvement of hospital laboratory in surveillance is crucial to the success of nosocomial infection control. The recent dramatic increase of antimicrobial-resistant organisms and their spread into the community suggest that the infection control strategy of independent medical institutions is insufficient. To share the clinical data and surveillance in our local medical region, we developed a microbiology data warehouse for networking hospital laboratories in Akita prefecture. This system, named Akita-ReNICS, is an easy-to-use information management system designed to compare, track, and report the occurrence of antimicrobial-resistant organisms. Participating laboratories routinely transfer their coded and formatted microbiology data to ReNICS server located at Akita University Hospital from their health care system's clinical computer applications over the internet. We established the system to automate the statistical processes, so that the participants can access the server to monitor graphical data in the manner they prefer, using their own computer's browser. Furthermore, our system also provides the documents server, microbiology and antimicrobiotic database, and space for long-term storage of microbiological samples. Akita-ReNICS could be a next generation network for quality improvement of infection control.

  5. Markov random field driven region-based active contour model (MaRACel): application to medical image segmentation.

    Science.gov (United States)

    Xu, Jun; Monaco, James P; Madabhushi, Anant

    2010-01-01

    In this paper we present a Markov random field (MRF) driven region-based active contour model (MaRACel) for medical image segmentation. State-of-the-art region-based active contour (RAC) models assume that every spatial location in the image is statistically independent of the others, thereby ignoring valuable contextual information. To address this shortcoming we incorporate a MRF prior into the AC model, further generalizing Chan & Vese's (CV) and Rousson and Deriche's (RD) AC models. This incorporation requires a Markov prior that is consistent with the continuous variational framework characteristic of active contours; consequently, we introduce a continuous analogue to the discrete Potts model. To demonstrate the effectiveness of MaRACel, we compare its performance to those of the CV and RD AC models in the following scenarios: (1) the qualitative segmentation of a cancerous lesion in a breast DCE-MR image and (2) the qualitative and quantitative segmentations of prostatic acini (glands) in 200 histopathology images. Across the 200 prostate needle core biopsy histology images, MaRACel yielded an average sensitivity, specificity, and positive predictive value of 71%, 95%, 74% with respect to the segmented gland boundaries; the CV and RD models have corresponding values of 19%, 81%, 20% and 53%, 88%, 56%, respectively.

  6. [The expertise evaluation of organization of rendering of acute, emergency and urgent medical care in rural regions of Novosibirsk oblast'].

    Science.gov (United States)

    Ivaninskiĭ, O I; Sharapov, I V; Sadovoĭ, M A

    2013-01-01

    The most problematic spheres in the resource support of emergency medical care to rural residents are the completeness of staff of physicians in rural medical surgeries, community hospitals and departments of emergency medical care in central district hospitals. The provision of feldsher obstetrics posts with sanitary motor transport and medical equipment is yet another problematic sphere. The main troubles during provision of emergency medical care at feldsher obstetrics posts are related to surgery treatment. The organization of emergency and urgent medical care suffers of many unresolved problems related to informational program support at feldsher obstetrics posts, polyclinics of central district hospitals.

  7. Complex regional pain syndrome: medical and legal ramifications of clinical variability and experience and perspective of a practicing clinician

    Directory of Open Access Journals (Sweden)

    Lazaro RP

    2016-12-01

    Full Text Available RP Lazaro Department of Neurology, Albany Medical College, Albany, NY, USA Objective: The aim of this study was to demonstrate the ramifications of clinical variability of complex regional pain syndrome (CRPS and how they can affect the various aspects of this condition, favorably or unfavorably, for both patients and participating medical and legal professionals.Methods: Twelve patients diagnosed with CRPS at different times in the past 25 years were followed up, and their signs and symptoms were reviewed for variability. None had preexisting or ongoing medical disorders and prior injury to the peripheral nerves or musculoskeletal tissues. None had been involved in litigation. Physical traumas that triggered CRPS were job-related, vehicular accidents, and personal injuries. The presence of vasomotor symptoms (eg, swelling, skin discoloration, and temperature changes and allodynia in the affected extremity was the basis for clinical diagnosis in all the patients. The need for imaging studies was precluded in some patients owing to the presence of vasomotor symptoms, which either fluctuated or were steady. Seven of the patients had type 1 CRPS, and five patients had type 2 CRPS. Results: Most patients encountered delay in diagnosis and treatment and legal obstacles owing to the lack of “typical” objective signs of CRPS. The patients’ symptoms fluctuated at different times of the day. Eight patients experienced spread of vasomotor symptoms and varying degree of allodynia in the opposite extremity. One patient, who developed signs and symptoms of rheumatoid arthritis, 2 months after the injury, continued to have CRPS symptoms in the injured hand. Treatment modalities administered in all the patients were essentially ineffective. All the patients, except one, were unable to return to their original line of work, and their symptoms persisted regardless of the outcome of their legal claims.Conclusion: It is likely that patients who continue to

  8. New regulations regarding Postgraduate Medical Training in Spain: perception of the tutor's role in the Murcia Region

    Directory of Open Access Journals (Sweden)

    Saura-Llamas José

    2010-06-01

    Full Text Available Abstract Background Recently introduced regulatory changes have expanded the Tutor role to include their primary responsibility for Postgraduate Medical Training (PMT. However, accreditation and recognition of that role has been devolved to the autonomic regions. The opinions of the RT may be relevant to future decisions; Methods A comprehensive questionnaire, including demographic characteristics, academic and research achievement and personal views about their role, was sent to 201 RTs in the Murcia Region of Spain. The responses are described using median and interquartile ranges (IQR; Results There were 147 replies (response rate 73%, 69% male, mean age 45 ± 7 yrs. RTs perception of the residents' initial knowledge and commitment throughout the program was 5 (IQR 4-6 and 7 (IQR 5-8, respectively. As regards their impact on the PMT program, RTs considered that their own contribution was similar to that of senior residents. RTs perception of how their role was recognised was 5 (IQR 3-6. Only 16% did not encounter difficulties in accessing specific RT training programs. Regarding the RTs view of their various duties, supervision of patient care was accorded the greatest importance (64% while the satisfactory completion of the PMT program and supervision of day-to-day activities were also considered important (61% and 59% respectively. The main RT requirements were: a greater professional recognition (97%, protected time (95%, specific RT training programs (95% and financial recognition (86%; Conclusions This comprehensive study, reflecting the feelings of our RTs, provides a useful insight into the reality of their work and the findings ought to be taken into consideration in the imminent definitive regulatory document on PMT.

  9. [Complexity of care and organizational effectiveness: a survey among medical care units in nine Lombardy region hospitals].

    Science.gov (United States)

    Pasquali, Sara; Capitoni, Enrica; Tiraboschi, Giuseppina; Alborghetti, Adriana; De Luca, Giuseppe; Di Mauro, Stefania

    2017-01-01

    Eleven medical care units of nine Lombardy Region hospitals organized by levels of care model or by the traditional departmental model have been analyzed, in order to evaluate if methods for complexity of patient-care evaluation represent an index factor of nursing organizational effectiveness. Survey with nine Nurses in managerial position was conducted between Nov. 2013-Jan. 2014. The following factors have been described: context and nursing care model, staffing, complexity evaluation, patient satisfaction, staff well-being. Data were processed through Microsoft Excel. Among Units analysed ,all Units in levels of care and one organized by the departmental model systematically evaluate nursing complexity. Registered Nurses (RN) and Health Care Assistants (HCA) are on average numerically higher in Units that measure complexity (0.55/ 0.49 RN, 0.38/0.23 HCA - ratio per bed). Adopted measures in relation to changes in complexity are:rewarding systems, supporting interventions, such as moving personnel within different Units or additional required working hours; reduction in number of beds is adopted when no other solution is available. Patient satisfaction is evaluated through Customer Satisfaction questionnaires. Turnover, stress and rate of absenteeism data are not available in all Units. Complexity evaluation through appropriate methods is carried out in all hospitals organized in levels of care with personalized nursing care models, though complexity is detected with different methods. No significant differences in applied managerial strategies are present. Patient's satisfaction is evaluated everywhere. Data on staffing wellbeing is scarcely available. Coordinated regional actions are recommended in order to gather comparable data for research, improve decision making and effectiveness of Nursing care.

  10. [Supply and demand of medical specialists in the health facilities of the Ministry of Health: national, regional and by type of specialty gaps].

    Science.gov (United States)

    Zevallos, Leslie; Pastor, Reyna; Moscoso, Betsy

    2011-06-01

    To characterize the supply, demand and the gap of medical specialists in facilities of the Ministry of Health of Peru (MINSA) at the national, regional and specialty type levels. Observational, descriptive study through which we calculated the supply of medical specialists using secondary sources of MINSA. The analysis of the demand for medical specialists was based on two methodologies: the need for specialists according to the guidelines of classification of the health facilities and according to the epidemiological and demographic profile. The arithmetic difference between the estimated demand and the supply was the procedure used to calculate the gap of medical specialists. The Ministry of Health has a total supply at the national level of 6,074 medical specialists of which 61.5% belong to the clinical specialties, 33.2% to the surgical specialties, 4.9% specialities related to aid to diagnosis and treatment and 0.4% to public health specialties. According to the categorization guideline there is a total demand of 11,176 medical specialists and according to the epidemiological and demographic profile of 11,738. The national estimated gaps found are similar in both methods, although they differ widely across regions and by type of specialty. At the regional level, the gaps are greater in Loreto, Piura, Puno and Madre de Dios when estimating the defficit in relation to the supply. Regarding the speciality, the gap is greater in the four basic specialties: gynecology and obstetrics, pediatrics, internal medicine and general surgery. There is a waid gap between supply and demand of medical specialists at the national and regional levels, as a whole representing approximately 45% of the current offer, regardless of the estimation method.

  11. Non-medical use of prescription drugs and HIV risk behaviour in transgender women in the Mid-Atlantic region of the United States.

    Science.gov (United States)

    Benotsch, Eric G; Zimmerman, Rick S; Cathers, Laurie; Pierce, Juan; McNulty, Shawn; Heck, Ted; Perrin, Paul B; Snipes, Daniel J

    2016-08-01

    Male-to-female transgender women (TGW) experience high rates of substance use and HIV. A recent substance use trend is the use of prescription medication without a doctor's consent. No research to date has examined the associations between this non-medical use of prescription drugs and HIV risk behaviour in TGW. In the present study, TGW recruited from community venues (N = 104) in the Mid-Atlantic region of the United States completed surveys assessing demographic information, non-medical use of prescription drugs, other substance use, injection practices and sexual risk behaviour. Twenty-four per cent of the sample reported lifetime non-medical use of prescription drugs across the following categories: analgesics (21.2%), anxiolytics (14.4%), stimulants (12.5%) and sedatives (8.7%). Participants reporting non-medical use of prescription drugs were more likely to report other substance use, needle use to inject drugs, injecting silicone and sharing needles. In multivariable analyses, non-medical use of prescription drugs was associated with unprotected sex, sex after engaging in substance use, and commercial sex work, after controlling for demographic factors. Self-esteem and social support from family served as protective factors for non-medical use of prescription drugs. HIV-prevention programmes focused on TGW in the United States may wish to expand their assessment of substance use to include the use of prescription medications without a physician's consent.

  12. [Actual state of medical activities as "home pharmacy" including preventive medicine in community pharmacy and their regional differences].

    Science.gov (United States)

    Suzuki, Junzo; Ohtsu, Yumiko; Hashimoto, Miwako; Kaiho, Fusao

    2008-12-01

    To determine the "home pharmacy" activities including preventive medicine in community pharmacies and their regional differences, we conducted two questionnaire surveys of pharmacies belonging to the pharmacists' association in four areas, two metropolitan areas (Kita-tama area and Minato-ku in Tokyo) and two rural areas (Ueda-shi in Nagano and Aira-gun in Kagoshima) in 1998 and 2007. The questionnaire consisted of 42 questions including the scale and characteristics of the pharmacy, the offering of information to patients and information collection from patients, and activities related to home care medicine, environmental sanitation, and healthcare. Based on 14 factors in the questionnaire, an index of "Community Medicine Contributed by Home Pharmacies" was evaluated to represent the extent of activity including preventive medicine in pharmacy. The median of the indexes in the four areas rose in 2007, and was the highest in Ueda-shi. However, the increase in the index was found to result from increases in activity related to clinical medicine such as the use of "Medication Notebooks" and the circulation of "Pharmaceutical Instructions" and did not result from increased activity related to preventive medicine. Factors to promote preventive medicine activity are discussed based on the data from Aira-gun where the greatest home care medicine activity occurred and from Ueda-shi where the greatest environmental sanitation and healthcare activities occurred.

  13. Evaluation of reprocessing medical devices in 14 German regional hospitals and at 27 medical practitioners‘ offices within the European context – consequences for European harmonization

    Directory of Open Access Journals (Sweden)

    Thiede, Birgit

    2013-11-01

    Full Text Available [english] Safe reprocessing of medical devices through cleaning, disinfection, and sterilization is essential for the prevention of health care associated infections (HAI and to guarantee patient safety. Several studies detected residual contamination and even severe infections of patients, despite carrying out reprocessing. To develop appropriate solutions, the existing situation in Germany and selected European countries was analyzed. Additionally, in 27 medical practitioners’ offices and 14 hospitals, the true practice of reprocessing was analyzed using a questionnaire, a checklist, and inspection on site. A structured analysis of potential alternatives to the internal reprocessing was conducted within the German and European context. The results indicate that the conditions for the execution of the reprocessing process in the analyzed health facilities in southern Hesse (Germany do not satisfy legal requirements. The detected deficiencies were consistent with other reports from Germany and Europe. The analysis gave insight into several reasons for the detected deficiencies. The three main reasons were the high costs for proper implementation, the subjective value assigned to the reprocessing unit in health care facilities, and deficits in monitoring by the health authority. Throughout the European Union, a similar regulatory framework for the performance of the reprocessing process exists, while the environment, structures of the health systems and administrative supervision vary significantly. The German states as well as selected European countries are currently discussing the challenges of increased quality-assured execution of the reprocessing process. For instance, the same supervisory system for hospitals and medical practitioners should be established at an equal standard. Alternatives such as the use of single-use medical devices, outsourcing the decontamination processes, or the cooperation of health facilities may be considered

  14. Medical tourism.

    Science.gov (United States)

    Leggat, Peter

    2015-01-01

    Medical tourism is a burgeoning industry in our region. It involves patients travelling outside of their home country for medical treatment. This article provides an outline of the current research around medical tourism, especially its impact on Australians. Patients are increasingly seeking a variety of medical treatments abroad, particularly those involving cosmetic surgery and dental treatment, often in countries in South-East Asia. Adverse events may occur during medical treatment abroad, which raises medico-legal and insurance issues, as well as concerns regarding follow-up of patients. General practitioners need to be prepared to offer advice, including travel health advice, to patients seeking medical treatment abroad.

  15. Brain Regional α-[11C]Methyl-L-Tryptophan Trapping in Medication-Free Patients With Obsessive-Compulsive Disorder

    Science.gov (United States)

    Berney, Alexandre; Leyton, Marco; Gravel, Paul; Sibon, Igor; Sookman, Debbie; Neto, Pedro Rosa; Diksic, Mirko; Nakai, Akio; Pinard, Gilbert; Todorov, Christo; Okazawa, Hidehiko; Blier, Pierre; Nordahl, Thomas Edward; Benkelfat, Chawki

    2013-01-01

    Context The hypothesis of a serotonin (5-hydroxytryptamine [5-HT]) dysfunction in obsessive-compulsive disorder (OCD) stems largely from the clinical efficacy of 5-HT reuptake inhibitors. Serotonergic abnormalities in the unmedicated symptomatic state, however, remain to be fully characterized. Objective To investigate brain regional 5-HT synthesis, as indexed by positron emission tomography and the α-[11C]methyl-L-tryptophan trapping constant (K*), in treatment-free adults meeting criteria for OCD. Design Between-group comparison. Setting Department of Psychiatry and Montreal Neurological Institute, McGill University, and Department of Psychology, McGill University Health Centre, Quebec, Canada. Participants Twenty-one medication-free patients with OCD (15 men with a mean [SD] age of 33.2 [9.3] years and 6 women with a mean [SD] age of 35.8 [7.1] years) and 21 healthy controls matched for age and sex (15 men with a mean [SD] age of 32.9 [10.1] years and 6 women with a mean [SD] age of 36.5.5 [8.6] years). Main Outcome Measure The α-[11C]methyl-L-tryptophan brain trapping constant K*, which was analyzed with Statistical Parametric Mapping (SPM8) and with proportional normalization (extent threshold of 100 voxels with a peak threshold of P≤.005). Results Compared with healthy controls, the patients with OCD exhibited significantly greater α-[11C]methyl-L-tryptophan trapping in the right hippocampus and left temporal gyrus (Brodmann area 20). In the larger sub-sample of all men, these same differences were also evident, as well as higher K* values in the caudate nucleus. Individual differences in symptom severity correlated positively with K* values sampled from the caudate and temporal lobe of the patients with OCD, respectively. There were no regions where the patients exhibited abnormally low K* values. Volumetric analyses found no morphometric alterations that would account for the group differences. Conclusion The results support previous reports of greater

  16. 42 CFR 421.210 - Designations of regional carriers to process claims for durable medical equipment, prosthetics...

    Science.gov (United States)

    2010-10-01

    ... for durable medical equipment, prosthetics, orthotics and supplies. 421.210 Section 421.210 Public... claims for durable medical equipment, prosthetics, orthotics and supplies. (a) Basis. This section is..., prosthetics, orthotics, and other supplies (DMEPOS). This authority has been delegated to CMS. (b) Types...

  17. An analysis of the awareness and performance of radiation workers' radiation/radioactivity protection in medical institutions : Focused on Busan regional medical institutions

    Energy Technology Data Exchange (ETDEWEB)

    Park, Cheol Koo [Dept. of Radiological Science, Graduate School of Catholic University of Pusan, Busan (Korea, Republic of); Hwang, Chul Hwan [Dept. of Radiation Oncology, Pusan National University Hospital, Busan (Korea, Republic of); Kim, Dong Hyun [Dept. of Radiological Science, College of Health Sciences, Catholic University of Pusan, Busan (Korea, Republic of)

    2017-03-15

    The purpose of this study was to investigate safety management awareness and behavioral investigation of radiation/radioactivity performance defenses of radiation workers' in medical institutions. Data collection consisted of 267 radiation workers working in medical institutions using structured questionnaires. As a result, it was analyzed that radiation safety management awareness and performance were high in 40s, 50s group and higher education group. The analysis according to the radiation safety management knowledge was analyzed that the 'Know very well' group had higher scores on awareness and performance scores. The analysis according to the degree of safety management effort showed the high awareness scale and the performance scale in the group 'Receiving various education or studying the safety management contents through book'. The correlations between the sub-factors showed the highest positive correlation between perceived practician and personal perspective and perceived by patient and patient's caretaker perspective. Therefore, radiation safety management for workers, patients, and patient's caretaker should be conducted through continuous education of radiation safety management through various routes of radiation workers working at medical institutions.

  18. Patient Outcomes following Subarachnoid Hemorrhage between the Medical Center and Regional Hospital: Whether All Patients Should Be Transferred to Medical Centers

    Directory of Open Access Journals (Sweden)

    Tsung-Ying Lin

    2014-01-01

    Full Text Available Subarachnoid hemorrhage (SAH is a critical illness that may result in patient mortality or morbidity. In this study, we investigated the outcomes of patients treated in medical center and nonmedical center hospitals and the relationship between such outcomes and hospital and surgeon volume. Patient data were abstracted from the National Health Insurance Research Database of Taiwan in the Longitudinal Health Insurance Database 2000, which contains all claims data of 1 million beneficiaries randomly selected in 2000. The International Classification of Diseases, Ninth Revision, subarachnoid hemorrhage (430 was used for the inclusion criteria. We identified 355 patients between 11 and 87 years of age who had subarachnoid hemorrhage. Among them, 32.4% (115/355 were men. The median Charlson comorbidity index (CCI score was 1.3 (SD ± 0.6. Unadjusted logistic regression analysis demonstrated that low mortality was associated with high hospital volume (OR = 3.21; 95% CI: 1.18–8.77. In this study, we found no statistical significances of mortality, LOS, and total charges between medical centers and nonmedical center hospitals. Patient mortality was associated with hospital volume. Nonmedical center hospitals could achieve resource use and outcomes similar to those of medical centers with sufficient volume.

  19. An optimization model for collection, haul, transfer, treatment and disposal of infectious medical waste: Application to a Greek region.

    Science.gov (United States)

    Mantzaras, Gerasimos; Voudrias, Evangelos A

    2017-09-05

    The objective of this work was to develop an optimization model to minimize the cost of a collection, haul, transfer, treatment and disposal system for infectious medical waste (IMW). The model calculates the optimum locations of the treatment facilities and transfer stations, their design capacities (t/d), the number and capacities of all waste collection, transport and transfer vehicles and their optimum transport path and the minimum IMW management system cost. Waste production nodes (hospitals, healthcare centers, peripheral health offices, private clinics and physicians in private practice) and their IMW production rates were specified and used as model inputs. The candidate locations of the treatment facilities, transfer stations and sanitary landfills were designated, using a GIS-based methodology. Specifically, Mapinfo software with exclusion criteria for non-appropriate areas was used for siting candidate locations for the construction of the treatment plant and calculating the distance and travel time of all possible vehicle routes. The objective function was a non-linear equation, which minimized the total collection, transport, treatment and disposal cost. Total cost comprised capital and operation costs for: (1) treatment plant, (2) waste transfer stations, (3) waste transport and transfer vehicles and (4) waste collection bins and hospital boxes. Binary variables were used to decide whether a treatment plant and/or a transfer station should be constructed and whether a collection route between two or more nodes should be followed. Microsoft excel software was used as installation platform of the optimization model. For the execution of the optimization routine, two completely different software were used and the results were compared, thus, resulting in higher reliability and validity of the results. The first software was Evolver, which is based on the use of genetic algorithms. The second one was Crystal Ball, which is based on Monte Carlo

  20. Are medical outliers associated with worse patient outcomes? A retrospective study within a regional NHS hospital using routine data.

    Science.gov (United States)

    Stylianou, Neophytos; Fackrell, Robin; Vasilakis, Christos

    2017-05-09

    To explore the quality and safety of patients' healthcare provision by identifying whether being a medical outlier is associated with worse patient outcomes. A medical outlier is a hospital inpatient who is classified as a medical patient for an episode within a spell of care and has at least one non-medical ward placement within that spell. Secondary data from the Patient Administration System of a district general hospital were provided for the financial years 2013/2014-2015/2016. The data included 71 038 medical patient spells for the 3-year period. This research was based on a retrospective, cross-sectional observational study design. Multivariate logistic regression and zero-truncated negative binomial regression were used to explore patient outcomes (in-hospital mortality, 30-day mortality, readmissions and length of stay (LOS)) while adjusting for several confounding factors. Univariate analysis indicated that an outlying medical in-hospital patient has higher odds for readmission, double the odds of staying longer in the hospital but no significant difference in the odds of in-hospital and 30-day mortality. Multivariable analysis indicates that being a medical outlier does not affect mortality outcomes or readmission, but it does prolong LOS in the hospital. After adjusting for other factors, medical outliers are associated with an increased LOS while mortality or readmissions are not worse than patients treated in appropriate specialty wards. This is in line with existing but limited literature that such patients experience worse patient outcomes. Hospitals may need to revisit their policies regarding outlying patients as increased LOS is associated with an increased likelihood of harm events, worse quality of care and increased healthcare costs. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  1. Disbursement of $65 million to the State of Texas for construction of a Regional Medical Technology Center at the former Superconducting Super Collider Site, Waxahachie, Texas

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-05-01

    As part of a settlement agreement between the US DOE and the State of Texas, DOE proposes to transfer $65 million of federal funds to the Texas National Research Laboratory Commission (TNLRC) for construction of the Regional Medical Technology Center (RMTC) to be located in Ellis County, Texas. The RMTC would be a state-of-the-art medical facility for proton cancer therapy, operated by the State of Texas in conjunction with the University of Texas Southwestern Medical Center. The RMTC would use the linear accelerator assets of the recently terminated DOE Superconducting Super Collider Project to accelerate protons to high energies for the treatment of cancer patients. The current design provides for treatment areas, examination rooms, support laboratories, diagnostic imaging equipment, and office space as well as the accelerators (linac and synchrotron) and beam steering and shaping components. The potential environmental consequences of the proposed action are expected to be minor.

  2. Visible Watermarking within the Region of Non-Interest of Medical Images Based on Fuzzy C-Means and Harris Corner Detection

    Directory of Open Access Journals (Sweden)

    Debalina Biswas

    2013-05-01

    Full Text Available Transfer of medical information amongst various hos pitals and diagnostic centers for mutual availability of diagnostic and therapeutic case stu dies is a very common process. Watermarking is adding “ownership” information in multimedia con tents to verify signal integrity, prove authenticity and achieve control over the copy proc ess. Distortion in Region of Interest (ROI of a bio-medical image caused by watermarking may lead to wrong diagnosis and treatment. Therefore, proper selection of Region of Non-Intere st (RONI in a medical image is very crucial for adding watermark. First part of the present wor k proposes proper selection of Region of Non-Interest based on Fuzzy C-Means segmentation an d Harris corner detection, to improve retention of diagnostic value lost in embedding own ership information. The second part of the work presents watermark embedding in the selected a rea of RONI based on alpha blending technique. In this approach, the generated watermar ked image having an acceptable level of imperceptibility and distortion is compared to the original image. The Peak Signal to Noise Ratio (PSNR of the original image vs. watermarked image is calculated to prove the efficacy of the proposed method.

  3. Disaster management: Emergency nursing and medical personnel's knowledge, attitude and practices of the East Coast region hospitals of Malaysia.

    Science.gov (United States)

    Ahayalimudin, Nurul'Ain; Osman, Nor Naimah Saidah

    2016-11-01

    Disaster management is critical, as its insight could diminish the impact of a disaster, and participation of emergency medical personnel is crucial. This study explores emergency medical personnel's knowledge, attitude and practice towards disaster management. This study utilised a cross-sectional study design, and the data collected from 194 emergency nursing and medical personnel (staff nurses, doctors and assistant medical officers), using a questionnaire. Majority of the personnel had an adequate knowledge and practices, and portrayed a positive attitude towards disaster management. Amongst the sociodemographic factors studied, gender and education level were significantly associated with increased knowledge and practice scores. Working experience, involvement in disaster response and attended disaster training had a significant association with higher practice scores. None of the sociodemographic factors studied had an effect on attitude scores. Despite the diversity of their backgrounds, respondents exhibited their adequate knowledge and practice, and had positive attitudes towards disaster management. It is substantial for emergency nursing and medical personnel, to inhibit the severity of the impacts of the disasters. Their knowledge, attitude and practice studies could assist in the implementation of programmes relevant to disaster management to ensure their preparedness to assist the affected communities. Copyright © 2016 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.

  4. [Helicopter emergency medical service missions at night: 2 years of experience in the Dutch Regional Emergency Healthcare Network East].

    Science.gov (United States)

    Hoogerwerf, Nico; Heijne, Amon; Geeraedts, Leo M G; van Riessen, Christine; Scheffer, Gert-Jan

    2010-01-01

    To study whether there are differences between day and night in the dispatch of helicopter emergency medical services (HEMS) and in their response and travelling times, medical treatment and transport of patients. Retrospective, descriptive study. All data on helicopter emergency medical service (HEMS) missions available 24/7 from Nijmegen, the Netherlands, during 2007 and 2008 were collected. All missions in this period were divided into daytime and night-time missions. Next, the reason for dispatch, the duration of distinct times during the mission, the method of transport of the HEMS team, medical treatments and patient transport were compared. In 2007 and 2008 the HEMS team was dispatched 2891 times. 1107 patients were treated during daytime and 479 during the night. The mean distance to the incident scene was longer for night missions. During night-time the HEMS team was dispatched more often for road traffic accidents and violence-related accidents but less often for falls, drowning, horse riding accidents and people becoming trapped (non-traffic-related). There were no differences in medical treatment given by the HEMS physician between day and night, but fewer patients were transported by helicopter at night. Travelling times and on-scene times were only slightly different. The number of dispatches of the HEMS team at night was higher than expected, but night missions were cancelled more often due to weather conditions than missions by day. Prehospital times and operations of the Netherlands HEMS differed slightly between day and night.

  5. Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach.

    Science.gov (United States)

    Del Fiol, Guilherme; Kawamoto, Kensaku; Lapointe, Nancy M Allen; Eisenstein, Eric L; Anstrom, Kevin J; Wood, Laura L; Lobach, David F

    2010-11-13

    Evidence-based pharmacotherapy is a central aspect of optimal patient care for many chronic conditions. However, medication non-adherence frequently inhibits the attainment of optimal pharmacotherapy regimens. In this study, we designed, developed, and implemented a multifaceted clinical decision support (CDS) intervention that supports evidence-based pharmacotherapy and enhanced medication adherence through the use of a scalable, claims-driven, and service-oriented approach. The intervention includes a medication management report and a low adherence alert based on thirteen evidence-based pharmacotherapy rules for seven chronic conditions. Reports and alerts are delivered to primary care clinics and care managers that participate in a healthcare information exchange in North Carolina. The resulting system architecture may enable this CDS intervention to be widely disseminated to healthcare networks through an open-source model.

  6. Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach

    Science.gov (United States)

    Del Fiol, Guilherme; Kawamoto, Kensaku; LaPointe, Nancy M Allen; Eisenstein, Eric L; Anstrom, Kevin J; Wood, Laura L; Lobach, David F

    2010-01-01

    Evidence-based pharmacotherapy is a central aspect of optimal patient care for many chronic conditions. However, medication non-adherence frequently inhibits the attainment of optimal pharmacotherapy regimens. In this study, we designed, developed, and implemented a multifaceted clinical decision support (CDS) intervention that supports evidence-based pharmacotherapy and enhanced medication adherence through the use of a scalable, claims-driven, and service-oriented approach. The intervention includes a medication management report and a low adherence alert based on thirteen evidence-based pharmacotherapy rules for seven chronic conditions. Reports and alerts are delivered to primary care clinics and care managers that participate in a healthcare information exchange in North Carolina. The resulting system architecture may enable this CDS intervention to be widely disseminated to healthcare networks through an open-source model. PMID:21346956

  7. Medical Entomology Studies - XI. The Subgenus Stegomyia of Aedes in the Oriental Region with Keys to the Species (Diptera: Culicidae)

    Science.gov (United States)

    1979-01-01

    aegypti Linnaeus, 1762 ( Insecta , Diptera); proposed validation and interpretation under the plenary powers of the species so named. Z. N. (S.) 1216...Liverpool School of Tropical Medicine and Medical Parasitology. Part II. Filariasis. Mem. Lpool. Sch. Trop. Med. 4 (Ap. ) ii: l-14. Huang: Aedes

  8. Demonstrating the use of high-volume electronic medical claims data to monitor local and regional influenza activity in the US.

    Directory of Open Access Journals (Sweden)

    Cécile Viboud

    Full Text Available Fine-grained influenza surveillance data are lacking in the US, hampering our ability to monitor disease spread at a local scale. Here we evaluate the performances of high-volume electronic medical claims data to assess local and regional influenza activity.We used electronic medical claims data compiled by IMS Health in 480 US locations to create weekly regional influenza-like-illness (ILI time series during 2003-2010. IMS Health captured 62% of US outpatient visits in 2009. We studied the performances of IMS-ILI indicators against reference influenza surveillance datasets, including CDC-ILI outpatient and laboratory-confirmed influenza data. We estimated correlation in weekly incidences, peak timing and seasonal intensity across datasets, stratified by 10 regions and four age groups (<5, 5-29, 30-59, and 60+ years. To test IMS-Health performances at the city level, we compared IMS-ILI indicators to syndromic surveillance data for New York City. We also used control data on laboratory-confirmed Respiratory Syncytial Virus (RSV activity to test the specificity of IMS-ILI for influenza surveillance.Regional IMS-ILI indicators were highly synchronous with CDC's reference influenza surveillance data (Pearson correlation coefficients rho≥0.89; range across regions, 0.80-0.97, P<0.001. Seasonal intensity estimates were weakly correlated across datasets in all age data (rho≤0.52, moderately correlated among adults (rho≥0.64 and uncorrelated among school-age children. IMS-ILI indicators were more correlated with reference influenza data than control RSV indicators (rho = 0.93 with influenza v. rho = 0.33 with RSV, P<0.05. City-level IMS-ILI indicators were highly consistent with reference syndromic data (rho≥0.86.Medical claims-based ILI indicators accurately capture weekly fluctuations in influenza activity in all US regions during inter-pandemic and pandemic seasons, and can be broken down by age groups and fine geographical areas

  9. 某战区医务人员信息素养调查%Investigation of Medical Personnel's Information Literacy in a Military Region

    Institute of Scientific and Technical Information of China (English)

    吴蓉; 宋敏; 王军红; 穆少杨

    2013-01-01

    良好的信息素养能使人能够更有效地选择、查找及评估传统或网上资源。本文通过调查问卷的形式,了解某战区医务工作人员利用医学信息资源的情况,从而分析出其信息意识、信息能力的现状与存在的问题,进而针对具体问题提出提高医务人员信息素质的措施和新途径,为推动医院信息化的发展奠定基础。%Information literacy is a kind of skills by which people can select , search , and evaluate tradi-tional or online resources more effectively .Through the questionnaire of medical personnel , the author analyzed the information awareness , information capacity of the current situation and the problems in the utilization of medical information resources , and then put forward the countermeasures and new methods to improve the information litera-cy of medical personnel , in order to promote the development of medical information in a military region .

  10. A New Approach to Identify High Burnout Medical Staffs by Kernel K-Means Cluster Analysis in a Regional Teaching Hospital in Taiwan

    Directory of Open Access Journals (Sweden)

    Yii-Ching Lee PhD

    2016-11-01

    Full Text Available This study uses kernel k-means cluster analysis to identify medical staffs with high burnout. The data collected in October to November 2014 are from the emotional exhaustion dimension of the Chinese version of Safety Attitudes Questionnaire in a regional teaching hospital in Taiwan. The number of effective questionnaires including the entire staffs such as physicians, nurses, technicians, pharmacists, medical administrators, and respiratory therapists is 680. The results show that 8 clusters are generated by kernel k-means method. Employees in clusters 1, 4, and 5 are relatively in good conditions, whereas employees in clusters 2, 3, 6, 7, and 8 need to be closely monitored from time to time because they have relatively higher degree of burnout. When employees with higher degree of burnout are identified, the hospital management can take actions to improve the resilience, reduce the potential medical errors, and, eventually, enhance the patient safety. This study also suggests that the hospital management needs to keep track of medical staffs’ fatigue conditions and provide timely assistance for burnout recovery through employee assistance programs, mindfulness-based stress reduction programs, positivity currency buildup, and forming appreciative inquiry groups.

  11. Water pipe (shisha) smoking among male students of medical colleges in the eastern region of Saudi Arabia

    OpenAIRE

    Taha, Attia Z.; Amr A. Sabra; Al-Mustafa, Zaid Z.; Al-Awami, Hasan R.; Al-Khalaf, Mujtaba A.; Al-Momen, Momen M.

    2010-01-01

    BACKGROUND AND OBJECTIVES: Shisha smoking, one of the commonest methods of smoking tobacco among Arabs, increases the risk of cardiovascular and respiratory diseases. The objective of this study was to determine the prevalence of shisha smoking among male students of three colleges and to identify factors associated with shisha smoking. METHODS: This cross-sectional study included 500 male students of three colleges (medicine, applied medical sciences and dentistry). Data were collected from ...

  12. The structure of long tubular bones fractures of lower extremity by the data of the regional bureau of forensic-medical examination

    Directory of Open Access Journals (Sweden)

    Savka I.H.

    2013-10-01

    Full Text Available The main purpose of the research is carrying out forensic-medical analysis of cases from expert’s practice with fractures of the long bones based on the findings of the Regional Bureau of Forensic-Medical Examination over 2009-2012 years period. The research has been carried out using methods of statistical and comparative analysis. Their distribution by gender, age, localization, character and type of external influence, the conditions of their occurrence and participation of other persons has been outlined. Fractures of lower extremity bones make up from 15,8 to 22,5% of all the cases of mechanical trauma with lethal outcomes. Therewith male persons suffer more often from injury of the left extremity at different day time and season. The principal mechanism of their origin is injury resulting from road accidents in the countryside with the participation of other persons.

  13. Advance directives in action in a regional palliative care service: "road testing" the provisions of the Medical Treatment Act 1988 (VIC).

    Science.gov (United States)

    Brown, Margaret; Fisher, John W; Brumley, David J; Ashby, Michael A; Milliken, Jan

    2005-11-01

    In order to explore the usefulness and acceptability of the provisions of the Medical Treatment Act 1988 (Vic) for palliative care patients in a rural region in Victoria, Australia, between July and December 2004 patients were given information explaining the Act and the opportunity to discuss it with the research officer. Grounded theory methodology was used to evaluate client responses. Findings suggested that palliative care patients are willing to engage in advance care planning but they have to be well enough and need skilled, practical, face-to-face assistance to complete the required legal forms. Written materials alone are not adequate, but provide the opportunity for medical staff to have conversations about death and dying. Doctors and nurses should understand the provisions of the Act to assist patients and families. It is recommended that advance care planning, appropriate to the jurisdiction, be an integral part of the palliative care assessment process.

  14. Association between health literacy and medical care costs in an integrated healthcare system: a regional population based study.

    Science.gov (United States)

    Haun, Jolie N; Patel, Nitin R; French, Dustin D; Campbell, Robert R; Bradham, Douglas D; Lapcevic, William A

    2015-06-27

    Low health literacy is associated with higher health care utilization and costs; however, no large-scale studies have demonstrated this in the Veterans Health Administration (VHA). This research evaluated the association between veterans' health literacy and their subsequent VHA health care costs across a three-year period. This retrospective study used a Generalized Linear Model to estimate the relative association between a patient's health literacy and VHA medical costs, adjusting for covariates. Secondary data sources included electronic health records and administrative data in the VHA (e.g., Medical and DCG SAS Datasets and DSS-National Data Extracts). Health literacy assessments and identifiers were electronically retrieved from the originating health system. Demographic and cost data were retrieved from the VHA centralized databases for the corresponding patients who had VHA use in all three years. In a study of 92,749 veterans with service utilization from 2007-2009, average per patient cost for those with inadequate and marginal health literacy was significantly higher ($31,581 [95 % CI: $30,186 - $32,975]; $23,508 [95 % CI: $22,749 - $24,268]) than adequate health literacy ($17,033 [95 % CI: $16,810 - $17,255]). Estimated three-year cost associated with veterans' with marginal and inadequate health literacy was $143 million dollars more than those with adequate health literacy. Analyses suggest when controlling for other person-level factors within the VHA integrated healthcare system, lower health literacy is a significant independent factor associated with increased health care utilization and costs. This study confirms the association of lower health literacy with higher medical service utilization and pharmacy costs for veterans enrolled in the VHA. Confirmation of higher costs of care associated with lower health literacy suggests that interventions might be designed to remediate health literacy needs and reduce expenditures. These analyses suggest

  15. Public health in the regions of Russia at the beginning of the twenty-first century: Medical-geographical assessment

    Science.gov (United States)

    Malkhazova, S. M.; Pestina, P. V.; Shartova, N. V.

    2017-07-01

    The level of public health in the regions of Russia in the years 2002-2012 is characterized based on the indices of life expectancy of men and women, as well as infant mortality. The tendencies toward change as compared to 1990-2001 are determined. Five groups of regions with various levels of public health are identified and analyzed. The practical importance of this work is shown including its inclusion in the social policy and during the development of medico-geographical forecasts.

  16. Afya Jumuishi : towards Interprofessional collaboration between traditional and modern medical practitioners in the Mara Region of Tanzania

    NARCIS (Netherlands)

    Chirangi, Musuto Mutaragara

    2013-01-01

    A scientific correlation study on human resource and organisational policy-oriented study, which was conducted in the Mara Region of Tanzania. It specifically investigates major factors, which correlate to interprofessional collaborative behaviours in the context of health service delivery between t

  17. Afya Jumuishi : towards Interprofessional collaboration between traditional and modern medical practitioners in the Mara Region of Tanzania

    NARCIS (Netherlands)

    Chirangi, Musuto Mutaragara

    2013-01-01

    A scientific correlation study on human resource and organisational policy-oriented study, which was conducted in the Mara Region of Tanzania. It specifically investigates major factors, which correlate to interprofessional collaborative behaviours in the context of health service delivery between

  18. Role Modeling and Regional Health Care Intensity: U.S. Medical Student Attitudes Toward and Experiences With Cost-Conscious Care.

    Science.gov (United States)

    Leep Hunderfund, Andrea N; Dyrbye, Liselotte N; Starr, Stephanie R; Mandrekar, Jay; Naessens, James M; Tilburt, Jon C; George, Paul; Baxley, Elizabeth G; Gonzalo, Jed D; Moriates, Christopher; Goold, Susan D; Carney, Patricia A; Miller, Bonnie M; Grethlein, Sara J; Fancher, Tonya L; Reed, Darcy A

    2017-05-01

    To examine medical student attitudes toward cost-conscious care and whether regional health care intensity is associated with reported exposure to physician role-modeling behaviors related to cost-conscious care. Students at 10 U.S. medical schools were surveyed in 2015. Thirty-five items assessed attitudes toward, perceived barriers to and consequences of, and observed physician role-modeling behaviors related to cost-conscious care (using scales for cost-conscious and potentially wasteful behaviors; Cronbach alphas of 0.82 and 0.81, respectively). Regional health care intensity was measured using Dartmouth Atlas End-of-Life Chronic Illness Care data: ratio of physician visits per decedent compared with the U.S. average, ratio of specialty to primary care physician visits per decedent, and hospital care intensity index. Of 5,992 students invited, 3,395 (57%) responded. Ninety percent (2,640/2,932) agreed physicians have a responsibility to contain costs. However, 48% (1,1416/2,960) thought ordering a test is easier than explaining why it is unnecessary, and 58% (1,685/2,928) agreed ordering fewer tests will increase the risk of malpractice litigation. In adjusted linear regression analyses, students in higher-health-care-intensity regions reported observing significantly fewer cost-conscious role-modeling behaviors: For each one-unit increase in the three health care intensity measures, scores on the 21-point cost-conscious role-modeling scale decreased by 4.4 (SE 0.7), 3.2 (0.6), and 3.9 (0.6) points, respectively (all P students endorse barriers to cost-conscious care and encounter conflicting role-modeling behaviors, which are related to regional health care intensity. Enhancing role modeling in the learning environment may help prepare future physicians to address health care costs.

  19. A quasi-experimental design based on regional variations: discussion of a method for evaluating outcomes of medical practice

    DEFF Research Database (Denmark)

    Loft, A; Andersen, T F; Madsen, Mette

    1989-01-01

    experiment involving alternative treatments could be regarded as 'pseudo randomised', but empirical investigations are needed to verify this prerequisite. This paper discusses the role of quasi-experimental designs in assessment of medical care with evaluation of outcomes after hysterectomy in Denmark...... as an example. The design is developed and the comparability of selected groups of patients is elucidated from administrative data, while the outcome results are not presented in this context. One indication for hysterectomy is carcinoma in situ of the cervix uteri which may be treated with either hysterectomy......, or conisation. A study group of patients was selected from departments where hysterectomy was the treatment of choice for this indication while the reference group was drawn from departments in which conisation was generally preferred. The comparability of the populations, effects and information for the two...

  20. Spatio-Temporal Pattern of Tuberculosis in the Regions Super-vised by Shiraz University of Medical Sciences 2006-2012

    Directory of Open Access Journals (Sweden)

    Hamidreza TABATABAEE

    2015-10-01

    Full Text Available Background: The present study aimed to identify the spatial distribution of tuberculosis and determine the TB control program parameters in the regions supervised by Shiraz University of Medical Sciences in 2006-2012.Methods: The present ecological study was performed on 1797 TB patients in Shiraz University in 2006-2012 which were recorded by health centers using TB Register software. The study data were collected through over-counting and analyzed using the SPSS statistical software (ver. 19. Besides, the maps were drawn by ArcGIS, version 10.Results: The incidence rate of TB was 4.8 in 100,000 at the end of 2012. Success in treatment was adequate only in 2012 (89.7%. However, recovery of pulmonary TB was not adequate in any of the study years. In our study, the majority of the patients belonged to the 25-34 years age group that constitutes the active faction of the society.  Moreover, the maps provided by GIS showed a high incidence rate of extra pulmonary TB in Firozabad Township during 7 years (2.7 in 100000 populations.Conclusion: Incidence of TB in the regions supervised by Shiraz University of Medical Sciences follows a specific pattern, which requires exclusive studies for further evaluation of the incidence determinatives in various environmental and social conditions. 

  1. CME/CPD in the Indian Subcontinent: Proceedings from the 1st regional meeting of Global Alliance for Medical Education (GAME in Mumbai, India

    Directory of Open Access Journals (Sweden)

    Vaibhav Srivastava

    2015-04-01

    took place during the first regional meeting of The Global Alliance for Medical Education (GAME in India on 18 October 2014 in Mumbai. The predominant participants and panel members included representatives from the MCI, medical education institutions, pharmaceutical industries and private sector providers of CME programmes. The conference was organised with the aim of bringing all the major CME stakeholders from India and CME global experts under one roof to discuss the challenges and possible solutions for the expansion of CME/CPD in India.With this motive as the primary focus of the meeting, eminent speakers and panellists attempted to identify region-specific issues in implementing legal and regulatory frameworks for CME. The group of experts attempted to identify ways to implement standards of good practice, so that the Indian doctor could match his/her international peers. The role of industry and that of private medical education providers was also discussed at length given their major presence in the country.

  2. A Report on Medical Conditions in Chin-Cha-Chi Border Region March 1945, Yan’an

    Institute of Scientific and Technical Information of China (English)

    Richard; Frey

    2015-01-01

    Before finally leaving occupied territory I had paid two visits to the Border Region.In the summer of1940 I paid a short visit to East Hopei(Hebei)and helped to treat some wounded.In the summer of 1941 I wished to go to work in the liberated area but couldn’t proceed as a Japanese offensive was in progress.I finally left the occupied area in December 1941.After I left Peiping I went to P’inghsi(Pingxi)headquarters.I

  3. [Burnout syndrome among generalist medical doctors of Douala region (Cameroon): Can physical activities be a protective factor?

    Science.gov (United States)

    Mandengue, S H; Owona Manga, L J; Lobè-Tanga, M Y; Assomo-Ndemba, P B; Nsongan-Bahebege, S; Bika-Lélé, C; Ngo Sack, F; Njamnshi, A K; Etoundi-Ngoa, S L

    2017-01-01

    This study aimed to evaluate and document the importance of Burnout syndrome among generalist medical doctors (GMD) since no investigation have been carried in Cameroon. Cross-sectional study including 85 GMD using a self-administered questionnaire on socio-demographic characteristics, socioprofessional conditions, Maslach Burnout Inventory - Human Services Survey (MBI-HSS) to evaluate burnout, and Ricci-Gagnon physical activities level metrics. 77 GMD (90.6 %) reported having never heard about burnout. Mean age was 29 years (range 24-42 years). The MBI-HSS revealed that 36 GMD (42.4 %) were victims of burnout, with 27 (31.8 %) at a low level, 8 (9.4 %) moderate and one (1.2 %) severe. Burnout was associated with distance from home to job place (p ⟨ 0.05), strenuous job (p = 0.04), number of children in charge (p = 0.007), number of hospital attended (p = 0.003), number of hours of labor per day (p = 0.0001), conflicts with the hierarchy (p = 0.01), number of guards per month (p = 0.01). Physical activities practice did not showed significant preventive effect on burnout (p = 0.3) (Odds-ratio = 1.45, IC 95 % 0.6, 3.45). Burnout syndrome is not well known among GMD in Douala, though having a high prevalence. Various socio-demographic and socio-professional factors are associated and contribute to increase the level of affect. Burnout seems to be a vicious somato-psycho-somatic disorder. This study did not found a protective or preventive effect of physical activities on burnout.

  4. Regional Variations in Medication Usage for Cardiovascular Diseases at the Community Level in China (PURE-China Study).

    Science.gov (United States)

    Yang, Jin Gang; Gu, Hong Qiu; Bo, Jian; Wang, Yang; Li, Wei

    2017-06-01

    We investigated the usage of secondary prevention drugs and traditional Chinese medicine (TCM) products in individuals with cardiovascular diseases (CVDs) at the community level in China. Among 2,407 participants with self-reported coronary heart disease (CHD) and 872 with stroke, nearly 80% of individuals with CHD and 73% of individuals with stroke were not taking any proven secondary prevention drug. However, 32.9% of them took TCM products. Patients with CVDs in rural areas used less secondary prevention treatment, but more TCM products than their counterparts in the urban regions. After adjusting for confounding factors, lower rates of secondary prevention treatment were evident in Western China compared with Eastern China, which was more developed. Systematic change is needed to promote the development of evidence-based medicine at the community level in China. Copyright © 2017 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved.

  5. The Economic and Epidemiological Impact of Focusing Voluntary Medical Male Circumcision for HIV Prevention on Specific Age Groups and Regions in Tanzania

    Science.gov (United States)

    2016-01-01

    Background Since its launch in 2010, the Tanzania National Voluntary Medical Male Circumcision (VMMC) Program has focused efforts on males ages 10–34 in 11 priority regions. Implementers have noted that over 70% of VMMC clients are between the ages of 10 and 19, raising questions about whether additional efforts would be required to recruit men age 20 and above. This analysis uses mathematical modeling to examine the economic and epidemiological consequences of scaling up VMMC among specific age groups and priority regions in Tanzania. Methods and Findings Analyses were conducted using the Decision Makers’ Program Planning Tool Version 2.0 (DMPPT 2.0), a compartmental model implemented in Microsoft Excel 2010. The model was populated with population, mortality, and HIV incidence and prevalence projections from external sources, including outputs from Spectrum/AIDS Impact Module (AIM). A separate DMPPT 2.0 model was created for each of the 11 priority regions. Tanzania can achieve the most immediate impact on HIV incidence by circumcising males ages 20–34. This strategy would also require the fewest VMMCs for each HIV infection averted. Circumcising men ages 10–24 will have the greatest impact on HIV incidence over a 15-year period. The most cost-effective approach (lowest cost per HIV infection averted) targets men ages 15–34. The model shows the VMMC program is cost saving in all 11 priority regions. VMMC program cost-effectiveness varies across regions due to differences in projected HIV incidence, with the most cost-effective programs in Njombe and Iringa. Conclusions The DMPPT 2.0 results reinforce Tanzania’s current VMMC strategy, providing newfound confidence in investing in circumcising adolescents. Tanzanian policy makers and program implementers will continue to focus scale-up of VMMC on men ages 10–34 years, seeking to maximize program impact and cost-effectiveness while acknowledging trends in demand among the younger and older age groups

  6. [Scientific information, medical education and health policies: the Pan-American Health Organization and the creation of the Regional Library of Medicine--Bireme].

    Science.gov (United States)

    Pires-Alves, Fernando

    2008-01-01

    This article examines the creation and the first years of functioning of the Regional Library of Medicine (Biblioteca Regional de Medicina--Bireme--PAHO), today Latin-American Center for Information in Health Sciences, during 1963-1982. In the course of this analysis, Bireme is being characterized as both an apparatus and an arena for negotiation present in the most general processes of development expressed in international cooperation, information in science and technology, health policies and in the movement for expansion and reform of medical teaching. The narrative has as initial landmark the conception of a regional library of medicine for Latin America according to a model proposed by the National Library of Medicine. The article qualifies the first years of Bireme's existence as the history of the reception of this model, a trajectory that reflected the criticism of that time against the way the health care services were organized and their human resources were educated. Finally, beginning in 1976, a new model resulted in a real modification of Bireme's programmatic agenda, implying in very distinct contributions for the functioning of the regime of information in health sciences in force in Brazil and Latin America.

  7. Value of systematic intervention for chronic obstructive pulmonary disease in a regional Japanese city based on case detection rate and medical cost

    Directory of Open Access Journals (Sweden)

    Tawara Y

    2015-08-01

    Full Text Available Yuichi Tawara,1 Hideaki Senjyu,1 Kenichiro Tanaka,1 Takako Tanaka,1 Masaharu Asai,1 Ryo Kozu,2 Mitsuru Tabusadani,3 Sumihisa Honda,1 Terumitsu Sawai1 1Department of Cardiopulmonary Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan; 2Department of Rehabilitation Medicine, Nagasaki University Hospital, Nagasaki, Japan; 3Center for Industry, University and Government Cooperation, Nagasaki University, Nagasaki, Japan Objective: We established a COPD taskforce for early detection, diagnosis, treatment, and intervention. We implemented a pilot intervention with a prospective and longitudinal design in a regional city. This study evaluates the usefulness of the COPD taskforce and intervention based on COPD case detection rate and per capita medical costs.Method: We distributed a questionnaire to all 8,878 inhabitants aged 50–89 years, resident in Matsuura, Nagasaki Prefecture in 2006. Potentially COPD-positive persons received a pulmonary function test and diagnosis. We implemented ongoing detection, examination, education, and treatment interventions, performed follow-up examinations or respiratory lessons yearly, and supported the health maintenance of each patient. We compared COPD medical costs in Matsuura and in the rest of Nagasaki Prefecture using data from 2004 to 2013 recorded by the association of Nagasaki National Health Insurance Organization, assessing 10-year means and annual change.Results: As of 2014, 256 people have received a definitive diagnosis of COPD; representing 31% of the estimated total number of COPD patients. Of the cases detected, 87.5% were mild or moderate in severity. COPD medical costs per patient in Matsuura were significantly lower than the rest of Nagasaki Prefecture, as was rate of increase in cost over time.Conclusion: The COPD program in Matsuura enabled early detection and treatment of COPD patients and helped to lower the associated burden of medical costs. The

  8. Problems and solutions on issues of medical care quality in community-acquired pneumonia in hospitals of Saratov region

    Directory of Open Access Journals (Sweden)

    Lotsmanov Yu.F.

    2011-06-01

    Full Text Available Qualitative assessment of diagnostics and treatment of patients with community-acquired pneumonia (CAP was carried out in ten therapeutic departments of urban and district hospitals of Saratov region, using quality indicators (Qls. Each case of CAP was assessed in expert health care quality (HCQ card according to the diagnostic and treatment quality federal standards and the basic Ql. The application of Ql in CAP patients allowed revealing the following: low CAP agent isolation rate; late hospitalization of CAP patients; low frequency of sputum bacteriological and bacterioscopic investigations prior to antibiotic therapy; insufficient frequency of step-by-step introduction of antibiotics. Recommendations on CAP patients dispenserization were not properly prescribed; recommendations on vaccination were absent. The basic measures of HCQ improvement are as follows: organizing for each CAP patient therapeutic and diagnostic quality control according to Ql; quick administrative decisions; using of HCQ expertise during the first 2-3 days of treatment to correct diagnosis and treatment; optimizing hospital diagnostic resources (laboratory and instrumental and rational pharmacotherapy

  9. 5% Lidocaine-medicated plaster for the treatment of chronic peripheral neuropathic pain: complex regional pain syndrome and other neuropathic conditions.

    Science.gov (United States)

    Calderón, Enrique; Calderón-Seoane, María Eloísa; García-Hernández, Rafael; Torres, Luis Miguel

    2016-01-01

    Chronic neuropathic pain and chronic complex regional pain syndrome (CRPS), in particular, are debilitating and difficult-to-treat conditions that have a strong impact on patient's quality of life. The aim of this study was to evaluate the effectiveness of 5% lidocaine-medicated plaster as add-on therapy in patients with chronic peripheral neuropathic pain conditions, including CRPS. This was a single-center, prospective, observational study set in a specialized pain unit of a tertiary hospital in Spain. A total of 56 patients with long-standing peripheral neuropathic pain, ten of them with CRPS, received 5% lidocaine-medicated plaster as add-on analgesic therapy for 6 months. After 6 months of treatment, a ≥50% reduction in pain intensity was attained by 75% of patients, as measured by numeric rating scale (NRS) for pain. The average NRS score was reduced by 61% (4.7 points), from a baseline mean score of 7.8 to an end point mean score of 3.1. Marked improvements were also observed in the CRPS group: six out of ten patients achieved a ≥50% reduction in NRS score, and the average NRS score for patients with CRPS was reduced by 51% (4.0 points), from a baseline mean score of 7.9 to an end point mean score of 3.9. The improvements in pain intensity were partially translated into a decrease in disability index and in anxiety levels. 5% Lidocaine-medicated plaster may be useful as add-on therapy for a number of peripheral neuropathic pain conditions, including CRPS.

  10. El Congreso médico-regional de Navarra (1886: un ejemplo de la transmisión del conocimiento científico The "Regional-Medical Congress of Navarre" (1886: an exercise in sharing scientific knowledge

    Directory of Open Access Journals (Sweden)

    P. León

    2009-08-01

    Full Text Available La última ola epidémica del cólera en Navarra (1884-1885 es la menos estudiada porque apenas afectó a Pamplona, el núcleo urbano más importante de la región, pero creó una situación crítica en otras áreas como la Ribera. Fundamento. El "Congreso médico-regional de Navarra" celebrado en Tafalla (Navarra, en 1886, se convocó para estudiar la epidemia de cólera de 1885 en la región. El interés de esta reunión científica estriba en la actitud de los médicos ante el desarrollo de la microbiología y la higiene pública. En un momento en que Robert Koch aisla el Bacillus vírgula, en 1883, y tiene lugar la polémica desarrollada por la difusión de la vacuna de Jaime Ferrán y Clúa, en 1885. Material y métodos. A través de las actas y de las memorias presentadas al Congreso analizamos la influencia de autores e instituciones internacionales en los profesionales navarros. Conclusiones. La reunión científico médica de Tafalla fue una iniciativa singular para Navarra. En ella se observa la transferencia de ideas de los congresos internacionales sobre la epidemia colérica. Esta influencia fue mediada por personalidades como Nicasio Landa y A. Espina y Capo. Hemos observado diferencias en las concepciones de los médicos, en el momento en el que no existía una teoría etiopatogénica única. La metodología seguida por los médicos ejemplifica el análisis y las medidas higiénico sanitarias propuestas para combatir el cólera.This paper discusses the last wave of cholera in Navarre (1884-85. This epidemic has been the least studied because it barely affected Pamplona, the largest urban area in the province. But the situation was critical in other zones close to the River Ebro (the Ribera area. Background. In 1886, the "Regional-Medical Congress of Navarre", held in Tafalla (Navarre, studied the latest cholera epidemic in the region. An analysis of this scientific meeting is of interest because of the data it offers on the

  11. Organizing medical oncology care at a regional level and its subsequent impact on the quality of early breast cancer management: a before-after study.

    Science.gov (United States)

    Voidey, Aline; Pivot, Xavier; Woronoff, Anne-Sophie; Nallet, Gilles; Cals, Laurent; Schwetterle, Francis; Limat, Samuel

    2014-07-28

    One of the main measures of the French national cancer plan is to encourage physicians to work collectively, and to minimize territorial inequities in access to care by rethinking the geographical distribution of oncologists. For this reason, cancer care services are currently being reorganized at national level. A new infrastructure for multidisciplinary cancer care delivery has been put in place in our region. Patients can receive multidisciplinary health care services nearer their homes, thanks to a mobile team of oncologists. The objective of our study was to assess, using a quality approach, the impact on medical management and on the costs of treating early breast cancer, of the new regional structure for cancer care delivery. Before-and-after study performed from 2007 to 2010, including patients treated for early breast cancer in three hospitals in the region of Franche-Comté in Eastern France. The main outcome measures were quality criteria, namely delayed treatment (>12 weeks), dose-intensity and assessment of adjuvant chemotherapy. Other outcomes were 24-month progression-free survival (PFS) and economic evaluation. This study included 667 patients. The rate of chemotherapy tended to decrease, but not significantly (49.3% before versus 42.2% after, p=0.07), while the use of taxanes increased by 38% across all centres (59.6% before versus 98.0% after, p organization put in place in our region for the provision of care for early breast cancer makes it possible to maintain local community-based treatment, without negative economic consequences. This new structure for cancer care delivery offers cancer services of similar quality with no modification of 24-month PFS in early breast cancer.

  12. Ototoxic Medications (Medication Effects)

    Science.gov (United States)

    ... Information for the Public / Hearing and Balance Ototoxic Medications (Medication Effects) By Barbara Cone, Patricia Dorn, Dawn Konrad- ... Audiology Information Series [PDF]. What Is Ototoxicity? Certain medications can damage the ear, resulting in hearing loss, ...

  13. Voluntary medical male circumcision: matching demand and supply with quality and efficiency in a high-volume campaign in Iringa Region, Tanzania.

    Science.gov (United States)

    Mahler, Hally R; Kileo, Baldwin; Curran, Kelly; Plotkin, Marya; Adamu, Tigistu; Hellar, Augustino; Koshuma, Sifuni; Nyabenda, Simeon; Machaku, Michael; Lukobo-Durrell, Mainza; Castor, Delivette; Njeuhmeli, Emmanuel; Fimbo, Bennett

    2011-11-01

    The government of Tanzania has adopted voluntary medical male circumcision (VMMC) as an important component of its national HIV prevention strategy and is scaling up VMMC in eight regions nationwide, with the goal of reaching 2.8 million uncircumcised men by 2015. In a 2010 campaign lasting six weeks, five health facilities in Tanzania's Iringa Region performed 10,352 VMMCs, which exceeded the campaign's target by 72%, with an adverse event (AE) rate of 1%. HIV testing was almost universal during the campaign. Through the adoption of approaches designed to improve clinical efficiency-including the use of the forceps-guided surgical method, the use of multiple beds in an assembly line by surgical teams, and task shifting and task sharing-the campaign matched the supply of VMMC services with demand. Community mobilization and bringing client preparation tasks (such as counseling, testing, and client scheduling) out of the facility and into the community helped to generate demand. This case study suggests that a campaign approach can be used to provide high-volume quality VMMC services without compromising client safety, and provides a model for matching supply and demand for VMMC services in other settings.

  14. Voluntary medical male circumcision: matching demand and supply with quality and efficiency in a high-volume campaign in Iringa Region, Tanzania.

    Directory of Open Access Journals (Sweden)

    Hally R Mahler

    2011-11-01

    Full Text Available The government of Tanzania has adopted voluntary medical male circumcision (VMMC as an important component of its national HIV prevention strategy and is scaling up VMMC in eight regions nationwide, with the goal of reaching 2.8 million uncircumcised men by 2015. In a 2010 campaign lasting six weeks, five health facilities in Tanzania's Iringa Region performed 10,352 VMMCs, which exceeded the campaign's target by 72%, with an adverse event (AE rate of 1%. HIV testing was almost universal during the campaign. Through the adoption of approaches designed to improve clinical efficiency-including the use of the forceps-guided surgical method, the use of multiple beds in an assembly line by surgical teams, and task shifting and task sharing-the campaign matched the supply of VMMC services with demand. Community mobilization and bringing client preparation tasks (such as counseling, testing, and client scheduling out of the facility and into the community helped to generate demand. This case study suggests that a campaign approach can be used to provide high-volume quality VMMC services without compromising client safety, and provides a model for matching supply and demand for VMMC services in other settings.

  15. Monitoring and documentation of side effects from depot antipsychotic medication: an interdisciplinary audit of practice in a regional mental health service.

    LENUS (Irish Health Repository)

    Cleary, A

    2012-01-01

    The aim of this audit was to review current practice within a rural mental health service area on the monitoring and documentation of side effects of antipsychotic depot medication. Following a review of the literature on best practice internationally, an evidence based audit tool was adapted. A sample of 60 case files, care plans and prescriptions were audited between January and May 2010. This represented 31% of the total number of service users receiving depot injections in the mental health service region (n=181). The audit results revealed that most service users had an annual documented medical review and a documented prescription. However, only 5 (8%) case notes examined had documentation recorded describing the condition of the injection site and alternation of the injection site was recorded in only 28 (47%) case notes. No case notes examined had written consent to commence treatment recorded, and only 3 (5%) of case notes had documented that information on the depot injection and side effects was given. In 57 (95%) of case notes no documentation of recorded information on the depot and on side effects was given. Documentation of physical observations and tests revealed that 58% of cases had full blood count, liver function tests, thyroid function tests and fasting lipids recorded. All other tests (i.e. temperature, pulse, respirations, blood pressure, ECG) were recorded in less than 50% of cases. Prolactin levels were not recorded in any case. The lack of written consent was partly attributed to lack of recording of consent. The failure to monitor and record some\\r\

  16. [Direct medical costs of (severe) obesity: a bottom-up assessment of over- vs. normal-weight adults in the KORA-study region (Augsburg, Germany)].

    Science.gov (United States)

    von Lengerke, T; Reitmeir, P; John, J

    2006-02-01

    To estimate and compare direct medical costs of illness of German adults in different BMI-groups and different degrees of obesity. In a sub-sample (n = 947) of the KORA-Survey S4 1999/2001, a cross-sectional health survey of the adult population in the Augsburg region (Germany; age: 25-74), visits to physicians, receipt and purchase of drugs, and inpatient days in hospital were assessed over half a year. Body mass index (BMI in kg/m(2)) was assessed anthropometrically. Respondents in normal weight (18.5 or = 35) range were compared in their costs of illness via analyses of covariance and regression analyses based on generalized linear models. Physician visits and inpatient days were evaluated as recommended by the Working Group "Methods in Health Economic Evaluation", and drugs by actual costs. Sex, age, socio-economic status (Helmert-Index), sickness fund (statutory vs. private), and place of residence (Augsburg City vs. District of Augsburg or Aichach-Friedberg) were adjusted for. While respondents with moderate obesity statistically did not differ significantly in their direct medical costs from those in normal weight or pre-obese range (1,080.14 euro vs. 847.60 euro and 830.59 euro; for users of care: 1,215.55 euro vs. 993.18 euro and 1,003.23 euro [all estimates adjusted and per annum]), those with severe obesity had significantly higher costs (2,572.19 euro; for users of care: 2,964.87 euro). Sub-analyses for individual parameters of health care use revealed that this pattern is largely due to inpatient days in hospital and receipt/purchase of drugs only available on prescription. On average, results indicate excess direct medical costs primarily in people with severe, and less with moderate obesity. In particular, they underline the need to distinguish moderate vs. severe obesity (classes 1 vs. 2-3) in health economics and health services research.

  17. Utilisation of a Helicopter Emergency Medical Service (HEMS) for equestrian accidents in a regional major trauma network in the United Kingdom.

    Science.gov (United States)

    McQueen, Carl; Crombie, Nick; Cormack, Stef; George, Arun; Wheaton, Steve

    2015-05-01

    The utilisation of Helicopter Emergency Medical Services (HEMS) in response to equestrian accidents has been an integral part of operations for many years throughout the UK. The recent establishment of major trauma networks in the UK has placed great emphasis on the appropriate tasking of HEMS units to cases where added benefit can be provided and the incidence of time critical injury in cases of equestrian accidents has been shown to be low. This study assesses the impact made on the utilisation of the different HEMS resources for cases of equestrian accidents within the West Midlands following the launch of the regional trauma network. We present a retrospective analysis of all equestrian accidents attended by Midlands Air Ambulance (MAA) between 1 April 2012 and 1 April 2013. Data were abstracted from the MAA operational database relating to mission activations/scene attendances; team configuration (physician led and Critical Care Paramedic (CCP) led); on-scene interventions; mission timings and patient conveyance by helicopter. A total of 114 activations involved equestrian accidents (6% of overall workload). The contribution of equestrian accidents to overall workload was similar for physician led and CCP-led (69/1069) platforms (5% vs. 6%, p=0.50). Only three patients (3%) required pre-hospital RSI during the period analysed and there were no recorded cases of ketamine administration for analgesia/conscious sedation. In approximately half of all scene attendances patients did not require any medication to be administered by the HEMS team. The vast majority of incidents occurred in rural locations with over 80% of patients conveyed to hospital by helicopter. The average mission time for scene attendances resulting in conveyance by helicopter was in excess of 90 min on both types of platform. There is a clear requirement for the design and implementation of informed and intelligent tasking models to respond to the need for assistance in equestrian accidents

  18. Zweigbibliothek Medizin der Universitäts- und Landesbibliothek Münster – vor Ort, online und mobil / Medical Branch Library of the University & Regional Library Münster – local, online, and mobile

    Directory of Open Access Journals (Sweden)

    Obst, Oliver

    2009-09-01

    Full Text Available The Medical Branch Library is a subject library of the University and Regional Library Münster, and was founded in 1993 as the central medical library in the grounds of the University Hospital. Second only to the German National Library in Cologne, it is the largest medical library in North Rhine-Westphalia. The budget of the library derives mainly from the Medical Faculty. The funding from the university and from tuition fees is used to acquire textbooks. The physical library is used almost exclusively as a place of learning (by students, while the online presence mainly by researchers and physicians. The library offers since 1997 e-journals, since 2003 e-books and media for Smart Computers/Phones. It is using innovative ways for supplying journal articles, such as a virtual library budget and serving Subito for free.

  19. Covering the Last Kilometer: Using GIS to Scale-Up Voluntary Medical Male Circumcision Services in Iringa and Njombe Regions, Tanzania.

    Science.gov (United States)

    Mahler, Hally; Searle, Sarah; Plotkin, Marya; Kulindwa, Yusuph; Greenberg, Seth; Mlanga, Erick; Njeuhmeli, Emmanuel; Lija, Gissenje

    2015-09-01

    Based on the established protective effect of voluntary medical male circumcision (VMMC) in reducing female-to-male HIV transmission, Tanzania's Ministry of Health and Social Welfare (MOHSW) embarked on the scale-up of VMMC services in 2009. The Maternal and Child Health Integrated Project (MCHIP) supported the MOHSW to roll out VMMC services in Iringa and Njombe, 2 regions of Tanzania with among the highest HIV and lowest circumcision prevalence. With ambitious targets of reaching 264,990 males aged 10-34 years with VMMC in 5 years, efficient and innovative program approaches were necessary. Outreach campaigns, in which mobile teams set up temporary services in facilities or non-facility settings, are used to reach lesser-served areas with VMMC. In 2012, MCHIP began using geographic information systems (GIS) to strategically plan the location of outreach campaigns. MCHIP gathered geocoded data on variables such as roads, road conditions, catchment population, staffing, and infrastructure for every health facility in Iringa and Njombe. These data were uploaded to a central database and overlaid with various demographic and service delivery data in order to identify the VMMC needs of the 2 regions. MCHIP used the interactive digital maps as decision-making tools to extend mobile VMMC outreach to "the last kilometer." As of September 2014, the MOHSW with MCHIP support provided VMMC to 267,917 men, 259,144 of whom were men were aged 10-34 years, an achievement of 98% of the target of eligible males in Iringa and Njombe. The project reached substantially more men through rural dispensaries and non-health care facilities each successive year after GIS was introduced in 2012, jumping from 48% of VMMCs performed in rural areas in fiscal year 2011 to 88% in fiscal year 2012 and to 93% by the end of the project in 2014. GIS was an effective tool for making strategic decisions about where to prioritize VMMC service delivery, particularly for mobile and outreach services

  20. [Differentiation of spa types and staphylococcal cassette chromosome mec (SCCmec) in clinical methicillin-resistant Staphylococcus aureus isolated in medical sites of Gdańsk region].

    Science.gov (United States)

    Kasprzyk, Joanna; Piechowicz, Lidia; Wiśniewska, Katarzyna; Dziewit, Łukasz; Bronk, Marek; Świeć, Krystyna

    2015-01-01

    Methicillin-resistant Staphylococcus aureus bacteria are one of the key etiological factors of hospital-acquired and community-acquired infections. MRSA strains have an ability of causing a broad spectrum infections: from a relatively mild skin infections to severe life-threatening systemic infections. They are characterized by multi-drug resistance, virulence of a number of factors, may clonally spread within the hospitals and between hospitals. The study embraced a number of 75 isolates of MRSA isolated from patients of 7 medical sites of the Gdansk region within the period of six months (June to December 2013). Strains have derived from various clinical materials, both of hospitalized patients (n=59) and outpatient (n=16). The isolates were tested for the susceptibility to antimicrobial agents accordance with the guidelines EUCAST. To estimate of the variability of occurrence of S. aureus clones used were standard spa gene, consisting in the amplified polymorphic region of the X gene encoding the protein A gene (spa). After receiving the results, a spa types were identified using international database Ridom Spa Server (www.spaserver.ridom.de). To determine the polymorphism cassette carrying the inecA gene from MRSA strains, used typing five major chromosomal cassette SCCmec (I-V) by multiplex PCR. MRSA population genetic analysis carried out on the basis of typing SCCmec cassettes and spa gene has showed a predominance of strains with SCCmec type II casette (46.7%) and SCCmec IV casette (38.7%). Less frequently detected were strains containing SCCmec I cassette (12.0%) and SCCmec III cassette (2.6%). Spa typing revealed the presence of 13 gene types in MRSA. The most frequently observed spa types were: t151 (24.0%), t003 (16.0%) in strains of the SCCmec II cassette and t437 (16.0%) and t008 (14.8%) in the isolates with SCCmec cassette IV, whereas staphylococcus with the type of spa t011 (12.0%) had SCCmec cassette I. In our population most frequent strains

  1. Clinical study of burn patients requiring admission: A single center experience at North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences

    Directory of Open Access Journals (Sweden)

    Donkupar Khongwar

    2016-01-01

    Full Text Available Background: Although burns are a major problem in health care, a lot of the variation in risk factors exists from region to region which if uncovered correctly could help take effective prevention measures. Aims and Objectives: To assess the 3-year (January 2012 to January 2015 epidemiology of burn injuries admitted to our hospital (primary objective and to find areas of improvement in burn care (secondary objective. Materials and Methods: After obtaining ethical approval data were obtained from the medical record section regarding age, sex, residence, occupation, marital status, socioeconomic status, dates of admission and discharge, circumstances regarding the place, intent, cause, and source of heat. Clinical assessment was done using Wallace's “Rule of Nine” in adult and “Lund and Browder” chart in the pediatric age groups. The interrelationships between clinical and epidemiological variables with burn injury were studied. Results: An increasing trend in the admission rates of burn victims noted in last 3 years males (55.47% outnumbered females (44.52%. The most common age group affected is older children, adolescents, and young adults (between 11 and 30 years. Flame (38.3% and scald (25.3% burns contributed to most of the injuries. Females (52.30% are the major victim of flame burns. Electrical and chemical burns affected only the males suggesting work-related injuries. Trunk (30.8% is the most severely affected site in all cases. Depression (6.8% and power line workers (4.7% seem to be important risk factors in our study. Inability to complete treatment (26.7% was a major concern in our study. Conclusions: This study highlights the need for proper burn care that could be provided at the primary health-care level. The majority of burns were accidental in nature in school going children, young adults, and females. Flame and scald burns were the most common cause. Preventive measures directed toward burn safety and first aid measures

  2. Technical support by Solthis for health-care workers in order to decentralise medical treatment for people living with HIV in the Ségou region of Mali

    Directory of Open Access Journals (Sweden)

    A. Akonde

    2009-01-01

    Full Text Available Medical treatment for people living with HIV/AIDS started in Mali as early as 1997 thanks to civil society. The national response was officialised by the adoption of the Malian Initiative for Access to Antiretroviral Therapy (Initiative Malienne d’Accès aux Antirétroviraux IMAARV. In 2004 ART, drugs against opportunistic infections and basic biological monitoring were made available free of charge by decree. In 2005, decentralisation of health-care to regions and circles became one of the main thrusts of the national strategy for the fight against the pandemic. Sub-Saharan African countries are making significant efforts to provide full geographical coverage of their national territory.It is in this “scaling-up” context that the Solthis NGO (Solidarité Thérapeutique et Initiatives contre le Sida began cooperating with Malian actors to extend access to quality treatment for patients living with HIV/AIDS in the city and region of Ségou. Based on a developmental approach, Solthis opted for continuing in situ technical support for national actors in the fight against AIDS. Thanks to the daily presence of a team “in the field” Solthis devotes a large part of its activities to capacity-building for health-care workers through an exchange of medical and scientific expertise. Efforts were also made to improve health-care workers’ working conditions and to make various tests and drugs accessible to patients infected with HIV. The initial aim was to encourage universal access to ART. Today, the Ségou programme supported by Solthis has developed over 1,500 new treatments in the region. In addition, every PMTCT centre in the region offers prevention and treatment services to mothers and children. Today, the Ségou region is an integral part of the IMAARV initiative as a decentralisation pilot project.Le traitement médical des malades atteints du VIH/SIDA a débuté au Mali dès 1997 grâce à la société civile. La r

  3. Centralized Purchasing Process for Medical Supplies and Inspection Reagent in Medical Institutions of Xinjiang Uygur Autonomous Region%新疆维吾尔自治区医疗卫生机构医用耗材和检验试剂集中采购工作进展

    Institute of Scientific and Technical Information of China (English)

    陈蕾; 苏雅莉; 付丽红; 徐建国

    2012-01-01

    OBJECTIVE: To provide the basis for carrying out centralized purchasing in Medical Institutions for medical Supplies and Inspection Reagent. METHODS: Combined with the actual situation of Xinjiang Uygur Autonomous Region, we actively explored and carried out centralized purchasing of medical supplies and inspection reagent in medical institution of Xinjiang Uygur Autonomous Region with government as dominant factor and autonomous region as unit. RESULTS & CONCLUSION: Through the task survey, we absorb the experience of online centralized purchasing for medical supplies and inspection reagent. Gradually, we expand the purchase range of low value medical supplies and inspection reagent, explore the way to centralized purchasing of high value medical supplies actively and standard purchasing behavior of medical institution to guarantee the quality of medical supplies and inspection reagent, reduce medical cost and benefit the masses.%目的:为完善我国医疗卫生机构医用耗材和检验试剂集中采购工作提供参考.方法:结合我区实际情况,积极进行实地调研,开展以政府为主导、自治区为单位的医疗卫生机构医用耗材和检验试剂集中采购工作,并进行分析总结.结果与结论:通过课题调研,在汲取医疗卫生机构医用耗材和检验试剂网上集中采购工作经验的基础上,应逐步扩大医疗卫生机构检验试剂、低值医用耗材采购范围,积极探索高值医用耗材集中采购办法,规范医疗卫生机构医用耗材和检验试剂采购行为,保证医用耗材和检验试剂质量,降低医疗成本,使群众得到实惠.

  4. Present Situation and Outlook of Construction of Medical Cloud Project in Nanjing Military Region%南京军区“医云工程”建设现状与展望

    Institute of Scientific and Technical Information of China (English)

    马锡坤; 韩雄; 史兆荣; 于京杰; 陈一君; 薛以锋; 林亚忠

    2013-01-01

    Objective: Present situation of construction of Medical Cloud Project in Nanjing military region and the future of Medical Cloud Project are analyzed. Method: Present situation of Medical Cloud Project of Nanjing military region is investigated and analyzed. The main problems and development vision are studied. Results: In accordance with deployment ad requirements of the military region, the hospitals strengthen organizational leadership, strictly implement the responsibility system, and promote the construction of Medical Cloud Project. However, they also face many challenges. Conclusion: Medical Cloud Project follow the overall thinking of construction of military hospital of the 12th Five-Year Plan. It will effectively enhance the information connotation construction of hospital, and promote digital hospital construction and transformation.%  目的:分析南京军区“医云工程”建设现状,展望“医云工程”未来。方法:调查分析南京军区“医云工程”目前开展情况,研究其存在的主要问题和发展愿景。结果:各医院按照军区部署要求,切实加强组织领导,严格落实责任制,齐心协力推进“医云工程”建设,但同时也面临着多种挑战。结论:“医云工程”紧贴“十二五”军队医院建设的总体思路,将有效提升医院信息化内涵建设,助推数字化医院建设转型转变。

  5. Study on the Hybrid Redundant Regional Electronic Medical Record Data Center Model%混合冗余式区域电子病历数据中心模型研究

    Institute of Scientific and Technical Information of China (English)

    朱远燕; 高春蓉

    2016-01-01

    The regional electronic medical record data center is the data resource and information base which can realize the medical business synergy function in the region. It will promote openness and sharing of medical information, and alleviate the imbalance of health resources, high medical costs and other problems. This paper mainly introduces the architecture of hybrid redundant data center model and its application implementation in the specific project.%区域电子病历数据中心是实现区域内医疗业务协同功能的数据资源和信息基础,将推动医疗信息的开放与共享,缓解医疗资源的不平衡、医疗成本高等问题。主要阐述混合冗余式数据中心模型架构及其在具体项目中的应用实现。

  6. Medical marijuana

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000899.htm Medical marijuana To use the sharing features on this ... have legalized marijuana for medical use. How Does Medical Marijuana Work? Medical marijuana may be: Smoked Vaporized ...

  7. Medical Information Systems.

    Science.gov (United States)

    Smith, Kent A.

    1986-01-01

    Description of information services from the National Library of Medicine (NLM) highlights a new system for retrieving information from NLM's databases (GRATEFUL MED); a formal Regional Medical Library Network; DOCLINE; the Unified Medical Language System; and Integrated Academic Information Management Systems. Research and development and the…

  8. 区域卫生信息平台与医疗机构接口实践%The Regional Health Information Platform and the Interface Practice of Medical Institutions

    Institute of Scientific and Technical Information of China (English)

    倪宁

    2015-01-01

    医疗卫生信息化正经历着一个快速发展的历程,本文以锦州市区域卫生信息平台为研究对象,从平台数据采集方式、数据采集内容、医疗业务协同等方面进行了论证和描述,为医疗卫生机构和卫生业务系统接入卫生信息平台提供了参考依据。在区域卫生信息平台推进过程中,形成全市统筹、标准统一的市级卫生信息化标准。%The informatization of medical treatment and health is experiencing a rapid developing process. This article takes the regional health information platform of Jingzhou as the research object. The argumentation and description are conducted in the aspects of the collecting method of platform data, data collecting content and the coordination of medical businesses etc, which provides the references and proofs for medical and health organizations and health business systems to connect the health information platform. In the facilitating process of regional health information platform, the municipal health informatization standard is developed.

  9. Exploration on Application of Cloud Computing in Field of Regional Medical Informatization%云计算在区域医疗信息化中的应用探索

    Institute of Scientific and Technical Information of China (English)

    岳红丽; 张侃

    2012-01-01

    在阐述云计算技术的基础上,结合区域医疗信息化面临的现状,对云计算模型在区域医疗信息化中的应用进行研究,提出一种具有广泛适用性的区域医疗云解决方案,设计一种基于云的技术体系结构,并对关键技术进行阐述,分析建立医疗云平台面临的主要问题.%On the base of cloud computing technology, combining with the current status of regional medical information, the pa-per makes a research on the application of cloud computing in the development of regional medical information and proposes a wide applicability solution, designs a technical architecture based on cloud and elaborates on the key technology and also analyzes the challenges of building a medical cloud platform.

  10. Regionalism, Regionalization and Regional Development

    Directory of Open Access Journals (Sweden)

    Liviu C. Andrei

    2016-03-01

    Full Text Available Sustained development is a concept associating other concepts, in its turn, in the EU practice, e.g. regionalism, regionalizing and afferent policies, here including structural policies. This below text, dedicated to integration concepts, will limit on the other hand to regionalizing, otherwise an aspect typical to Europe and to the EU. On the other hand, two aspects come up to strengthen this field of ideas, i.e. the region (al-regionalism-(regional development triplet has either its own history or precise individual outline of terms.

  11. Parasitic infections in pregnancy: prevalence and self-medication with medicinal plants in Araraquara region - São Paulo state - Brazil

    OpenAIRE

    MARTINEZ, Isabel [UNESP; Moreira, Raquel Regina Duarte [UNESP; Cavaleiro, Carlos; Salgueiro, Lígia; Sousa, Maria do Céu; Quilez, Ana Maria; Rosa, João Aristeu da [UNESP; Miné, Júlio César

    2014-01-01

    Pregnant women are individuals own characteristics, metabolic, endocrinological and immunological transient patterns and require special care. To estimate the prevalence of intestinal parasites in pregnant women and use of medicinal plants for self-medication, it is extremely important, because they can lead to miscarriage, fetal death or evil training. The present study aims to conduct parasitological stool examinations in 5.300 pregnant women and interview about the use of medicinal plants....

  12. Trans -region Exercises of the Combination of Mixed Brigades and Filed Medical Team%野战医疗队配属陆军部队跨区演练实践

    Institute of Scientific and Technical Information of China (English)

    李鹏社; 陈勇; 杨运森; 杨明

    2016-01-01

    This article summarized the experience of large -scaled trans -region exercise enabled by a combination of filed medical team of hospitals and military medical institution, and analyzed the existing problems and difficulties during training and supporting, which can be used as practical reference to enrich the theory of joint exercise.%对医院野战医疗队与部队卫生机构联合编组救护所参加大型跨区演练活动进行总结,并梳理联合救护所在演训和保障过程中存在的问题和困难,具有较好的现实参考意义,丰富我军卫勤部队与部队卫勤联合演训的理论。

  13. Abortion - medical

    Science.gov (United States)

    Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion ... A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last ...

  14. Oral Medication

    Science.gov (United States)

    ... Size: A A A Listen En Español Oral Medication The first treatment for type 2 diabetes blood ... new — even over-the-counter items. Explore: Oral Medication How Much Do Oral Medications Cost? Save money ...

  15. SEM visualization of glycosylated surface molecules using lectin-coated microspheres

    Science.gov (United States)

    Duke, J.; Janer, L.; Campbell, M.

    1985-01-01

    There are several techniques currently used to localize glycosylated surface molecules by scanning electron microscopy (Grinnell, 1980; Molday, 1976; Linthicum and Sell, 1975; Nicolson, 1974; Lo Buglio, et al, 1972). A simple and rapid method, using a modification of Grinnell's technique is reported here. Essentially, microspheres coated with Concavalin A are used to bind to glycosylated regions of the palatal shelf epithelium and are visualized in the scanning electron microscope (SEM).

  16. Business models and leadership styles in small medical device and bio-science businesses--examples in a region and their implications.

    Science.gov (United States)

    Williams, D J; Hourd, P C

    2004-01-01

    This paper reviews the leadership styles and business models found in small technologically based businesses operating in the healthcare sector within one of the UK regions, the East Midlands. The most frequently encountered business model strands were 1) mixed economies: that fund development with service income; cross-sectoral product portfolios; and decoupled business portfolios led by a single entrepreneur and 2) scale sensitive "stay small" models including the avoidance of venture capital; "early exit"; and virtual business strands. There was found to be little correlation between leadership style and business model for the small number of businesses surveyed. The avoidance of venture capital is in direct contrast to adjacent regions.

  17. Medical education in Malaysia.

    Science.gov (United States)

    Lim, Victor K E

    2008-01-01

    Malaysia has a long history of medical education, with Singapore becoming the first medical school to serve the region after its foundation in 1905. The first school to be established in Kuala Lumpur after independence from the British was the Faculty of Medicine at the University of Malaya in 1963. Whilst today there are 21 public and private medical schools, all offering a 5 year undergraduate programme, some private schools have diversified by developing international collaboration and conduct twinning or credit-transfer programmes. All medical schools require accreditation by the National Accreditation Board and the Malaysian Medical Council. Although the criteria for accreditation is comprehensive and covers a broad range of areas of assessment, it is debatable whether it always matches the needs of the country. The dramatic increase in medical schools in the last two decades has posed challenges in terms of maintenance of quality, physical infrastructure and suitably qualified faculty.

  18. Understanding the importance of medical student clerkships in poor health outcome regions served by Area Health Education Centers (AHECs) in impoverished locations of Southern United States.

    Science.gov (United States)

    Patel, Ashruta

    2017-01-01

    Area Health Education Centers provide health professional students the opportunity to explore the benefits of practicing in a rural and underserved location. The status of health conditions in chronic disease patients residing in impoverished regions of the US provides the chance to understand the factors that are responsible for constant inadequate outcomes in underserved and rural communities. Many limiting barriers to positive health outcomes occur in disproportionate numbers in the Southern Black Belt. Students should consider participating in rural and underserved clerkships, and ultimately a career as a health care provider in a poor health outcome region. In addition, promising programs (e.g. telemedicine, community health workers) to help implement patient-centered evidence-based interventions can tackle current chronic disease issues commonly encountered by health professionals who work with diverse patient populations.

  19. Mobile NBM - Android medical mobile application designed to help in learning how to identify the different regions of interest in the brain's white matter.

    Science.gov (United States)

    Sánchez-Rola, Iskander; Zapirain, Begoña García

    2014-07-18

    One of the most critical tasks when conducting neurological studies is identifying the different regions of interest in the brain's white matter. Currently few programs or applications are available that serve as an interactive guide in this process. This is why a mobile application has been designed and developed in order to teach users how to identify the referred regions of the brain. It also enables users to share the results obtained and take an examination on the knowledge thus learnt. In order to provide direct user-user or user-developer contact, the project includes a website and a Twitter account. An application has been designed with a basic, minimalist look, which anyone can access easily in order to learn to identify a specific region in the brain's white matter. A survey has also been conducted on people who have used it, which has shown that the application is attractive both in the student (final mean satisfaction of 4.2/5) and in the professional (final mean satisfaction of 4.3/5) environment. The response obtained in the online part of the project reflects the high practical value and quality of the application, as shown by the fact that the website has seen a large number of visitors (over 1000 visitors) and the Twitter account has a high number of followers (over 280 followers). Mobile NBM is the first mobile application to be used as a guide in the process of identifying a region of interest in the brain's white matter. Although initially not many areas are available in the application, new ones can be added as required by users in their respective studies. Apart from the application itself, the online resources provided (website and Twitter account) significantly enhance users' experience.

  20. Mobile NBM - android medical mobile application designed to help in learning how to identify the different regions of interest in the brain’s white matter

    Science.gov (United States)

    2014-01-01

    Background One of the most critical tasks when conducting neurological studies is identifying the different regions of interest in the brain’s white matter. Currently few programs or applications are available that serve as an interactive guide in this process. This is why a mobile application has been designed and developed in order to teach users how to identify the referred regions of the brain. It also enables users to share the results obtained and take an examination on the knowledge thus learnt. In order to provide direct user-user or user-developer contact, the project includes a website and a Twitter account. Results An application has been designed with a basic, minimalist look, which anyone can access easily in order to learn to identify a specific region in the brain’s white matter. A survey has also been conducted on people who have used it, which has shown that the application is attractive both in the student (final mean satisfaction of 4.2/5) and in the professional (final mean satisfaction of 4.3/5) environment. The response obtained in the online part of the project reflects the high practical value and quality of the application, as shown by the fact that the website has seen a large number of visitors (over 1000 visitors) and the Twitter account has a high number of followers (over 280 followers). Conclusions Mobile NBM is the first mobile application to be used as a guide in the process of identifying a region of interest in the brain’s white matter. Although initially not many areas are available in the application, new ones can be added as required by users in their respective studies. Apart from the application itself, the online resources provided (website and Twitter account) significantly enhance users’ experience. PMID:25037858

  1. Medical Entomology Studies - III. A Revision of the Subgenus Culex in the Oriental Region (Diptera: Culicidae) (Contributions of the American Entomological Institute. Volume 12, Number 2)

    Science.gov (United States)

    1976-01-01

    Subgroup with quinquefasciatus which is widespread throughout tropical parts of the world, (2) TrifiZatus Subgroup with vegans and hutchinsoni, both...region; torrentium Martini 1925 from the western Palearctic; vegans Wiedemann 1828 from the eastern Pale- arctic; pervigiluns Bergroth 1889, pacificus...discovered when the fauna is thoroughly examined. 2. C ULEX (C ULEX) VAGANS WIEDEMANN (Figs. 4, 5, 14) Culex vegans Wiedemann 1828: 545 (d, 0

  2. Medical-legal partnerships: the role of mental health providers and legal authorities in the development of a coordinated approach to supporting mental health clients' legal needs in regional and rural settings.

    Science.gov (United States)

    Speldewinde, Christopher A; Parsons, Ian

    2015-01-01

    Medical-legal partnerships (MLP) are a model in which medical and legal practitioners are co-located and work together to support the health and wellbeing of individuals by identifying and resolving legal issues that impact patients' health and wellbeing. The aim of this article is to analyse the benefits of this model, which has proliferated in the USA, and its applicability in the context of rural and remote Australia. This review was undertaken with three research questions in mind: What is an MLP? Is service provision for individuals with mental health concerns being adequately addressed by current service models particularly in the rural context? Are MLPs a service delivery channel that would benefit individuals experiencing mental health issues? The combined searches from all EBSCO Host databases resulted in 462 citations. This search aggregated academic journals, newspapers, book reviews, magazines and trade publications. After several reviews 38 papers were selected for the final review based on their relevance to this review question: How do MLPs support mental health providers and legal service providers in the development of a coordinated approach to supporting mental health clients' legal needs in regional and rural Australia? There is considerable merit in pursuing the development of MLPs in rural and remote Australia particularly as individuals living in rural and remote areas have far fewer opportunities to access support services than those people living in regional and metropolitan locations. MLPS are important channels of service delivery to assist in early invention of legal problems that can exacerbate mental health problems.

  3. Data on motivational factors of the medical and nursing staff of a Greek Public Regional General Hospital during the economic crisis

    Directory of Open Access Journals (Sweden)

    Marianna Charalambous

    2017-04-01

    Full Text Available In this article, we present the data related to motivational factors given by the medical (n=118 and nursing (n=217 staff, of a Greek Public General Hospital during a period of financial austerity. The data collection has been based on a structured self-administrable questionnaire which was used in a previous survey in Cyprus (Chatzicharalambous, 2015 [1]. The incentives-rewards included amount in a total to 11 (both financial and non-financial. The data contains 4 parts: (1 demographics, (2 assessment of the degree to which this hospital provided such incentives-rewards, (3 personal assessment of the participants about the significance of these incentive-rewards and (4 to what extent these incentives-rewards have increased or decreased over the last five years due to the economic crisis. The sample was analyzed as a whole on demographics and by a professional subgroup (doctors and nurses for the other three parts. The data include quantitative tables for all parts. Finally include three tables contain multilevel models.

  4. 民族地区医学生睡眠质量调查%Sleep Quality of Medical Students in National Regions

    Institute of Scientific and Technical Information of China (English)

    张彩萍

    2014-01-01

    Objective To explore the sleep quality of medical students and provide theoretical basis for the psychological health edu -cational policy .Methods Using Self-Rating Scale of Sleep ( SRSS) to investigate the sleep quality of medical students .The data were analyzed by SPSS 13.0.Results Trouble falling asleep and reaction scores after insomnia of girls were significant differences to those of boys(t=2.593,-3.176;P<0.01).Insufficient sleep,wake up,sleep time,total score in senior group were higher than those in junior group(t=-1.975,-5.155,-2.798,-2.719;P<0.05).Sleep time in clinical professional students scored the highest ,other professional students was second,nursing students was the lowest (F=3.019,P<0.05).Conclusion Compared with boys,girls have more difficult sleep and less mood after insomnia .Compared to the young:The poor quality of sleep ,the more easy to doze off during the day and the shortar the sleep time is in the old sleep;duration is different in different professionals .%目的:了解大学生的睡眠质量,为制定落实心理健康教育的卫生保健政策提供理论依据。方法采用睡眠状况自评量表评价睡眠质量,调查信息用SPSS 13.0建立数据库分析。结果入睡困难与失眠后反应的得分均为女生高于男生( t=2.593,-3.176;P<0.01)。睡眠质量、觉醒不足、睡眠时间、总分的得分均是高年级组高于低年级组(t=-1.975,-5.155,-2.798,-2.719;P<0.05或P<0.01)。睡眠时间的得分在临床专业学生较高,其他专业学生次之,护理专业学生较低( F=3.019,P=0.05)。结论女生较男生入睡困难,而且失眠后女生心情更差;高年级与低年级相比:睡眠质量较差,白天更容易打瞌睡,睡眠时间较短;不同专业睡眠时间长短也存在差异。

  5. Hair dye poisoning in Bundelkhand region (prospective analysis of hair dye poisoning cases presented in Department of Medicine, MLB Medical College, Jhansi).

    Science.gov (United States)

    Jain, P K; Agarwal, N; Kumar, P; Sengar, N S; Agarwal, Nutan; Akhtar, Asif

    2011-07-01

    Hair dye (Paraphenylene di-amine, PPD) poisoning has high morbidity and mortality and its incidence has increased dramatically in the past 4 years. A prospective study was planned to assess the clinical profile and outcome with different treatment approaches. The material comprised of 1020 cases admitted in Medicine Department of MLB Medical College, Jhansi, U.P. from July 2004 to March 2009. Out of 1020 cases 697 cases were of stone hair dye poisoning and 323 cases were of other branded hair dyes (powdered form containing less amount of Paraphenylene diamine). Diagnosis was made solely on the basis of the history given by cases/attendant and symptoms of neck swelling, black coloured urine and muscular pain. The cases were thoroughly studied for different complications (renal, hepatic and cardiac etc) and were treated accordingly. Out of 1020 cases studied, majority were females in the age group of 15-45 yrs (n=734) while the rest were males. A total of 244 (23.92%) cases expired during treatment. Neck swelling, respiratory distress and whole body muscular pain were most common symptoms at presentation, oliguria, chest pain, palpitation, presyncope/syncope, pain in abdomen, nausea with vomiting and dysphagia were other common symptoms. Paraphenylene diamine is highly toxic. Cases who consumed up to 10 gm of PPD usually survived if they presented to hospital within 4 hour of dye ingestion. Severe edema of face, neck and floor of mouth, renal failure and myocarditis were poor prognostic factors. No deaths occurred in cases of Branded Hair dye ingestion.

  6. Construction and Application of Telemedicine in Xinjiang Regional Medical Cooperation System%远程医学在新疆区域医疗协作体系中的构建与应用

    Institute of Scientific and Technical Information of China (English)

    李勇; 姜小明; 张玺; 孙亮; 韩月珍

    2013-01-01

    Objective:To explore the value and role of telemedicine in health Huimin system of regional medical collaboration. To build a cultural brand of regional healthcare cooperation community. Methods: We start from the practical application to analyze the role of telemedicine in health Huimin system of regional healthcare collaboration. Results: Telemedicine has highlighted the effectiveness in Xinjiang regional healthcare collaborative development, and has formed a unique regional healthcare collaborative culture brand. Conclusion:To development of telemedicine, to promote career of Borderland Health Huimin.%目的:构建基于远程医学的区域医疗合作共同体,探索远程医学在区域医疗协作网络体系中的价值和作用。方法:从医院远程医学在学科帮扶、基层人才培养、新技术、新业务的传播、医疗适宜技术的推广应用等方面的实践应用入手,分析远程医学在区域医疗协作卫生惠民体系中的作用。结果:远程医学在新疆区域医疗协同发展方面已凸显成效,并已形成独具特色的区域医疗协作文化品牌。结论:发展远程医学,促进边疆卫生惠民事业。

  7. El Congreso médico-regional de Navarra (1886): un ejemplo de la transmisión del conocimiento científico The "Regional-Medical Congress of Navarre" (1886): an exercise in sharing scientific knowledge

    OpenAIRE

    León, P.

    2009-01-01

    La última ola epidémica del cólera en Navarra (1884-1885) es la menos estudiada porque apenas afectó a Pamplona, el núcleo urbano más importante de la región, pero creó una situación crítica en otras áreas como la Ribera. Fundamento. El "Congreso médico-regional de Navarra" celebrado en Tafalla (Navarra), en 1886, se convocó para estudiar la epidemia de cólera de 1885 en la región. El interés de esta reunión científica estriba en la actitud de los médicos ante el desarrollo de la microbiologí...

  8. [Laboratory diagnosis of pandemic influenza at the Department of Medical Microbiology of the Regional Authority of Public Health based in Banská Bystrica in the season 2009-2010].

    Science.gov (United States)

    Kissová, R; Mad'arová, L; Klement, C

    2011-02-01

    The Department of Medical Microbiology of the Regional Authority of Public Health (RAPH) in Banská Bystrica serves as a catchment laboratory of virology for the Central Slovakia Region, and in the influenza season 2009/10, it also served as such for the East Slovakia Region. Specimens (nasopharyngeal swabs and post-mortem specimens) from patients with suspected influenza were obtained from both sentinel and non-sentinel physicians. The specimens were analyzed by a rapid test, followed by real-time PCR (RT-PCR) for influenza A or B diagnosis. RT-PCR subtyping for pandemic influenza A/H1N1 was performed. From May 2009 to June 2010, 2497 specimens were analyzed for the presence of influenza A and B viruses and in particular for the presence of pandemic influenza A/H1N1 virus. As many as 537 of 589 influenza A-positive specimens, i.e. 21.5% of all specimens analyzed and 91.2% of influenza A-positive specimens, were subtyped as pandemic influenza A/H1N1. In the influenza season 2009/10, the new pandemic influenza A/H1N1 clearly predominated in Central and Eastern Slovakia. PCR tests have played a key role in diagnosing patients with suspected pandemic influenza in the laboratory participating in the surveillance of influenza and influenza-like illness in the Slovak Republic.

  9. 广西壮族自治区医护人员职业枯竭的影响因素分析%Analysis on influential factors for occupation burnout of medical staffs of Guangxi Zhuang Autonomous Region

    Institute of Scientific and Technical Information of China (English)

    廖庆兰; 韦波; 胡世红; 林丽; 李贞

    2009-01-01

    目的 探讨广西壮族自治区医护人员职业枯竭的主要影响因素.方法 采用多阶段按比例分层整群系统随机抽样法,使用自编医护人员职业枯竭量表为工具,对4 575名医护人员进行问卷调查.使用单因素、多因素分析及回归分析对数据进行处理.结果 社会环境因素是职业枯竭的保护因素,回归系数为-0.015;组织环境、工作环境、医院等级、工作科室是职业枯竭的危险因素,回归系数为0.040~0.258,P<0.05.结论 职业枯竭现象是一个受众多变量作用的复合现象,医护人员的职业枯竭与组织环境、工作环境、医院等级、工作科室有关.%Objective To investigate the main influencing factors on occupation burnout of medical staffs of Guangxi Zhuang Autonomous Region. Methods By means of many phases stratified cluster system for a random sampling, via using the self-organized scale for measuring occupation burnout of medical staffs, 4575 medical staffs were investigated with questionnaire for occupation burnout of medical staffs. The data was processed by single and multiple factors analysis and regression analysis. Results Society environment is the protective factor of occupation burnout, and the regression coefficient is - 0.015. While organization environment, working environment, scale of hospital and working section office are the risk factors for occupation burnout, and the regression coefficient is 0.040 ~ 0.258, P < 0.05. Conclusions Occupation burnout is a composite phenomenon affected by many variables. Occupation burnout of medical staffs is related to organization environment, working eavironment, scale of hospital and section office of working.

  10. Medical Identity

    DEFF Research Database (Denmark)

    Musaeus, Peter

    2015-01-01

    Purpose: To examine philosophical stances underpinning medical identity and assess the conceptual relationship between physician, medical practice and culture. Argument: Medical identity is about the ideals and moral positions that physicians take when justifying themselves. Medical identity...... hedonistic versus sentimentalist approaches to medical identity. The sociocultural philosophical analysis of medical identity can shed light on what it means conceptually for a physician to harbor beliefs associated with him/her being taken to be an autonomous professional. It is important because it touches...... on the meaning of being a compassionate, good and skilled physician, making its relevance to person-centered medicine self-evident. Conclusion: Medical identity should be analyzed with reference to literature, philosophy and medical practice in order for the physician to exercise a reflective position...

  11. Medical Management

    Science.gov (United States)

    ... email share facebook twitter google plus linkedin Medical Management Although there’s no cure for CMT, there are ... individualized physical therapy program. For more on medical management of CMT, see Surgery Sometimes, Bracing Often, Caution ...

  12. 医联体就诊流程合理性的评价%Evaluating the reasonability of treatment process of regional medical association

    Institute of Scientific and Technical Information of China (English)

    董丽佳; 张朋; 黄葭燕

    2014-01-01

    Objective:To analyze and evaluate the reasonability of treatment process of Ruijin-Luwan Medical Association from the point of service utilization,and to provide decision-making support for health administration departments. Methods:This research employed a convenience sampling approach to investigate outpatients with questionnaire and in-depth interviews. Respondents’ cognition and attitude toward“community consultation firstly”,“two-way referral”,“green passage”and“appointment mechanism”were stimulated and analyzed. Results:A total of 306 patients were investigated,86.9%preferred choosing community health service firstly because of the“convenient transportation”,“a common disease with no need to go to larger hospitals”,“the community physician who can provide good service”,as well as“a lower expenditure”. A total of 41.2% of them didn’t think the rule reasonable,which appointed an expert to review the referral application,worrying about cumbersome procedures and the deterioration of disease during the process. Totally 90.1%supported community-based rehabilitation for reducing expenses and 96.1%were in favor of building green passage,but the use of it was inadequate,and 75.3%can accept appointment services. Conclusion:Overall,the internal treatment process of Ruijin-Luwan Medical Association is reasonable to some extent. However,more attention should be paid as follows:(1)improving the quality of service and prompting a change of people’s health concept and behavior;(2)optimizing the referral process and promoting the efficient operation of delivery system;(3)providing different kinds of services to satisfy various needs of residents.%目的:从服务利用方的角度,对瑞金-卢湾医联体内部就诊流程的合理性进行初步分析和评价,为卫生行政部门提供决策依据。方法:采用方便抽样的方法对门诊患者进行问卷调查和深入访谈,通过情景模拟了解患者对医联体

  13. Promising Medicated Diet

    Institute of Scientific and Technical Information of China (English)

    Yang Wei

    2009-01-01

    @@ The founding conference of World Federation of Chinese Medicine Societies-Special Committee of Medicated Diet & Dietotherapy(WFCMS-SCMDAD).and the first world medicated diet and life nurturing academic seminar was held in the Great Hall of the People.Beijing,China,on August 11.A total of 400 experts and professors on medicated diet and life nurturing from 17 countries and regions including Japan,ROK,U.S.,Canada,U.K.,ect.Honorary President Professor Cai Guangxian delivered a welcoming speech to declare the organization's found.

  14. Medication safety.

    Science.gov (United States)

    Keohane, Carol A; Bates, David W

    2008-03-01

    Patient safety is a state of mind, not a technology. The technologies used in the medical setting represent tools that must be properly designed, used well, and assessed on an on-going basis. Moreover, in all settings, building a culture of safety is pivotal for improving safety, and many nontechnologic approaches, such as medication reconciliation and teaching patients about their medications, are also essential. This article addresses the topic of medication safety and examines specific strategies being used to decrease the incidence of medication errors across various clinical settings.

  15. Continuing medical education.

    Science.gov (United States)

    Todd, D

    1987-04-01

    With the rapid advances in medical science and increasing complexities of patient care, the need for continuing medical education (CME) is widely accepted by the profession. CME follows general and higher professional training, and should be a life long process. Teaching hospitals and postgraduate professional institutions play vital roles in organising, promoting, and monitoring this activity. CME directorates should be established. University authorities must recognise the important role of medical teachers in postgraduate and continuing medical education, and the staff establishment and terms of service should be held regularly. Medical libraries should have easy borrowing facilities. Self-assessment and audio-visual material are particularly helpful to the busy practitioner and inexpensive local or regional journals of quality can provide pertinent and up-to-date information. All charges for attending scientific meetings and educational material should be tax deductible or subsidized. The effectiveness of CME is difficult to assess and participation is almost impossible to enforce. Much depends on the standard of medical practice wanted by society. Recertification of general practitioners or specialists poses many problems. On the other hand, completion of self-assessment programmes, active participation at medical meetings, contributions to scientific literature, and membership of medical societies with built-in peer review could be monitored and regularly used to evaluate professional status.

  16. Medical Virology in Malaysia

    Institute of Scientific and Technical Information of China (English)

    Kaw Bing Chua

    2009-01-01

    Virology is a branch of biological science dealing with the study of viruses, and medical virology focuses on the study and control of diseases due to viruses that is of medical importance. The development of medical virology in Malaysia has its beginning in the Institute for Medical Research (IMR), following the establishment of the Division of Medical Zoology and Virus Research in the institute on 23 March 1953. The second institution in the country to establish diagnostic and research work in medical virology was Department of Medical Microbiology, Faculty of Medicine, University Malaya. This was followed by University Kebangsaan Malaysia, University Sains Malaysia and University of Sarawak Malaysia. The National Public Health Laboratory (NPHL) is the latest institution to establish a laboratory in 2003 for virus isolation and services to support country surveillance and outbreak investigation of infectious diseases due to viruses. In the field of medical virology, Malaysia contributed substantially in the areas of virus diagnostic services, development and research ranging from survey and documentation on the existence and prevalence of viruses causing diseases in Malaysia, clinical presentation and epidemiological features of virus diseases, evaluation of new diagnostic tests to pathogenesis of viral diseases. Malaysia contributed to the discoveries of at least 12 new viruses in the world. ASEAN plus Three (China, Japan, Republic of Korea) Emerging Infectious Programme was established to overcome the challenges and impact of emerging and re-emerging infectious diseases in this region. Malaysia as the co-ordinator of the laboratory component of the programme, contributed to strengthen the regional laboratory capability, capacity, laboratory-based surveillance and networking. The future of medical virology in Malaysia in terms of integration of diagnostic, reference and research to support the country's need will be enhanced and strengthened with the on

  17. Medical Scientists

    Science.gov (United States)

    ... Projected Employment, 2024 Change, 2014-24 Employment by Industry Percent Numeric SOURCE: U.S. Bureau of Labor Statistics, Employment Projections program Medical scientists, except epidemiologists 19- ...

  18. Centro de estudios de Bellas Artes, en Grinnell, (EE.UU.

    Directory of Open Access Journals (Sweden)

    Skidmore, Owings & Merril, Arquitectos

    1966-07-01

    Full Text Available This project involves the Arts Building and the Roberts Theatre. The former is a rectangular, two storey high, block housing classrooms, workshops, studies, and other similar facilities. The second seeks to meet a number of varied activities, such as concerts, choir, ballet, theatre, light opera shows, also opera performances, children's theatre shows, lectures, and serve as large class room or discussion hall. The structure is reinforced concrete, and prestressed concrete joists: the latter are clearly visible from the inside.Comprende dos edificios: el «edificio de las Artes», y el «teatro Roberts». El primero es un bloque paralelepipédico de dos plantas de altura, que aloja las clases, talleres, estudios, etc. El segundo fue diseñado para poder desempeñar múltiples usos, tales como celebración de conciertos, coros, ballet, teatro, opereta, ópera, teatro infantil, sala de conferencias, aula magna, etc. Su estructura es de hormigón armado en pilares y de hormigón armado pretensado en vigas; estas últimas se muestran sinceramente en interiores y exteriores.

  19. Parcels and Land Ownership, Parcels, parcel numbers, parcel dimensions, parcel annotation, Published in unknown, Grinnell College.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Parcels and Land Ownership dataset as of unknown. It is described as 'Parcels, parcel numbers, parcel dimensions, parcel annotation'. Data by this publisher are...

  20. Oferta y demanda de médicos especialistas en los establecimientos de salud del Ministerio de Salud: brechas a nivel nacional, por regiones y tipo de especialidad Supply and demand of medical specialists in the health facilities of the Ministry of Health: national, regional and by type of specialty gaps

    Directory of Open Access Journals (Sweden)

    Leslie Zevallos

    2011-06-01

    medical specialists in facilities of the Ministry of Health of Peru (MINSA at the national, regional and specialty type levels. Materials and methods. Observational, descriptive study through which we calculated the supply of medical specialists using secondary sources of MINSA. The analysis of the demand for medical specialists was based on two methodologies: the need for specialists according to the guidelines of classification of the health facilities and according to the epidemiological and demographic profile. The arithmetic difference between the estimated demand and the supply was the procedure used to calculate the gap of medical specialists. Results. The Ministry of Health has a total supply at the national level of 6,074 medical specialists of which 61.5% belong to the clinical specialties, 33.2% to the surgical specialties, 4.9% specialities related to aid to diagnosis and treatment and 0.4% to public health specialties. According to the categorization guideline there is a total demand of 11,176 medical specialists and according to the epidemiological and demographic profile of 11,738. The national estimated gaps found are similar in both methods, although they differ widely across regions and by type of specialty. At the regional level, the gaps are greater in Loreto, Piura, Puno and Madre de Dios when estimating the defficit in relation to the supply. Regarding the speciality, the gap is greater in the four basic specialties: gynecology and obstetrics, pediatrics, internal medicine and general surgery. Conclusions. There is a waid gap between supply and demand of medical specialists at the national and regional levels, as a whole representing approximately 45% of the current offer, regardless of the estimation method.

  1. [Euthanasia: medications and medical procedures].

    Science.gov (United States)

    Lossignol, D

    2008-09-01

    The Belgian law relative to euthanasia has been published in 2002. A physician is allowed to help a patient with intractable suffering (physical or psychological). Legal conditions are clear. However, nothing is said about medical procedures or medications to be used. The present paper will present specific clinical situations at the end of life, practical procedures and medications. A special focus is made on psychological impact of euthanasia.

  2. The search for mass graves of the soldiers of the National Armed Forces murdered in September 1946 in the Opole region of Poland – results of forensic medical examination

    Directory of Open Access Journals (Sweden)

    Łukasz Szleszkowski

    2015-05-01

    Full Text Available The aim of the study is the identification and forensic-medical and anthropological evaluation of the remains of soldiers of the National Armed Forces murdered by the secret police in September 1946 in the Opole region. The remains were located during the search for mass graves of victims of the Communist regime carried out by the Institute of National Remembrance (IPN. Material and methods: In June 2012 and April 2013, in the area of the Hubertus clearing between the villages of Barut and Dąbrówka, 41 human bone fragments were revealed in the course of archaeological works carried with use of the open pit method at the probable site of the liquidation of one of the groups of soldiers from the unit of Captain Henryk Flame, aka “Bartek”. In the vicinity of the ruins of the former Scharfenberg manor, in a forest of the Łambinowice commune, a mass grave was discovered containing the remains of at least 25 individuals, mostly young men. The grave was damaged and bore traces of subsequent interference. The forensic-medical-anthropological examination procedures were carried out, the biological profile of the victims evaluated, the minimum number of individuals (MNI determined and the injuries interpreted. Results : A portion of the remains discovered near the village of Barut bore traces of trauma associated with a great force. On the remains from the mass grave in the Łambinowice commune, numerous traces of injuries of the perimortem trauma nature were disclosed, including gunshot damage, both within the skulls and in post-cranial skeletons. Conclusions : The activity of the Institute of National Remembrance led to the confirmation of archival data regarding the site of liquidation of one of the partisan groups of the National Armed Forces in the vicinity of the village of Barut in the Opole region. The research did not allow unambiguous determination of the origin of remains discovered in the mass grave in the Łambinowice commune. The

  3. Medical Abortion.

    Science.gov (United States)

    Costescu, Dustin; Guilbert, Edith; Bernardin, Jeanne; Black, Amanda; Dunn, Sheila; Fitzsimmons, Brian; Norman, Wendy V; Pymar, Helen; Soon, Judith; Trouton, Konia; Wagner, Marie-Soleil; Wiebe, Ellen; Gold, Karen; Murray, Marie-Ève; Winikoff, Beverly; Reeves, Matthew

    2016-04-01

    This guideline reviews the evidence relating to the provision of first-trimester medical induced abortion, including patient eligibility, counselling, and consent; evidence-based regimens; and special considerations for clinicians providing medical abortion care. Gynaecologists, family physicians, registered nurses, midwives, residents, and other healthcare providers who currently or intend to provide pregnancy options counselling, medical abortion care, or family planning services. Women with an unintended first trimester pregnancy. Published literature was retrieved through searches of PubMed, MEDLINE, and Cochrane Library between July 2015 and November 2015 using appropriately controlled vocabulary (MeSH search terms: Induced Abortion, Medical Abortion, Mifepristone, Misoprostol, Methotrexate). Results were restricted to systematic reviews, randomized controlled trials, clinical trials, and observational studies published from June 1986 to November 2015 in English. Additionally, existing guidelines from other countries were consulted for review. A grey literature search was not required. The quality of evidence in this document was rated using the criteria described in the Report of the Canadian Task Force for Preventive Medicine rating scale (Table 1). Medical abortion is safe and effective. Complications from medical abortion are rare. Access and costs will be dependent on provincial and territorial funding for combination mifepristone/misoprostol and provider availability. Introduction Pre-procedure care Medical abortion regimens Providing medical abortion Post-abortion care Introduction Pre-procedure care Medical abortion regimens Providing medical abortion Post-abortion care. Copyright © 2016 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.

  4. [Design and application of implantable medical device information management system].

    Science.gov (United States)

    Cao, Shaoping; Yin, Chunguang; Zhao, Zhenying

    2013-03-01

    Through the establishment of implantable medical device information management system, with the aid of the regional joint sharing of resources, we further enhance the implantable medical device traceability management level, strengthen quality management, control of medical risk.

  5. Medical Malpractice

    DEFF Research Database (Denmark)

    Grembi, Veronica

    2014-01-01

    MM first came to the attention of policy makers primarily in the USA where, from the 1970s, healthcare providers denounced problems in getting insurance for medical liability, pointing out to a crisis in the MM insurance market (Sage WM (2003) Understanding the first malpractice crisis of the 21th...... in the last decades also among European countries (Hospitals of the European Union (HOPE) (2004) Insurance and malpractice, final report. Brussels, www.hope.be; OECD (2006) Medical malpractice, insurance and coverage options, policy issues in insurance n.11; EC (European Commission, D.G. Sanco) (2006) Special...... eurobarometer medical errors)...

  6. 区域一体化军队医疗卫生技术帮带效果评估%Effect Assessment on Medical Professional Skill Assistance under Support Mode of Regional Integration

    Institute of Scientific and Technical Information of China (English)

    杨明; 向月应; 罗克品; 陈勇; 李鹏社; 余奕珲; 曹国辉; 李宏平

    2015-01-01

    The article has a systematical illustration on the research and practice of professional skill assis-tance under the pilot of Medical Support Mode of Regional Integration.There are five key practices: setting clear target after complete study, establishing major department responsibility system, implementing double -way re-placement system, building training center for military health service and offering tele -medicine service.In addi-tion, we also have an explanation of our major effect.%本文对区域一体化卫勤保障模式改革试点中开展技术帮带的实践与效果进行了系统论述。主要做法,一是充分调研,明确帮带目标;二是实行主责学科负责制;三是实行双向代职;四是建立部队卫生人员培训中心;五是开展远程医学服务。并对主要成效进行阐述。

  7. 深圳区域电子病历智能化搜索引擎技术要点%Technical Points of Smart Search Engine for Regional Electronic Medical Record in Shenzhen

    Institute of Scientific and Technical Information of China (English)

    朱远燕; 林德南; 潘景波

    2015-01-01

    智能化搜索引擎能使用户对区域电子病历的检索操作更加方便、快捷,加速电子病历文档的检索过程,并且使所获得的搜索结果的相关性更好、精确度更高.从而有效地改善用户的搜索体验,促进电子病历利用率的提高.更好地发挥区域电子病历在临床医疗诊断、治疗和护理及科研方面的辅助作用.本文简单介绍深圳市区域电子病历智能化搜索引擎研发中的一些技术要点.%The technical points of smart search engine for REMR in Shenzhen is introduced briefly in this paper. The smart search engine can make the searching process easier and quicker and let the users get more relevant and accurate results from the Regional Electronic Medical Record(REMR). Therefore,this can improve the users' experience and promote the application of REMR in clinical diagnosis,treatment,nursing and scientific research.

  8. Medical Imaging.

    Science.gov (United States)

    Barker, M. C. J.

    1996-01-01

    Discusses four main types of medical imaging (x-ray, radionuclide, ultrasound, and magnetic resonance) and considers their relative merits. Describes important recent and possible future developments in image processing. (Author/MKR)

  9. Medical error

    African Journals Online (AJOL)

    QuickSilver

    Michael Berk. Department of Psychiatry, University of Melbourne, Australia .... inaccurate and inflammatory media reports their community accepted the ex- ... non-medical situations such as the aviation industry and nuclear power tech- nology ...

  10. Medical Illustration

    Science.gov (United States)

    ... Accredited programs prepare students for a career in academic or research health science centers, industry, or consulting. As members of the health career profession with strong communication skills, medical illustrators work closely with clients to interpret ...

  11. Medical education.

    Science.gov (United States)

    Krishnan, P

    1992-01-01

    In theory, the Medical Council of India (MCI) determines the standards and qualifications of medical schools. It also sanctions curricula and ensures standards. Yet no standards exist on the mode of selection in medical schools, duration of study, course content, student stipends or period of internship. It takes 4.5 years to finish medical school. Students undergo preclinical, paraclinical, and clinical training. Most courses are in English which tends to favor the urban elite. Students cannot always communicate with patients in local languages. Textbooks often provide medical examples unrelated to India. Pedagogy consists mainly of lectures and rote learning predominates. Curricula tend not to provide courses in community health. Students pick up on the elitist attitudes of the faculty. For example, faculty do not put much emphasis on community health, individual health, equity in health care delivery, and teamwork. Further the education system is not patient oriented, but hospital or disease oriented. Faculty should train students in creating sanitation programs, knowing local nutritious foods, and in making community diagnoses. Yet they tend to be practitioners 1st then educators. Further faculty are not paid well and are not always invited to take part in improving curriculum, so morale is often low. Moreover experience in health planning and management issues is not required for administrators. In addition, medical schools are not well equipped with learning aids, libraries, or teaching staff. Tax revenues finance medical education. 75% of graduating physicians set up a private practice. Further many physicians go to urban areas. 34-57% emigrate to other countries. The problems of medical education will not be solved until the political and economic system becomes more responsive to the health needs of the people.

  12. Medical intellectuals: resisting medical orientalism.

    Science.gov (United States)

    Aull, Felice; Lewis, Bradley

    2004-01-01

    In this paper, we propose analogies between medical discourse and Edward Said's "Orientalism." Medical discourse, like Orientalism, tends to favor institutional interests and can be similarly dehumanizing in its reductionism, textual representations, and construction of its subjects. To resist Orientalism, Said recommends that critics--"intellectuals"--adopt the perspective of exile. We apply Said's paradigm of intellectual-as-exile to better understand the work of key physician-authors who cross personal and professional boundaries, who engage with patients in mutually therapeutic relationships, and who take on the public responsibility of representation and advocacy. We call these physician-authors "medical intellectuals" and encourage others to follow in their path.

  13. Medical Renaissance.

    Science.gov (United States)

    Toledo-Pereyra, Luis H

    2015-06-01

    The Medical Renaissance started as the regular Renaissance did in the early 1400s and ended in the late 1600s. During this time great medical personalities and scholar humanists made unique advances to medicine and surgery. Linacre, Erasmus, Leonicello and Sylvius will be considered first, because they fit the early classic Renaissance period. Andreas Vesalius and Ambroise Paré followed thereafter, making outstanding anatomical contributions with the publication of the "Human Factory" (1543) by Vesalius, and describing unique surgical developments with the publication of the "The Apologie and Treatise of Ambroise Paré." At the end of the Renaissance and beginning of the New Science, William Harvey, noted British medical doctor and cardiovascular researcher, discovered the general circulation. He published his findings in "The Motu Cordis" in 1628 (Figure 1). The Medical Renaissance, in summary, included a great number of accomplished physicians and surgeons who made especial contributions to human anatomy; Vesalius assembled detailed anatomical information; Paré advanced surgical techniques; and Harvey, a medical genius, detailed the circulatory anatomy and physiology.

  14. Beyond "medical tourism": Canadian companies marketing medical travel

    Directory of Open Access Journals (Sweden)

    Turner Leigh

    2012-06-01

    companies. Seven other businesses market regional, cross-border health services available in the United States and intranational travel to clinics in Canada. In contrast to medical tourism companies, they do not market holiday tours in addition to medical care. Two companies occupy a narrow market niche and promote testing for CCSVI and “Liberation therapy” for multiple sclerosis. Three additional companies offer bariatric surgery and cosmetic surgery at facilities in Mexico. Four businesses offer health insurance products intended to cover the cost of obtaining privately financed health care in the U.S. These businesses also help their clients arrange treatment beyond Canada’s borders. Finally, one medical travel company based in Canada markets health services primarily to U.S. citizens. Conclusions This article uses content analysis of websites of Canadian companies marketing medical travel to provide insight into Canada’s medical travel industry. The article reveals a complex marketplace with different types of companies taking distinct approaches to marketing medical travel.

  15. Beyond "medical tourism": Canadian companies marketing medical travel.

    Science.gov (United States)

    Turner, Leigh

    2012-06-15

    Despite having access to medically necessary care available through publicly funded provincial health care systems, some Canadians travel for treatment provided at international medical facilities as well as for-profit clinics found in several Canadian provinces. Canadians travel abroad for orthopaedic surgery, bariatric surgery, ophthalmologic surgery, stem cell injections, "Liberation therapy" for multiple sclerosis, and additional interventions. Both responding to public interest in medical travel and playing an important part in promoting the notion of a global marketplace for health services, many Canadian companies market medical travel. Research began with the goal of locating all medical tourism companies based in Canada. Various strategies were used to find such businesses. During the search process it became apparent that many Canadian business promoting medical travel are not medical tourism companies. To the contrary, numerous types of businesses promote medical travel. Once businesses promoting medical travel were identified, content analysis was used to extract information from company websites. Company websites were analyzed to establish: 1) where in Canada these businesses are located; 2) the destination countries and health care facilities that they market; 3) the medical procedures they promote; 4) core marketing messages; and 5) whether businesses market air travel, hotel accommodations, and holiday tours in addition to medical procedures. Searches conducted from 2006 to 2011 resulted in identification of thirty-five Canadian businesses currently marketing various kinds of medical travel. The research project began with what seemed to be the straightforward goal of establishing how many medical tourism companies are based in Canada. Refinement of categories resulted in the identification of eighteen businesses fitting the category of what most researchers would identify as medical tourism companies. Seven other businesses market regional, cross

  16. Beyond "medical tourism": Canadian companies marketing medical travel

    Science.gov (United States)

    2012-01-01

    businesses market regional, cross-border health services available in the United States and intranational travel to clinics in Canada. In contrast to medical tourism companies, they do not market holiday tours in addition to medical care. Two companies occupy a narrow market niche and promote testing for CCSVI and “Liberation therapy” for multiple sclerosis. Three additional companies offer bariatric surgery and cosmetic surgery at facilities in Mexico. Four businesses offer health insurance products intended to cover the cost of obtaining privately financed health care in the U.S. These businesses also help their clients arrange treatment beyond Canada’s borders. Finally, one medical travel company based in Canada markets health services primarily to U.S. citizens. Conclusions This article uses content analysis of websites of Canadian companies marketing medical travel to provide insight into Canada’s medical travel industry. The article reveals a complex marketplace with different types of companies taking distinct approaches to marketing medical travel. PMID:22703873

  17. 基于语义的区域医疗信息集成方法研究%Methods on Medical Information Integration in the Regional Healthcare Network Based on Semantic

    Institute of Scientific and Technical Information of China (English)

    语欣; 王华琼; 田丽丽; 钱阳明; 李劲松

    2013-01-01

    区域医疗信息共享能有效促进区域内医学信息平台之间数据的有效互通,提高医护人员的工作效率,提升医疗质量。但由于区域医疗的业务内容繁多,标准和规范复杂,同时涉及的运行机构多,严重限制了区域医疗信息系统之间的信息共享。针对这一问题,引入语义网技术,提出基于物理层、语义层和应用层三层架构模型的区域医疗信息集成框架,采用混合本体方法将分散的数据源发布成关联数据,构建一张计算机能理解的语义数据网络。通过局部本体和上层本体的建立,在不改变原有数据结构的条件下实现区域异构系统之间的无缝连接,进而达到为医护人员、患者等随时随地提供个性化的医疗保健服务目的。%The regional healthcare information sharing is expected to provide secure, ubiquitous access to complete healthcare information and to improve health care efficiency and quality. However, the facts that complicated medical business and various involved institutions hinder data integration. To address the issue above, we propose the three-layer framework to enable information integration based on semantic technology among in the regional healthcare. We publish distributed resources to Linked Data using hybrid ontology approach. Through building local ontology and upper ontology, distributed systems can connect seamlessly without changing original data structure. Thus it can achieve the purpose of providing personalized healthcare service to users at anytime and anywhere.

  18. Misunderstanding and Difficulty in the Management of Accessing Medical Care in a Place Other Than Resident Region%异地就医管理误区与难点分析

    Institute of Scientific and Technical Information of China (English)

    胡大洋

    2014-01-01

    异地就医管理要有整体性、系统性、协同性的视角,正确把握服务与监管、方便与制约等关系,走出“方便最大化”和就医“漫游”的误区;实施顶层设计,明确异地就医监管的权责问题;深化体制机制改革,破解政策、标准、信息系统建设、经办管理体制和职能等不统一给异地就医管理造成的障碍,推进治理体系和治理能力现代化。%With the view of integration, systematization, co-ordination in the management of accessing health care in a place other than resident region, the relationship between service and supervision, convenience and restriction should be properly balanced to avoid the error of“Convenience Maximization”and“Medical Service Roaming”. To promote the modernization of administrative system and governance ability, top level design should be conducted, the right and responsibility in the management of accessing health care in other place should be clearly defined, the system reform should be deepened, and the obstruction which was brought by policy, standard, information system construction, disunity between the management and function of insurance agency, etc, must be solved.

  19. Medical Applications

    CERN Document Server

    Biscari, C.

    2014-12-19

    The use of accelerators for medical applications has evolved from initial experimentation to turn-key devices commonly operating in hospitals. New applications are continuously being developed around the world, and the hadrontherapy facilities of the newest generation are placed at the frontier between industrial production and advanced R&D. An introduction to the different medical application accelerators is followed by a description of the hadrontherapy facilities, with special emphasis on CNAO, and the report closes with a brief outlook on the future of this field.

  20. Medical emplotment

    DEFF Research Database (Denmark)

    Mønsted, Troels Sune

    ’. Theoretically the project departs from Computer Supported Cooperative Work and Participatory Design and is informed by Medical Informatics, Design Research and Science and Technology Studies. Methodically the project is founded on collaborative prototyping, ethnographic studies, and design interventions...... philosophy and building on theory on narrative reasoning, the dissertation offers the notions of emplotment and re-emplotment to describe how physicians marshal information from various sources, including the medical record, the patient and coSummary to form a narrative, when making sense of patients...

  1. Medical leasing.

    Science.gov (United States)

    Holden, Elizabeth A

    2012-01-01

    Leases for medical space can have far-reaching (and sometimes unintentional) consequences for the future of the practice and the costs of the business. In order to prevent hardship and expense down the line, it is especially important to review the lease to make sure that it reflects the practice's goals, needs, and structure. This article provides a number of provisions that are especially crucial to review and negotiate when leasing medical space, including use restrictions, assignment and subleasing clauses, build-out terms, and legal compliance requirements.

  2. Medical emplotment

    DEFF Research Database (Denmark)

    Mønsted, Troels Sune

    ’. Theoretically the project departs from Computer Supported Cooperative Work and Participatory Design and is informed by Medical Informatics, Design Research and Science and Technology Studies. Methodically the project is founded on collaborative prototyping, ethnographic studies, and design interventions...... philosophy and building on theory on narrative reasoning, the dissertation offers the notions of emplotment and re-emplotment to describe how physicians marshal information from various sources, including the medical record, the patient and coSummary to form a narrative, when making sense of patients...

  3. Medical Transcriptionists

    Science.gov (United States)

    ... Contact & Help Economic Releases Latest Releases » Major Economic Indicators » Schedules for news Releases » By Month By News ... employed in 2014. Most medical transcriptionists work for hospitals or in ... risk management, legal issues relating to healthcare documentation, and English ...

  4. Glaucoma medications.

    Science.gov (United States)

    Chae, Bora; Cakiner-Egilmez, Tulay; Desai, Manishi

    2013-01-01

    Glaucoma is a common eye condition that affects millions of individuals worldwide, making it the second-leading cause of blindness. Because glaucoma is associated with increased IOP level, the primary goal in treatment of glaucoma includes lowering IOP to prevent further progression of the disease. While various surgical interventions exist, medical therapy is currently the first line of treatment. Medical treatment of glaucoma includes topical beta-blockers, alpha-2 agonists, prostaglandins, parasympathomimetics and CAIs. Anti-glaucoma agents help reduce IOP by affecting the production of aqueous humor or increasing the outflow of aqueous through the trabecular or uveoscleral pathway. Choosing an appropriate medical regimen can be challenging and various factors such as efficacy, safety, cost and patient compliance must be considered. First-line treatment is often topical beta-blockers or prostaglandin analogs. However, beta-blocking agents can be associated with systemic side effects and need to be used cautiously in patients with serious concomitant cardiopulmonary disease. Alpha-2 agonists and parasympathomimetics are often considered second- or third-line treatment options but good adjunctive agents. Oral CAIs are often indicated for patients with elevated IOP in an acute setting or for patients resistant to other glaucoma medications and patients who are not good surgical candidates.

  5. Medic Bleep.

    Science.gov (United States)

    2017-03-15

    Medic Bleep is a secure instant messaging app that enables clinicians to discuss patient care quickly, securely and legally. It looks and feels like WhatsApp, but has been designed for the healthcare market to enable staff to communicate with each other, and to help speed up conversations between clinicians to increase efficiency.

  6. Medication Errors

    Science.gov (United States)

    ... Proprietary Names (PDF - 146KB) Draft Guidance for Industry: Best Practices in Developing Proprietary Names for Drugs (PDF - 279KB) ... or (301) 796-3400 druginfo@fda.hhs.gov Human Drug ... in Medication Errors Resources for You Agency for Healthcare Research and Quality: ...

  7. A Series of Studies on Benefit Analysis of Chinese Medical and Health Undertakings: Benefit Analysis of Medical and Health of China's Eastern,Central and Western Regions during 2007-2009%中国医疗卫生事业效益分析之系列研究——2007-2009年中国东部、中部、西部地区医疗卫生效益分析

    Institute of Scientific and Technical Information of China (English)

    李敏; 顾俊

    2012-01-01

    研究2007-2009年全国东部医院、中部医院、西部医疗卫生的发展.总体三地医疗卫生事业发展迅速,资产规模扩张快速且健康发展,整体仍以东部地区占优势,以城市占优势.但需政府补助,须加强外部资金运用,加强资源利用,注重资产结构和提高医疗水平、管理能力.%To study the development of medical and health of National eastern, central and western hospital during 2007-2009. On the whole, development of medical and health undertakings in these three regions is rapid, and expansion of asset size is rapid and has healthy development, however, the eastern region is still dominant, dominated by city. It needs governments' subsidies, and must strengthen the use of external funds, strengthen the use of resources, focus on the asset structure and improve the medical level and management capabilities.

  8. Medication Errors - A Review

    OpenAIRE

    Vinay BC; Nikhitha MK; Patel Sunil B

    2015-01-01

    In this present review article, regarding medication errors its definition, medication error problem, types of medication errors, common causes of medication errors, monitoring medication errors, consequences of medication errors, prevention of medication error and managing medication errors have been explained neatly and legibly with proper tables which is easy to understand.

  9. Medication Errors - A Review

    OpenAIRE

    Vinay BC; Nikhitha MK; Patel Sunil B

    2015-01-01

    In this present review article, regarding medication errors its definition, medication error problem, types of medication errors, common causes of medication errors, monitoring medication errors, consequences of medication errors, prevention of medication error and managing medication errors have been explained neatly and legibly with proper tables which is easy to understand.

  10. Medical imaging

    CERN Document Server

    Townsend, David W

    1996-01-01

    Since the introduction of the X-ray scanner into radiology almost 25 years ago, non-invasive imaging has become firmly established as an essential tool in the diagnosis of disease. Fully three-dimensional imaging of internal organs is now possible, b and for studies which explore the functional status of the body. Powerful techniques to correlate anatomy and function are available, and scanners which combine anatomical and functional imaging in a single device are under development. Such techniques have been made possible through r ecent technological and mathematical advances. This series of lectures will review both the physical basis of medical imaging techniques using X-rays, gamma and positron emitting radiosiotopes, and nuclear magnetic resonance, and the mathematical methods used to reconstruct three-dimentional distributions from projection data. The lectures will trace the development of medical imaging from simple radiographs to the present-day non-invasive measurement of in vivo biochemistry. They ...

  11. Medical physics

    Energy Technology Data Exchange (ETDEWEB)

    Pope, J.A. (Plymouth College (UK))

    1989-01-01

    A book on 'Medical Physics' is written in three parts. Part I discusses the physics of the human body including the expenditure of energy, human mechanics and the human response to light and sound. Part II describes the monitoring of various physiological parameters, such as temperatures and pressure using specialized transducers and systems employing radiotelemetric, ultrasonic and fibre-optic techniques. Part III on ionizing radiations discusses the production, properties and detection of the different radiations and the elements of dosimetry. The different types of radiation detectors are also described. Finally the diagnostic applications of radioactive tracer studies are discussed. The material selected for inclusion in this book reflects the requirements of the Joint Matriculation Board's A-level option on Medical Physics and at the end of each of the 15 chapters, there are questions on the content. Part III of the book has been selected and indexed separately. (UK).

  12. Information in medical treatment courses

    DEFF Research Database (Denmark)

    Møller, Marianne; Andersen, Stig Ejdrup; Jacobsen, Charlotte Bredahl

    INFORMATION IN MEDICAL TREATMENT COURSES - A STEERING TOOL FOR THE QUALITY – A Pilot Study Marianne Møller1,2 Stig Ejdrup Andersen3 Charlotte Bredahl Jacobsen4 Erik Hollnagel1,2 1: Centre for Quality, Middelfart Region of Southern Denmark Email: Marianne.moller3@rsyd.dk 2: Institute of Regional......, is the platform for this study. Objectives The overall purpose of this three-phased study is to investigate how information is used as a steering tool for quality in medical treatment courses. In the first part of the study, we analyze the role of information on medicine in relation to the quality of medical...... treatment courses. Methods The study investigate patient-medication as a process focusing on variability. Systems theory and cybernetics concepts (steering, timing and feedback) as well as a classic communication model is applied as theoretical frame. Two groups of patients and their information providers...

  13. Geology of Glacier National Park and the Flathead Region, Northwestern Montana

    Science.gov (United States)

    Ross, Clyde P.

    1959-01-01

    introduces complexities into stratigraphic correlation and should be remembered wherever the series is studied. The stromatolites, or fossil algae, in the Belt series, although still imperfectly understood, give clues with respect to problems of ecology and stratigraphy. The subdivisions of the Belt series within the areas covered by the present report are, in ascending order, Altyn limestone, Appekunny argillite, Grinnell argillite, Siyeh limestone, and Missoula group. Local subdivisions of the Missoula group are possible in certain areas, and all the units just named are expected to be subdivided when detailed studies are undertaken. In the Glacier National Park and Flathead regions together, it is probable that between 25,000 and 30,000 feet of beds belonging to the Belt series, possibly more, are present. These consist largely of quartzitic argillite, quartzite, and carbonate rocks, mostly dolomitic. Small gabbroic and diabasic intrusive bodies and, at one horizon, basaltic lava are associated with the Belt series. Above the Belt series is a thick sequence of Cambrian, Devonian, and Carboniferous strata, in which limestone is dominant, followed by strata of Jurassic and Cretaceous age, largely limestone and shale and partly of terrestrial origin. Slightly consolidated gravel, sand, and silt of Tertiary age are preserved in some valleys and as erosional remnants on the plains close to the mountain border. Pleistocene and Recent glacial and fluviatile deposits are plentiful in mountain valleys and on the plains east of the mountains. Sufficient crustal movements took place during the latter part of Belt time to produce tension cracks that permitted some intrusion and related extrusion to occur. Broad crustal warping probably took place at intervals during the Paleozoic era, but these successive movements left little record other than the absence of sedimentary rock units that might otherwise have been deposited. The same can be said of much of the Me

  14. Medical robotics

    CERN Document Server

    Troccaz, Jocelyne

    2013-01-01

    In this book, we present medical robotics, its evolution over the last 30 years in terms of architecture, design and control, and the main scientific and clinical contributions to the field. For more than two decades, robots have been part of hospitals and have progressively become a common tool for the clinician. Because this domain has now reached a certain level of maturity it seems important and useful to provide a state of the scientific, technological and clinical achievements and still open issues. This book describes the short history of the domain, its specificity and constraints, and

  15. Medical Physics

    OpenAIRE

    Voto Bernales, Juan; Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú

    2014-01-01

    Medical Physics is to study the physical phenomena that occur in the body and exert action on the agents. It also addresses the manner taught natural agents in the study and exploration of the human body and in the way in the same agents for use in the treatment of disease can be used. La Física Médica tiene por objeto estudiar los fenómenos físicos que se realizan en el organismo y la acción que sobre el ejercen los agentes. Se ocupa, además, de enseñar la manera cómo pueden utilizarse lo...

  16. Medical revolution in Argentina.

    Science.gov (United States)

    Ballarin, V L; Isoardi, R A

    2010-01-01

    The paper discusses the major Argentineans contributors, medical physicists and scientists, in medical imaging and the development of medical imaging in Argentina. The following are presented: history of medical imaging in Argentina: the pioneers; medical imaging and medical revolution; nuclear medicine imaging; ultrasound imaging; and mathematics, physics, and electronics in medical image research: a multidisciplinary endeavor.

  17. [The fiscal position of medical specialists].

    Science.gov (United States)

    Stevens, S; Moors, M

    2013-01-01

    Independent medical specialists in the Netherlands are treated as entrepreneurs for tax purposes and therefore enjoy tax benefits. A change in the legal relationship between medical specialists and hospitals is foreseen in 2015. Independent medical specialists will then no longer be considered to be entrepreneurs. This could negatively affect their tax position. The Dutch government has adopted a policy aimed at controlling expenses arising from medical specialists' fees. According to this policy, the formation of regional practices or mega-practices of specialists will be discouraged. In contrast, the current fiscal legislation encourages medical specialists to incorporate their practice into regional practices or mega-practices or to become shareholders of their hospitals. It has been proposed that fiscal benefits be linked to certain aspects of entrepreneurship, such as investing in medical equipment or employing medical personnel.

  18. MEDICAL MANUFACTURING INNOVATIONS

    Directory of Open Access Journals (Sweden)

    Cosma Sorin Cosmin

    2015-02-01

    Full Text Available The purpose of these studies was to improve the design and manufacturing process by selective laser melting, of new medical implants. After manufacturing process, the implants were measured, microscopically and mechanical analyzed. Implants manufactured by AM can be an attractive option for surface coatings to improve the osseointegration process. The main advantages of customized implants made by AM process are: the precise adaptation to the region of implantation, better cosmesis, reduced surgical times and better performance over their generic counterparts. These medical manufacturing changes the way that the surgeons are planning surgeries and engineers are designing custom implant. AM process has eliminated the constraints of shape, size, internal structure and mechanical properties making it possible for fabrication of implants that conform to the physical and mechanical requirements of implantation according to CT images. This article will review some custom implants fabricated in DME using biocompatible titanium.

  19. Medical robotics.

    Science.gov (United States)

    Ferrigno, Giancarlo; Baroni, Guido; Casolo, Federico; De Momi, Elena; Gini, Giuseppina; Matteucci, Matteo; Pedrocchi, Alessandra

    2011-01-01

    Information and communication technology (ICT) and mechatronics play a basic role in medical robotics and computer-aided therapy. In the last three decades, in fact, ICT technology has strongly entered the health-care field, bringing in new techniques to support therapy and rehabilitation. In this frame, medical robotics is an expansion of the service and professional robotics as well as other technologies, as surgical navigation has been introduced especially in minimally invasive surgery. Localization systems also provide treatments in radiotherapy and radiosurgery with high precision. Virtual or augmented reality plays a role for both surgical training and planning and for safe rehabilitation in the first stage of the recovery from neurological diseases. Also, in the chronic phase of motor diseases, robotics helps with special assistive devices and prostheses. Although, in the past, the actual need and advantage of navigation, localization, and robotics in surgery and therapy has been in doubt, today, the availability of better hardware (e.g., microrobots) and more sophisticated algorithms(e.g., machine learning and other cognitive approaches)has largely increased the field of applications of these technologies,making it more likely that, in the near future, their presence will be dramatically increased, taking advantage of the generational change of the end users and the increasing request of quality in health-care delivery and management.

  20. Smoking cessation medications

    Science.gov (United States)

    Smoking cessation - medications; Smokeless tobacco - medications; Medications for stopping tobacco ... Creating a plan to help you deal with smoking urges. Getting support from a doctor, counselor, or ...

  1. Virtue in Medical Practice: An Exploratory Study.

    Science.gov (United States)

    Kotzee, Ben; Ignatowicz, Agnieszka; Thomas, Hywel

    2017-03-01

    Virtue ethics has long provided fruitful resources for the study of issues in medical ethics. In particular, study of the moral virtues of the good doctor-like kindness, fairness and good judgement-have provided insights into the nature of medical professionalism and the ethical demands on the medical practitioner as a moral person. Today, a substantial literature exists exploring the virtues in medical practice and many commentators advocate an emphasis on the inculcation of the virtues of good medical practice in medical education and throughout the medical career. However, until very recently, no empirical studies have attempted to investigate which virtues, in particular, medical doctors and medical students tend to have or not to have, nor how these virtues influence how they think about or practise medicine. The question of what virtuous medical practice is, is vast and, as we have written elsewhere, the question of how to study doctors' moral character is fraught with difficulty. In this paper, we report the results of a first-of-a-kind study that attempted to explore these issues at three medical schools (and associated practice regions) in the United Kingdom. We identify which character traits are important in the good doctor in the opinion of medical students and doctors and identify which virtues they say of themselves they possess and do not possess. Moreover, we identify how thinking about the virtues contributes to doctors' and medical students' thinking about common moral dilemmas in medicine. In ending, we remark on the implications for medical education.

  2. Medical telesensors

    Science.gov (United States)

    Ferrell, Trinidad L.; Crilly, P. B.; Smith, S. F.; Wintenberg, Alan L.; Britton, Charles L., Jr.; Morrison, Gilbert W.; Ericson, M. N.; Hedden, D.; Bouldin, Donald W.; Passian, A.; Downey, Todd R.; Wig, A. G.; Meriaudeau, Fabrice

    1998-05-01

    Medical telesensors are self-contained integrated circuits for measuring and transmitting vital signs over a distance of approximately 1-2 meters. The circuits are unhoused and contain a sensor, signal processing and modulation electronics, a spread-spectrum transmitter, an antenna and a thin-film battery. We report on a body-temperature telesensor, which is sufficiently small to be placed on a tympanic membrane in a child's ear. We also report on a pulse-oximeter telesensor and a micropack receiver/long- range transmitter unit, which receives form a telesensor array and analyzes and re-transmits the vital signs over a longer range. Signal analytics are presented for the pulse oximeter, which is currently in the form of a finger ring. A multichip module is presented as the basic signal-analysis component. The module contains a microprocessor, a field=programmable gate array, memory elements and other components necessary for determining trauma and reporting signals.

  3. [MEDICAL CANNABIS].

    Science.gov (United States)

    Naftali, Timna

    2016-02-01

    The cannabis plant has been known to humanity for centuries as a remedy for pain, diarrhea and inflammation. Current research is inspecting the use of cannabis for many diseases, including multiple sclerosis, epilepsy, dystonia, and chronic pain. In inflammatory conditions cannabinoids improve pain in rheumatoid arthritis and:pain and diarrhea in Crohn's disease. Despite their therapeutic potential, cannabinoids are not free of side effects including psychosis, anxiety, paranoia, dependence and abuse. Controlled clinical studies investigating the therapeutic potential of cannabis are few and small, whereas pressure for expanding cannabis use is increasing. Currently, as long as cannabis is classified as an illicit drug and until further controlled studies are performed, the use of medical cannabis should be limited to patients who failed conventional better established treatment.

  4. Medications (for IBS)

    Medline Plus

    Full Text Available ... Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in ... Agents Antidepressant Medications Newer IBS Medications Probiotics and ... Treatments Understanding Stress Cognitive Behavioral Therapy Relaxation ...

  5. Medications (for IBS)

    Medline Plus

    Full Text Available ... Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in ... Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Psychological Treatments Understanding Stress Cognitive Behavioral Therapy Relaxation ...

  6. Medication/Drug Allergy

    Science.gov (United States)

    ... Science Education & Training Home Conditions Medication/Drug Allergy Medication/Drug Allergy Make an Appointment Find a Doctor ... immediate or delayed. What Is an Allergy to Medication/Drugs? Allergies to drugs/medications are complicated, because ...

  7. Medications (for IBS)

    Medline Plus

    Full Text Available ... Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best ... Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications ... Psychological Treatments Understanding Stress Cognitive Behavioral ...

  8. Effect of Medical Education on Empathy in Osteopathic Medical Students.

    Science.gov (United States)

    McTighe, Adam J; DiTomasso, Robert A; Felgoise, Stephanie; Hojat, Mohammadreza

    2016-10-01

    Empathy is an integral component of the patient-physician relationship and involves a cognitive ability to connect with others in a meaningful fashion. Multiple longitudinal studies have shown that self-reported allopathic medical student empathy declines significantly during year 3. However, to date, only 4 cross-sectional studies have been published on osteopathic medical students' empathy. Whereas studies of allopathic medical students reported a decline in empathy, similar results were not found in osteopathic studies. To investigate (1) self-reported empathy through years 1 to 3 of osteopathic medical students and (2) whether empathy declines during year 3. Design included cross-sectional and test-retest data collection. Private osteopathic medical school in the Northeast region of the United States. Osteopathic medical students. The Jefferson Scale of Empathy medical student version. Respondents (N=717) included 383 women (53%) and 334 men (47%). When empathy levels were examined by demographics, the only significant finding was that women reported significantly higher empathy levels than men (112.3 vs 109.3; P<.001). Cross-sectional results indicate that mean empathy levels were significantly lower for third-year students at the end of the year (108.7) compared with first- and second-year students at the beginning of the year (111.3 and 112.4, respectively; P<.05). Test-retest analyses of year 3 indicated significantly lower empathy levels from the beginning to the end of the academic year (111.2 and 108.7, respectively; P<.05). Osteopathic medical students' empathy declined significantly during year 3, which is consistent with the findings from allopathic samples but differs from findings from osteopathic samples. More research is needed to build the data on osteopathic medical student samples and to achieve a better understanding of changes in empathy in osteopathic and allopathic medical students.

  9. Essential Medical Capabilities and Medical Readiness

    Science.gov (United States)

    2016-07-01

    15-001098 Copy Essential Medical Capabilities and Medical Readiness John E. Whitley Joseph F. Adams Joseph J. Angello Jennifer T. Brooks Sarah K...other national challenges. Essential Medical Capabilities and Medical Readiness John E. Whitley Joseph F. Adams Joseph J. Angello Jennifer T. Brooks...noted that the ability of the Military Health System to provide operational healthcare is measured by the readiness of its medical personnel and

  10. Medical muddle.

    Science.gov (United States)

    Gartrell, Nanette

    2014-01-01

    Nanette Gartrell, MD, is a psychiatrist and researcher whose investigations have documented the mental health and psychological well-being of lesbian, gay, bisexual, and transgender (LGBT) people over the past four decades. Nanette is the principal investigator of an ongoing longitudinal study of lesbian families in which the children were conceived by donor insemination. Now in its 27th year, this project has been cited internationally in the debates over equality in marriage, foster care, and adoption. Previously on the faculty at Harvard Medical School and the University of California, San Francisco, Nanette is currently a Visiting Distinguished Scholar at the Williams Institute, UCLA School of Law. In 2013, Nanette received the Association of Women Psychiatrists Presidential Commendation Award for "selfless and enduring vision, leadership, wisdom, and mentorship in the fields of women's mental health, ethics, and gender research." At the age of 63, Nanette experienced a 3 ½ month period of intractable, incapacitating dizziness for which there was never a clear diagnosis.

  11. MEDICAL PROFESSIONALISH

    Directory of Open Access Journals (Sweden)

    Jože Drinovec

    2002-12-01

    Full Text Available Background. Due to restrictions imposed on a clinical freedom, interest for professionalism in healthcare has been getting bigger not only in medicine literature and various mass media but also in teaching and organisation of healthcare. Professionalism stands not only for a medicine’s contract with society, recognition of a physician status, privilege and monopoly but also for a genuine physician’s commitment to professional responsibilities.Analysis. In 2002 European and American associations approved a document on medical professionalism in the new millenium, so-called Physician Charter. This document includes fundamental principles of professionalism such as altruism, patient autonomy and social justice. In particular, it analyses a physician’s professional competency, honesty with patients, patient confidentiality, appropriate relations with patients, improvements regarding a healthcare quality, healthcare access, just distribution of finite funds, commitment to scientific knowledge, trust maintenance by managing conflicts of interest and a professional responsibility.Conclusions. Physician’s professionalism means philosophycal and sociological analysis of his/her profession and its position in a society. It includes a concern for improvements of his/ her own scientific knowledge, skills, a genuine ethic interest for an individual patient bearing in mind principles of equality and justice in society. Whether performing an organisational and public work or participating in professional health organizations, physician’s interest for a patient must prevail.

  12. [Information safety test of digital medical device].

    Science.gov (United States)

    Liu, Jiong

    2014-07-01

    According to the background of the age of big data, the medical devices are informatized, we analyze the safety and efficiency for the information and data of digital medical devices or medical systems, also discussed some test methods. Lack of a suitable standard system of digital medical devices is a big problem both for domain standard and international standard. GB25000.51 is too ambiguous and free for testing, also not very operational. So this paper suggested some test advices and some prospective method. These test methods are helpful for finding the problem and performing the standards. What's more, these methods are famous in the world and used widely in the 3C region but just start in the medical region, which can promote the development of the medical devices.

  13. Quick-release medical tape

    Science.gov (United States)

    Laulicht, Bryan; Langer, Robert; Karp, Jeffrey M.

    2012-01-01

    Medical tape that provides secure fixation of life-sustaining and -monitoring devices with quick, easy, damage-free removal represents a longstanding unmet medical need in neonatal care. During removal of current medical tapes, crack propagation occurs at the adhesive–skin interface, which is also the interface responsible for device fixation. By designing quick-release medical tape to undergo crack propagation between the backing and adhesive layers, we decouple removal and device fixation, enabling dual functionality. We created an ordered adhesive/antiadhesive composite intermediary layer between the medical tape backing and adhesive for which we achieve tunable peel removal force, while maintaining high shear adhesion to secure medical devices. We elucidate the relationship between the spatial ordering of adhesive and antiadhesive regions to create a fully tunable system that achieves strong device fixation and quick, easy, damage-free device removal. We also described ways of neutralizing the residual adhesive on the skin and have observed that thick continuous films of adhesive are easier to remove than the thin islands associated with residual adhesive left by current medical tapes. PMID:23112196

  14. Realize of Mobile Medical Information Service for Individuals Based on Regional Healthcare Platform%基于区域医疗平台实现面向个人的移动医疗信息服务

    Institute of Scientific and Technical Information of China (English)

    何建权; 戴伟辉

    2013-01-01

    With people's material and cultural living standards rising, the demand for health is growing, and the concept of medical service is changed from "disease-centered" to "patient-centered". Based on the rapid development of information technology, a new medical service model and information system will be formed, in which both medical staff and patients, at anytime, anywhere to provide and accept personal medical services with"people-oriented"conception. The article describes the process and framework of this system.%随着人民群众健康需求的不断增长,“以人为本”的医疗服务理念和需求,必将使“以疾病为中心”的医疗服务理念向“以患者为中心”的理念转变,而信息化技术的飞速发展,又为拓展医疗服务空间提供了可能性。在此背景下,提出利用移动通信网络与医疗信息网络融合技术,实现医务人员和患者双方随时、随地提供和接受个性化的诊疗服务的新型医疗服务模式及其系统,并简要阐述了建立这一信息系统的流程和架构。

  15. Turkish Medical Information System and Medical Librarianship

    Directory of Open Access Journals (Sweden)

    Huriye Çolaklar

    2010-01-01

    Full Text Available In Turkey, medical information is supported at state level according to national policies. However, although the history of medical libraries in Turkey goes back to the 13th century in Anatolia, modern medical library applications adopted since the 1950s have not received much state support. In the past thirteen years a few medical libraries joined forces under ÜNAK (the Association of University and Research Librarians to contribute to the organization and development of Turkish Medical Information through the establishment of a "Medical Working Group" in 2000.

  16. Tobacco use, exposure to second-hand smoke, and cessation training among the third-year medical and dental students in selected Member States of South-East Asia region: A trend analysis on data from the Global Health Professions Student Survey, 2005-2011

    Directory of Open Access Journals (Sweden)

    D N Sinha

    2012-01-01

    2006 and 2009 and 2011, while proportions of dental students reported that schools with a smoking ban policy have increased significantly in Bangladesh and Myanmar. Ever receiving cessation training increased significantly among medical students in Sri Lanka only, whereas, among dental students, it increased in India, Nepal, and Thailand. Conclusion: Trends of tobacco use and exposure to SHS among medical and dental students in most countries of the South-East Asia Region had changed only relatively between the two rounds of GHPSS (2005-2006 and 2009-2011. No significant improvement was observed in the trend in schools with a policy banning smoking in school buildings and clinics. Almost all countries in the SEA Region that participated in GHPSS showed no significant change in ever having received formal training on tobacco cessation among medical and dental students.

  17. Thinking about Construction of Compound Talent Team of Medical Cloud Project of Nanjing Military Region%南京军区“医云工程”复合型人才队伍建设的思考

    Institute of Scientific and Technical Information of China (English)

    马锡坤; 史兆荣; 于京杰; 韩雄; 陈一君; 薛以锋; 林亚忠

    2013-01-01

    Objective: Discuss about necessity and importance of compound talents cultivation of Medical Cloud Project, and give relevant requirements and suggestions on talent team construction. Method: Analyze the basic characteristics of compound talents in Medical Cloud Project, and study specific requirements of their abilities and quality and talent team construction mode. Results: By speeding up the talent system and mechanism innovation, training systems are established and improved, and various on-the-job trainings are actively provided, so that compound talents of Medical Cloud Project have clear construction thoughts, good business skills, excellent management methods, strong learning ability and good innovation idea. Conclusion: Cultivation of compound talents for Medical Cloud Project is urgently required by improvement of construction level and management ability of Medical Cloud Project. It is the basic condition to promote the sustained and healthy development of Medical Cloud Project. Self transformation and upgrade of the existing knowledge structure and professional capacity of talents shall be accelerated, so as to cultivate a group of leading talents for hospital information construction with independent innovation ability leading the world.%  目的:探讨“医云工程”复合型人才培养的必要性和重要性,提出其人才队伍建设的相关要求和建议。方法:剖析“医云工程”复合型人才的基本特征,研究其能力素质的具体要求和人才队伍建设模式。结果:通过加快人才工作体制机制创新,建立健全各项培养制度,积极开展好各种岗位培训,使“医云工程”复合型人才具有清晰的建设思路、过硬的业务技能、出色的管理方法、强大的学习能力、良好的创新心理。结论:大力培养“医云工程”复合型人才是提高“医云工程”建设水平和管理能力的迫切需要,是促进“医云工程”持续健康发

  18. The use of shared medication record as part of medication reconciliation at hospital admission is feasible

    DEFF Research Database (Denmark)

    Munck, Lars K; Hansen, Karina R; Mølbak, Anne Grethe

    2014-01-01

    INTRODUCTION: Medication reconciliation improves congruence in cross sectional patient courses. Our regional electronic medical record (EMR) integrates the shared medication record (SMR) which provides full access to current medication and medication prescriptions for all citizens in Denmark. We...... studied whether our SMR integration could facilitate medication reconciliation. MATERIAL AND METHODS: Patients admitted to the emergency department for hospitalization were randomised to consultation using EMR with or without the integrated SMR access. Observed time used for medication reconciliation...... was the primary efficacy parameter. RESULTS: A total of 62 consecutive patient consultations were randomised including 39 with more than five prescriptions. EMR had data from previous consultations for 46 patients, 59 patients provided information on medication. In all, 18 junior physicians in early postgraduate...

  19. Medication Use Patterns, Treatment Satisfaction, and Inadequate Control of Osteoporosis Study in the Asia-Pacific Region (MUSIC OS-AP: Design of a multinational, prospective, observational study examining the impact of gastrointestinal events on osteoporosis management in postmenopausal women

    Directory of Open Access Journals (Sweden)

    Ankita Modi

    2015-12-01

    Conclusions: The results of MUSIC OS-AP will highlight the association of gastrointestinal events with patient-reported outcomes among postmenopausal women with osteoporosis and elucidate physicians' management of gastrointestinal events among this patient population in the Asia-Pacific region.

  20. Medical alert bracelet (image)

    Science.gov (United States)

    People with diabetes should always wear a medical alert bracelet or necklace that emergency medical workers will be able to find. Medical identification products can help ensure proper treatment in an ...

  1. Implantable Medical Devices

    Science.gov (United States)

    ... Artery Disease Venous Thromboembolism Aortic Aneurysm More Implantable Medical Devices Updated:Sep 16,2016 For Rhythm Control ... a Heart Attack Introduction Medications Surgical Procedures Implantable Medical Devices • Life After a Heart Attack • Heart Attack ...

  2. When Medication Is Prescribed

    Science.gov (United States)

    ... page please turn Javascript on. Feature: Depression When Medication Is Prescribed Past Issues / Fall 2009 Table of ... you have about the medicine. —NIMH Types of Medications There are several types of medications used to ...

  3. Medication Use during Pregnancy

    Science.gov (United States)

    ... What's this? Submit Button Past Emails CDC Features Medication Use During Pregnancy Recommend on Facebook Tweet Share ... are taking only medications that are necessary. What Medications Can Cause Birth Defects? We know that taking ...

  4. Your Pet's Medications

    Science.gov (United States)

    ... Care Animal Welfare Veterinary Careers Public Health Your Pet's Medications When your pet has a medical condition, ... authorized. What you can do to keep your pet safe When the medication is prescribed Let your ...

  5. A lossless encryption method for medical images using edge maps.

    Science.gov (United States)

    Zhou, Yicong; Panetta, Karen; Agaian, Sos

    2009-01-01

    Image encryption is an effective approach for providing security and privacy protection for medical images. This paper introduces a new lossless approach, called EdgeCrypt, to encrypt medical images using the information contained within an edge map. The algorithm can fully protect the selected objects/regions within medical images or the entire medical images. It can also encrypt other types of images such as grayscale images or color images. The algorithm can be used for privacy protection in the real-time medical applications such as wireless medical networking and mobile medical services.

  6. 南京军区“医云工程”运维管理模式%Operation Maintenance Management Mode of Medical Cloud Project of Nanjing Military Region

    Institute of Scientific and Technical Information of China (English)

    薛以锋; 韩雄; 唐华; 马锡坤; 陈一君; 林亚忠

    2013-01-01

    Objective:To study the necessity and importance of operation maintenance management mode of Medical Cloud Project, and put forward the new pattern for operation maintenance management of digital hospital under the cloud computing conditions. Method: Business structure change and challenge after introduction of cloud computing by Medical Cloud Project are analyzed and implemented. Operation maintenance management requirements under the cloud computing conditions are studied. Solutions are provided. Results:According to the operation maintenance management requirements of cloud computing, the organization structure of operation maintenance management, various operation maintenance positions and responsibilities of cloud platform, operation maintenance boundary between them are defined. Combined with the corresponding operation maintenance rules and regulations and management process, it is restricted so as to realize an efficient and standard cloud platform operation maintenance management system. Conclusion:During the advancement of Medical Cloud Project, effect of cloud computing shall be given full play to, and operation maintenance management model of cloud computing shall be established.%  目的:探讨“医云工程”运维管理的必要性和重要性,提出云计算条件下的数字化医院运维管理新模式。方法:剖析实施“医云工程”引入云计算后的业务构架改变和挑战,研究云计算条件下的运维管理需求,提出解决办法。结果:按云计算的运维管理要求,理顺运维管理组织架构,落实云平台的各个运维岗位及职责,明确彼此间的运维边界,并结合相应的运维规章制度和管理流程加以约束,从而实现高效规范的云平台运维管理体系。结论:在推进“医云工程”的过程中,要充分发挥云计算效力,必须建立云计算的运维管理模式。

  7. Organizational and economic parameters of resource provision of medical organizations

    Directory of Open Access Journals (Sweden)

    Aranovich L.M

    2014-03-01

    Full Text Available The aim of the research is to determine the main patterns of activity of in-patient medical organizations according to the resource provision of medical and diagnostic process. Material and methods. 20 medical organizations, including regional organizations, central regional hospitals, Saratov municipal health care organizations, non-private and private medical organizations have been surveyed. The survey of 60 chemists of hospital pharmacies has been conducted. Results. The analysis of the survey has showed the resource provision of medical and diagnostic process by medical products, the degree of technological provision in hospitals of various types and stated the main problems of activity on resource provision. Conclusion. It has been found out that the current medical provision with medical products is connected with the action of considerable number of objective and subjective factors and it defines the efficiency of medical social activity.

  8. Cognitive Medical Multiagent Systems

    Directory of Open Access Journals (Sweden)

    Barna Iantovics

    2010-01-01

    Full Text Available The development of efficient and flexible agent-based medical diagnosis systems represents a recent research direction. Medical multiagent systems may improve the efficiency of traditionally developed medical computational systems, like the medical expert systems. In our previous researches, a novel cooperative medical diagnosis multiagent system called CMDS (Contract Net Based Medical Diagnosis System was proposed. CMDS system can solve flexibly a large variety of medical diagnosis problems. This paper analyses the increased intelligence of the CMDS system, which motivates its use for different medical problem’s solving.

  9. Medications (for IBS)

    Medline Plus

    Full Text Available ... Anthony J. Lembo, MD, Instructor of Medicine, Harvard Medical School; Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA. Last modified on February 23, ...

  10. Medications (for IBS)

    Medline Plus

    Full Text Available ... Anthony J. Lembo, MD, Instructor of Medicine, Harvard Medical School; Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA. Last modified on February 23, ...

  11. 南京军区“医云工程”设备选型与论证%Equipment Selection and Argumentation of Medical Cloud Project in Nanjing Military Region

    Institute of Scientific and Technical Information of China (English)

    陈一君; 韩雄; 沈晓明; 马锡坤; 薛以锋; 林亚忠

    2013-01-01

    According to medical cloud project digital hospital technological framework, cloud computing characteristics and hospital practical needs, the article makes a discussion about the principles and methods on software and hardware selection concerning virtual software, computing unit, memory unit, network unit, management and security etc in the midst of constructing private cloud mobile data center in the hospital respectively.%  根据“医云工程”数字化医院技术架构体系,云计算技术特点与医院实际需求,就医院在构建私有云动态数据中心时,分别对虚拟化软件、计算单元、存储单元、网络单元及管理与安全等方面的软硬件选型的原则与方法进行讨论。

  12. Medical ultrasound systems.

    Science.gov (United States)

    Powers, Jeff; Kremkau, Frederick

    2011-08-06

    Medical ultrasound imaging has advanced dramatically since its introduction only a few decades ago. This paper provides a short historical background, and then briefly describes many of the system features and concepts required in a modern commercial ultrasound system. The topics addressed include array beam formation, steering and focusing; array and matrix transducers; echo image formation; tissue harmonic imaging; speckle reduction through frequency and spatial compounding, and image processing; tissue aberration; Doppler flow detection; and system architectures. It then describes some of the more practical aspects of ultrasound system design necessary to be taken into account for today's marketplace. It finally discusses the recent explosion of portable and handheld devices and their potential to expand the clinical footprint of ultrasound into regions of the world where medical care is practically non-existent. Throughout the article reference is made to ways in which ultrasound imaging has benefited from advances in the commercial electronics industry. It is meant to be an overview of the field as an introduction to other more detailed papers in this special issue.

  13. Medical complications associated with earthquakes.

    Science.gov (United States)

    Bartels, Susan A; VanRooyen, Michael J

    2012-02-25

    Major earthquakes are some of the most devastating natural disasters. The epidemiology of earthquake-related injuries and mortality is unique for these disasters. Because earthquakes frequently affect populous urban areas with poor structural standards, they often result in high death rates and mass casualties with many traumatic injuries. These injuries are highly mechanical and often multisystem, requiring intensive curative medical and surgical care at a time when the local and regional medical response capacities have been at least partly disrupted. Many patients surviving blunt and penetrating trauma and crush injuries have subsequent complications that lead to additional morbidity and mortality. Here, we review and summarise earthquake-induced injuries and medical complications affecting major organ systems.

  14. MEDICAL ETHICS COURSE IMPROVES MEDICAL PROFESSIONALISM: MEDICAL STUDENTS´ OPINIONS

    Directory of Open Access Journals (Sweden)

    Abdolreza Sotoodeh Jahromi

    2014-01-01

    Full Text Available Training physicians who are expert in many medical aspects is the most improtant mission of medical universities. One of these aspects, is professional behavior achievement. One of the important goals in training of ethics, is recognition of conflicts in different parts of ethics and having logical viewpoint for resolving and analyzing these conflicts. This descriptive and analytical study was done to evaluate the efficacy of medical ethics education in medical students´ professional attitudes improvement. One hundred and two medical students were selected randomly in different steps of education and were questioned and their opinions correlation with stage of education and gender were evaluated. There was a significant difference between female viewpoint (in roles of ethic course which is presented in preclinical step in professional attitude improvement (P = 0.009 and also a significant difference was seen in the viewpoint score between student stage with intern stage (P = 0.031. Medical students in educational student stage believe ethic course improve medical professionalism. Since there is no special course to train medical students in professionalism, some interventions are required in this field to improve this aspect of physicians' professional life.

  15. Medical Informatics For Medical Students And Medical Practitioners

    Directory of Open Access Journals (Sweden)

    Jai MOHAN

    2010-06-01

    Full Text Available The importance of incorporating medical (or healthinformatics into the education of medical students andmedical practitioners is being increasingly recognised.The advances in information and communicationtechnology and the pervasion of the Internet intoeveryday life have important implications forhealthcare services and medical education.Students and practitioners should learn to utilisebiomedical information for problem solving anddecision making based on evidence. The extensiveintroduction of electronic health information systemsinto hospitals and clinics and at the enterprise level inMalaysia and elsewhere is driving a demand for healthprofessionals who have at least basic skills in andappreciation of the use of these technologies.The essential clinical informatics skills have beenidentified and should be incorporated into theundergraduate medical curriculum. It is recommendedthat these be introduced in stages and integrated intoexisting programmes rather than taught as a separatemodule. At the same time, medical schools shouldsupport the integration of e-learning in the educationalprocess in view of the numerous potential benefits.

  16. STS-3 medical report

    Science.gov (United States)

    Pool, S. L. (Editor); Johnson, P. C., Jr. (Editor); Mason, J. A. (Editor)

    1982-01-01

    The medical operations report for STS-3, which includes a review of the health of the crew before, during, and immediately after the third Shuttle orbital flight is presented. Areas reviewed include: health evaluation, medical debriefing of crewmembers, health stabilization program, medical training, medical 'kit' carried in flight, tests and countermeasures for space motion sickness, cardiovascular profile, biochemistry and endocrinology results, hematology and immunology analyses, medical microbiology, food and nutrition, potable water, shuttle toxicology, radiological health, and cabin acoustic noise. Environmental effects of shuttle launch and landing medical information management, and management, planning, and implementation of the medical program are also dicussed.

  17. Machine medical ethics

    CERN Document Server

    Pontier, Matthijs

    2015-01-01

    The essays in this book, written by researchers from both humanities and sciences, describe various theoretical and experimental approaches to adding medical ethics to a machine in medical settings. Medical machines are in close proximity with human beings, and getting closer: with patients who are in vulnerable states of health, who have disabilities of various kinds, with the very young or very old, and with medical professionals. In such contexts, machines are undertaking important medical tasks that require emotional sensitivity, knowledge of medical codes, human dignity, and privacy. As machine technology advances, ethical concerns become more urgent: should medical machines be programmed to follow a code of medical ethics? What theory or theories should constrain medical machine conduct? What design features are required? Should machines share responsibility with humans for the ethical consequences of medical actions? How ought clinical relationships involving machines to be modeled? Is a capacity for e...

  18. Regional Competition in Maghreb Region

    Institute of Scientific and Technical Information of China (English)

    EL AMOURI ALLAL

    2016-01-01

    Great powers focus on cooperation instead of competition in their regions in order to maintain stability and develop the economy of their regions and the world in general. The United States for example created the North American Free Trade Agreement (NAFT

  19. Moral Judgment Competence of Medical Students: A Transcultural Study

    Science.gov (United States)

    Feitosa, Helvécio Neves; Rego, Sergio; Bataglia, Patricia Unger Raphael; Sancho, Karlos Frederico Castelo Branco; Rego, Guilhermina; Nunes, Rui

    2013-01-01

    The authors conducted a cross-sectional short-term study using Lind's Moral Judgment Test (MJT) to compare moral judgment competence (C-score) among students from a medical school in the Northeast region of Brazil and a medical school in the Northern region of Portugal. This study compares the C-scores of groups in the first and eighth…

  20. Moral Judgment Competence of Medical Students: A Transcultural Study

    Science.gov (United States)

    Feitosa, Helvécio Neves; Rego, Sergio; Bataglia, Patricia Unger Raphael; Sancho, Karlos Frederico Castelo Branco; Rego, Guilhermina; Nunes, Rui

    2013-01-01

    The authors conducted a cross-sectional short-term study using Lind's Moral Judgment Test (MJT) to compare moral judgment competence (C-score) among students from a medical school in the Northeast region of Brazil and a medical school in the Northern region of Portugal. This study compares the C-scores of groups in the first and eighth semesters…

  1. Africa Region

    African Journals Online (AJOL)

    Impact of HIV/AIDS on» Gross Domestic Product (GGP) in the WHO. Africa Region ... methods) and for economic evaluations of treatment, prevention and promotion. , programmes. ..... develop new products), for which we could not find data ...

  2. Regional odontodysplasia.

    Science.gov (United States)

    Mehta, D N; Bailoor, D; Patel, B

    2011-01-01

    Regional odontodysplasia is an unusual developmental anomaly in which ectodermal and mesodermal tooth components are affected. We present a rare case of a developmental anomaly called regional odontodysplasia or 'ghost teeth' in a 12-year-old Indian girl. The anomaly affected right maxillary permanent teeth. The mandibular teeth were unaffected. The clinical, radiographic and histological features are reviewed. The management of affected patients is discussed.

  3. Regional odontodysplasia

    Directory of Open Access Journals (Sweden)

    D N Mehta

    2011-01-01

    Full Text Available Regional odontodysplasia is an unusual developmental anomaly in which ectodermal and mesodermal tooth components are affected. We present a rare case of a developmental anomaly called regional odontodysplasia or ′ghost teeth′ in a 12-year-old Indian girl. The anomaly affected right maxillary permanent teeth. The mandibular teeth were unaffected. The clinical, radiographic and histological features are reviewed. The management of affected patients is discussed.

  4. Medical Physics Panel Discussion

    Science.gov (United States)

    Guèye, Paul; Avery, Steven; Baird, Richard; Soares, Christopher; Amols, Howard; Tripuraneni, Prabhakar; Majewski, Stan; Weisenberger, Drew

    2006-03-01

    The panel discussion will explore opportunities and vistas in medical physics research and practice, medical imaging, teaching medical physics to undergraduates, and medical physics curricula as a recruiting tool for physics departments. Panel members consist of representatives from NSBP (Paul Guèye and Steven Avery), NIH/NIBIB (Richard Baird), NIST (Christopher Soares), AAPM (Howard Amols), ASTRO (Prabhakar Tripuraneni), and Jefferson Lab (Stan Majewski and Drew Weisenberger). Medical Physicists are part of Departments of Radiation Oncology at hospitals and medical centers. The field of medical physics includes radiation therapy physics, medical diagnostic and imaging physics, nuclear medicine physics, and medical radiation safety. It also ranges from basic researcher (at college institutions, industries, and laboratories) to applications in clinical environments.

  5. Teaching Medical Sociology in Medical Schools.

    Science.gov (United States)

    Hunt, Gerard J.; Sobal, Jeffery

    1990-01-01

    Provides 11 teaching guidelines for presentation of sociological material to medical students and addresses the problems of dense scheduling and competition for time in a medical school curriculum. Considers career implications for sociologists in this setting as well as resources available. (NL)

  6. 基于IT治理的区域医疗信息共享与协同服务平台管理模式研究%The Study of Platform Management Mode in Regional Medical Information Sharing and Collaboration Service Based on IT Govemance

    Institute of Scientific and Technical Information of China (English)

    胡超; 罗爱静; 姚山虎

    2014-01-01

    Regional health informatization contraction has become a hot topic of current medical informatization. In this paper, authors used the IT governance theory to construct IT governance structure of regional medical information sharing and collaborative service platform. From the following five aspects:strategic matching, value delivery, resource management, risk management and performance evaluation, authors put forward the idea to involve various interest groups to participate in the planning and decision-making process of IT governance structure; IT applications and the key point of IT investment must accomplish hospitals’mission, attach great importance to the process monitoring and appropriating management of IT resources , pay attention to risk assessment and management, improve the efficiency and effect of risk management decision; the Setting up of a reasonable and comprehensive IT performance evaluation and audit mechanism of the management mechanism can all contribute to realize the strategic goal: a regional medical information sharing and collaborative service platform.%区域医疗信息化已经成为当前医疗信息化领域热点之一。本文运用IT治理理论,构建区域医疗信息共享与协同服务平台IT治理组织结构,并从战略匹配、价值传递、资源管理、风险管理和绩效评估五个方面,提出携手建立让各利益群体参与规划与决策的IT治理结构;IT应用及IT投资的重点必须以实现医院的使命为旨归;重视过程监控,恰当管理IT资源;注重风险评估与管理,提高风险管理决策的效率和效果;建立全面合理的IT绩效测评与审核机制的管理机制,从而实现区域医疗信息共享与协同服务平台战略目标。

  7. Matching Medical Websites to Medical Guidelines

    Directory of Open Access Journals (Sweden)

    Dusan Rak

    2016-01-01

    Full Text Available The quality of medical texts provided to general public on the Internet is a serious issue nowadays. Unfortunately the only feasible way to approve the adequacy of the medical information content is human verification today. Best practices in medicine are systematically captured by medical guidelines (MGLs, which are provided by renowned medical societies. We propose a simple approach to exploiting MGL content as ’gold standard’ for the assessment of content quality in medical web sites (WS, based on the idea that the information content is reflected in the domain terminology used. Concept candidates discovered in a MGL and in the tested web pages are matched to the UMLS terminological system. In a small case study, MGLs and WSs have been analyzed for similarity at term and concept level. The research is a step towards automated evaluation of WS content on the basis of MGLs as the quality standard.

  8. Houston's medical disaster response to Hurricane Katrina: part 1: the initial medical response from Trauma Service Area Q.

    Science.gov (United States)

    Hamilton, Douglas R; Gavagan, Thomas F; Smart, Kieran T; Upton, Lori A; Havron, Douglas A; Weller, Nancy F; Shah, Umair A; Fishkind, Avrim; Persse, David; Shank, Paul; Mattox, Kenneth

    2009-04-01

    After Hurricane Katrina hit the Gulf Coast on August 29, 2005, thousands of ill and injured evacuees were transported to Houston, TX. Houston's regional disaster plan was quickly implemented, leading to the activation of the Regional Hospital Preparedness Council's Catastrophic Medical Operations Center and the rapid construction of a 65-examination-room medical facility within the Reliant Center. A plan for triage of arriving evacuees was quickly developed and the Astrodome/Reliant Center Complex mega-shelter was created. Herein, we discuss major elements of the regional disaster response, including regional coordination, triage and emergency medical service transfers into the region's medical centers, medical care in population shelters, and community health challenges.

  9. STS-1 medical report

    Science.gov (United States)

    Pool, S. L. (Editor); Johnson, P. C., Jr. (Editor); Mason, J. A. (Editor)

    1981-01-01

    The report includes a review of the health of the crew before, during and immediately after the first Shuttle orbital flight (April 12-14, 1981). Areas reviewed include: health evaluation, medical debriefing of crewmembers, health stabilization program, medical training, medical kit carried inflight; tests and countermeasures for space motion sickness, cardiovascular profile, biochemistry and endocrinology results; hematology and immunology analyses; medical microbiology; food and nutrition; potable water; shuttle toxicology; radiological health; cabin acoustical noise. Also included is information on: environmental effects of Shuttle launch and landing, medical information management; and management, planning and implementation of the medical program.

  10. Medical spa marketing.

    Science.gov (United States)

    Sadick, Neil S; Dinkes, Adam; Oskin, Larry

    2008-07-01

    Medical spas are different. We are not just selling medical and dermatology services; we are offering clients viable new solutions to their skin care, body care, and hair care challenges. Traditional medical marketing becomes blurred today, as the expansion and acceptance of medical spas helps you to effectively compete with traditional skin care clinics, salons, and spas, while offering more therapeutic treatments from professionally licensed doctors, nurses, aestheticians, massage therapists, spa professionals, and medical practitioners. We recommend that you make the choice to successfully and competitively become a market-driven medical spa with an annual strategic plan, rather than an operationally driven business.

  11. China Medical Team: Medical rescue for “4.25” Nepal earthquake

    Directory of Open Access Journals (Sweden)

    Xi Lin

    2017-08-01

    Full Text Available In recent years, global natural disasters have been frequent and resulted in great casualties and property loss. Since Wenchuan earthquake, the disaster emergency rescue system of China has obtained considerable development in various aspects including team construction, task scheduling, personnel training, facilities and equipments, logistics, etc. On April 25, 2015, an earthquake that measured 8.1 on the Richter scale attacked Nepal. Chinese government firstly organized a medical team, named China Medical Team, and sent it to the attacked region in Nepal to implement medical rescue. The medical team completed the rescue mission successfully and creatively based on their experiences.

  12. A budget impact analysis of Spiromax® compared with Turbuhaler® for the treatment of moderate to severe asthma: a potential improvement in the inhalation technique to strengthen medication adherence could represent savings for the Spanish Healthcare System and five Spanish regions

    Directory of Open Access Journals (Sweden)

    Darbà J

    2016-09-01

    Full Text Available Josep Darbà,1 Gabriela Ramírez,2 Juan L García-Rivero,3 Sagrario Mayoralas-Alises,4 José Francisco Pascual,5 Albert Roger,6 Diego Vargas,7 Adi Bijedic8 1Department of Economics, Universitat de Barcelona, 2BCN Health Economics & Outcomes Research SL, 3Hospital Laredo, Cantabria, 4Hospital Ramón y Cajal, Madrid, 5Hospital General Universitario de Alicante, Alicante, 6Hospital Universitario Germans Trias i Pujol, Barcelona, 7Hospital de Alta Resolución el Toyo, Andalusia, 8Market Access and HEOR Department, TEVA Pharmaceutical, Madrid, Spain Objective: To assess the economic impact of the introduction of DuoResp® Spiromax® by focusing on a potential improvement in the inhalation technique to strengthen medication adherence for the treatment of moderate to severe asthmatics in Spain and five Spanish regions including Andalusia, Catalonia, Galicia, Madrid, and Valencia.Methods: A 4-year budget impact model was developed for the period 2015–2018 from the Spanish Healthcare System perspective. Budesonide–formoterol fixed-dose combination delivered by Turbuhaler® was considered to be the most appropriate comparator for assessing the budget impact with the introduction of DuoResp® Spiromax®. National and regional data on asthma prevalence were obtained from the literature. Input parameters on health care resources were obtained by consulting experts from different Spanish hospitals. Resources used included medical visits, emergency room visits, and hospitalizations. The average numbers of primary care and specialist visits per year were also gathered. Based on health care resource use per patient, the total treatment cost per patient was estimated.Results: The population with moderate to severe asthma treated with budesonide–formoterol fixed-dose combinations delivered by Turbuhaler® in 2015 was estimated to be 166,985 in Spain. Region-specific prevalence data resulted in 25,081, 12,392, 16,097, 17,829, and 15,148 patients in Andalusia

  13. Medical physics practice and training in Ghana.

    Science.gov (United States)

    Amuasi, John H; Kyere, Augustine K; Schandorf, Cyril; Fletcher, John J; Boadu, Mary; Addison, Eric K; Hasford, Francis; Sosu, Edem K; Sackey, Theophilus A; Tagoe, Samuel N A; Inkoom, Stephen; Serfor-Armah, Yaw

    2016-06-01

    Medical physics has been an indispensable and strategic stakeholder in the delivery of radiological services to the healthcare system of Ghana. The practice has immensely supported radiation oncology and medical imaging facilities over the years, while the locally established training programme continues to produce human resource to feed these facilities. The training programme has grown to receive students from other African countries in addition to local students. Ghana has been recognised by the International Atomic Energy Agency as Regional Designated Centre for Academic Training of Medical Physicists in Africa. The Ghana Society for Medical Physics collaborates with the School of Nuclear and Allied Sciences of the University of Ghana to ensure that training offered to medical physicists meet international standards, making them clinically qualified. The Society has also worked together with other bodies for the passage of the Health Profession's Regulatory Bodies Act, giving legal backing to the practice of medical physics and other allied health professions in Ghana. The country has participated in a number of International Atomic Energy Agency's projects on medical physics and has benefited from its training courses, fellowships and workshops, as well as those of other agencies such as International Organization for Medical Physics. This has placed Ghana's medical physicists in good position to practice competently and improve healthcare.

  14. Medications (for IBS)

    Medline Plus

    Full Text Available ... be readily available over-the-counter, in a pharmacy or grocery store, or limited by prescription only. ... J. Lembo, MD, Instructor of Medicine, Harvard Medical School; Division of Gastroenterology, Beth Israel Deaconess Medical Center, ...

  15. Medications (for IBS)

    Science.gov (United States)

    ... be readily available over-the-counter, in a pharmacy or grocery store, or limited by prescription only. ... J. Lembo, MD, Instructor of Medicine, Harvard Medical School; Division of Gastroenterology, Beth Israel Deaconess Medical Center, ...

  16. Medications for Memory Loss

    Science.gov (United States)

    ... by state Home > Alzheimer's Disease > Treatments > Medications for Memory Overview What Is Dementia? What Is Alzheimer's? Younger/ ... Interactive Tour Risk Factors Diagnosis Treatments Medications for Memory Treatments for Behavior For Sleep Changes Alternative Treatments ...

  17. American Medical Association

    Science.gov (United States)

    ... AMA provides to help members save money. Residency & Career Planning Find out resources for a range of medical ... clinical questions using our reference tool View the Career Planning Resource Refinance your medical student loans Find leadership ...

  18. Choosing Your Medical Specialty

    Science.gov (United States)

    ... AMA provides to help members save money. Residency & Career Planning Find resources for a range of medical career ... Fellowships Back to top Home Life & Career Residency & Career Planning Choosing a Medical Specialty Back to top Choosing ...

  19. Tanzania Medical Journal

    African Journals Online (AJOL)

    The journal publishes any contribution that advances medical science or ... these core objectives the journal publishes papers on original scientific research, short ... The Tanzania Medical Journal is an international Journal - ISSN: 0856-0719 ...

  20. HIV Medication Adherence

    Science.gov (United States)

    HIV Treatment HIV Medication Adherence (Last updated 3/2/2017; last reviewed 3/2/2017) Key Points Medication adherence means sticking ... exactly as prescribed. Why is adherence to an HIV regimen important? Adherence to an HIV regimen gives ...

  1. Medical Device Safety

    Science.gov (United States)

    A medical device is any product used to diagnose, cure, or treat a condition, or to prevent disease. They ... may need one in a hospital. To use medical devices safely Know how your device works. Keep ...

  2. Medical Treatments for Fibroids

    Science.gov (United States)

    ... NICHD Research Information Clinical Trials Resources and Publications Medical Treatments for Fibroids Skip sharing on social media ... Page Content Your health care provider may suggest medical treatments to reduce the symptoms of fibroids or ...

  3. Medical Computational Thinking

    DEFF Research Database (Denmark)

    Musaeus, Peter; Tatar, Deborah Gail; Rosen, Michael A.

    2017-01-01

    Computational thinking (CT) in medicine means deliberating when to pursue computer-mediated solutions to medical problems and evaluating when such solutions are worth pursuing in order to assist in medical decision making. Teaching computational thinking (CT) at medical school should be aligned...... with learning objectives, teaching and assessment methods, and overall pedagogical mission of the individual medical school in relation to society. Medical CT as part of the medical curriculum could help educate novices (medical students and physicians in training) in the analysis and design of complex...... healthcare organizations, which increasingly rely on computer technology. Such teaching should engage novices in information practices where they learn to perceive practices of computer technology as directly involved in the provision of patient care. However, medical CT as a teaching and research field...

  4. Medications (for IBS)

    Medline Plus

    Full Text Available ... by a physician who specializes in motility or stress-related gastrointestinal disorders. More complex medication regimens, and ... IBS Medications Probiotics and Antibiotics Psychological Treatments Understanding Stress Cognitive Behavioral Therapy Relaxation Techniques for IBS Take ...

  5. Medications (for IBS)

    Medline Plus

    Full Text Available ... Diet Complimentary or Alt Treatments Medications Psychological Treatments Online Studies News You Can Use Living With IBS ... Diet Complimentary or Alt Treatments Medications Psychological Treatments Online Studies News You Can Use Living With IBS ...

  6. Medical Care during Pregnancy

    Science.gov (United States)

    ... 1- to 2-Year-Old Medical Care During Pregnancy KidsHealth > For Parents > Medical Care During Pregnancy Print ... both moms and their babies. Prenatal Care Before Pregnancy Prenatal care should start before you get pregnant. ...

  7. Polymyositis: Medical Management

    Science.gov (United States)

    ... email share facebook twitter google plus linkedin Medical Management Polymyositis (PM) is a highly treatable disease. Some ... PM) Signs and Symptoms Diagnosis Causes/Inheritance Medical Management Research Find your MDA Care Center Current Clinical ...

  8. Medical Care during Pregnancy

    Science.gov (United States)

    ... 1- to 2-Year-Old Medical Care During Pregnancy KidsHealth > For Parents > Medical Care During Pregnancy A ... both moms and their babies. Prenatal Care Before Pregnancy Prenatal care should start before you get pregnant. ...

  9. Medications (for IBS)

    Medline Plus

    Full Text Available ... depression, but rather likely to effects on the brain and the gut. Antidepressant medications can reduce the intensity of pain signals going from gut to brain. Read more about antidepressant medications. Newer IBS-Targeted ...

  10. Medications (for IBS)

    Medline Plus

    Full Text Available ... atropine (Lomotil) Read more about antidiarrheal agents. Anti-anxiety medications – can be helpful for some people with ... who specializes in motility or stress-related gastrointestinal disorders. More complex medication regimens, and specialized motility and/ ...

  11. Medications (for IBS)

    Science.gov (United States)

    ... IBS Pain IBS Global Treatments IBS Diet Low FODMAP Diet Complimentary or Alt Treatments Medications Psychological Treatments ... IBS Pain IBS Global Treatments IBS Diet Low FODMAP Diet Complimentary or Alt Treatments Medications Psychological Treatments ...

  12. Medications (for IBS)

    Medline Plus

    Full Text Available ... Treatments Medications Psychological Treatments Online Studies News You Can Use Living With IBS Relationships and IBS Pregnancy ... Treatments Medications Psychological Treatments Online Studies News You Can Use Living With IBS Relationships and IBS Pregnancy ...

  13. Medications: Myths Versus Facts

    Science.gov (United States)

    ... are good, but they should never replace the statins.” Dr. Fletcher said. Natural supplements are better than ... medication . Many include stimulants that can have an adverse reaction with blood pressure medication, Dr. Fletcher said. “ ...

  14. Medications (for IBS)

    Medline Plus

    Full Text Available ... depression, but rather likely to effects on the brain and the gut. Antidepressant medications can reduce the intensity of pain signals going from gut to brain. Read more about antidepressant medications. Newer IBS-Targeted ...

  15. Medications (for IBS)

    Medline Plus

    Full Text Available ... Month IBS Awareness Month Tips of the Day Art of IBS Gallery Contact Us About IBS Twitter ... Month IBS Awareness Month Tips of the Day Art of IBS Gallery Contact Us Medications Details Medications ...

  16. Understanding Medical Research

    Science.gov (United States)

    ... you hear about the results of a new medical research study. Sometimes the results of one study ... when reading or listening to reports of new medical findings. Some questions that can help you evaluate ...

  17. Medications (for IBS)

    Medline Plus

    Full Text Available ... to physician counseling and dietary manipulations. What's a medication? Anything you take for a therapeutic effect counts ... the drug package or on your prescription label. Medications for IBS First line treatment has traditionally been ...

  18. Giving Medication to Children

    Science.gov (United States)

    ... For Consumers Home For Consumers Consumer Updates Giving Medication to Children Share Tweet Linkedin Pin it More ... the upper limit. back to top Q: Are medications that are intended for children clinically tested on ...

  19. Medications (for IBS)

    Medline Plus

    Full Text Available ... Month IBS Awareness Month Tips of the Day Art of IBS Gallery Contact Us About IBS Twitter ... Month IBS Awareness Month Tips of the Day Art of IBS Gallery Contact Us Medications Details Medications ...

  20. [Perspectives in medical liability].

    Science.gov (United States)

    Pizarro W, Carlos

    2008-04-01

    The progressive increase of medical negligence law suits requires an updated analysis of the current situation of medical liability in Chile. The application of a new criminal procedure will avoid criminal prosecution of doctors, transferring to the civil courts the pecuniary sanctions for malpractice. Medical negligence and damage inflicted by doctors that require compensation are explained. The most likely evolution of medical liability is proposed, through an increase in civil liability insurance and the necessary standardization of rules applicable to professional liability.

  1. Advanced Medication Dispenser

    OpenAIRE

    2013-01-01

    Medication dispensing is an important activity that can have major implications if done improperly. Dispensing must be done in the correct time interval, at the correct user, with the correct drug and dose. We propose a smart medication dispenser that can satisfy these needs and provide a mechanism for supervision. In order to ensure that the dispensing process is error free, the concept of a new smart medication container is used. A smart medication container is “smart” ...

  2. [Historiography of medical objects].

    Science.gov (United States)

    Cid, Felip

    2008-01-01

    It has become acceptable among historians of medicine to profess a predilection for the historiography of medical ideas. But it is justified all the same to ask whether the logical connection really caused the origin, the change, or the disappearance of the medical objects. The interaction of ideas and medical objects assure as much objectivity as possible. In consequence, the contents of the museums, medical objects, is an aspect rather that a branch of the history of medicine.

  3. Implantable electronic medical devices

    CERN Document Server

    Fitzpatrick, Dennis

    2014-01-01

    Implantable Electronic Medical Devices provides a thorough review of the application of implantable devices, illustrating the techniques currently being used together with overviews of the latest commercially available medical devices. This book provides an overview of the design of medical devices and is a reference on existing medical devices. The book groups devices with similar functionality into distinct chapters, looking at the latest design ideas and techniques in each area, including retinal implants, glucose biosensors, cochlear implants, pacemakers, electrical stimulation t

  4. Machine Learning for Medical Imaging.

    Science.gov (United States)

    Erickson, Bradley J; Korfiatis, Panagiotis; Akkus, Zeynettin; Kline, Timothy L

    2017-01-01

    Machine learning is a technique for recognizing patterns that can be applied to medical images. Although it is a powerful tool that can help in rendering medical diagnoses, it can be misapplied. Machine learning typically begins with the machine learning algorithm system computing the image features that are believed to be of importance in making the prediction or diagnosis of interest. The machine learning algorithm system then identifies the best combination of these image features for classifying the image or computing some metric for the given image region. There are several methods that can be used, each with different strengths and weaknesses. There are open-source versions of most of these machine learning methods that make them easy to try and apply to images. Several metrics for measuring the performance of an algorithm exist; however, one must be aware of the possible associated pitfalls that can result in misleading metrics. More recently, deep learning has started to be used; this method has the benefit that it does not require image feature identification and calculation as a first step; rather, features are identified as part of the learning process. Machine learning has been used in medical imaging and will have a greater influence in the future. Those working in medical imaging must be aware of how machine learning works. (©)RSNA, 2017.

  5. Regional Healthcare Effectiveness

    Directory of Open Access Journals (Sweden)

    Olga Vladimirovna Kudelina

    2016-03-01

    Full Text Available An evaluation of healthcare systems effectiveness of the regions of the Russian Federation (federal districts was conducted using the Minmax method based on the data available at the United Interdepartmental Statistical Information System. Four groups of components (i.e. availability of resources; use of resources; access to resources and medical effectiveness decomposed into 17 items were analyzed. The resource availability was measured by four indicators, including the provision of doctors, nurses, hospital beds; agencies providing health care to the population. Use of resources was measured by seven indicators: the average hospital stay, days; the average bed occupancy, days; the number of operations per 1 physician surgical; the cost per unit volume of medical care: in outpatient clinics, day hospitals, inpatient and emergency care. Access to the resources was measured by three indicators: the satisfaction of the population by medical care; the capacity of outpatient clinics; the average number of visits to health facility. The medical effectiveness was also measured by three indicators: incidence with the "first-ever diagnosis of malignancy"; life expectancy at birth, years; the number of days of temporary disability. The study of the dynamics of the components and indexes for 2008–2012 allows to indicate a multidirectional influence on the regional healthcare system. In some federal districts (e.g. North Caucasian, the effectiveness decreases due to resource availability, in others (South, North Caucasian — due to the use of resources, in others (Far Eastern, Ural — due to access to resources. It is found that the effectiveness of the healthcare systems of the federal districts differs significantly. In addition, the built matrix proves the variability the of effectiveness (comparison of expenditures and results of healthcare systems of the federal districts of the Russian Federation: the high results can be obtained at high costs

  6. Structuring medication related activities for information management.

    Science.gov (United States)

    Luukkonen, Irmeli; Mykkänen, Juha; Kivekäs, Eija; Saranto, Kaija

    2014-01-01

    Medication treatment and the related information management are central parts of a patient's health care. As a cross-organizational and cooperative process, medication information management is a complex domain for development activities. We studied medication activities and related information management in a regional project in order to produce a shared broad picture of its processes and to understand the main issues and the needs for improvement. In this paper we provide a summary of the findings in a structured form, based on a six-dimensioned framework for design and analysis of activities and processes.

  7. A New Medical Image Enhancement Based on Human Visual Characteristics

    Institute of Scientific and Technical Information of China (English)

    DONG Ai-bin; HE Jun

    2013-01-01

    Study of image enhancement shows that the quality of image heavily relies on human visual system. In this paper, we apply this fact effectively to design a new image enhancement method for medical images that improves the detail regions. First, the eye region of interest (ROI) is segmented; then the Un-sharp Masking (USM) is used to enhance the detail regions. Experiments show that the proposed method can effectively improve the accuracy of medical image enhancement and has a significant effect.

  8. Medical Physics Data Book,

    Science.gov (United States)

    The Medical Physics Data Book is a collection of physical and chemical data useful in medical physics . The information has been extracted from other...ionizing Radiation. Carried out by the Medical Physics Data Group of the American Association of Physicists in Medicine, this compilation is meant to

  9. Your Medical Records

    Science.gov (United States)

    ... Surgery? A Week of Healthy Breakfasts Shyness Your Medical Records KidsHealth > For Teens > Your Medical Records A ... Records? en español Tus historias clínicas What Are Medical Records? Each time you climb up on a ...

  10. Mission Medical Information System

    Science.gov (United States)

    Johnson-Throop, Kathy A.; Joe, John C.; Follansbee, Nicole M.

    2008-01-01

    This viewgraph presentation gives an overview of the Mission Medical Information System (MMIS). The topics include: 1) What is MMIS?; 2) MMIS Goals; 3) Terrestrial Health Information Technology Vision; 4) NASA Health Information Technology Needs; 5) Mission Medical Information System Components; 6) Electronic Medical Record; 7) Longitudinal Study of Astronaut Health (LSAH); 8) Methods; and 9) Data Submission Agreement (example).

  11. MANAGEMENT OF MEDICAL SERVICES

    Directory of Open Access Journals (Sweden)

    BARBU MARIA-MAGDALENA

    2009-05-01

    Full Text Available The offer of medical services depends on medical personnel and more than this, on the management in the medical field since any resource not managed well or not managed at all is only a lost one, regardless its value. Management is therefore the key, the

  12. Marijuana: Modern Medical Chimaera

    Science.gov (United States)

    Lamarine, Roland J.

    2012-01-01

    Marijuana has been used medically since antiquity. In recent years there has been a resurgence of interest in medical applications of various cannabis preparations. These drugs have been cited in the medical literature as potential secondary treatment agents for severe pain, muscle spasticity, anorexia, nausea, sleep disturbances, and numerous…

  13. Medical Issues in Adoption

    Science.gov (United States)

    ... Teaching Kids to Be Smart About Social Media Medical Issues in Adoption KidsHealth > For Parents > Medical Issues in Adoption Print A A A What's ... some things to know about the health and medical care of an adopted child, before, during, and ...

  14. Conducting the Medical History

    Science.gov (United States)

    Finkel, Martin A.; Alexander, Randell A.

    2011-01-01

    A key portion of the medical evaluation of child sexual abuse is the medical history. This differs from interviews or histories obtained by other professionals in that it is focuses more on the health and well-being of the child. Careful questions should be asked about all aspects of the child's medical history by a skilled, compassionate,…

  15. Medical Assisting Program Guide.

    Science.gov (United States)

    Georgia Univ., Athens. Dept. of Vocational Education.

    This guide presents the standard curriculum for technical institutes in Georgia. The curriculum addresses the minimum competencies for a medical assisting program. The program guide is designed to relate primarily to the development of those skills needed by individuals in the medical assisting field, such as medical law and ethics, typing,…

  16. Marijuana: Modern Medical Chimaera

    Science.gov (United States)

    Lamarine, Roland J.

    2012-01-01

    Marijuana has been used medically since antiquity. In recent years there has been a resurgence of interest in medical applications of various cannabis preparations. These drugs have been cited in the medical literature as potential secondary treatment agents for severe pain, muscle spasticity, anorexia, nausea, sleep disturbances, and numerous…

  17. Medical marijuana: Medical necessity versus political agenda

    OpenAIRE

    Clark, Peter A.; Capuzzi, Kevin; Fick, Cameron

    2011-01-01

    Summary Marijuana is classified by the Drug Enforcement Agency (DEA) as an illegal Schedule I drug which has no accepted medical use. However, recent studies have shown that medical marijuana is effective in controlling chronic non-cancer pain, alleviating nausea and vomiting associated with chemotherapy, treating wasting syndrome associated with AIDS, and controlling muscle spasms due to multiple sclerosis. These studies state that the alleviating benefits of marijuana outweigh the negative ...

  18. [Research in medical education

    DEFF Research Database (Denmark)

    Ringsted, Charlotte Vibeke

    2008-01-01

    of articles on medical education studies indicate a need for improvement of the quality of medical education research in order to contribute to the advancement of educational practice as well as educational research. In particular, there is a need to embed studies in a conceptual theoretical framework......Research in medical education is a relatively new discipline. Over the past 30 years, the discipline has experienced a tremendous growth, which is reflected in an increase in the number of publications in both medical education journals and medical science journals. However, recent reviews...

  19. Advanced Medication Dispenser

    Directory of Open Access Journals (Sweden)

    A.I. Alexan

    2013-12-01

    Full Text Available Medication dispensing is an important activity that can have major implications if done improperly. Dispensing must be done in the correct time interval, at the correct user, with the correct drug and dose. We propose a smart medication dispenser that can satisfy these needs and provide a mechanism for supervision. In order to ensure that the dispensing process is error free, the concept of a new smart medication container is used. A smart medication container is “smart” as it holds the medication dispensing parameters for the drugs it contains: dispensing time and date and name. Based on this information, the actual dispensing is done.

  20. [Research in medical education

    DEFF Research Database (Denmark)

    Ringsted, Charlotte Vibeke

    2008-01-01

    Research in medical education is a relatively new discipline. Over the past 30 years, the discipline has experienced a tremendous growth, which is reflected in an increase in the number of publications in both medical education journals and medical science journals. However, recent reviews...... of articles on medical education studies indicate a need for improvement of the quality of medical education research in order to contribute to the advancement of educational practice as well as educational research. In particular, there is a need to embed studies in a conceptual theoretical framework...

  1. [Unravelling medical leadership].

    Science.gov (United States)

    Voogt, Judith J; van Rensen, Elizabeth L J; Noordegraaf, Mirko; Schneider, Margriet M E

    2015-01-01

    Medical leadership is a popular topic in the Netherlands, and several interest groups now incorporate medical leadership into postgraduate medical education. However, there is no consensus on what this concept entails. By conducting a discourse analysis, a qualitative method which uses language and text to reveal existing viewpoints, this article reveals three perspectives on medical leadership: administrative leadership, leadership within organisations and leadership within each doctor's daily practice. Text analysis shows that the first two perspectives refer to medical leadership mainly in a defensive manner: by demonstrating medical leadership doctors could 'take the lead' once again; patient care only seems to play a small part in the process. These perspectives are not free of consequences, they will determine how the medical profession is constructed. For this reason, it is argued that there should be more emphasis on the third perspective, in which the quality of care for patients is of primary importance.

  2. Technologies for Medical Sciences

    CERN Document Server

    Tavares, João; Barbosa, Marcos; Slade, AP

    2012-01-01

    This book presents novel and advanced technologies for medical sciences in order to solidify knowledge in the related fields and define their key stakeholders.   The fifteen papers included in this book were written by invited experts of international stature and address important technologies for medical sciences, including: computational modeling and simulation, image processing and analysis, medical imaging, human motion and posture, tissue engineering, design and development medical devices, and mechanic biology. Different applications are treated in such diverse fields as biomechanical studies, prosthesis and orthosis, medical diagnosis, sport, and virtual reality.   This book is of interest to researchers, students and manufacturers from  a wide range of disciplines related to bioengineering, biomechanics, computational mechanics, computational vision, human motion, mathematics, medical devices, medical image, medicine and physics.

  3. [Expert medical witness testimony of maxillofacial injuries].

    Science.gov (United States)

    Orihovac, Zeljko; Macan, Darko

    2008-07-01

    The basic principles of expert medical witness testimony of the maxillofacial region are described. The specific anatomic characteristics of the region are emphasized, especially in view of the fact that face is the most exposed part of the human body. Post-traumatic deformities of the maxillofacial region involve soft tissues of the face and mouth as well as bony structures of the viscerocranium and teeth. Endured physical pain, lessening of life activities, disfigurement and requirement of assistance by third person are separately described as an important part of expert medical witness testimony of the maxillofacial region. The number of lawsuits raised against physicians has significantly increased in the past several years, more often in cases where the patients are dissatisfied with the results of cosmetic surgery, especially when these procedures are performed on the face.

  4. Fiscal 1998 achievement report on regional consortium research and development project. Venture business raising type regional consortium - small business creating base type (Research and development of Peltier actuating device-aided advanced medical and welfare systems - 2nd year); 1998 nendo Peltier undo soshi wo mochiita kodo iryo fukushi system no kenkyu kaihatsu seika hokokusho. 2

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    Efforts are made to develop a new Peltier actuating device by amalgamating a Peltier device and shape memory alloy and to apply the product to medical and welfare activities. In the development of active movement control for a Peltier actuating device, a multiaxial control system is developed, and a success is attained in high-speed and high-precision control of temperature and in current- and voltage-aided control of the behavior. In the development of an active actuator for catheters, an active catheter is developed for the first time, capable of performing twisting and bending simultaneously. In the development of an artificial heart catheter, an approximately 10cm-long Peltier actuating device is manufactured to serve as an artificial heart module, and a controller is developed to drive the module at the frequency of approximately 0.5Hz. In the development of shape memory alloys and Peltier devices for normal temperature actuation, the impact is examined of the addition of a third element on the transformation temperature and shape memory characteristics. Research and development is also carried out for element technologies for using a Peltier actuating device as an artificial muscle. (NEDO)

  5. Achievement report for fiscal 1998 on research and development project for regional consortiums. Regional consortium field (Development of super devices for medical treatment devices using three-dimensional micro processing technology (the second year)); 1998 nendo chiiki consortium bun'ya. Maikuro sanjigen kako gijutsu ni yoru iryo kikiyo super device no kaihatsu (dai 2 nendo)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    It is intended to develop super devices for medical treatment devices using a three-dimensional micro processing technology by developing and combining precision processing technologies accumulated in the Suwa area. Main targets were placed on device size reduction, and a high reliability portable chemical liquid sustaining injector. This paper describes achievements made in fiscal 1998. Micromotors currently used have as low output torque as 1/4 of the target. Enhancement of reduction gear mechanism efficiency and durability is the problem to be solved. Microtubes with an inner diameter of 0.1 mm were produced on a trial basis by using four kinds of materials. The delivery mechanism assured the targeted flow rate successfully by using the direct cum screw system, but reduction in driving torque is desired. Completion of the cartridge system is also in the realm of aim. Joints will be moved closer to commercialization by selecting materials taking into account the chemical resistance and disposition. Micro connectors and cables still have problems for development. The bubble sensor was virtually decided to be of optical type from the points of detection performance requirements. Detectors and peripheral devices will be reduced in dimensions, and their reliability will be enhanced. The flow rate sensor has a problem to be solved in responsiveness to intermittent flows. (NEDO)

  6. Fiscal 1999 achievement report on regional consortium research and development project. Regional consortium research field (Development of super-devices for medical equipment by 3-dimensional microstructure machining technology - 3rd year); 1999 nendo micro sanjigen kako gijutsu ni yoru iryo kikiyo super device no kaihatsu seika hokokusho (dai 3 nendo)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    In the development of micromechanisms, a highly efficient micromotor capable of outputting 25g/cm is developed, in which a DC motor, 4mm in diameter and 12.5mm in length, and a deceleration mechanism are combined. A technology is established of manufacturing microtubes 0.1mm in internal diameter of various materials for use with medical equipment. A direct cam screw type discharge mechanism for minute amounts is developed. It is now foreseen that a cartridge (air pressurized) discharge mechanism and a tube pump will be commercialized. A microjoint is developed with a built-in micro check valve for medicine flow channels. A microfilter is developed using a polypropylene hollow yarn membrane. A microsensor is developed, which responds to a 0.01-second change in flow rate at an error rate of {+-}3% or less. A microcomputer control system is test-produced. Newly developed devices are integrated for the test production of a portable device for sustained infusion of medicine, and the product is found to be superior to the existing systems. Also described are the utilization of various micromachining techniques. (NEDO)

  7. Medical Physicists and AAPM

    Science.gov (United States)

    Amols, Howard

    2006-03-01

    The American Association of Physicists in Medicine (AAPM), a member society of the AIP is the largest professional society of medical physicists in the world with nearly 5700 members. Members operate in medical centers, university and community hospitals, research laboratories, industry, and private practice. Medical physics specialties include radiation therapy physics, medical diagnostic and imaging physics, nuclear medicine physics, and medical radiation safety. The majority of AAPM members are based in hospital departments of radiation oncology or radiology and provide technical support for patient diagnosis and treatment in a clinical environment. Job functions include support of clinical care, calibration and quality assurance of medical devices such as linear accelerators for cancer therapy, CT, PET, MRI, and other diagnostic imaging devices, research, and teaching. Pathways into a career in medical physics require an advanced degree in medical physics, physics, engineering, or closely related field, plus clinical training in one or more medical physics specialties (radiation therapy physics, imaging physics, or radiation safety). Most clinically based medical physicists also obtain certification from the American Board of Radiology, and some states require licensure as well.

  8. Effects of Medications on Voice

    Science.gov (United States)

    ... ENT Doctor Near You Effects of Medications on Voice Effects of Medications on Voice Patient Health Information ... entnet.org . Could Your Medication Be Affecting Your Voice? Some medications including prescription, over-the-counter, and ...

  9. Medication Use Before Your Operation

    Science.gov (United States)

    ... Surgical Support Groups Recursos en Español (Spanish Resources) Medication Use Before Your Operation Your medications may have ... restart taking these drugs. (See list.) List of medications that affect blood clotting:* Antiplatelet Medication: Anagrelide (Agrylin®), ...

  10. A new inequality? Privatisation, urban bias, migration and medical tourism.

    Science.gov (United States)

    Connell, John

    2011-01-01

    Access to health care in developing countries, the main destinations of medical tourists, is notoriously uneven, and often becoming more so. Medical tourism, urban bias and privatisation have combined to exacerbate this trend. This is exemplified in both Thailand and India, where regional areas have been disadvantaged by the migration of health-care workers to hospitals focusing on medical tourism, neo-liberal national financial provision for medical tourism (and related tourism campaigns) and evidence of trickle-down gains is lacking. Medical tourism challenges rather than complements local health care providers, distorts national health care systems, and raises critical national economic, ethical and social questions.

  11. Medical design anthropology

    DEFF Research Database (Denmark)

    Ventura, Jonathan; Gunn, Wendy

    Barnard and Spencer define medical anthropology in the Encyclopedia of Social and Cultural Anthropology as "Medical anthropology is, as the phrase implies, unavoidably concerned with the paradigm of modern Western medicine, whether implicitly or explicitly" (2002: 541). Recently there is a new...... focus in medical sociology and anthropology, which is patient's practices and influence on wider global health environment (see for example vol. 36(2) of Sociology of Health & Illness). While various social science theoreticians have written about agentic abilities of objects, there is a gap...... in literature concerning various levels of socio-cultural influence of the medical environment through medical products. In our research we have outlined the importance of medical design anthropology (MDA) to the practice and theory of design (Ventura and Gunn, 2016). In this paper, we study the ways in which...

  12. Organising medication discontinuation

    DEFF Research Database (Denmark)

    Nixon, Michael; Kousgaard, Marius Brostrøm

    2016-01-01

    Background: Discontinuing medications is a complex decision making process and an important medical practice. It is a tool in reducing polypharmacy, reducing health system expenditure and improving patient quality of life. Few studies have looked at how general practitioners (GPs) discontinue...... a medication, in agreement with the patients, from a professional perspective. Three research questions were examined in this study: when does medication discontinuation occur in general practice, how is discontinuing medication handled in the GP’s practice and how do GPs make decisions about discontinuing...... medication? Methods: Twenty four GPs were interviewed using a maximum variation sample strategy. Participant observations were done in three general practices, for one day each, totalling approximately 30 consultations. Results: The results show that different discontinuation cues (related to the type...

  13. Faculty development programs for medical teachers in India

    Directory of Open Access Journals (Sweden)

    SANJAY ZODPEY

    2016-04-01

    Full Text Available Introduction: India has the highest number of medical colleges in the world and subsequently the higher number of medical teachers. There is a dire need of adopting a systematic approach to faculty development to enhance quality education to meet health challenges for 21st Century. This manuscript provides a landscape of faculty development programs in India, identifying gaps and opportunities for reforms in faculty development. Methods: Conventionally, FDPs are organized by medical colleges and universities through Basic Courses and Advanced Courses focusing on pedagogy. Medical Council of India is facilitating FDPs through 18 selected regional centers to enable medical teachers to avail modern education technology for teaching from July 2009. Foundation for Advancement of International Medical Education and Research has three Regional Institutes in India. Results: Recommendations include the need for formulating a national strategy for faculty development to not only enhance the quantity of medical teachers but also the quality of medical education; providing support for Departments of Medical Education/Regional Centers in terms of finance and staffing and incorporation of teaching skills in postgraduate training. Conclusion: Distance learning courses focusing on educational leadership and pedagogy for medical teachers can be an option to reach a wider audience. FDPs can be an asset in recruiting and retaining teachers as they offer valued professional development opportunities.

  14. Fundamentals of Medical Ultrasonics

    CERN Document Server

    Postema, Michiel

    2011-01-01

    This book sets out the physical and engineering principles of acoustics and ultrasound as used for medical applications. It covers the basics of linear acoustics, wave propagation, non-linear acoustics, acoustic properties of tissue, transducer components, and ultrasonic imaging modes, as well as the most common diagnostic and therapeutic applications. It offers students and professionals in medical physics and engineering a detailed overview of the technical aspects of medical ultrasonic imaging, whilst serving as a reference for clinical and research staff.

  15. Medical tourism in India.

    Science.gov (United States)

    Gupta, Vijay; Das, Poonam

    2012-06-01

    The term 'medical tourism' is under debate because health care is a serious business and rarely do patients combine the two. India is uniquely placed by virtue of its skilled manpower, common language, diverse medical conditions that doctors deal with, the volume of patients, and a large nonresident Indian population overseas. Medical tourism requires dedicated services to alleviate the anxiety of foreign patients. These include translation, currency conversion, travel, visa, posttreatment care system,and accommodation of patient relatives during and after treatment.

  16. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Medical Service

    2002-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses: on telephone: 73802 by e-mail: Service.Medical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  17. Reminder from Medical Service

    CERN Multimedia

    Medical Service

    2004-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses on telephone: 73802 by e-mail: Service.Medical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  18. Medical waste management plan.

    Energy Technology Data Exchange (ETDEWEB)

    Lane, Todd W.; VanderNoot, Victoria A.

    2004-12-01

    This plan describes the process for managing research generated medical waste at Sandia National Laboratories/California. It applies to operations at the Chemical and Radiation Detection Laboratory (CRDL), Building 968, and other biosafety level 1 or 2 activities at the site. It addresses the accumulation, storage, treatment and disposal of medical waste and sharps waste. It also describes the procedures to comply with regulatory requirements and SNL policies applicable to medical waste.

  19. Regional odontodysplasia

    Directory of Open Access Journals (Sweden)

    Thimma Reddy B

    2010-01-01

    Full Text Available Regional odontodysplasia (ROD is a rare developmental anomaly involving both mesodermal and ectodermal components in a group of contiguous teeth. It affects the primary and permanent dentitions in the maxilla and the mandible or both, however, the maxilla is frequently involved. Although the etiology of the ROD is uncertain, it has been suggested that numerous other factors play a role. The treatment plan should be based on the degree of involvement as well as the functional and esthetic needs in each case. This article reports the case of a 5-year-old boy presenting a rare anomaly on the right side of the maxillary arch. The treatment performed was rehabilitation with temporary partial acrylic denture and periodic checkups. The extraction was followed by rehabilitation with dental implants. The main aim of this article is to provide valuable information to pediatric dentists about the review and treatment alternatives for ROD.

  20. Medical student-mothers.

    Science.gov (United States)

    Taylor, Julie; Macnamara, Marina; Groskin, Anna; Petras, Laura

    2013-03-01

    Medical training is challenging and parenting is a full-time responsibility. Balancing a family with the significant demands of medical school is a daunting endeavor. Yet there is little research available to guide students, faculty, or administrators. Using one U.S. medical school as a case study, this article provides a comprehensive overview of the common personal and professional challenges that medical students who are also mothers face during their undergraduate medical education, and practical strategies and resources useful in navigating such challenges. This article is also a resource guide for the faculty and administrators who teach, advise, and mentor medical-student parents. For leaders in medical education, the article concludes with suggestions to better support the health and educational experience of medical student-parents: 1) a systematic network of career advisors, 2) scheduling flexibility, 3) formal breastfeeding policies and workplace support, 4) institutionally supported childcare, and 5) how student-parents may foster the educational health mission of medical schools.

  1. Cannabinoids: Medical implications.

    Science.gov (United States)

    Schrot, Richard J; Hubbard, John R

    2016-01-01

    Herbal cannabis has been used for thousands of years for medical purposes. With elucidation of the chemical structures of tetrahydrocannabinol (THC) and cannabidiol (CBD) and with discovery of the human endocannabinoid system, the medical usefulness of cannabinoids has been more intensively explored. While more randomized clinical trials are needed for some medical conditions, other medical disorders, like chronic cancer and neuropathic pain and certain symptoms of multiple sclerosis, have substantial evidence supporting cannabinoid efficacy. While herbal cannabis has not met rigorous FDA standards for medical approval, specific well-characterized cannabinoids have met those standards. Where medical cannabis is legal, patients typically see a physician who "certifies" that a benefit may result. Physicians must consider important patient selection criteria such as failure of standard medical treatment for a debilitating medical disorder. Medical cannabis patients must be informed about potential adverse effects, such as acute impairment of memory, coordination and judgment, and possible chronic effects, such as cannabis use disorder, cognitive impairment, and chronic bronchitis. In addition, social dysfunction may result at work/school, and there is increased possibility of motor vehicle accidents. Novel ways to manipulate the endocannbinoid system are being explored to maximize benefits of cannabinoid therapy and lessen possible harmful effects.

  2. Medical equipment management

    CERN Document Server

    Willson, Keith; Tabakov, Slavik

    2013-01-01

    Know What to Expect When Managing Medical Equipment and Healthcare Technology in Your Organization As medical technology in clinical care becomes more complex, clinical professionals and support staff must know how to keep patients safe and equipment working in the clinical environment. Accessible to all healthcare professionals and managers, Medical Equipment Management presents an integrated approach to managing medical equipment in healthcare organizations. The book explains the underlying principles and requirements and raises awareness of what needs to be done and what questions to ask. I

  3. [Anxiety--medical aspects].

    Science.gov (United States)

    Dosiak, M

    1997-01-01

    In this paper the author presented themes connected with anxiety disorder in general medical practice. Pathogenesis, classification, dependence between anxiety and somatic and psychical diseases were described there.

  4. Medical Certification System -

    Data.gov (United States)

    Department of Transportation — Provides automated risk-based decision making capability in support of medical certification and clearances processing associated fees and supporting surveillance of...

  5. Business continuity after catastrophic medical events: the Joplin medical business continuity report.

    Science.gov (United States)

    Carlton, Paul K; Bringle, Dottie

    2012-01-01

    On May 22, 2011, The St Johns Mercy Medical Center in Joplin, MO, was destroyed by an F-5 tornado. There were 183 patients in the building at that time in this 367-bed Medical Center. The preparation and response were superbly done and resulted in many lives saved. This report is focused on the reconstitution phase of this disaster response, which includes how to restore business continuity. As 95 percent of our medical capacity resides in the private sector in the United States, we must have a proper plan for how to restore business continuity or face the reality of the medical business failing and not providing critical medical services to the community. A tornado in 2007 destroyed a medical center in Sumter County, GA, and it took more than 365 days to restore business continuity at a cost of $18M. The plan executed by the Mercy Medical System after the disaster in Joplin restored business continuity in 88 days and cost a total of $6.6M, with all assets being reusable. The recommendation from these lessons learned is that every county, state, and Federal Emergency Management Agency region has a plan on the shelf to restore business continuity and the means to be able to do so. The hard work that the State of Missouri and the Mercy Medical System did after this disaster can serve as a model for the nation in how to quickly recover from any loss of medical capability.

  6. [Medical anthropology evidences on the Pishtaco origin].

    Science.gov (United States)

    de Pribyl, Rosario

    2010-03-01

    This paper will contribute to the scientific development of a new approach on the pishtaco in Peru by means of medical anthropological analysis. The model emphasizes presentation and analysis of historical, pharmaceutical, and anthropological evidence supporting use of human tissues with specific medical goals in Peruvian and European regions. We can find the origin of this phenomenon around the sixteen and seventeen centuries in Europe: The pishtaco has no an Andean origin. The methodology and main conclusions of this paper could provide to the scientific community an alternative perspective to the conventional anthropological and ethnological research, as an example of a medical anthropological analysis of the pishtaco character. Professionals involved in intercultural health projects could have a new insight on this issue thanks to these results. They will obtain an adequate historical-cultural context for the interpretation and understanding of people and native communities' beliefs about health, body and medical systems.

  7. Application and effect evaluation of remote ECG monitoring network system in regional medi-cal center%远程心电监测网络系统在区域性医疗中心的应用及效果评价

    Institute of Scientific and Technical Information of China (English)

    李厚荣; 杜国伟; 殷波; 向娟; 李倩; 金海燕; 冉亮

    2016-01-01

    基于渝东北片区医疗资源匮乏且分布不均、基层医生心电图诊断水平较低的现状,重庆三峡中心医院于2014年6月采取“1+X”模式,以“四统一”“一共享”为核心,建设了区域性远程心电监测网络诊断-会诊中心,方便区域内的心血管病患者在不同级别的医疗机构都能享受到同质化的心电检查与治疗。本文介绍了该会诊网络的组织及技术架构、工作体系、运行机制与应用成效,分享了系统建设运营的经验与建议,并展望了系统其他应用的深度开发、基于云计算架构的改造与社区居民智慧健康医疗体系的实现。%In view of the status that medical resources are deficient and spatially uneven in the northeast area of Chongqing and the ECG diagnostic ability of primary care doctors is relatively low, Chongqing Three Gorges Central Hospital constructed regional remote ECG monitoring network center of diagnosis and consultation with the core of “four unifications”and “one in share”in the mode of“1 +X”in June 2014.It facilitates regional patients with cardiovascular diseases to enjoy homogene-ous ECG examination and treatment in medical institutions at different levels.This paper introduces the organizational(technology)structure,working system,operating mechanism and application effect of the consultation network,and shares experience and suggestions about its construction and opera-tion.It also anticipates further development of its other applications,structure transformation based on cloud computing and the realization of wisdom healthcare system for community residents.

  8. Medical Services: Medical, Dental, and Veterinary Care

    Science.gov (United States)

    2007-11-02

    Aeromedical Epidemiological Data Repository to support research and clinical studies for aircrew medical standards and policy. (5) Be the designated...Edentulous areas requiring prostheses but not on an immediate basis. (4) Periodontal disease or periodontium exhibiting: (a) Requirement for oral...materials but for which protective coverage is indicated. (3) Periodontal diseases or periodontium exhibiting: (a) Acute gingivitis or pericoronitis. (b

  9. Changes, trends and challenges of medical education in Latin America.

    Science.gov (United States)

    Pulido M, Pablo A; Cravioto, Alejandro; Pereda, Ana; Rondón, Roberto; Pereira, Gloria

    2006-02-01

    This paper briefly reviews the current situation of Latin American medical schools and the search to improve the quality and professionalism of medical education through the region. Institutional evaluation and accreditation programs based on nationally ongoing developing standards have been accepted, now optimized and complemented by the framework of the Global & International Standards of Medical Education working jointly with the WFME. More recently, the process has evolved to look into the quality of the outcomes of the medicals as seen by examinations implemented at the end of medical studies and the initiation of medical practice. In addition, there is vision for the application of new programs such as the global minimum essential requirements advanced by the Institute for International Medical Education (IIME). The PanAmerican Federation of Associations of Medical Schools (PAFAMS), an academic, non-governmental organization, is fostering the exchange of ideas and experiences among members, associations and affiliated medical schools geared to focus on the quality and professionalism of the graduates of medical schools in Latin America. These actions also aim to consolidate databases of information on medical education and innovative endeavors in continuing professional education and development through e-learning projects in the region.

  10. The Intersection of Medical Child Abuse and Medical Complexity.

    Science.gov (United States)

    Petska, Hillary W; Gordon, John B; Jablonski, Debra; Sheets, Lynn K

    2017-02-01

    Children with medical complexity and victims of medical child abuse may have similar clinical presentations. Atypical or unexplained signs and symptoms due to rare diseases may lead providers to suspect medical child abuse when not present. Conversely, medical child abuse may be the cause of or coexist with medical complexity. Careful consideration of whether or not medical child abuse is present is essential when assessing a child with medical complexity since either diagnosis has significant consequences for children and families.

  11. Medical Equipment Maintenance Programme Overview WHO Medical device technical series

    CERN Document Server

    Organization, World Health

    2011-01-01

    WHO and partners have been working towards devising an agenda an action plan tools and guidelines to increase access to appropriate medical devices. This document is part of a series of reference documents being developed for use at the country level. The series will include the following subject areas: . policy framework for health technology . medical device regulations . health technology assessment . health technology management . needs assessment of medical devices . medical device procurement . medical equipment donations . medical equipment inventory management . medical equipment maint

  12. Marketing research of medical services quality

    Directory of Open Access Journals (Sweden)

    B.T. Alkaravani

    2014-03-01

    Full Text Available The aim of the article. The aim of the article is to identify and to analyze the characteristics of medical services quality and marketing research of medical services quality. The results of the analysis. The task of medical services is the proper control of health of the population and application of the necessary efforts to treat and prevent disease by providing quality and affordable medical services. In this regard, an important question is what characteristics of the medical services quality consumers consider the most significant and the most important, because the answer to this question will allow to develop marketing strategy to promote medical services. A lot of works of national and international scientists and economists are dedicated to problems of the theory and practice of medical services promotion. These researches have made a significant contribution to development of theoretical and practical instruments and technologies of development of marketing medical services, but there is a practical need and scientific interest in developing an approach for promoting medical services adapted to the present Ukrainian realities. To study the problems associated with the development, promotion and implementation of the medical services the survey of Donetsk region population was conducted. Analysis and data processing was performed using the software package IBM SPSS Statistics and Microsoft Excel. The survey was attended by 450 respondents of sexes, all ages, social status and income level. The research of medical services quality was made in Donetsk region in 1990. The results of it showed that 0,3% of respondents recognized the quality of medical services excellent, 1,5% – well, 36,9% – satisfactory, and 58,0% – unsatisfactory. Today the majority of respondents is not satisfied with medical services quality, analysis revealed no correlation answers the question of gender, education level and social status of the respondents. As

  13. Tobacco use, exposure to second-hand smoke, and cessation training among the third-year medical and dental students in selected Member States of South-East Asia region: A trend analysis on data from the Global Health Professions Student Survey, 2005-2011

    OpenAIRE

    D N Sinha; S Rinchen; K M Palipudi; Nang Naing Naing Shein; Silva, P.; B B Khadka; M Pednekar; Singh, G.; Pitayarangsarit, S; V B Bhattad; Lee, K A; S Asma; Singh, P. K.

    2012-01-01

    Background: The Medical and Dental Global Health Professions Student Surveys (GHPSS) are surveys based in schools that collect self-administered data from students on the prevalence of tobacco use, exposure to second-hand smoke, and tobacco cessation training, among the third-year medical and dental students. Materials and Methods: Two rounds of medical and dental GHPSS have been conducted in Bangladesh, India, Myanmar, Nepal, Sri Lanka, and Thailand, among the third-year medical and dental s...

  14. History of Medical Physics.

    Science.gov (United States)

    Laughlin, John S.

    1983-01-01

    Traces the development of basic radiation physics that underlies much of today's medical physics and looks separately at the historical development of two major subfields of medical physics: radiation therapy and nuclear medicine. Indicates that radiation physics has made important contributions to solving biomedical problems in medical…

  15. Medications (for IBS)

    Medline Plus

    Full Text Available ... 168 by Anthony J. Lembo, MD, Instructor of Medicine, Harvard Medical School; Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA. Last modified on February 23, 2015 at 12:18:55 PM ... Selecting a CAM Practitioner Hypnosis for IBS ...

  16. Catastrophic Medical Expenditure Risk

    NARCIS (Netherlands)

    G. Flores (Gabriela); O.A. O'Donnell (Owen)

    2012-01-01

    textabstractMedical expenditure risk can pose a major threat to living standards. We derive decomposable measures of catastrophic medical expenditure risk from reference-dependent utility with loss aversion. We propose a quantile regression based method of estimating risk exposure from cross-section

  17. Maintaining medical competence

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2012-11-01

    Full Text Available No abstract available. Article truncated at 150 words. I recently renewed my Arizona medical license and meet all the requirements. I far exceed the required CME hours and have no Medical Board actions, removal of hospital privileges, lawsuits, or felonies. None of the bad things are likely since I have not seen patients since July 1, 2011 and I no longer have hospital privileges. However, this caused me to pause when I came to the question of “Actively practicing”? A quick check of the status of several who do not see patients but are administrators, retired or full time editors of other medical journals revealed they were all listed as “active”. I guess that “medical journalism” is probably as much a medical activity as “administrative medicine” which is recognized by the Arizona Medical Board. This got me to thinking about competence and the Medical Board’s obligation to ensure competent physicians. Medical boards focused on preventing the unlicensed practice …

  18. Medical ultrasound imaging

    DEFF Research Database (Denmark)

    Jensen, Jørgen Arendt

    2007-01-01

    The paper gives an introduction to current medical ultrasound imaging systems. The basics of anatomic and blood flow imaging are described. The properties of medical ultrasound and its focusing are described, and the various methods for two- and three-dimensional imaging of the human anatomy...

  19. Surgical medical record

    DEFF Research Database (Denmark)

    Bulow, S.

    2008-01-01

    A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15......A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15...

  20. Catastrophic Medical Expenditure Risk

    NARCIS (Netherlands)

    G. Flores (Gabriela); O.A. O'Donnell (Owen)

    2012-01-01

    textabstractMedical expenditure risk can pose a major threat to living standards. We derive decomposable measures of catastrophic medical expenditure risk from reference-dependent utility with loss aversion. We propose a quantile regression based method of estimating risk exposure from cross-section

  1. Medicalized weapons & modern war.

    Science.gov (United States)

    Gross, Michael L

    2010-01-01

    "Medicalized" weapons--those that rely on advances in neuroscience, physiology, and pharmacology--offer the prospect of reducing casualties and protecting civilians. They could be especially useful in modern asymmetric wars in which conventional states are pitted against guerrilla or insurgent forces. But may physicians and other medical workers participate in their development?

  2. South African Medical Journal

    African Journals Online (AJOL)

    The South African Medical Journal is published by the South African Medical Association, ... Guest Editorial: Growing wilderness and expedition medicine education in ... Does access to private healthcare influence potential lung cancer cure rates? ... Cardiovascular risk factors and mortality in children with chronic kidney ...

  3. Your Medical Records

    Science.gov (United States)

    ... family doctor. When it comes to asking for medical records, different health care providers have different ways of doing things. Some might ... are needed faster — like when a patient needs medical treatment — the health care provider holding the records usually releases them immediately. If ...

  4. Ending pregnancy with medications

    Science.gov (United States)

    ... or an emergency room. Getting Ready for a Medical Abortion The health care provider will: Do a physical exam and ultrasound Go ... vaginal intercourse for about a week after a medical abortion. You can ... care provider about what birth control to use. You should ...

  5. Spectator Medical Care.

    Science.gov (United States)

    Carlson, L

    1992-01-01

    Recent world events-including the fear of terrorism during last year's Super Bowl-illustrate how vulnerable spectators can be to medical emergencies during sporting events. A physician who studies and coordinates crowd care for events ranging from the Super Bowl to local fairs gives tips on planning and executing a spectator medical plan.

  6. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Service Médical

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor.For information, call the Nurses- on Telephone73802- by electronic mailInfirmary.Service@cern.chMarion.Diedrich@cern.chJanet.Doody@cern.chMireille.Vosdey@cern.chMedical Service

  7. Medical Virtual Public Services

    Directory of Open Access Journals (Sweden)

    Iulia SURUGIU

    2008-01-01

    Full Text Available The healthcare enterprises are very disconnected. This paper intends to propose a solution that will provide citizens, businesses and medical enterprises with improved access to medical virtual public services. Referred medical services are based on existing national medical Web services and which support medically required services provided by physicians and supplementary health care practitioners, laboratory services and diagnostic procedures, clinics and hospitals’ services. Requirements and specific rules of these medical services are considered, and personalization of user preferences will to be supported. The architecture is based on adaptable process management technologies, allowing for virtual services which are dynamically combined from existing national medical services. In this way, a comprehensive workflow process is set up, allowing for service-level agreements, an audit trail and explanation of the process to the end user. The process engine operates on top of a virtual repository, providing a high-level semantic view of information retrieved from heterogeneous information sources, such as national sources of medical services. The system relies on a security framework to ensure all high-level security requirements are met. System’s architecture is business oriented: it focuses on Service Oriented Architecture - SOA concepts, asynchronously combining Web services, Business Process Management – BPM rules and BPEL standards.

  8. [Ethics in medical journals.

    Science.gov (United States)

    Lifshitz, Alberto

    2013-01-01

    The title of this reflection evokes several contents that may encompass from ethics in research; fraud in science; ethics in medical advertising and relations between sponsors and science; and, finally, papers related to ethic content. This paper is limited to the ethic responsibilities of the medical writers or "scriptwriters."

  9. Commercial Crew Medical Ops

    Science.gov (United States)

    Heinbaugh, Randall; Cole, Richard

    2016-01-01

    Provide commercial partners with: center insight into NASA spaceflight medical experience center; information relative to both nominal and emergency care of the astronaut crew at landing site center; a basis for developing and sharing expertise in space medical factors associated with returning crew.

  10. Hazardous medical waste generation in Greece: case studies from medical facilities in Attica and from a small insular hospital.

    Science.gov (United States)

    Komilis, Dimitrios; Katsafaros, Nikolaos; Vassilopoulos, Panagiotis

    2011-08-01

    The accurate calculation of the unit generation rates and composition of medical waste generated from medical facilities is necessary in order to design medical waste treatment systems. In this work, the unit medical waste generation rates of 95 public and private medical facilities in the Attica region were calculated based on daily weight records from a central medical waste incineration facility. The calculated medical waste generation rates (in kg bed(-1) day( -1)) varied widely with average values at 0.27 ± 113% and 0.24 ± 121%, for public and private medical facilities, respectively. The hazardous medical waste generation was measured, at the source, in the 40 bed hospital of the island of Ikaria for a period of 42 days during a 6 month period. The average hazardous medical waste generation rate was 1.204 kg occupied bed(-1) day(-1) or 0.33 kg (official) bed( -1) day(-1). From the above amounts, 54% resulted from the patients' room (solid and liquid wastes combined), 24% from the emergency department (solid waste), 17% from the clinical pathology lab and 6% from the X-ray lab. In average, 17% of the total hazardous medical waste was solely infectious. Conclusively, no correlation among the number of beds and the unit medical waste generation rate could be established. Each hospital should be studied separately, since medical waste generation and composition depends on the number and type of departments/laboratories at each hospital, number of external patients and number of occupied beds.

  11. Anatomy of a new U.S. medical school: The Commonwealth Medical College.

    Science.gov (United States)

    Smego, Raymond A; D'Alessandri, Robert M; Linger, Barry; Hunt, Virginia A; Ryan, James; Monnier, John; Litwack, Gerald; Katz, Paul; Thompson, Wayne

    2010-05-01

    In response to the Association of American Medical Colleges' call for increases in medical school enrollment, several new MD-granting schools have opened in recent years. This article chronicles the development of one of these new schools, The Commonwealth Medical College (TCMC), a private, not-for-profit, independent medical college with a distributive model of education and regional campuses in Scranton, Wilkes-Barre, and Williamsport, Pennsylvania. TCMC is unique among new medical schools because it is not affiliated with a parent university. The authors outline the process of identifying a need for a new regional medical school in northeastern Pennsylvania, the financial planning process, the recruitment of faculty and staff, the educational and research missions of TCMC, and details of the infrastructure of the new school. TCMC's purpose is to increase the number of physicians in northeastern Pennsylvania, and in the next 20 years it is expected to add 425 practicing physicians to this part of the state. TCMC is characterized by autonomy, private and public support, assured resources in good supply, a relatively secure clinical base, strong cultural ties to the northeast, recruiting practices that reflect the dean's convictions, and strong support from its board of directors. TCMC has invested heavily in social and community medicine in its educational programs while still developing a strong research emphasis. Major challenges have centered on TCMC's lack of a parent university in areas of accreditation, infrastructure development, faculty recruitment, and graduate medical education programs. These challenges, as well as solutions and benefits, are discussed.

  12. Segmentation of Medical Image using Clustering and Watershed Algorithms

    OpenAIRE

    M. C.J. Christ; R.M.S Parvathi

    2011-01-01

    Problem statement: Segmentation plays an important role in medical imaging. Segmentation of an image is the division or separation of the image into dissimilar regions of similar attribute. In this study we proposed a methodology that integrates clustering algorithm and marker controlled watershed segmentation algorithm for medical image segmentation. The use of the conservative watershed algorithm for medical image analysis is pervasive because of its advantages, such as always being able to...

  13. A comparative study on medical image segmentation methods

    OpenAIRE

    Praylin Selva Blessy SELVARAJ ASSLEY; Helen Sulochana CHELLAKKON

    2014-01-01

    Image segmentation plays an important role in medical images. It has been a relevant research area in computer vision and image analysis. Many segmentation algorithms have been proposed for medical images. This paper makes a review on segmentation methods for medical images. In this survey, segmentation methods are divided into five categories: region based, boundary based, model based, hybrid based and atlas based. The five different categories with their principle ideas, advantages and disa...

  14. The geographical mobility of recently graduated medical doctors

    DEFF Research Database (Denmark)

    Drejer, Ina; Holm, Jacob Rubæk; Petersen, Karin Dam

    of local access to medical services. We have chosen GPs because they – except in cases of emergency – are the main entrance to medical services in Denmark. We study how different factors may influence where GPs choose to set up medical practice. We pay particular attention to the importance of local...... attachment – e.g. to the region where they grew up or went to university – for the location of GPs....

  15. Medical negligence: Criminal prosecution of medical professionals, importance of medical evidence: Some guidelines for medical practitioners

    Directory of Open Access Journals (Sweden)

    M S Pandit

    2009-01-01

    Full Text Available The changing doctor-patient relationship and commercialization of modern medical practice has affected the practice of medicine. On the one hand, there can be unfavorable results of treatment and on the other hand the patient suspects negligence as a cause of their suffering. There is an increasing trend of medical litigation by unsatisfied patients. The Supreme Court has laid down guidelines for the criminal prosecution of a doctor. This has decreased the unnecessary harassment of doctors. As the medical profession has been brought under the provisions of the Consumer Protection Act, 1986, the patients have an easy method of litigation. There should be legal awareness among the doctors that will help them in the proper recording of medical management details. This will help them in defending their case during any allegation of medical negligence.

  16. Medication safety in hospitals.

    Science.gov (United States)

    Kirke, C

    2009-01-01

    Medication error and adverse drug reactions occur frequently, leading to a high burden of patient harm in the hospital setting. Many Irish hospitals have established medication safety initiatives, designed to encourage reporting and learning to improve medication use processes and therefore patient safety. Eight Irish hospitals or hospital networks provided data from voluntary medication safety incident and near miss reporting programmes for pooled analysis of events occurring between 1st January 2006 and 30th June 2007. 6179 reports were received in total (mean 772 per hospital; range 96-1855). 95% of reports did not involve patient harm. Forty seven percent of reports related to the prescribing stage of the medication use process, 40% to the administration stage and 9% to the pharmacy dispensing stage. This data is published to increase awareness of this key patient safety issue, to share learning from these incidents and near misses and to encourage a more open patient safety culture.

  17. Medication-overuse headache

    DEFF Research Database (Denmark)

    Westergaard, Maria Lurenda; Munksgaard, Signe Bruun; Bendtsen, Lars;

    2016-01-01

    Medication-overuse headache (MOH) is a debilitating condition in which frequent and prolonged use of medication for the acute treatment of pain results in the worsening of the headache. The purpose of this paper is to review the most recent literature on MOH and discuss future avenues for research....... MOH accounts for a substantial share of the global burden of disease. Prevalence is often reported as 1-2% but can be as high as 7% overall, with higher proportions among women and in those with a low socioeconomic position. Management consists of withdrawing pain medication, focusing on prophylactic...... and nonmedical treatments, and limiting acute symptomatic medication. Stress reduction and lifestyle interventions may support the change towards rational pain medication use. Support, follow up, and education are needed to help patients through the detoxification period. There is fertile ground for research...

  18. SIMULATION IN MEDICAL EDUCATION

    Directory of Open Access Journals (Sweden)

    Jorge L. Palés Argullós

    2010-07-01

    Full Text Available In last twenty years, we are seeing increasingly widespread use of simulations in the training of doctors and other professionals of health sciences at the different stages of their educational continuum (undergraduate, postgraduate and continuing medical education. So much so that the concept of simulations-based medical education has emerged and it is now recognized as a vital tool to ensure the learning of medical students and doctors, and to improve patient safety. This article will describe the reasons for the introduction and development of this new methodology, its advantages and the different models and currently available resources. We will describe also the characteristics of so-called simulation centres or clinical skills laboratories that have been developed worldwide, where the simulation-based medical education take place. Moreover, we will refer briefly to the situation in our country and finally to the principles of a good development of the simulation-based medical education.

  19. Style in medical journals.

    Science.gov (United States)

    Adams Smith, D E

    1983-10-15

    A study of medical journals from 1962 showed a constant preoccupation with style. Editors and contributors on both sides of the Atlantic revile unnecessary obscurity and complexity and the use of jargon, barbarisms, vogue words, and weak impersonal constructions. They bewail the pompous use of verbiage and the "medspeak" typified by acronyms and neologisms created by affixation. Suggestions for possible causes of poor medical style range from editorial demands for compression and a general ignorance of the principles of good writing to faulty logic and the subordination of communication to status seeking. The consequences of bad writing may include the fragmentation of knowledge, an increase in the importance of abstracting services, a trend towards free glossy medical newspapers, and, as remedial measures, workshops and courses in medical writing. Some implications for English language teachers working with foreign medical graduates and preclinical students are discussed.

  20. MEDICAL LAW AND ETHICS

    Directory of Open Access Journals (Sweden)

    Sunčica Ivanović

    2013-09-01

    Full Text Available The subject of interest in this article is the importance of knowing and connecting medical ethics and medical law for the category of health workers. The author believes that knowledge of bioethics which as a discipline deals with the study of ethical issues and health care law as a legal discipline, as well as medical activity in general, result in the awareness of health professionals of human rights, and since the performance of activities of health workers is almost always linked to the question of life and death, then the lack of knowledge of basic legal acts would not be justified at all. The aim of the paper was to present the importance of medical ethics and medical law among the medical staff. A retrospective analysis of the medical literature available on the indexed base KOBSON for the period 2005-2010 was applied. Analysis of all work leads to the conclusion that the balance between ethical principles and knowledge of medical law, trust and cooperation between the two sides that appear over health care can be considered a goal that every health care worker should strive for. This study supports the attitude that lack of knowledge and non-compliance with the ethical principles and medical law when put together can only harm the health care worker. In a way, this is the message to health care professionals that there is a need for the adoption of ethical principles and knowledge of medical law, because the most important position of all health workers is their dedication to the patient as a primary objective and the starting point of ethics.

  1. 区域医疗信息共享中健康档案安全与隐私保护的领域分析%Domain Analysis of EHR' s Safety and Privacy Protection at Regional Medical Information Sharing Platform

    Institute of Scientific and Technical Information of China (English)

    高玉平; 李冰华; 黄刊迪; 殷俊华

    2013-01-01

    This essay put it as research object that is EHR' s safety and privacy protection at RMISP (regional medical information sharing platform) and use FODA(Feature Oriented Domain Analyses)method to analyze the domain requirements. The essay analyzed the security risks of EHR and the cause of them. Then the essay analyzed the safety of users' behavior of EHR at RMISP and the corresponding solutions are analyzed on domain. At last, the essay build a domain model about EHR's safety and privacy protection at RMISP on this foundation.%将当前区域医疗信息共享平台中健康档案的安全和隐私保护问题作为研究对象,采用面向特征的领域分析方法,分析了区域医疗信息共享中健康档案存在的安全隐患以及产生信息安全隐患的原因,研究了健康档案用户操作行为与安全隐患之间的关系,构建了关于区域医疗信息共享中健康档案安全与隐私保护的领域模型。

  2. 南京军区南京总医院医务人员职业倦怠现状调查分析%The investigate analysis of job burnout from the medical staff in Nanjing General Hospital of Nanjing Mili-tary Region

    Institute of Scientific and Technical Information of China (English)

    周兰泳

    2014-01-01

    Objective With the development of the national health system reform, the peculiarity of certified doctor environ-ment makes domestic doctors′job burnout become a focus.The aim of this study was to study the present situation and reseason of the clinician job burnout, and to provide reference for the prevention and eliminatation of the job burnout effectivelly. Methods Chi-nese Maslach burnout inventory ( CMBI) , written by Professor Li Yongxin in Henan University was used in this study.Five hundred questionnaires were sent to medical staff in Nanjing General Hospital of Nanjing Military Region, and 489 copies were taken back.Four hundred and seventy eight copies were effective with the ratio of 97.8%. Results The emotion exhaust general mark of medical staff in army hospital was (21.96 ±7.54), which was below critical mark (25).The deindividuality and the lower of individual a-chievement feeling were (11.7 ±7.44) and (16.07 ±6.03),respectively, which were slightly above critical mark (11, 16).Accord-ing to the diagnostic criteria of job burnout, 42.07%of medical staff were mild job burnout, 27.41%were moderate job burnout, and 5.35%were serious job burnout. Conclusion Job burnout exists widely, and hospital manager should highly pay attention to the body and mind health of medical staff.%目的:随着国家医疗体制改革的不断深入,医生执业环境的特殊性使得国内医生的职业倦怠问题逐渐成为关注的焦点。文中旨在调查医务人员的职业倦怠现状,并探讨其原因,为有效预防和消除职业倦怠提供参考。方法采用河南大学李永鑫教授编制的工作倦怠问卷( Chinese Maslach burnout inventory, CMBI),以南京军区南京总医院医务人员为调查对象,发放问卷500份,收回489份,有效问卷478份,有效率97.8%。结果军队医院医务人员情感耗竭总分为(21.96±7.54)分,低于临界值(25分);去人性化及

  3. Designated Medical Directors for Emergency Medical Services: Recruitment and Roles

    Science.gov (United States)

    Slifkin, Rebecca T.; Freeman, Victoria A.; Patterson, P. Daniel

    2009-01-01

    Context: Emergency medical services (EMS) agencies rely on medical oversight to support Emergency Medical Technicians (EMTs) in the provision of prehospital care. Most states require EMS agencies to have a designated medical director (DMD), who typically is responsible for the many activities of medical oversight. Purpose: To assess rural-urban…

  4. Medical care epidemiology and unwarranted variation: the Israeli case.

    Science.gov (United States)

    Goodman, David C; Goodman, Andrew A

    2017-01-01

    In an article in this Journal, Mendlovic and colleagues report on regional variation in medical care across Israeli regions. This study joins a growing literature demonstrating generally high variation in the provision of health care services within developed countries. This commentary summarizes the status of medical care epidemiology and its studies of unwarranted variation in health care, and provides a conceptual framework to guide future studies. Recommendations are offered for advancing studies in Israel that could guide policy development and clinical improvement.

  5. Medical Services: Standards of Medical Fitness

    Science.gov (United States)

    2002-03-28

    formation (701.4), if the tendency is marked or interferes with the wearing of military equipment. m. Leprosy (030.9), any type. n. Lichen planus...p. Leukemia cutis or mycosis fungoides or cutaneous T–Cell lymphoma. (See also para 3–42.) q. Lichen planus. Generalized and not responsive to...exam if clinically indicated, and laboratory screening tests for DNA , HIV, and drug/alcohol testing will be accomplished. This medical screening and

  6. Medical devices: US medical device regulation.

    Science.gov (United States)

    Jarow, Jonathan P; Baxley, John H

    2015-03-01

    Medical devices are regulated by the US Food and Drug Administration (FDA) within the Center for Devices and Radiological Health. Center for Devices and Radiological Health is responsible for protecting and promoting the public health by ensuring the safety, effectiveness, and quality of medical devices, ensuring the safety of radiation-emitting products, fostering innovation, and providing the public with accurate, science-based information about the products we oversee, throughout the total product life cycle. The FDA was granted the authority to regulate the manufacturing and marketing of medical devices in 1976. It does not regulate the practice of medicine. Devices are classified based on complexity and level of risk, and "pre-1976" devices were allowed to remain on the market after being classified without FDA review. Post-1976 devices of lower complexity and risk that are substantially equivalent to a marketed "predicate" device may be cleared through the 510(k) premarket notification process. Clinical data are typically not needed for 510(k) clearance. In contrast, higher-risk devices typically require premarket approval. Premarket approval applications must contain data demonstrating reasonable assurance of safety and efficacy, and this information typically includes clinical data. For novel devices that are not high risk, the de novo process allows FDA to simultaneously review and classify new devices. Devices that are not legally marketed are permitted to be used for clinical investigation purposes in the United States under the Investigational Device Exemptions regulation.

  7. Medical marijuana: medical necessity versus political agenda.

    Science.gov (United States)

    Clark, Peter A; Capuzzi, Kevin; Fick, Cameron

    2011-12-01

    Marijuana is classified by the Drug Enforcement Agency (DEA) as an illegal Schedule I drug which has no accepted medical use. However, recent studies have shown that medical marijuana is effective in controlling chronic non-cancer pain, alleviating nausea and vomiting associated with chemotherapy, treating wasting syndrome associated with AIDS, and controlling muscle spasms due to multiple sclerosis. These studies state that the alleviating benefits of marijuana outweigh the negative effects of the drug, and recommend that marijuana be administered to patients who have failed to respond to other therapies. Despite supporting evidence, the DEA refuses to reclassify marijuana as a Schedule II drug, which would allow physicians to prescribe marijuana to suffering patients. The use of medical marijuana has continued to gain support among states, and is currently legal in 16 states and the District of Columbia. This is in stark contrast to the federal government's stance of zero-tolerance, which has led to a heated legal debate in the United States. After reviewing relevant scientific data and grounding the issue in ethical principles like beneficence and nonmaleficence, there is a strong argument for allowing physicians to prescribe marijuana. Patients have a right to all beneficial treatments and to deny them this right violates their basic human rights.

  8. Knowledge adn application of the International Human Right and the Medical Mission in the emergency services in the east region of Antioquia Conocimiento y aplicación del Derecho Internacional Humanitario y la Misión Médica en los servicios de urgencias del oriente antioqueño

    Directory of Open Access Journals (Sweden)

    Carlos Andrés Villa B.

    2003-03-01

    Full Text Available In october ctober 2002 a descriptive study was made to find out the grade of knowledge in the Emergency Services of the East region of Antioquia of the International Human Right, (IHR and the Medical Mission (MM. This region has been suffering since many years the consequences of the war that show what has been happening in the entire country. A questionnaire was filled by the directors of the hospitals in this region about both items. They agree on the importance of the items but said they have little knowledge about them and they have received few instructions regarding those items. In their hospitals there are neither guides nor education programs for the personnel in this regard. To be posted in a hospital, a person needs not show proficiency in IHR or MM. En octubre de 2002 se llevó a cabo un estudio descriptivo de corte con el propósito de investigar sobre el conocimiento y la aplicación del Derecho Internacional Humanitario (DIH y la Misión Médica (MM, en los servicios de urgencias localizados en municipios del oriente del departamento de Antioquia, región que sufre desde hace varios años las consecuencias del conflicto armado colombiano y que refleja la problemática general del país. El estudio se hizo encuestando a los directores de esos servicios de urgencias para averiguar qué formación habían tenido sobre DIH y MM y qué pautas había en las instituciones que representaban para la aplicación de estas normas. Los directores encuestados manifestaron tener muy poca información acerca del DIH y la MM. Durante su formación académica de pregrado y posgrado no recibieron educación formal al respecto. Estuvieron de acuerdo en la importancia del tema, la necesidad de capacitarse y la posibilidad de aplicarlo. Por otra parte, en las instituciones de salud que cuentan con servicios de urgencias en el oriente antioqueño se carece de protocolos o manuales sobre el DIH y la MM así como de actividades de formación continua que

  9. Medication counselling: physicians' perspective.

    Science.gov (United States)

    Bonnerup, Dorthe Krogsgaard; Lisby, Marianne; Eskildsen, Anette Gjetrup; Saedder, Eva Aggerholm; Nielsen, Lars Peter

    2013-12-01

    Medication reviews have the potential to lower the incidence of prescribing errors. To benefit from a medication review, the prescriber must adhere to medication counselling. Adherence rates vary from 39 to 100%. The aim of this study was to examine counselling-naive hospital physicians' perspectives and demands to medication counselling as well as study factors that might increase adherence to the counselling. The study was conducted as a questionnaire survey among physicians at Aarhus University Hospital, Denmark. The questionnaire was developed based on focus group interviews and literature search, and was pilot-tested among 30 physicians before being sent to 669 physicians. The questionnaire consisted of 35 items divided into four categories: attitudes (19 items), behaviours (3 items), assessment (8 items) and demographics (5 items). The response rate was 60% (400/669). Respondents were employed at psychiatric, medical or surgical departments. Eighty-five per cent of respondents agreed that patients would benefit of an extra medication review, and 72% agreed that there was a need for external medication counselling. The most important factor that could increase adherence was the clinical relevance of the counselling as 78% rated it of major importance. The most favoured method for receiving counselling was via the electronic patient record.

  10. Medical Service Information

    CERN Multimedia

    GS Department

    2010-01-01

    The Medical Service is pleased to inform you that a psychologist specialising in psychotherapy (member of the Swiss Federation of Psychologists- FSP), Mrs Sigrid Malandain, will be starting work at the CERN on 1 November 2010, in the premises of the Medical Service, Building 57-1-024. Members of CERN personnel can request individual consultations, by appointment, in French or in English, on Tuesdays and Thursdays by calling 78435 (Medical Service secretariat) or sending an e-mail to psychologist-me@cern.ch.

  11. Medical instruments in museums

    DEFF Research Database (Denmark)

    Söderqvist, Thomas; Arnold, Ken

    2011-01-01

    This essay proposes that our understanding of medical instruments might benefit from adding a more forthright concern with their immediate presence to the current historical focus on simply decoding their meanings and context. This approach is applied to the intriguingly tricky question of what...... actually is meant by a "medical instrument." It is suggested that a pragmatic part of the answer might lie simply in reconsidering the holdings of medical museums, where the significance of the physical actuality of instruments comes readily to hand....

  12. Medical Therapy of Acromegaly

    Directory of Open Access Journals (Sweden)

    U. Plöckinger

    2012-01-01

    Full Text Available This paper outlines the present status of medical therapy of acromegaly. Indications for permanent postoperative treatment, postirradiation treamtent to bridge the interval until remission as well as primary medical therapy are elaborated. Therapeutic efficacy of the different available drugs—somatostatin receptor ligands (SRLs, dopamine agonists, and the GH antagonist Pegvisomant—is discussed, as are the indications for and efficacy of their respective combinations. Information on their mechanism of action, and some pharmakokinetic data are included. Special emphasis is given to the difficulties to define remission criteria of acromegaly due to technical assay problems. An algorithm for medical therapy in acromegaly is provided.

  13. Exploration Medical System Demonstration

    Science.gov (United States)

    Rubin, D. A.; Watkins, S. D.

    2014-01-01

    BACKGROUND: Exploration class missions will present significant new challenges and hazards to the health of the astronauts. Regardless of the intended destination, beyond low Earth orbit a greater degree of crew autonomy will be required to diagnose medical conditions, develop treatment plans, and implement procedures due to limited communications with ground-based personnel. SCOPE: The Exploration Medical System Demonstration (EMSD) project will act as a test bed on the International Space Station (ISS) to demonstrate to crew and ground personnel that an end-to-end medical system can assist clinician and non-clinician crew members in optimizing medical care delivery and data management during an exploration mission. Challenges facing exploration mission medical care include limited resources, inability to evacuate to Earth during many mission phases, and potential rendering of medical care by non-clinicians. This system demonstrates the integration of medical devices and informatics tools for managing evidence and decision making and can be designed to assist crewmembers in nominal, non-emergent situations and in emergent situations when they may be suffering from performance decrements due to environmental, physiological or other factors. PROJECT OBJECTIVES: The objectives of the EMSD project are to: a. Reduce or eliminate the time required of an on-orbit crew and ground personnel to access, transfer, and manipulate medical data. b. Demonstrate that the on-orbit crew has the ability to access medical data/information via an intuitive and crew-friendly solution to aid in the treatment of a medical condition. c. Develop a common data management framework that can be ubiquitously used to automate repetitive data collection, management, and communications tasks for all activities pertaining to crew health and life sciences. d. Ensure crew access to medical data during periods of restricted ground communication. e. Develop a common data management framework that

  14. Medical marijuana and children.

    Science.gov (United States)

    Stubblefield, Sam

    2014-11-01

    Medical marijuana is legal for use by minors in many states, but not Delaware. Anecdotes have accumulated suggesting efficacy in managing seizures in children and several other conditions in adults. Currently well-designed studies in children are lacking. Challenges to effective pediatric medical marijuana use remain at the level of biochemistry, the individual patient, and society. Appropriate and effective use of medical marijuana in children will require significant legislative changes at the state and federal level, as well as high-quality research and standardization of marijuana strains.

  15. Self-medication practice among undergraduate medical students of ...

    African Journals Online (AJOL)

    Results: Self-medication practice was highly prevalent among the medical students, with 87 % reporting that ... The increase in self-medication is due to a number of ..... resistant strains and increased cost and morbidity. ... Conflict of Interest.

  16. Watermarking patient data in encrypted medical images

    Indian Academy of Sciences (India)

    A Lavanya; V Natarajan

    2012-12-01

    In this paper, we propose a method for watermarking medical images for data integrity which consists of image encryption, data embedding and image-recovery phases. Data embedding can be completely recovered from the watermarked image after the watermark has been extracted. In the proposed method, we utilize standard stream cipher for image encryption and selecting non-region of interest tile to embed patient data. We show that the lower bound of the PSNR (peak-signal-to-noise-ratio) values for medical images is about 48 dB. Experimental results demonstrate that the proposed scheme can embed a large amount of data while keeping high visual quality of test images.

  17. Medication wrong-route administrations in relation to medical prescriptions

    OpenAIRE

    GIMENES, Fernanda Raphael Escobar; Marques, Tatiane Cristina; Teixeira,Thalyta Cardoso Alux; MOTA, Maria Lurdemiler Sabóia; Silva,Ana Elisa Bauer de Camargo; Cassiani, Silvia Helena De Bortoli

    2011-01-01

    This study analyzes the influence of medical prescriptions' writing on the occurrence of medication errors in the medical wards of five Brazilian hospitals. This descriptive study used data obtained from a multicenter study conducted in 2005. The population was composed of 1,425 medication errors and the sample included 92 routes through which medication was wrongly administered. The pharmacological classes most frequently involved in errors were cardiovascular agents (31.5%), medication that...

  18. Medications (for IBS)

    Medline Plus

    Full Text Available ... be readily available over-the-counter, in a pharmacy or grocery store, or limited by prescription only. ... in treating IBS in multi-center, high quality clinical trials. These are prescription medications intended for specific ...

  19. Medications (for IBS)

    Medline Plus

    Full Text Available ... Gynecological Aspects of Irritable Bowel Syndrome Symptom Diary Testing in IBS Changes You Should Not Ignore if ... IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in irritable bowel syndrome ( ...

  20. How About Medical Physics?

    Science.gov (United States)

    Ellis, R. E.

    1976-01-01

    Cites the increasing need for physicists in medicine. Sketches the qualifications needed to pursue a Master of Science degree (MS) in medical physics fields and provides a brief discussion of Ph.D programs in the field. (CP)

  1. Medical dosimetry in Hungary

    Science.gov (United States)

    Turák, O.; Osvay, M.; Ballay, L.

    2012-09-01

    Radiation exposure of medical staff during cardiological and radiological procedures was investigated. The exposure of medical staff is directly connected to patient exposure. The aim of this study was to determine the distribution of doses on uncovered part of body of medical staff using LiF thermoluminescent (TL) dosimeters in seven locations. Individual Kodak film dosimeters (as authorized dosimetry system) were used for the assessment of medical staff's effective dose. Results achieved on dose distribution measurements confirm that wearing only one film badge under the lead apron does not provide enough information on the personal dose. The value of estimated annual doses on eye lens and extremities (fingers) were in good correlation with international publications.

  2. MDR (Medical Device Reporting)

    Data.gov (United States)

    U.S. Department of Health & Human Services — This database allows you to search the CDRH's database information on medical devices which may have malfunctioned or caused a death or serious injury during the...

  3. Kids' Medical Dictionary

    Science.gov (United States)

    ... Tendons Word! Tinnitus Word! Tobacco Word! Tonsillectomy Word! Tonsillitis Word! Trachea Word! Tragus Word! Triggers Word! Tympanogram ... purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor. © 1995- The Nemours Foundation. All ...

  4. Medical Issues in Adoption

    Science.gov (United States)

    ... kids, particularly those who have been living in poverty, to get colds, minor infections, upset stomachs, and ... better you'll be able to make informed decisions about medical care and ease the transition into ...

  5. Secure medical digital libraries.

    Science.gov (United States)

    Papadakis, I; Chrissikopoulos, V; Polemi, D

    2001-12-01

    In this paper, a secure medical digital library is presented. It is based on the CORBA specifications for distributed systems. The described approach relies on a three-tier architecture. Interaction between the medical digital library and its users is achieved through a Web server. The choice of employing Web technology for the dissemination of medical data has many advantages compared to older approaches, but also poses extra requirements that need to be fulfilled. Thus, special attention is paid to the distinguished nature of such medical data, whose integrity and confidentiality should be preserved at all costs. This is achieved through the employment of Trusted Third Parties (TTP) technology for the support of the required security services. Additionally, the proposed digital library employs smartcards for the management of the various security tokens that are used from the above services.

  6. Medications (for IBS)

    Medline Plus

    Full Text Available ... What's a medication? Anything you take for a therapeutic effect counts as a medicine. It can be ... When you take something for a long-term therapeutic effect, tell your doctor about it. He or ...

  7. HIV Medication Adherence

    Science.gov (United States)

    ... AIDS Drugs Clinical Trials Apps skip to content HIV Treatment Home Understanding HIV/AIDS Fact Sheets HIV ... 4 p.m. ET) Send us an email HIV Medication Adherence Last Reviewed: March 2, 2017 Key ...

  8. Medications (for IBS)

    Medline Plus

    Full Text Available ... IBS Awareness Month IBS Awareness Month Tips of the Day Art of IBS Gallery Contact Us About ... IBS Awareness Month IBS Awareness Month Tips of the Day Art of IBS Gallery Contact Us Medications ...

  9. Understanding Medical Words

    Science.gov (United States)

    ... Bar Home Current Issue Past Issues Understanding Medical Words Past Issues / Summer 2009 Table of Contents For ... Medicine that teaches you about many of the words related to your health care Do you have ...

  10. Asthma Medications and Pregnancy

    Science.gov (United States)

    ... correctly. Other Asthma Related Medication Treatment Annual influenza vaccine (flu shot) The annual flu shot is recommended for ... second or third trimester. Read more about the flu vaccine . Immunotherapy (allergy shots) Allergy shots should not be ...

  11. Mycetoma medical therapy

    National Research Council Canada - National Science Library

    Welsh, Oliverio; Al-Abdely, Hail Mater; Salinas-Carmona, Mario Cesar; Fahal, Ahmed Hassan

    2014-01-01

    Medical treatment of mycetoma depends on its fungal or bacterial etiology. Clinically, these entities share similar features that can confuse diagnosis, causing a lack of therapeutic response due to inappropriate treatment...

  12. Medications (for IBS)

    Medline Plus

    Full Text Available ... discomfort, usually if the symptoms occur soon after eating. Examples include dicyclomine (Bentyl), and hyoscyamine (Levsin). Read ... who specializes in motility or stress-related gastrointestinal disorders. More complex medication regimens, and specialized motility and/ ...

  13. Medications for Arrhythmia

    Science.gov (United States)

    ... child about this before the doctor visit. Medicine Management Tools For Patients Keeping Track / Developing a System ... while you're out. Some pharmacists will prepare blister packs for daily or weekly medications. Ask your ...

  14. Atrial Fibrillation Medications

    Science.gov (United States)

    ... is usually treating the abnormal heart rhythm with medications to restore the heart rhythm to normal (also known as chemical/pharmacological cardioversion). Significant side effects may occur, and your healthcare provider will most ...

  15. Medical problems in pregnancy.

    Science.gov (United States)

    Narayan, Bhaskar; Nelson-Piercy, Catherine

    2016-12-01

    The prevalence of medical problems in pregnancy is increasing because of a complex interplay between demographic and lifestyle factors, and developments in modern medicine. Maternal mortality and morbidity resulting from treatable medical conditions, such as venous thromboembolism, epilepsy and autoimmune disease, have not decreased in recent years. This is despite a marked decrease in overall maternal mortality. It is vital that all physicians acquire a basic knowledge and understanding of medical problems in pregnancy. This includes prepregnancy measures such as counselling and optimisation of medical therapy, as well as multidisciplinary management throughout pregnancy and the postpartum period. Prompt recognition and treatment of acute and chronic illness is of clear benefit, and most drugs and many radiological investigations may be used in pregnancy.

  16. Medications (for IBS)

    Medline Plus

    Full Text Available ... Medications Probiotics and Antibiotics Psychological ... with healthcare providers are an important part of managing life with a long-term digestive disorder. Working with Your Physician Doctor Visit Worksheet How ...

  17. Catastrophic medical expenditure risk.

    Science.gov (United States)

    Flores, Gabriela; O'Donnell, Owen

    2016-03-01

    We propose a measure of household exposure to particularly onerous medical expenses. The measure can be decomposed into the probability that medical expenditure exceeds a threshold, the loss due to predictably low consumption of other goods if it does and the further loss arising from the volatility of medical expenses above the threshold. Depending on the choice of threshold, the measure is consistent with a model of reference-dependent utility with loss aversion. Unlike the risk premium, the measure is only sensitive to particularly high expenses, and can identify households that expect to incur such expenses and would benefit from subsidised, but not actuarially fair, insurance. An empirical illustration using data from seven Asian countries demonstrates the importance of taking account of informal insurance and reveals clear differences in catastrophic medical expenditure risk across and within countries. In general, risk is higher among poorer, rural and chronically ill populations.

  18. Medications (for IBS)

    Medline Plus

    Full Text Available ... Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in irritable bowel syndrome ( ... limited by prescription only. It might be a drug or a supplement; manufactured or "natural." It might ...

  19. Medications (for IBS)

    Medline Plus

    Full Text Available ... Month IBS Awareness Month Tips of the Day Art of IBS Gallery ... IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in irritable bowel syndrome (IBS) ...

  20. East- African Medical Journal

    African Journals Online (AJOL)

    East African Medical Journal Vol 83 No. 8 August 2006 ... urology, ENT and orthopaedic groups and these ... no significant difference in orthopaedic patients mortality' with standard; we .... applying TRISS analysis to pediatric blunt trauma.

  1. Color Medical Image Analysis

    CERN Document Server

    Schaefer, Gerald

    2013-01-01

    Since the early 20th century, medical imaging has been dominated by monochrome imaging modalities such as x-ray, computed tomography, ultrasound, and magnetic resonance imaging. As a result, color information has been overlooked in medical image analysis applications. Recently, various medical imaging modalities that involve color information have been introduced. These include cervicography, dermoscopy, fundus photography, gastrointestinal endoscopy, microscopy, and wound photography. However, in comparison to monochrome images, the analysis of color images is a relatively unexplored area. The multivariate nature of color image data presents new challenges for researchers and practitioners as the numerous methods developed for monochrome images are often not directly applicable to multichannel images. The goal of this volume is to summarize the state-of-the-art in the utilization of color information in medical image analysis.

  2. Other Injectable Medications

    Science.gov (United States)

    ... July 17, 2013 Last Edited: February 22, 2017 Articles from Diabetes Forecast® magazine: cg-infusion-sets,meds-bg-injectables,cg-injection-aids, In this section Treatment and Care Medication Insulin & ...

  3. Emergency Medical Services

    Science.gov (United States)

    ... and need help right away, you should use emergency medical services. These services use specially trained people and specially equipped facilities. You may need care in the hospital emergency room (ER). Doctors and nurses there treat emergencies, ...

  4. EAST AFRICAN MEDICAL JOURNAL

    African Journals Online (AJOL)

    2004-12-12

    Dec 12, 2004 ... postoperative hospitals stay and mortality results for all patients were obtained. Results: ... co-existing medical illness and providing appropriate nutrition support. INTROD ..... results after simple closure in the elderly. Wurizl.

  5. Medications (for IBS)

    Medline Plus

    Full Text Available ... Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in irritable bowel syndrome ( ... limited by prescription only. It might be a drug or a supplement; manufactured or "natural." It might ...

  6. Tanzania Medical Journal: Submissions

    African Journals Online (AJOL)

    The manuscripts should be prepared in the following order: Title, Abstract, Text, ... Average values must be accompanied by standard errors or standard deviations. .... Authorship: The Tanzania Medical Journal defines an 'author' according to ...

  7. Animals in Medical Research

    African Journals Online (AJOL)

    developed and tested in animals, for treatment and management of both human and animal ailments. Medical research ... Animal model experimental is one approach among .... comparative study of male reproductive problems. These and ...

  8. Strengthening Medical Ties

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Mainland and Taiwan negotiators settle on health care cooperation chinese mainland and Taiwan negotiators signed a medical and health care I cooperation agreement in Taipei on December 21 in a move to jointly

  9. Medical Issues: Nutrition

    Science.gov (United States)

    ... support & care > living with sma > medical issues > nutrition Nutrition Good nutrition is essential to health and growth. ... must make decisions based on their own needs. Nutrition Considerations Since we are still waiting for clinical ...

  10. Kinking of medical tubes.

    Science.gov (United States)

    Ingles, David

    2004-05-01

    The phenomenon of kinking in medical tubing remains a problem for some applications, particularly critical ones such as transporting gasses or fluids. Design features are described to prevent its occurrence.

  11. Medications (for IBS)

    Medline Plus

    Full Text Available ... Pain IBS Global Treatments IBS Diet Low FODMAP Diet Complimentary or Alt Treatments Medications Psychological Treatments Online Studies News You Can Use Living With IBS Relationships and IBS Pregnancy and IBS Travel and IBS IBS Patients' Experience ...

  12. Mental Health Medications

    Science.gov (United States)

    ... The most common anti-anxiety medications are called benzodiazepines. Benzodiazepines can treat generalized anxiety disorder. In the case ... panic disorder or social phobia (social anxiety disorder), benzodiazepines are usually second-line treatments, behind SSRIs or ...

  13. Medical management of obesity.

    Science.gov (United States)

    Klein, S

    2001-10-01

    Obesity has become a major health problem in many countries because of its high prevalence and causal relationship with serious medical complications. Many of the medical complications associated with obesity improve with intentional weight in a dose-dependent fashion, and even a modest weight loss of 50% of initial weight has beneficial effects. This article reviews the nonsurgical approaches for achieving weight loss in obese persons.

  14. The Automated Medical Office

    OpenAIRE

    Petreman, Mel

    1990-01-01

    With shock and surprise many physicians learned in the 1980s that they must change the way they do business. Competition for patients, increasing government regulation, and the rapidly escalating risk of litigation forces physicians to seek modern remedies in office management. The author describes a medical clinic that strives to be paperless using electronic innovation to solve the problems of medical practice management. A computer software program to automate information management in a c...

  15. Medical Information Security

    OpenAIRE

    William C. Figg, Ph.D.; Hwee Joo Kam, M.S.

    2011-01-01

    Modern medicine is facing a complex environment, not from medical technology but rather government regulations and information vulnerability. HIPPA is the government’s attempt to protect patient’s information yet this only addresses traditional record handling. The main threat is from the evolving security issues. Many medical offices and facilities have multiple areas of information security concerns. Physical security is often weak, office personnel are not always aware of security needs an...

  16. The Automated Medical Office

    OpenAIRE

    1990-01-01

    With shock and surprise many physicians learned in the 1980s that they must change the way they do business. Competition for patients, increasing government regulation, and the rapidly escalating risk of litigation forces physicians to seek modern remedies in office management. The author describes a medical clinic that strives to be paperless using electronic innovation to solve the problems of medical practice management. A computer software program to automate information management in a c...

  17. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    2003-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses - on telephone: 73802 - by e-mail: Service.Médical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  18. Reducing medication errors.

    Science.gov (United States)

    Nute, Christine

    2014-11-25

    Most nurses are involved in medicines management, which is integral to promoting patient safety. Medicines management is prone to errors, which depending on the error can cause patient injury, increased hospital stay and significant legal expenses. This article describes a new approach to help minimise drug errors within healthcare settings where medications are prescribed, dispensed or administered. The acronym DRAINS, which considers all aspects of medicines management before administration, was devised to reduce medication errors on a cardiothoracic intensive care unit.

  19. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    2003-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses - on telephone: 73802 - by e-mail: Service.Médical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  20. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Medical Service

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor.For information, call the Nurses on Telephone: 73802 or by electronic mail:Infirmary.Service@cern.chMarion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.chMedicalService

  1. Reminder from Medical Service

    CERN Multimedia

    2003-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, contact the nurses on telephone: 73802 by e-mail: Service.Médical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  2. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    2003-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses - on telephone: 73802 - by e-mail:Service.Médical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  3. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Service Médical

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the Nurses on telephone: 73802. by electronic mail to: Infirmary.Service@cern.chMarion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.ch Medical Service

  4. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Service médical

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites,be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor.For information, call the Nurseson telephone: 73802.by electronic mail to:Infirmary.Service@cern.chMarion.Diedrich@cern.ch Janet.Doody@cern.ch Mireille.Vosdey@cern.chMedicalService

  5. A regional model of interprofessional education

    Directory of Open Access Journals (Sweden)

    Maria Olenick

    2011-01-01

    Full Text Available Maria Olenick1, Edward Foote1, Patricia Vanston1, John Szarek1, Zachary Vaskalis1, Mary Jane Dimattio2, Raymond A Smego Jr21The Commonwealth Medical College, Scranton, PA, USA; Nesbitt College of Pharmacy and Nursing, Wilkes University, Wilkes-Barre, PA, USA; 2University of Scranton, Scranton, PA, USAAbstract: This paper describes the innovative features of the first regional model of interprofessional education (IPE in the US, developed by The Commonwealth Medical College, Scranton, PA, USA, as a new, independent, community-based medical school in northeastern Pennsylvania. Essential educational components include collaborative care seminars, interprofessional sessions, simulations, live web-based seminars and newly innovative virtual environment interactive exercises. All of these elements are being integrated into the curricula of 14 undergraduate and allied professional schools, and three graduate medical education programs located in the region. Activities incorporate simulation, standardized patients, student leadership, and faculty and student facilitation. As this new regional model of interprofessional education is fully implemented, its impact will be assessed using both quantitative and qualitative outcomes measurements. Appropriate ongoing modifications to the model will be made to ensure improvement and further applicability to collaborative learning.Keywords: interprofessional education, regional model, medical education

  6. SELF MEDICATION PATTERN, INCIDENCE AND FACTORS ASSOCIATED WITH IT, AMONG FIRST YEAR MBBS STUDENTS OF MEDICAL COLLEGE JAMMU

    Directory of Open Access Journals (Sweden)

    Nusrat

    2015-02-01

    Full Text Available Self - medication is quite common practice in general and particularly among medical students. Self - medication can be defined as obtaining and consuming medication without the advice of a clinician for treatment of an ailment. There can be many reasons for increased likelihood of self - medication among the medical students like easy access and senior medical student’s advice, easy access to physician’s samples, because of the white coat, from pharmacist / chemist shops. 1 However self - medication can be quite harmful and can be associated with significant morbidity and mortality. It could lead to various complications and side effects like - habituation and addiction, poisoning, hyper vitaminosis, antibiotic resistance and incorrect and delayed diagnosis, over diagnosis or under diagnosis, at times really serious and fatal consequences can occur. It results in wastage of resources, increase resistance of pathogens and can causes serious hazards like adverse drug reaction, prolonged suffering and drug dependence. This study was performed to assess and evaluate the incidence and awareness of self - medications among the medical students of first professional MBBS in medical college Ja mmu. A study on one hundred medical students of Jammu medical college was conducted to assess and evaluates the pattern of self - medication among these students. This study was done to know the frequencies and reasons and the pattern of self - medication among young medical students of Jammu region. A detail questionnaire was prepared and each student was asked to fill up the Performa and then the data was analyzed. It was found that self - medication is very common (90 % and is comparable to studies from other parts of the world. For most of them the reason for self - medication was common cold . The result emphasizes the amount of problem in the society about self - medication and lack of awareness about side effects. Hence more strict regulations are

  7. Journal of Medical Laboratory Science

    African Journals Online (AJOL)

    The Journal of Medical Laboratory Science is a Quarterly Publication of the Association of ... It Publishes Original Research and Review Articles in All Fields of ... Covering Medical Microbiology, Medical Parasitology, Clinical Chemistry, ...

  8. Intracranial Hypertension: Medication and Surgery

    Science.gov (United States)

    ... Intracraneal en Espanol. STORE Shop the IHRF Store Medication and Surgery Medication and Surgery Both drugs and surgery are used ... to treat the headache that accompanies chronic IH. Medications for chronic headache like tricyclic anti-depressants, beta- ...

  9. Medical coding in clinical trials

    Directory of Open Access Journals (Sweden)

    Deven Babre

    2010-01-01

    Full Text Available Data generated in all clinical trial are recorded on the data collection instrument Case report Form / Electronic Case Report Form by investigators located at various sites in various countries. In multicentric clinical trials since different investigator or medically qualified experts are from different sites / centers recording the medical term(s uniformly is a big challenge. Medical coders from clinical data management team process these terms and perform medical coding. Medical coding is performed to categorize the medical terms reported appropriately so that they can be analyzed/reviewed. This article describes process which is used for medical coding in clinical data management and two most commonly used medical dictionaries MedDRA and WHO-DDE in brief. It is expected to help medical coders to understand the process of medical coding in clinical data management. Few common issues which the medical coder faces while performing medical coding, are also highlighted.

  10. The ASEAN economic community and medical qualification

    Directory of Open Access Journals (Sweden)

    Jathurong Kittrakulrat

    2014-09-01

    Full Text Available Background: In the regional movement toward ASEAN Economic Community (AEC, medical professions including physicians can be qualified to practice medicine in another country. Ensuring comparable, excellent medical qualification systems is crucial but the availability and analysis of relevant information has been lacking. Objective: This study had the following aims: 1 to comparatively analyze information on Medical Licensing Examinations (MLE across ASEAN countries and 2 to assess stakeholders’ view on potential consequences of AEC on the medical profession from a Thai perspective. Design: To search for relevant information on MLE, we started with each country's national body as the primary data source. In case of lack of available data, secondary data sources including official websites of medical universities, colleagues in international and national medical student organizations, and some other appropriate Internet sources were used. Feasibility and concerns about validity and reliability of these sources were discussed among investigators. Experts in the region invited through HealthSpace.Asia conducted the final data validation. For the second objective, in-depth interviews were conducted with 13 Thai stakeholders, purposely selected based on a maximum variation sampling technique to represent the points of view of the medical licensing authority, the medical profession, ethicists and economists. Results: MLE systems exist in all ASEAN countries except Brunei, but vary greatly. Although the majority has a national MLE system, Singapore, Indonesia, and Vietnam accept results of MLE conducted at universities. Thailand adopted the USA's 3-step approach that aims to check pre-clinical knowledge, clinical knowledge, and clinical skills. Most countries, however, require only one step. A multiple choice question (MCQ is the most commonly used method of assessment; a modified essay question (MEQ is the next most common. Although both tests assess

  11. A comparative study on medical image segmentation methods

    Directory of Open Access Journals (Sweden)

    Praylin Selva Blessy SELVARAJ ASSLEY

    2014-03-01

    Full Text Available Image segmentation plays an important role in medical images. It has been a relevant research area in computer vision and image analysis. Many segmentation algorithms have been proposed for medical images. This paper makes a review on segmentation methods for medical images. In this survey, segmentation methods are divided into five categories: region based, boundary based, model based, hybrid based and atlas based. The five different categories with their principle ideas, advantages and disadvantages in segmenting different medical images are discussed.

  12. Telemedicine: medical, legal and ethical perspectives.

    Science.gov (United States)

    Clark, Peter A; Capuzzi, Kevin; Harrison, Joseph

    2010-12-01

    Technological innovations in medical care have led to the development of telemedicine programs in both rural and urban environments. The necessity for telemedicine has increased immensely as more cost-effective treatment options have become available for both patients and physicians through the addition of telecommunication technologies to medical practice. The development of telemedicine systems began as a means of providing access to health care resources for individuals living in isolated rural areas, grew into advanced medical intervention techniques for soldiers on the battlefield, and have become prevalent in urban medical centers both as a resource to the underserved populations and as a platform for physicians off-site to conduct patient consults remotely. Urban telemedicine systems, as monitored in the Mercy Health System (Philadelphia, Pennsylvania) and AtlantiCare Regional Medical Center (Atlantic City, New Jersey), display the enormous benefits of telemedicine as a form of preliminary analysis of patients for the treatment of various medical conditions including chronic disease, mental health disorders and stroke. However, the initiation of telemedicine programs requires new protocols and safeguards to be initiated to protect patient confidentiality/privacy, ensure the appropriate licensure of physicians practicing across state borders, and educate patients on the use of new technological systems. Telemedicine represents the progression of medicine in the presence of improving communication technologies and should be instituted in all urban medical centers. This conclusion is based upon the ethical responsibility to treat all persons with dignity and respect, which in this case, mandates the provision of the most cost-effective, beneficial medical care for all populations.

  13. Osteoporosis Treatment: Medications Can Help

    Science.gov (United States)

    Osteoporosis treatment: Medications can help Osteoporosis treatment may involve medication along with lifestyle change. A Mayo Clinic specialist answers some of the most common questions about osteoporosis ...

  14. Medication safety during your hospital stay

    Science.gov (United States)

    Five-rights - medication; Medication administration - hospital; Medical errors - medication; Patient safety - medication safety ... Medication safety means you get the right medicine, the right dose, at the right times. During your ...

  15. Case study on the components of an innovative region: Öresund Region (Denmark-Sweden

    Directory of Open Access Journals (Sweden)

    Andrei Ştefan Săbău

    2012-06-01

    Full Text Available How can one describe the components of an innovative region? What characterizes a region as being innovative? This paper presents the close relationship between innovation and regional development in an empirical analysis of the Öresund Region (the south-western part of Scandinavia: Sweden and Denmark, arguing the role of the universities, public institutions and R&D companies in placing the Öresund Region on the map as a world-leading player in providing biotech and medical technology.

  16. Asynchronous Remote Medical Consultation for Ghana

    CERN Document Server

    Luk, Rowena; Aoki, Paul M

    2008-01-01

    Computer-mediated communication systems can be used to bridge the gap between doctors in underserved regions with local shortages of medical expertise and medical specialists worldwide. To this end, we describe the design of a prototype remote consultation system intended to provide the social, institutional and infrastructural context for sustained, self-organizing growth of a globally-distributed Ghanaian medical community. The design is grounded in an iterative design process that included two rounds of extended design fieldwork throughout Ghana and draws on three key design principles (social networks as a framework on which to build incentives within a self-organizing network; optional and incremental integration with existing referral mechanisms; and a weakly-connected, distributed architecture that allows for a highly interactive, responsive system despite failures in connectivity). We discuss initial experiences from an ongoing trial deployment in southern Ghana.

  17. China's Medical Education and Interventional Neuroradiology Training.

    Science.gov (United States)

    Lv, Xianli; He, Hongwei; Wu, Zhongxue

    2015-11-01

    China's medical education system is complex and consists of degree programs lasting from 3 to 8 years, the inconsistency across previous educational backgrounds is a challenge when implementing residency training objectives and contents. Only in several advanced medical universities, education for interventional neuroradiology (INR) is a part of a rotation in the 2-year training for neurosurgery. Advanced INR techniques are confined to big cities such as Beijing, Shanghai and Guangzhou, where most of the Chinese INRs have their 6 to 12 months fellowship to major medical centers. With a tremendous economic growth in the region, we expect that INR practice will evolve at an equally rapid pace, and information presented in this chapter may soon become obsolete.

  18. Grid-supported Medical Digital Library.

    Science.gov (United States)

    Kosiedowski, Michal; Mazurek, Cezary; Stroinski, Maciej; Weglarz, Jan

    2007-01-01

    Secure, flexible and efficient storing and accessing digital medical data is one of the key elements for delivering successful telemedical systems. To this end grid technologies designed and developed over the recent years and grid infrastructures deployed with their use seem to provide an excellent opportunity for the creation of a powerful environment capable of delivering tools and services for medical data storage, access and processing. In this paper we present the early results of our work towards establishing a Medical Digital Library supported by grid technologies and discuss future directions of its development. These works are part of the "Telemedycyna Wielkopolska" project aiming to develop a telemedical system for the support of the regional healthcare.

  19. Medications for Pain Relief during Labor and Delivery

    Science.gov (United States)

    ... is a spinal block? • What is a combined spinal–epidural block? • What is general anesthesia? • What are the risks of general anesthesia? • Glossary ... block sensation in a region of the body. Spinal Block: A type of regional anesthesia or analgesia in which pain medications are administered ...

  20. Polymeric materials in medication

    CERN Document Server

    Carraher, Charles

    1985-01-01

    The art of using chemical agents for medication dates back into antiquity, although most of the earliest examples used plants, herbs, and other natural materials. The old Egyptian medical papyri, which date from before 1400 B. C. , contain dozens of examples of such medicinal plants and animal extracts. In the Old Testament of the Bible, we can find references to using oil to soften the skin and sores (Isaiah 1:6), the use of tree leaves for medicine (Ezekiel 47:12) and various medical balms (Jeremiah 8:22). Not all these recipes were effective in curing the ailments for which they were used and sometimes the treatment was worse than the disease. Nevertheless, the art of using chemical derived agents for medicines continued to develop and received great impetus during the present century with the rise of synthetic organic chemistry. One of the most vexing problems has always been to achieve specifici­ ty with the medications. While some medical agents do indeed possess a relatively high degree of specificity...