The AMA and the armed forces medical services

JAMA ◽  
1965 ◽  
Vol 194 (3) ◽  
pp. 303-308
2019 ◽  
pp. jramc-2018-001055
Author(s):  
Debraj Sen ◽  
R Chakrabarti ◽  
S Chatterjee ◽  
D S Grewal ◽  
K Manrai

Artificial intelligence (AI) involves computational networks (neural networks) that simulate human intelligence. The incorporation of AI in radiology will help in dealing with the tedious, repetitive, time-consuming job of detecting relevant findings in diagnostic imaging and segmenting the detected images into smaller data. It would also help in identifying details that are oblivious to the human eye. AI will have an immense impact in populations with deficiency of radiologists and in screening programmes. By correlating imaging data from millions of patients and their clinico-demographic-therapy-morbidity-mortality profiles, AI could lead to identification of new imaging biomarkers. This would change therapy and direct new research. However, issues of standardisation, transparency, ethics, regulations, training, accreditation and safety are the challenges ahead. The Armed Forces Medical Services has widely dispersed units, medical echelons and roles ranging from small field units to large static tertiary care centres. They can incorporate AI-enabled radiological services to subserve small remotely located hospitals and detachments without posted radiologists and ease the load of radiologists in larger hospitals. Early widespread incorporation of information technology and enabled services in our hospitals, adequate funding, regular upgradation of software and hardware, dedicated trained manpower to manage the information technology services and train staff, and cyber security are issues that need to be addressed.


1991 ◽  
Vol 31 (284) ◽  
pp. 483-490
Author(s):  
Rémi Russbach ◽  
Robin Charles Gray ◽  
Robin Michael Coupland

The surgical activities of the International Committee of the Red Cross stem from the institution's general mandate to protect and assist the victims of armed conflict.The war wounded are thus only one category of the victims included in the ICRC's terms of reference.The ICRC's main role in relation to the war wounded is not to treat them, for this is primarily the responsibility of the governments involved in the conflict and hence their army medical services. The task of the ICRC is first and foremost to ensure that the belligerents are familiar with the provisions of the Geneva Conventions and apply them, that is, care for members of the enemy armed forces as well as their own and afford medical establishments and personnel the protection to which they are entitled.


2016 ◽  
Vol 11 (2) ◽  
pp. 39-48
Author(s):  
Erfan Kharazmi ◽  
Asiyeh Salehi ◽  
Neda Hashemi ◽  
Shekufe Ghaderi ◽  
Nahid Hatam

Objective: A large proportion of hospitals’ private income is provided by insurance organisations. Hospitals in Iran face various problems in terms of insurance deductions from insurance organisations resulting from inefficient performance by both the hospitals and the insurers. These problems necessitate more specific cost control in this area. This research assesses the causes of insurance deductions by using the Failure Mode Effects Analysis (FMEA) technique, and addresses the issues resulting in deductions by providing some interventions through the Pareto technique. Design: The 10-step pattern of FMEA was implemented for assessing the main causes of insurance deduction in this study. Setting: Data was collected from deduced amounts by three main/largest contracting party insurance organisations (e.g. the Social Security Insurance Organisation, Medical Services Insurance Organisation and Armed Forces Medical Services Insurance Organisation of Namazi Hospital, a large healthcare provider in the South of Iran, in 2014. Findings: Sixty-five potential failure causes were identified, of which 26 were related to the anaesthesia unit, 23 were related to the surgery room unit and 16 were related to the hospitalisation unit. Deductions in the anaesthesia and hospitalisation units and the surgery room were reduced after intervention programs by 14.42%, 57.76%, and 51.52%, respectively. Conclusions: Using the FMEA technique in a large healthcare provider in Iran resulted in identifying the main causes of insurance deductions and provided intervention programs in order to increase the efficiency and productivity of healthcare services. Abbreviations: FMEA – Failure Mode Effects Analysis; RPN – Risk Priority Number.


BMJ ◽  
1949 ◽  
Vol 2 (4634) ◽  
pp. 984-984
Author(s):  
E. A. Smyth

BMJ ◽  
1949 ◽  
Vol 2 (4636) ◽  
pp. 1115-1115
Author(s):  
W. A. Bellamy

The Lancet ◽  
1964 ◽  
Vol 284 (7354) ◽  
pp. 301-303 ◽  
Author(s):  
J.M. Urquhart

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