scholarly journals The Society for Integrative Oncology Practice Recommendations for online consultation and treatment during the COVID-19 pandemic

Author(s):  
Eran Ben-Arye ◽  
Channing J. Paller ◽  
Ana Maria Lopez ◽  
Shelley White ◽  
Eva Pendleton ◽  
...  

Abstract Objective The Society for Integrative Oncology (SIO) Online Task Force was created in response to the challenges facing continuity of integrative oncology care resulting from the COVID-19 pandemic. The Task Force set out to guide integrative oncology practitioners in providing effective and safe online consultations and treatments for quality-of-life-concerns and symptom management. Online treatments include manual, acupuncture, movement, mind-body, herbal, and expressive art therapies. Methods The SIO Online Practice Recommendations employed a four-phase consensus process: (1) literature review and discussion among an international panel of SIO members, identifying key elements essential in an integrative oncology visit; (2) development, testing, and refinement of a questionnaire defining challenges and strategies; (3) refinement input from integrative oncology experts from 19 countries; and (4) SIO Executive Committee review identifying the most high-priority challenges and strategies. Results The SIO Online Practice Recommendations address ten challenges, providing practical suggestions for online treatment/consultation. These include overcoming unfamiliarity, addressing resistance among patients and healthcare practitioners to online consultation/treatment, exploring ethical and medical-legal aspects, solving technological issues, preparing the online treatment setting, starting the online treatment session, maintaining effective communication, promoting specific treatment effects, involving the caregiver, concluding the session, and ensuring continuity of care. Conclusions The SIO Online Practice Recommendations are relevant for ensuring continuity of care beyond the present pandemic. They can be implemented for patients with limited accessibility to integrative oncology treatments due to geographic constraints, financial difficulties, physical disability, or an unsupportive caregiver. These recommendations require further study in practice settings.

2021 ◽  
Vol 48 ◽  
pp. 102028
Author(s):  
Lynda Balneaves ◽  
Eran Ben-Arye ◽  
Lynda G. Balneaves ◽  
Channing J. Paller ◽  
Ana Maria Lopez

2019 ◽  
Vol 21 (8) ◽  
pp. 741-773 ◽  
Author(s):  
John F. Gottlieb ◽  
Francesco Benedetti ◽  
Pierre A. Geoffroy ◽  
Tone E. G. Henriksen ◽  
Raymond W. Lam ◽  
...  

2017 ◽  
Vol 52 (4) ◽  
pp. 384-400 ◽  
Author(s):  
Robert A. Huggins ◽  
Samantha E. Scarneo ◽  
Douglas J. Casa ◽  
Luke N. Belval ◽  
Kate S. Carr ◽  
...  

2018 ◽  
Vol 2 (2) ◽  
pp. 1
Author(s):  
Rizky Karo Karo ◽  
Debora Pasaribu

Development of technology, communications and the internet make people life easier and faster. Online systems provide changes to buy foods & goods, reserve online transportation even to get consultation with doctor. This research aims to examine the legal aspects of online consultation between doctor and patient or users, about the limitations that can be given in the consultation. The method used is the normative juridical method, using secondary data in the form of books, journals, articles and related regulations and data analysis techniques used are qualitative descriptive. The results of the study: (1). People can consult & communicate with doctors through the online medium by providing true information about their disease history, use of certain drugs and doctors would give the opinions according to the patient's information and the code of ethics; (2). The consultation of doctors through online media obeyed to the Law on Technology & Information, the Health Act, the Medical Practice Act, Consumer Protection Act.Key words: doctor, online consultation, patient, law on techology and informationKey words: doctor, online consultation, patient, law on techology and information


Author(s):  
Sugeng Pradikto

The fact that the number of new students starting from 2016 to 2019 tends to continue to decline, so STKIP PGRI Pasuruan must immediately turn into a university. These changes are a form of adaptation to the demands of environmental changes and government policies. What are the strategies, constraints and solutions for changing STKIP PGRI Pasuruan into university? The purpose of this study si : to explain the best practice of changing from STKIP PGRI to university. This study uses a qualitative approach to see the phenomenon of organizational change at STKIP PGRI Pasuruan. The Change Task Force Team is a key informant. Data collection by in-depth interviews (Depth interview). While the researchers themselves as the main instrument in data collection. Furthermore, the data analysis used is “interactive data analysis”. In the end of study, The results of the research are explained as follows: The preparations and strategies carried out are formulating a vision of change that reads GO TO UNIVERSITY and forming a solid task force team and choosing the right consultant (Coach). Leaders identify and consolidate resources that are and are not available, design the implementation of changes so that they can run well and are conducive. Whereas resistance at the organizational level is the formation of a new culture with new values ​​as implications of the new organizational structure and hierarchy, the individual level of resistance appears insecurity and discomfort as implications of changes in organizational structure and hierarchy. Obstacles in preparation for the legal aspects, namely the status of land ownership and land area are still lacking, the solution is to change the name of the certificate in the name of PPLPP PGRI Pasuruan and increase the lack of land area from personal assets of Dr. Sugeng Pradikto, M.Pd. while the implementation obstacle is the resistance of the candidate for the Acting Chancellor with the solution for the position of the Acting Chancellor concurrently by the Chairperson of the PPLPP PGRI Pasuruan.   Strategies, Constraints and Solutions to Change STKIP PGRI Pasuruan to PGRI Wiranegara University oleh SUGENG PRADIKTO disebarluaskan di bawah Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional.Berdasarkan ciptaan pada http://ojs.uniwara.ac.id/index.php/PWJridhe/article/view/21/2. Salin kode ini untuk memberitahu pengunjung situs web Anda!


2008 ◽  
Vol 159 (5) ◽  
pp. 493-505 ◽  
Author(s):  
H Gharib ◽  
E Papini ◽  
R Paschke

In 2006, two major society-sponsored guidelines and one major consensus statement for thyroid diagnosis and management were published by: the American Association of Clinical Endocrinologists/Associazione Medici Endocrinologi (AACE/AME); the American Thyroid Association (ATA); and the European Thyroid Association (ETA). A careful review of these guidelines reveals that despite many similarities, significant differences are also present, likely reflecting differences in practice patterns, interpretation of existing data, and availability of resources in different regions. The methodology of the guidelines is similar, but a few differences in the rating scale make a rapid comparison of the strength of both evidence and recommendations difficult for the use in current clinical practice. Some recommendations are based mostly on experts' opinion. Thus, a same recommendation may be based on a different evidence; on the other hand, sometimes the same evidence may induce a different recommendation. Therefore, efforts are needed to produce a few high-quality clinical studies to close the evidence gaps in the still controversial fields of thyroid disease and to create a joint task force of the most authoritative societies in the field of thyroid disease in order to reach a common document for clinical practice recommendations.


1963 ◽  
Vol 16 (2) ◽  
pp. 206-211
Author(s):  
H. Giesecke

This paper, and the papers by Gérardin and Payne which follow, were presented at the meeting of the Deutsche Gesellschaft für Ortung und Navigation held in Dusseldorf 5–7 June 1962 and are printed with that body's kind permission. An account of the meeting was published in the last number of the Journal (16, 111).The scientific engineering review of the U.S. Task Force on air traffic control, known as Project Beacon, was completed in the fall of 1961. In their report to the Administrator of the Federal Aviation Agency, the Task Force makes no claim for originality of most of the ideas and recommendations which were presented. Consequently, many of the problems resulting from the proposed plan of action have been previously discussed. However, the very positive and specific treatment of basic principles and the presentation of clear decisions produced considerable impact. The blurred picture created by less definitive approaches has been brought into better focus. The remaining problems are reduced in number, implementation efforts can be concentrated and the probability of success has been increased.


2020 ◽  
Vol 9 (8) ◽  
pp. 2531
Author(s):  
Joanna Słomko ◽  
Fernando Estévez-López ◽  
Sławomir Kujawski ◽  
Monika Zawadka-Kunikowska ◽  
Małgorzata Tafil-Klawe ◽  
...  

In this study we set out to define the characteristics of autonomic subgroups of patients with Chronic Fatigue Syndrome (CFS). The study included 131 patients with CFS (Fukuda criteria). Participants completed the following screening symptom assessment tools: Chalder Fatigue Scale, Fatigue Impact Scale, Fatigue Severity Scale, Epworth Sleepiness Scales, the self-reported Composite Autonomic Symptom Scale. Autonomic parameters were measured at rest with a Task Force Monitor (CNS Systems) and arterial stiffness using an Arteriograph (TensioMed Kft.). Principal axis factor analysis yielded four factors: fatigue, subjective and objective autonomic dysfunction and arterial stiffness. Using cluster analyses, these factors were grouped in four autonomic profiles: 34% of patients had sympathetic symptoms with dysautonomia, 5% sympathetic alone, 21% parasympathetic and 40% had issues with sympathovagal balance. Those with a sympathetic-dysautonomia phenotype were associated with more severe disease, reported greater subjective autonomic symptoms with sympathetic over-modulation and had the lowest quality of life. The highest quality of life was observed in the balance subtype where subjects were the youngest, had lower levels of fatigue and the lowest values for arterial stiffness. Future studies will aim to design autonomic profile-specific treatment interventions to determine links between autonomic phenotypes CFS and a specific treatment.


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