Teledermatology: Key factors associated with reducing face-to-face dermatology visits

2014 ◽  
Vol 71 (3) ◽  
pp. 570-576 ◽  
Author(s):  
Shoshana M. Landow ◽  
Ashley Mateus ◽  
Kaveri Korgavkar ◽  
Deborah Nightingale ◽  
Martin A. Weinstock
2006 ◽  
Vol 22 (7) ◽  
pp. 1431-1446 ◽  
Author(s):  
Greice M. S. Menezes ◽  
Estela M. L. Aquino ◽  
Diorlene Oliveira da Silva

This study aimed to identify the factors associated with induced abortion in the first pregnancy in young women and in the first time young men got their partners pregnant. The methodology was a household survey with face-to-face interviews in a probabilistic sample in three stages with 4,634 subjects, aged 18 to 24 years of age residing in the cities of Salvador, Rio de Janeiro, and Porto Alegre, Brazil. Logistic regression analysis was used with a hierarchical strategy for entering variables into the model. Abortion was the reported outcome of the first pregnancy for 16.7% of the women and 45.9% of the men (in relation to their partners). Key factors associated with abortion included higher schooling and the occasional nature of the relationship with the male or female partner in the respective pregnancy. Inclusion of males in the study provided new elements for understanding the abortion phenomenon, including in the gender issues in discussion of the theme. The authors recommend greater public investment to warrant access to information and means for young people to achieve their reproductive plans in a security and healthy way, respecting their sexual and reproductive rights.


Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 878
Author(s):  
Mohamed A. Baraka ◽  
Amany Alboghdadly ◽  
Samar Alshawwa ◽  
Asim Ahmed Elnour ◽  
Hassan Alsultan ◽  
...  

Factors reported in the literature associated with inappropriate prescribing of antimicrobials include physicians with less experience, uncertain diagnosis, and patient caregiver influences on physicians’ decisions. Monitoring antimicrobial resistance is critical for identifying emerging resistance patterns, developing, and assessing the effectiveness of mitigation strategies. Improvement in prescribing antimicrobials would minimize the risk of resistance and, consequently, improve patients’ clinical and health outcomes. The purpose of the study is to delineate factors associated with antimicrobial resistance, describe the factors influencing prescriber’s choice during prescribing of antimicrobial, and examine factors related to consequences of inappropriate prescribing of antimicrobial. A cross-sectional study was conducted among healthcare providers (190) in six tertiary hospitals in the Eastern province of Saudi Arabia. The research panel has developed, validated, and piloted survey specific with closed-ended questions. A value of p < 0.05 was considered to be statistically significant. All data analysis was performed using the Statistical Package for Social Sciences (IBM SPSS version 23.0). 72.7% of the respondents have agreed that poor skills and knowledge are key factors that contribute to the inappropriate prescribing of antimicrobials. All of the respondents acknowledged effectiveness, previous experience with the antimicrobial, and reading scientific materials (such as books, articles, and the internet) as being key factors influencing physicians’ choice during antimicrobial prescribing. The current study has identified comprehensive education and training needs for healthcare providers about antimicrobial resistance. Using antimicrobials unnecessarily, insufficient duration of antimicrobial use, and using broad spectrum antimicrobials were reported to be common practices. Furthermore, poor skills and knowledge were a key factor that contributed to the inappropriate use and overuse of antimicrobials, and the use of antimicrobials without a physician’s prescription (i.e., self-medication) represent key factors which contribute to AMR from participants’ perspectives. Furthermore, internal policy and guidelines are needed to ensure that the antimicrobials are prescribed in accordance with standard protocols and clinical guidelines.


Author(s):  
Peter Adamy ◽  
Amy Correia ◽  
David Byrd

A cadre of school teachers took part in three semesters of online coursework to earn TESOL certification. They participated in a hybrid university math course and a face-to-face summer institute on effective teaching of math to English learners. Participants took pre and post-tests aligned to Common Core elementary mathematics content and the Praxis Test for Teachers of English to Speakers of Other Languages. They were observed teaching a math lesson in the beginning of the project to evaluate effectiveness in TESOL instructional strategies. A follow up observation was conducted the following semester. Both observations were scored using the sheltered instruction observation protocol (SIOP Model). Assessment and observation results indicated statistically significant growth in content and pedagogical knowledge and application. A qualitative analysis suggests flexibility in the form of online and hybrid courses, financial support, and practical application of new concepts to current practice are key factors in successful professional development for practicing teachers.


2014 ◽  
Vol 13 (2) ◽  
pp. 238-242 ◽  
Author(s):  
Joseph Domino ◽  
Connie McGovern ◽  
Kate W. C. Chang ◽  
Noelle E. Carlozzi ◽  
Lynda J. S. Yang

Object Perinatal disorders are prone to malpractice litigation. Neonatal brachial plexus palsy (NBPP) results from stretching the nerves in the perinatal period and may lead to paresis or paralysis and sensory loss in the affected arm. Little is known about the key factors associated with malpractice litigation by families of patients with NBPP and whether these factors reflect the practice environment or are inherent to the condition. In this study, the authors documented the percentage of families of NBPP patients at a specialty center that had filed a malpractice suit and described the key factors associated with that pursuit of legal action. Methods The families/caregivers of 51 patients with NBPP who had presented to the University of Michigan Interdisciplinary Brachial Plexus Program participated in this study. A qualitative research design was applied using both a questionnaire to examine psychosocial factors and a dynamic tool to measure health outcomes from the patient perspective via parent proxy (Patient-Reported Outcomes Measurement Information System [PROMIS] assessment instruments). Statistical analysis included the Fisher exact test, chi-square test, and Student t-test. The study protocol was approved by the University of Michigan institutional review board. Results Forty-seven percent of the families pursued malpractice litigation. In comparing patient families that had pursued legal action with those that had not, significant differences were revealed in the perception that the sustained birth injury was unnecessary (p = 0.002), the information received in the perinatal period was inadequate (p = 0.003), family concerns were ignored in the perinatal period (p = 0.005), and family concerns were not adequately addressed (p < 0.001). Sixty-six percent of the families received external advice to pursue legal action. The PROMIS survey revealed significant group differences in depressive symptoms (p = 0.008), fatigue (p = 0.02), pain (p = 0.01), and anger (p = 0.004). In contrast, the extent of NBPP was not associated with malpractice litigation (p = 0.18). Age, sex, and race were not significantly different between litigation and nonlitigation groups. Conclusions Physician-controllable factors, such as communication in the perinatal period, are associated with malpractice litigation in NBPP. The perceived level of global disability may affect the pursuit of malpractice litigation, whereas the isolated extent of nerve root involvement and/or upper extremity dysfunction are not significant factors in pursuing litigation. Identifying and ameliorating these factors within the practice environment may decrease the animosity between families and health care providers and improve overall outcome for patients with NBPP.


Author(s):  
Andrew Silke ◽  
John Morrison ◽  
Heidi Maiberg ◽  
Chloe Slay ◽  
Rebecca Stewart

Abstract Improving our understanding of how disengagement and deradicalisation from terrorism and violent extremism occurs has critical real-world implications. A systematic review of the recent literature in this area was conducted in order to develop a more refined and empirically-derived model of the processes involved. After screening more than 83,000 documents, we found 29 research reports which met the minimum quality thresholds. Thematic analysis identified key factors associated with disengagement and deradicalisation processes. Assessing the interactions of these factors produced the Phoenix Model of Disengagement and Deradicalisation which is described in this paper. Also examined are some of the potential policy and practice implications of the Phoenix Model, as are avenues for future research in this area.


Author(s):  
Charles R Crowell

This chapter discusses the ways in which moral psychology can inform information ethics. A “Four Component Model” of moral behavior is described involving the synergistic influences of key factors including sensitivity, judgment, motivation, and action. Two technology-mediated domains, electronic communications and digital property, are then explored to illustrate how technology can impact each of the four components believed to underlie moral behavior. It is argued that technology can create a kind of “psychological distance” between those who use technology for communication or those who acquire and use digital property (e.g., software or music) and those who may be affected by such uses (e.g., e-mail recipients or digital property owners). This “distance” potentially impacts all four components of moral behavior in such a way that the usual social or moral constraints operative under normal (non-technology-mediated) circumstances (e.g., face-to-face communication) may be reduced, thereby facilitating the occurrence of unethical activities like piracy, hacking, or flaming. Recognition of the potential deleterious impact of technology on each of the four components leads to a better understanding of how specific educational interventions can be devised to strengthen moral sensitivity, judgment, motivation, and action within the context of our increasingly digital world.


2008 ◽  
pp. 3269-3281
Author(s):  
Charles R. Crowell ◽  
Darcia Narvaez ◽  
Anna Gomberg

This chapter discusses the ways in which moral psychology can inform information ethics. A “Four Component Model” of moral behavior is described involving the synergistic influences of key factors including sensitivity, judgment, motivation, and action. Two technology-mediated domains, electronic communications and digital property, are then explored to illustrate how technology can impact each of the four components believed to underlie moral behavior. It is argued that technology can create a kind of “psychological distance” between those who use technology for communication or those who acquire and use digital property (e.g., software or music) and those who may be affected by such uses (e.g., e-mail recipients or digital property owners). This “distance” potentially impacts all four components of moral behavior in such a way that the usual social or moral constraints operative under normal (non-technology-mediated) circumstances (e.g., face-to-face communication) may be reduced, thereby facilitating the occurrence of unethical activities like piracy, hacking, or flaming. Recognition of the potential deleterious impact of technology on each of the four components leads to a better understanding of how specific educational interventions can be devised to strengthen moral sensitivity, judgment, motivation, and action within the context of our increasingly digital world.


Cancer ◽  
2020 ◽  
Vol 126 (7) ◽  
pp. 1470-1479 ◽  
Author(s):  
Michael M. Gaisa ◽  
Yuxin Liu ◽  
Ashish A. Deshmukh ◽  
Kimberly L. Stone ◽  
Keith M. Sigel

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