The Impact of Physician Productivity Models on Access to Subspecialty Care: A White Paper From the Society for the Study of Male Reproduction and the Society for Male Reproduction and Urology

Urology ◽  
2021 ◽  
Author(s):  
James M. Dupree ◽  
R. Matthew Coward ◽  
Tung-Chin Hsieh ◽  
Cigdem Tanrikut ◽  
Paul Shin ◽  
...  
Keyword(s):  
White Paper ◽  
Male Reproduction ◽  
Physician Productivity ◽  
The Impact

scholarly journals What Is the Impact of Excessive Iodine and Semen Quality in Fertile Men of China: An Association Study 

2021 ◽  
Author(s):  
Ning Wang ◽  
Fang Lv ◽  
Ge Yu ◽  
Cuige Shi ◽  
Shangming Wang ◽  
...  
Keyword(s):  
Semen Quality ◽  
Sperm Count ◽  
Sperm Concentration ◽  
Urinary Iodine ◽  
Iodine Concentration ◽  
Male Reproduction ◽  
Semen Parameters ◽  
Human Thyroid ◽  
Urinary Iodine Concentration ◽  
The Impact

Abstract Background: Iodine is an essential element for hormones synthesized by the human thyroid gland. Thyroid hormone deficiency affects all body tissues, including multiple endocrine changes that alter growth hormones, corticotrophin, glucocorticoids, and gonadal function. In many countries, subfertility is an important problem affecting about 10–15% of all couples trying to conceive. Male subfertile factors have accounted for 25–30% of all cases in their studies. The aim of this study was to study the correlation between urinary iodine concentration (UIC) and semen quality of fertile male in China.Methods: semen and urine samples were collected from males who attended a survey for the reproductive physiological constants of male and female in China. All participants were fertile and they should be free from diseases of male reproductive system and thyroid related diseases. We studied the correlation between UIC and semen quality parameters in fertile males and the effect of iodine concentration on male reproduction. Participants were divided into six groups based on UIC. We measured semen parameters and UIC. Semen parameters or time-to-pregnancy (TTP) were analyzed by Spearman correlation, linear regression and multivariable logistic regression. Results: 1089 men were recruited in the study. The mean and median age of participants were 27.46±0.12 and 27±3.88 years, respectively. UIC of 274 (25.16%) men was lower than the UIC of WHO recommended. UIC of 405 men located in the region of WHO recommended. 62.35% of them were not located in the optimal region. Semen concentration and total sperm count were found to decrease when UIC increases when the UIC≥100 ug/L. Conclusions: A male with deficient UIC or excessive UIC has more risk of lower semen quality such as sperm concentration and total sperm count. In addition, if a male with deficient UIC or excessive UIC, his wife has longer TTP than the males who had normal UIC. Deficient UIC associated with lower semen quality and TTP than excessive UIC.

scholarly journals P105: Observational study of distribution of time and activities over the course of an emergency physician's shift

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S102-S103
Author(s):  
E. Feng ◽  
Z. Zia ◽  
C. Tong ◽  
N. Cornell
Keyword(s):  
Medical Information ◽  
Patient Flow ◽  
Second Phase ◽  
Time Motion ◽  
Patient Interaction ◽  
Physician Productivity ◽  
Motion Study ◽  
One Year ◽  
The Impact ◽  
Insight Into

Introduction: The growing scrutiny to improve Emergency Department (ED) wait times and patient flow have resulted in many efforts to increase efficiency and maximize patient throughput via systems improvements. This study investigates areas of efficiency improvement from the Emergency Physician (EP) perspective by examining EP workflow in a two phased observational time-motion study. In the initial phase, the distribution of time and activities of EPs were dissected to identify potential sources for streamlining to maximize physician productivity. The first phase was of the study was completed during the period immediately preceding the implementation of an Electronic Health Records (EHR). The second phase of the study will repeat the analysis one year post EHR implementation. This data will be dissected to again identify sources for streamlining in an EHR environment and to identify shifts in work flow from a paper-based system. Methods: An observational time motion study was conducted at St. Mary's Hospital ED, in Kitchener Ontario. An observer was paired with an EP for the duration of an 8 hour shift, to a total of 14 shifts in the first phase of the study. Nine task categories were measured concurrently with a stopwatch application on a tablet, along with the number of interruptions experienced by the EP. Means of each category were calculated and converted to percentages, representing the amount of time per 8 hour shift dedicated to each activity. The second phase will be repeated in Fall 2020, 1 year after EHR implementation. Results: A total of 14 shifts were observed, accounting for 112 hours of observation. EP's time was allocated amongst the following categories: direct patient interaction (40.8%), documentation (27.1%), reviewing patient results (18.4%), communicating with ED staff (7.63%), personal activities (5.7%), writing orders (5.1%), communicating with consultants (3.3%), teaching (1.7%) and medical information searches (1.3%). On average, EPs experienced 15.8 interruptions over the course of an 8 hour shift. Conclusion: In a paper charting system, the direct patient interaction accounts for the largest timeshare over the course of a given shift. However, the next two largest categories, documentation and reviewing patient data, both represent areas of potential streamlining via clerical improvements. Additionally, detailed measurements of EPs’ activities have proven feasible and provides the potential for future insight into the impact of EHR's on EP workflow.

VP60 The Importance Of Patient Organizations Involvement In Health Technology Assessment

2017 ◽  
Vol 33 (S1) ◽  
pp. 176-176
Author(s):  
Kathi Apostolidis ◽  
Lydia Makaroff ◽  
Francesco De Lorenzo ◽  
Francesco Florindi
Keyword(s):  
Health Technology Assessment ◽  
Technology Assessment ◽  
Patient Preferences ◽  
Health Technology ◽  
White Paper ◽  
Public Consultation ◽  
Policy Position ◽  
List Type ◽  
Patient Organizations ◽  
The Impact

INTRODUCTION:In Europe, the work done by the European Commission and the European Network for Health Technology Assessment (EUnetHTA) has consolidated the role of Health Technology Assessment (HTA), and promises to better harmonize its impact across European Union (EU) countries. However, more work is needed to improve patient involvement in assessing new health technology, and in developing research priorities.METHODS:The European Cancer Patient Coalition (ECPC) developed a model for engagement of patients in HTA based on the experience from: •ECPC's ‘Value of Innovation in Oncology’ White Paper, which includes input from ECPC's membership•ECPC's leading role in the Patient Preferences in Benefit-Risk Assessments during the Drug Life Cycle (PREFER) study, funded by the Innovative Medicines Initiative, to develop guidelines on how patient-preference studies should be performed throughout the development of new medical treatments.RESULTS:The ECPC ‘Value of Innovation in Oncology’ White Paper was launched in 2017. The paper provides ECPC's policy position on key obstacles to equitable access to meaningful innovation. The paper recommends the establishment of an EU-wide HTA body to reduce delays and variations in access and to avoid duplication of effort by individual Member States. The paper also recommends that patients should be formally and routinely included in HTA policy and operations at EU and at national levels. These recommendations were also submitted to the European Commission's public consultation on strengthening EU cooperation on HTA.Through its work in PREFER, ECPC is helping to improve how patient preferences are measured and valued to capture the impact of health technology on patients daily life. Patient preferences are concerned with measuring how patients value components such as treatment end points, route of administration, treatment duration, treatment frequency, frequency of side-effects, price, and quality of life.CONCLUSIONS:Patient organization involvement in HTA is vital. Patient organizations offer unique insights, experiences, identify unmet needs, and can help to produce practical recommendations

The impact of obesity on male reproduction: its biological significance

2013 ◽  
Vol 8 (2) ◽  
pp. 139-148 ◽  
Author(s):  
Ana Carolina Martini ◽  
Rosa Isabel Molina ◽  
Andrea Tissera ◽  
Rubén Daniel Ruiz ◽  
Marta Fiol de Cuneo
Keyword(s):  
Biological Significance ◽  
Male Reproduction ◽  
The Impact

White Paper AGA: The Impact of Mental and Psychosocial Factors on the Care of Patients With Inflammatory Bowel Disease

2017 ◽  
Vol 15 (7) ◽  
pp. 986-997 ◽  
Author(s):  
Eva M. Szigethy ◽  
John I. Allen ◽  
Marci Reiss ◽  
Wendy Cohen ◽  
Lilani P. Perera ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Psychosocial Factors ◽  
Bowel Disease ◽  
White Paper ◽  
Inflammatory Bowel ◽  
The Impact

scholarly journals Assessing the impact of the 2011 EU Transport White Paper - a rail freight demand forecast up to 2050 for the EU27

2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Dewan Md Zahurul Islam ◽  
Ross Jackson ◽  
Thomas Hagen Zunder ◽  
Arnaud Burgess
Keyword(s):  
White Paper ◽  
Demand Forecast ◽  
Rail Freight ◽  
The Impact

scholarly journals A White Paper—Consensus and Recommendations of a Global Harmonization Team on Assessing the Impact of Immunogenicity on Pharmacokinetic Measurements

2014 ◽  
Vol 16 (3) ◽  
pp. 488-498 ◽  
Author(s):  
J. M. Sailstad ◽  
L. Amaravadi ◽  
A. Clements-Egan ◽  
B. Gorovits ◽  
H. A. Myler ◽  
...  
Keyword(s):  
White Paper ◽  
Global Harmonization ◽  
The Impact

scholarly journals Numbers that tell a story: Measuring the impact of open access books

2018 ◽  
Author(s):  
Christina Emery ◽  
Mithu Lucraft ◽  
Agata Morka ◽  
Matteo Prandi ◽  
Ros Pyne
Keyword(s):  
Open Access ◽  
Book Publishing ◽  
Research Impact ◽  
White Paper ◽  
Career Progression ◽  
Book Publisher ◽  
Central Theme ◽  
Lack Of Information ◽  
Scholarly Communications ◽  
The Impact

Open access book publishing is gaining momentum, with more than 10,000 titles published worldwide. But compared to the overall number of academic books that are produced, this is still a small percentage. With much research on the benefits to society from open access publication, what can we do to encourage more book authors to choose open access?Springer Nature is a leading academic book publisher – to date, we have published more than 550 open access books since launching OA book options in 2012. Feedback from our OA book authors has shown that metrics are important to them, as the data helps demonstrate the impact of their research to funders, and also supports conversations with their institutions for career progression. However, as highlighted in our white paper ‘The OA effect: How does open access affect the usage of scholarly books?’, some authors feel that there is a lack of information around metrics and book performance. This information may be critically important in helping authors consider the benefits of choosing to publish their book open access.Authors also state that one of the main obstacles to publishing more OA books through the gold route is funding; access to which varies globally and by discipline – a central theme that emerged at our researcher event during Academic Book Week 2018.Meanwhile, funders interviewed for ‘The OA Effect’ told us that they were keen to understand the impact of the OA books they had supported, but few had actually done so; many commented on the difficulties of measuring the impact of research.  In light of these findings, in 2018 we piloted a new “impact report”, based on metrics for an individual funder of OA books. The outcomes of this pilot impact report project will help the scholarly communications community to better understand how publishers can inform funders, authors and their institutions about the impact of their research, and on a wider scale. What are the challenges of sharing the benefits of OA book publishing with researchers across different disciplines, and how can we overcome these challenges?Our poster shows excerpts from the pilot impact report, quotes from authors and funders about research impact, and considers next steps.

scholarly journals Endocrine disruptive compounds and male reproduction

2018 ◽  
Vol 6 (4) ◽  
pp. 131-134
Author(s):  
Ješeta Michal ◽  
Chmelíková Eva ◽  
Crha Igor ◽  
Sedmíková Markéta ◽  
Žáková Jana ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Endocrine Disruptors ◽  
Hormonal Regulation ◽  
Sperm Quality ◽  
Postnatal Period ◽  
Male Reproduction ◽  
Testicular Development ◽  
Negative Effects ◽  
Hormone Synthesis ◽  
The Impact

AbstractEndocrine disruptors (EDs) are chemical substances that affect physiological processes in the organism via hormonal regulation. The EDs are present in the environment and objects of everyday use. They are often detected in food, particularly released from packaging of canned food, but also from plastic water bottles, and they are also found in cosmetics and fertilizers. They are commonly detected in children's toys, banknotes, receipts and many more objects. Permanent and long-term utilization of EDs has harmful effects on human reproductive health mainly by interference with sex hormone synthesis and mechanism of action. The endocrine disruptors show many negative effects on male reproductive system. Any change during synthesis or activity of sex hormones can cause abnormal reproduction, including developmental anomalies of the sexual system, disruption of testicular development or deterioration of sperm quality. Mainly the impact on the development of testicles in prenatal and early postnatal period can be crucial for reproductive health in males. This review provides an overview of the EDs and their possible impact on reproductive health in males with focus on sperm quality and development of testicles.

Sign in / Sign up

Export Citation Format

Share Document