scholarly journals The Patient in Free Movement Law: Medical History, Diagnosis, and Prognosis

2019 ◽  
Vol 21 ◽  
pp. 162-186
Author(s):  
Barend VAN LEEUWEN
Keyword(s):  
Negative Impact ◽  
Medical Condition ◽  
Negative Attitude ◽  
Quality Of Healthcare ◽  
Free Movement ◽  
The European Union ◽  
Diagnosis And Prognosis ◽  
Number Of Patients ◽  
The Moment

AbstractFree movement of patients has been criticised from the moment that the first patient cases reached the Court of Justice of the European Union (‘CJEU’). The moving patient supposedly increases consumerism, reduces national solidarity, and has a negative impact on the quality of healthcare provided in some Member States. This article challenges the empirical foundations of such criticisms. An empirical analysis of all patient cases before the CJEU shows that a significant number of patients required urgent treatment, that their medical condition was life-threatening, and that they were supported by their treating doctor in seeking treatment in another Member State. Moreover, free movement of patient cases regularly lead to positive changes to national healthcare systems. Therefore, the negative attitude towards free movement of patients should be reconsidered. Patients, doctors, and lawyers must think more strategically about how free movement can be used to improve the quality of healthcare in the EU.

scholarly journals INFLUENCE OF WASTE DUMP “CHROBRÓW” IN POLAND ON GROUND - AND SURFACE WATER

2005 ◽  
Vol 1 ◽  
pp. 179
Author(s):  
Agnieszka Gontaszewska ◽  
Andrezej Krainski
Keyword(s):  
Surface Water ◽  
Negative Impact ◽  
Surface Water Quality ◽  
Ammonia Nitrogen ◽  
Geological Structure ◽  
Sewage Water ◽  
Waste Dump ◽  
The Moment ◽  
Sodium And Potassium

In paper an influence of waste dump “Chrobrów” on groundwater and tributary of the Bóbr river was described. This waste dump was installed in former gravel excavation. For first 10 years it had no leak stopper and sewage water could freely infiltrate. Geological structure of the waste dump subsoil is unfavourable because garbage are directly stored on gravels with high filtration coefficient which make migration of pollutants easy. At the moment the waste dump has a leak stopper made from bentonite composite but there are still polluted groundsunderneath. In this paper was analyzed data about ground- and surface water quality from years 1994 – 2004. It was found that the quality of groundwater deteriorated, especially in years 1999 and 2002. The most worsening was noted in case of chlorides, ammonia nitrogen, sodium and potassium. Unfortunately there is no data before 1994 so there is no information about hydrogeochemical background. Increased values of all groundwater components infirst period of investigation are results of exploitation in years 1984 – 1994, when waste dump had no leak stopper.But later deterioration of groundwater quality can not be explained in this way. It should be drawn a conclusion that the seal of waste dump bottom does not work correctly. It was found that there is no negative impact of waste dump on surface water what is caused by absence of hydraulic contact between river and groundwater on investigated area.

Local Investments Site Selection and the Behavior of the Real Estate Market – Case Study in Poland

2017 ◽  
Author(s):  
Monika Siejka
Keyword(s):  
Economic Development ◽  
Real Estate ◽  
Negative Impact ◽  
Real Estate Market ◽  
The European Union ◽  
The Real Estate ◽  
The Real Estate Market ◽  
Real Estate Management

One of the main tasks of real estate management in the area of the municipality is making decisions concerning the location of investments on a local scale. These decisions should be taken with the principle of sustainable development. For such an action obliges Poland's membership in the European Union. Poland as a member of the EU is obliged to implement the rules in force in the Member States. Bearing in mind that any investment impact directly or indirectly on the economic development of the municipality, is therefore a significant impact on the local real estate market. Investments that have a negative impact on the environment can contribute to a reduction in the activity of the local real estate market. While performing tasks related to the economic development of the region and the increase in quality of life, increases the activity of the local real estate market. The work was carried out research on the dynamics of changes in the local real estate market in the area of the municipality Skrzyszow in the Malopolska province in Poland, in connection with the construction of the reservoir.

scholarly journals Childhood Asthma: Diagnosis and Treatment

Scientifica ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-18 ◽  
Author(s):  
Wim M. van Aalderen
Keyword(s):  
Asthma Control ◽  
Negative Impact ◽  
Airflow Limitation ◽  
Inhalation Technique ◽  
Pharmacological Management ◽  
School Aged Children ◽  
Number Of Patients ◽  
Incorrect Diagnosis ◽  
Poor Inhalation Technique

Many children suffer from recurrent coughing, wheezing and chest tightness. In preschool children one third of all children have these symptoms before the age of six, but only 40% of these wheezing preschoolers will continue to have asthma. In older school-aged children the majority of the children have asthma. Quality of life is affected by asthma control. Sleep disruption and exercised induced airflow limitation have a negative impact on participation in sports and social activities, and may influence family life. The goal of asthma therapy is to achieve asthma control, but only a limited number of patients are able to reach total control. This may be due to an incorrect diagnosis, co-morbidities or poor inhalation technique, but in the majority of cases non-adherence is the main reason for therapy failures. However, partnership with the parents and the child is important in order to set individually chosen goals of therapy and may be of help to improve control. Non-pharmacological measures aim at avoiding tobacco smoke, and when a child is sensitised, to avoid allergens. In pharmacological management international guidelines such as the GINA guideline and the British Guideline on the Management of Asthma are leading.

scholarly journals APPLICATION OF THE CONCEPTS OF QUALITY OF LIFE IN THE HEALTH ASSESSMENT OF POST COVID-19 PATIENTS

2021 ◽  
Vol 4 (3) ◽  
pp. 79-88
Author(s):  
Svetlana Gorobievschi ◽  
◽  
Tudor Costru ◽  
Raisa Puia ◽  
Alina Ungureanu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
The State ◽  
Human Society ◽  
Special Role ◽  
State Of Health ◽  
The European Union ◽  
Republic Of Moldova ◽  
The Republic

The phenomenon of the Covid-19 pandemic has affected the whole globe, the consequences of which are long lasting and difficult to estimate. The Republic of Moldova, being a developing country, could not overcome these serious consequences, caused by the reduction of public health, the reduction of the work capacity of the population, the deplorable condition of the medical system, caused by small investments in health, etc. Human society has been put to hard tests of survival of patients with this virus, the incidence rate of diseases was about 11%. Thanks to the financial aid of the European Union, Romania and other countries, the Republic of Moldova managed to cope with things in the fight against Covid. This article presents the results of the research of the authors, participants of the national project "Assessment of health of post – COVID - 19 patients in the Republic of Moldova", which aimed to develop the Electronic Register of patients with Covid - 19 (March 2020 - June 2021), which will allow monitoring the process of treatment and recovery of the consequences of this disease, by assessing the state of health and quality of life both at admission and at discharge of the respective patients. Based on the concept of quality of life as a socio-economic category and its interconnections with health, the authors proposed the system of medical indicators to assess the health and quality of life of patients affected by covid. In the authors' opinion, a special role in the treatment and treatment of comorbidities belongs to comorbidities, so the authors selected them as separate study subjects to prove their negative impact on the form of the disease and the state of health and quality of life at discharge of patients.

scholarly journals Het belang van sociaal tolken als instrument van tolerantie in het kader van de huidige vluchtelingen- en arbeidsmigratie

2020 ◽  
Vol 68 (5 Zeszyt specjalny) ◽  
pp. 83-94
Author(s):  
Pavlína Knap-Dlouhá ◽  
Kateřina Křížová
Keyword(s):  
Social Services ◽  
Western Europe ◽  
Quality Of Healthcare ◽  
Social Changes ◽  
The European Union ◽  
The Social ◽  
Long Time ◽  
Professional Profile ◽  
New Perspective

As a result of social changes in society in Western Europe at the end of the 20th century, it was recognised that a new perspective on interpreting science was needed. For a long time, community interpreting was ignored or considered inferior in comparison to the dominant interpreting mode, namely, conference interpreting. Intensifying trade contacts and labour migration within the European Union have, in combination with the current influx of refugees, led to a high demand for interpreting services in the field of social and legal interpreting. Additionally, there is only a limited number of qualified interpreters available on the market, especially in combinations of less widely-spoken languages. The lack of qualified community interpreters and translators has direct consequences for delays in the functioning of certain government bodies and social services. The same applies to the quality of healthcare provided and to the social climate. Increasing the scale of interpreting and translation assignments, changing the professional profile of the interpreter and raising the demand for the provision of language services in specific language combinations are clear signals for small philological departments to offer their students the opportunity to specialise in this area. For this reason, two projects are presented in this article, both of which aim at promoting know-how in the field of social interpreters and at developing modules in social interpreting and translation.

scholarly journals A modern view on service and operational competence development of specialists dealing with hazardous production facilities safe operation

2019 ◽  
Vol 8 (4) ◽  
pp. 266-273
Author(s):  
Andrey Lvovich Panychev ◽  
Larisa Nicolaevna Gorina
Keyword(s):  
Negative Impact ◽  
Educational Process ◽  
Industrial Safety ◽  
Economic Damage ◽  
Practical Training ◽  
Industrial Enterprises ◽  
Hazardous Production ◽  
The Moment ◽  
Production Facilities

The paper presents the results of the study aimed at improving the quality of specialists training in higher educational institutions who will fork for industrial enterprises where hazardous production facilities are operated. The quality of training depends on the level of industrial safety of hazardous production facilities and as a consequence the likelihood of accidents. At the moment, despite the general trend of reducing accidents at hazardous production facilities over the past ten years, their number remains quite significant. At the same time, social and economic damage from accidents can be estimated at 600-700 billion rubles per year, which will have a negative impact on the economic stability of the Russian Federation. The obligations of industrial enterprises where hazardous production facilities are operated and its employees are defined by the legislation. The content of education should take into account these basic requirements, which should be formed into separate themes. Accordingly, the modular principle is used in the design of the training content. The development of content in the form of modules will ensure the organizational and substantive unity of students training. We accept lectures and practical classes, as well as group and individual ones as the main methods of the educational process. Learning the material based on the results of lectures, practical training and self-training should allow students to form the qualities specified in our profesionogram. How the educational material proposed for study is learned should be checked during the control activities, starting from the initial-input control and ending with the final control.

scholarly journals The impact of the COVID-19 pandemic on Polish orthopedics, in particular on the level of stress among orthopedic surgeons and the education process

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257289
Author(s):  
Łukasz Kołodziej ◽  
Dawid Ciechanowicz ◽  
Hubert Rola ◽  
Szymon Wołyński ◽  
Hanna Wawrzyniak ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Personal Protective Equipment ◽  
Negative Impact ◽  
Protective Equipment ◽  
Orthopedic Surgeons ◽  
Number Of Patients ◽  
The Impact ◽  
Care System

The Coronovirus Disease 2019 –(COVID-19) pandemic had a significant impact on the health care system and medical staff around the world. The orthopedic units were also subject to new restrictions and regulations. Therefore, the aim of our research was to assess how the COVID-19 pandemic affected orthopedic wards in the last year in Poland. We created an online survey, which was sent to 273 members of the Polish Society of Orthopedics and Traumatology. The survey contained 51 questions and was divided into main sections: Preparedness, Training, Stress, Reduction, Awareness. A total of 80 responses to the survey were obtained. In Preparedness section the vast majority of respondents (90%) replied, that they used personal protective equipment during the pandemic, however only 50% of the respondents indicated that their facility received a sufficient amount of personal protective equipment. Most of the respondents indicated that the pandemic negatively affected the quality of training of future orthopedists (69.4%) and that pandemic has had a negative impact on their operating skills (66,7%). In Reduction section most of the doctors indicated that the number of patients hospitalized in their departments decreased by 20–60% (61,2% respondents), while the number of operations performed decreased by 60–100% (60% respondents). The negative impact of pandemic on education was noticeable especially in the group of young orthopedic surgeons: 0–5 years of work experience (p = 0,029). Among the respondents, the level of stress increased over the last year from 4.8 to 6.9 (p <0.001). The greatest increase in the level of stress was observed among orthopedists working in country hospitals (p = 0,03). In section Awareness 36,3% of respondents feel well or very well informed about the latest Covid-19 regulations. In addition, most doctors (82.6%) believe that the Polish health care system was not well prepared to fight the pandemic and that the regulations applied so far are not sufficient to effectively fight the pandemic (66.2%). The COVID-19 pandemic has impact on orthopedics departments in Poland and negatively affected the quality of training of orthopedic surgeons and the level of stress.

scholarly journals Different Approaches to Cross Boreder Mobility of Patients in the European Union in Czechia, Slovakia and Poland

2016 ◽  
Vol 9 (2) ◽  
pp. 101-120
Author(s):  
Filip Křepelka
Keyword(s):  
European Union ◽  
Social Security ◽  
Quality Care ◽  
Quality Of Healthcare ◽  
Price Setting ◽  
The European Union ◽  
Socioeconomic Conditions ◽  
Public Financing ◽  
Court Of Justice

Poland and Slovakia are neighbour countries with similar history and socioeconomic conditions. They share heritage of socialized healthcare. Nevertheless, they adopted different policies towards promotion of patients’ mobility in the European Union. Accession to coordination of social security establishing assistance for tourists was smooth. Providers offer quality care for good prices. Foreign patients come to all three countries. Right for reimbursement of treatment intentionally sought across borders was created by the Court of Justice already before their accession. Nevertheless, they already decided on the Patients’ directive. Czechia supported it, Slovakia abstained and Poland refused. Numerous Poles seek treatment abroad and ask for its reimbursement, while implementing legislation barely complies and authorities are tight-fisted. Few Slovaks do it in accordance with rules adopted with cautiousness. Czechs ignore this opportunity despite official benevolence. Quality of healthcare, various price-setting and peculiarities of public financing explain this difference.

scholarly journals Disease Pattern at Medicine Outpatient Department of A Tertiary Care Hospital

2019 ◽  
Vol 18 (1) ◽  
pp. 27-30
Author(s):  
Raushan Akter ◽  
M Jalal Uddin ◽  
Rajat Sankar Roy Biswas
Keyword(s):  
Tertiary Care ◽  
Quality Of Healthcare ◽  
Outpatient Department ◽  
Common Disease ◽  
Care Hospital ◽  
Medical College ◽  
Number Of Patients ◽  
Disease Pattern ◽  
Laboratory Investigations

Background : Bangladesh, like many transitional nations, is straddling with the demographic and epidemiological transition. There is a critical need to improve public health in this region. But number of studies & representative data on the prevalence of diseases is inadequate. The objective of this study is to detect type & frequency of diseases among patients attending in medicine outpatient department (OPD) to improve the quality of healthcare. Materials and methods: This observational study was conducted at the outpatient department (OPD) of Chattogram Maa-O-Shishu Hospital Medical College from February to April 2018. Purposive sampling was used. Total 500 patients were included. Details were recorded in a data form and diagnosis was made on the basis of history, physical examination and necessary laboratory investigations. Data were collected and analyzed using the SPSS Version 20. Results : Total 500 patients were evaluated. Majority were female (61.2%). Highest number of patients i.e. 299 (59.4%) belonged to the age group of 16–35 years. Majority 405 (81%) of the patients in our study were from surrounding locality (Urban). The most common diseases was DM affecting 55(11%). HTN was 2nd common disease 51(10.2%). During this study we found gastrointestinal system was the most common affected organ system. Conclusion: Disease pattern study is very important to focus top problems, so that we can prepare ourselves to fight against them. Chatt Maa Shi Hosp Med Coll J; Vol.18 (1); Jan 2019; Page 27-30

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