scholarly journals Self-documentary in the emergency department: Perspectives on patients recording their own procedures

CJEM ◽  
2018 ◽  
Vol 21 (3) ◽  
pp. 384-390 ◽  
Author(s):  
Taofiq Oyedokun ◽  
Andrew Donauer ◽  
James Stempien ◽  
Shari McKay

ABSTRACTObjectivesPatients often bring their smartphones to the emergency department (ED) and want to record their procedures. There was no clear ED recording policy in the Saskatoon Health Region nor is there in the new Saskatchewan Health Authority. With limited literature on the subject, clinicians currently make the decision to allow/deny the request to record independently. The purpose of this study was to examine and compare patient and clinician perspectives concerning patients recording, in general, and recording their own procedures in the ED.MethodsSurveys were developed for patients and clinicians with respect to history and opinions about recording/being recorded. ED physicians and nurses, and patients>17 years old who entered the ED with a laceration requiring stitches were recruited to participate; 110 patients and 156 staff responded.ResultsThere was a significant difference between the proportion of patients (61.7% [66/107]) and clinicians (28.1% [41/146]) who believed that patients should be allowed to video record their procedure. There was also a significant difference between clinicians and patients with regard to audio recording, but not “selfies” (pictures). However, with no current policy, 47.8% (66/138) of clinicians said that they would allow videos if asked, with caveats about staff and patient privacy, prior consent, and procedure/patient care.ConclusionContrary to patients’ views, clinicians were not in favour of allowing audio or video recordings in the ED. Concerns around consent, staff and patient privacy, and legal issues warrant the development of a detailed policy if the decision is made in favour of recording.

2020 ◽  
Vol 9 (40) ◽  
pp. 2987-2991
Author(s):  
Pradnya Nikhade ◽  
Shweta Sedani ◽  
Nikhil Mankar ◽  
Abhilasha Das ◽  
Sindhu P ◽  
...  

BACKGROUND Assessment is an essential part of any curriculum, including that of dentistry. Assessment of knowledge is currently done through examination and thus examination is an inherent part. Examination and assessment of knowledge is done so as to promote the students to the next level. Currently, two types of methods are used for the assessment and performance of students, subjective and objective. Recently objective methods are preferred over 24 subjective methods. Student’s performance can be accessed via relevant feedback. During summative examinations at the end of course, the assessment now has been supplemented by the formative ones. The skill assessment is subjective in nature as well as lacks possibility for direct assessment of the presentation of skills by the evaluator. METHODS 50 students from I BDS class, were selected randomly. These students were subjected to conventional OSVV in the subject of dental anatomy and dental histology. The viva voce was taken using predesigned templates having 10 questions with various difficulty levels - easy, difficult and very difficult. The questions were from must know, desirable to know as well as nice to know areas. Same students were subjected to modified OSVV with prior consent and after IEC clearance was obtained. The scores were obtained from the students after viva voce with modified templates and modified difficulty levels. The study was done during second PCT as well as preliminary examinations. The scores were compared. RESULTS There were 5 students who scored high in modified OSVV pattern during formative (II PCT) and 6 students who scored high during summative (preliminary) examinations. There was no significant difference in the mean scores between the two methods. CONCLUSIONS Students who scored high marks when subjected to the modified OSVV were rapid learners and modified pattern of OSVV can be useful to improve the score of students. KEY WORDS Objectively Structured Viva Voce (OSVV), Modified Objectively Structured Viva Voce (Modified OSVV), Assessment


2017 ◽  
Vol 8 (2) ◽  
pp. 178-195
Author(s):  
Nurma Risa

This study aims to prove that there is a difference of perception about ethics on tax evasion in UNISMA Bekasi students, based on selected study program and gender. The sample of this research is the students who have fulfilled the subject of taxation, at the Faculty of Economics (FE) and Faculty of Social and Political Sciences (FISIP). Using independent t-test, the results showed that there was no significant difference of perception about tax evasion ethics between FE and FISIP students. But significant differences the perception of tax evasion ethics occur between accounting and management students at FE. Significant differences also did not occur between male and female students


2019 ◽  
Vol 9 (1) ◽  
pp. 152-190
Author(s):  
Wiwin Mistiani

This study aims to determine the student achievement of male and female students on the subyek Evaluation of learning and to determine of Differences in student achievement FTIK IAIN Palu on the subject evaluastion learning by gender. The approach used is descriptive quantitative. While the population in this study are all students. The sampling technique is done by using proportional random sampling technique. With the number of students 60 people then the sample = 37 students of FTIK IAIN Palu. Technique of collecting data by using test and observation while data analysis using T test.From the research, 1) the average of learning achievement in the subject of male students' learning appraisal from 19 male students who are the sample in this research is 79,42 means good category. Meanwhile, from 18 female students who became the sample of the study, the average of learning achievement in the subject of female students' learning evaluation is 77 means either. 2) There is no significant difference Student Learning Achievement FTIK) IAIN Palu On the subject Evaluation Learning Based on Gender with t value equal to = 0,0267 with t table with dk 35 with error level 5% is 0,062.


Think India ◽  
2019 ◽  
Vol 22 (3) ◽  
pp. 72-83
Author(s):  
Tushar Kadian

Actually, basic needs postulates securing of the elementary conditions of existence to every human being. Despite of the practical and theoretical importance of the subject the greatest irony is non- availability of any universal preliminary definition of the concept of basic needs. Moreover, this becomes the reason for unpredictability of various political programmes aiming at providing basic needs to the people. The shift is necessary for development of this or any other conception. No labour reforms could be made in history till labours were treated as objects. Its only after they were started being treating as subjects, labour unions were allowed to represent themselves in strategy formulations that labour reforms could become a reality. The present research paper highlights the basic needs of Human Rights in life.


GIS Business ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. 1-16
Author(s):  
Naveen Kumar ◽  
Kuldeep singh

In Nada yoga the sound speed of an object vibrates (as well as its size, however infinitesimal) contributes to its particular sound. Different tone and frequencies contains the subject of meditation in Nada Yoga, which also takes into consideration the musical intervals used in music and in the musical recitation of mantras, is brought together with meditation techniques and certain Hatha Yoga practices that are conducive to sonic exploration. Recently a study conducted on anxiety and hypertension level in Raigarh entitled as “The effect of Nada Yoga on Hypertension and anxiety level”.  The outcome of the study shows that Nada Yoga significantly reduces Anxiety as well as Hypertension. Results founds were surprisingly shows a significant difference between the two means, at .01 level of significance. It shows how Nada Yoga can effectively help to reduce anxiety and hypertension as well as many improves in health also.


2018 ◽  
Vol 11 (2) ◽  
pp. 41-51 ◽  
Author(s):  
I. Ya. Lukasevich

The subject of the research is new tools for business financing using the initial coin offering (ICO) in the context of the development of cryptocurrencies and the blockchain technologies as their basis. The purpose of the work was to analyze the advantages and disadvantages of the ICO in comparison with traditional financial tools as well as prospects, limitations and problems of using digital financial tools. Conclusions are made in relation to possibilities, limitations and application areas of digital business financing tools, particularly in the real sector, taking into account the specifics of the Russian economy and legislation. It is shown that the main problems of using the digital financial tools are related to the economic sphere and caused by the lack of adequate approaches to evaluation of assets as well as the shortage of objective information. The problems and new tasks of corporate finance in the digital economy are defined.


1983 ◽  
Vol 22 (1) ◽  
pp. 57-61
Author(s):  
Shahrukh Rafi Khan

The book under review is a compilation of the author's articles and lectures that highlight the prominent developments in the literature on the subject of Islamic banking and inform the reader of the current state of debate on it. One of the earliest and main contributors to this topic is the author himself. The focus of this review will mainly be on "Economics of Profit-Sharing", which is the title of the fourth chapter of the book and is among his latest contributions. This chapter is a significant contribution as it is the first attempt to formalise the concept of profit sharing into an analytical model and, therefore, demands closer scrutiny. However, in the remaining chapters of the book, the author has drawn attention to some of the fine points made in the literature on this topic. Since some of these points appear to be controversial to me, I will briefly discuss them before moving on to the analytical chapter of the book.


2020 ◽  
Vol 22 (2) ◽  
pp. 1-27
Author(s):  
João Carlos Brum Torres

O artigo tem por objeto o exame de três registros de gritantes e distintos paradoxos na Doutrina do Direito de Kant. Registros feitos em tempos e contextos históricos diferentes por Friedrich Bouterwek, Marcus Willaschek e Balthazar Barbosa Filho. Bouterwek atribuiu a Kant a mais paradoxal das proposições jamais enunciadas por qualquer autor, a de que a mera ideia de soberania deve obrigar-nos a obedecer como a nosso inquestionável senhor a quem quer que se haja estabelecido como tal, sem que caiba indagar quem lhe deu o direito de comandar-nos. Willaschek aponta a incompatibilidade de duas teses centrais da doutrina kantiana: a do caráter externo dos vínculos jurídicos e a da incondicionalidade obrigacional do direito positivo, pois não é possível entender como é possível termo-nos como obrigados por imperativos jurídicos e, ao mesmo, vermo-nos internamente isentados do dever de obedecê-los. O ponto crítico de Balthazar é alegar que não pode haver na filosofia kantiana uma crítica da razão político e jurídica, simplesmente porque o conceito de imputação, base da normatividade própria dessas esferas, pressupõe uma pluralidade de agentes livres que, justamente, só pode ser uma pressuposição, pois nosso acesso à normatividade prática só pode ter lugar em primeira pessoa. No exame a que o artigo submete essas alegações, o artigo argumenta, em objeção à tese de Balthazar, que o caráter universal e categórico da força que vincula o sujeito quando confrontado com a lei moral em primeira pessoa necessariamente se desvaneceria se, ao mesmo tempo, ele não fosse tomado pela evidência de que a realidade objetiva dos princípios morais é não só instanciável, mas assegurada pela múltipla instanciação. Com relação às dificuldades levantadas por Willaschek e Bouterwek, o artigo argumenta que o princípio exeundum e statu naturali, enquanto norma metapositiva, anterior à divisão do domínio prático entre doutrina do direito e doutrina da virtude, permite ao mesmo tempo compreender a exigência de obediência ao poder constituído e a restrição das obrigações jurídico-políticas exclusivamente ao foro externo.AbstractThe object of the article is to examine three claims about three distinct and allegedly blatant paradoxes in Kant's Doctrine of Right. These three critical points had been made in distinct times and contexts by Friedrich Bouterwek, Marcus Willaschek e Balthazar Barbosa Filho. Bouterwek attributed to Kant the most paradoxical of all paradoxical propositions, the statement that by the mere idea of sovereignty we are obliged to obey as our lord who has imposed himself upon us, without questioning from where he got such right. Willaschek points out the incompatibility of two main theses of Kantian doctrine of right: the claims that the legal bounds are of external character and that they are the source of unconditional obligations, since it seems impossible to understand how it would be possible to be obliged by juridical norms and decisions and at the same time to be exempted of the internal duty of compliance. The radical objection of Professor Balthazar is the claim that in the context of Kantian Philosophy it is impossible to admit a critique of the juridical and political reason because the concept of imputation, ground of the normativity in these domains, requires not only the presupposition of free agents, but a true and secure epistemic access to them, which is, according to him, impossible considering that the moral law and the other practical principles are accessible for us only in the first person. In the course of the appraisal of such claims, the article contest that objection arguing that the universal and categorical force of the normative bound experienced by the subject when confronted with the moral law in the first person would ineluctably vanish if, at the same time, he had not been taken by the evidence that the objective reality of the moral principles is secured by multiple instancing. Regarding the difficulties raised by Willaschek and Bouterwek, the article argues that the principle exeundum e statu naturali, as a norm of meta-positive character, prior to the division of practical domains between the doctrine of right and the doctrine of virtue, is the cue both to the understanding of the requirement of unquestioning obedience to the constituted power and to the restriction of the validity of this requirement only in foro externo.


Author(s):  
Steven J. R. Ellis

This chapter examines the socio-economic motivations behind the shaping of retail landscapes in Roman cities. It is about who opened retail outlets, as well as why and where. After critiquing some of the normal methods for illustrating the locations of shops and bars, including the conventional distribution plan itself, as well as questioning the economic rationality of operating tabernae, this chapter argues for the value in complicating our otherwise basic understanding of why urban investments were made in the places we find them. Rather than accepting profit as the single motivation to urban investment, a range of social, economic, and political motivations are considered as an explanation for the ultimate shape of Roman retail landscapes. Thus beyond discussions of space and urban topography, the subject of this chapter is investment.


Author(s):  
Giorgio Cozzi ◽  
Marta Cognigni ◽  
Riccardo Busatto ◽  
Veronica Grigoletto ◽  
Manuela Giangreco ◽  
...  

AbstractThe objective of the study is to investigate pain and distress experienced by a group of adolescents and children during peripheral intravenous cannulation in a paediatric emergency department. This cross-sectional study was performed between November 2019 and June 2020 at the paediatric emergency department of the Institute for Maternal and Child Health of Trieste, Italy. Eligible subjects were patients between 4 and 17 years old undergoing intravenous cannulation, split into three groups based on their age: adolescents (13–17 years), older children (8–12 years), and younger children (4–7 years). Procedural distress and pain scores were recorded through validated scales. Data on the use of topical anaesthesia, distraction techniques, and physical or verbal comfort during procedures were also collected. We recruited 136 patients: 63 adolescents, 48 older children, and 25 younger children. There was no statistically significant difference in the median self-reported procedural pain found in adolescents (4; IQR = 2–6) versus older and younger children (5; IQR = 2–8 and 6; IQR = 2–8, respectively). Furthermore, no significant difference was observed in the rate of distress between adolescents (79.4%), older (89.6%), and younger (92.0%) children. Adolescents received significantly fewer pain relief techniques.Conclusion: This study shows that adolescents experience similar pain and pre-procedural distress as younger children during peripheral intravenous cannulation. What is Known:• Topical and local anaesthesia, physical and verbal comfort, and distraction are useful interventions for pain and anxiety management during intravenous cannulation in paediatric settings. • No data is available on pain and distress experienced by adolescents in the specific setting of the emergency department. What is New:• Adolescents experienced high levels of pre-procedural distress in most cases and similar levels of pain and distress when compared to younger patients• The number of pain relief techniques employed during procedures was inversely proportional to patient’s age, topical or local anaesthesia were rarely used


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