Multimodal Intraoperative Neural Monitoring for Neurosurgical Spinal Operations Standard of Care–A Debate or a Foregone Conclusion and the Future Ahead

Background/AimsThe COVID-19 has facilitated a paradigm shift in the sphere of ophthalmic telemedicine: its utility is no longer limited to providing care to remote regions, rather it is expeditiously being adopted as the new standard of care. The aim of our paper is to explore the current attitudes of oculoplastic surgeons towards telemedicine and its utility in the present landscape and its prospects in the future.MethodsA 39-item questionnaire was distributed to consultant oculoplastic surgeons practising across the UK and anonymised responses were collected and analysed.ResultsThe COVID-19 pandemic has allowed rapid implementation of telemedicine services in oculoplastic departments across the UK with 86.6% of the respondents incorporating telemedicine into the routine clinical practice. Clinicians reported a statistically significant increase in utility of telemedicine, confidence in using telemedicine and quality of infrastructure available to employ telemedicine following the COVID-19 outbreak. The greatest utility of telemedicine is in triaging, postoperative assessment and eyelid lesion assessment. Main barriers to implementation of telemedicine included difficulties in conducting clinical examinations, lack of administrative support and poor access to digital technologies for patients. Overall, most clinicians were satisfied with the impact of telemedicine services and almost all experts foresee themselves continuing to use telemedicine in the future.ConclusionsTelemedicine has become an integral part of the oculoplastic service delivery since the COVID-19 pandemic its use is likely to continue. Further development of digital infrastructure and improvement of clinical examination capabilities are required to enable its wider adoption.

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O-022 Pro - FET: The future of IVF

Human Reproduction ◽

10.1093/humrep/deab126.002 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

C Venetis

Keyword(s):

Embryo Transfer ◽

Live Birth Rate ◽

Standard Of Care ◽

Frozen Embryo Transfer ◽

Paradigm Change ◽

Cumulative Live Birth Rate ◽

The Future ◽

Strong Candidate ◽

New Strategies ◽

Frozen Embryo Transfers

Abstract text Assisted reproductive technology (ART) represents a relatively new but extremely dynamic field of medicine. Throughout its 40 year-old history, there has been a number of paradigm changes, all of which aimed to optimise the efficacy and safety of this technology. This presentation will cover all the scientific developments of the last few years that have now build the case for yet another paradigm change; the transition to predominantly frozen embryo transfers. Emerging knowledge on the effect of the supraphysiological levels of sex steroids, usually present during a stimulated cycle, on the probability of pregnancy combined with new strategies to completely eliminate the occurrence of ovarian hyperstimulation syndrome represent strong arguments in favour of frozen embryo transfer cycles. Dissociating ovarian stimulation from the embryo transfer, also allows for more intense stimulation, which can likely increase the cumulative live birth rate of a single aspiration and therefore reduce the need for future treatment. All these, combined with the encouraging evidence regarding the obstetric and neonatal outcomes of these pregnancies, render the option of the frozen-embryo transfer cycle quite compelling and a strong candidate as the future standard of care in IVF. This presentation will elaborate on these topics and provide guidance on the optimal strategy for frozen-thawed embryo transfer cycles so that the safety and efficacy of IVF are maximised.

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Telemedicine in the future

Journal of Telemedicine and Telecare ◽

10.1177/1357633x0501100802 ◽

2005 ◽

Vol 11 (8) ◽

pp. 384-390 ◽

Cited By ~ 25

Author(s):

Paul J Heinzelmann ◽

Nancy E Lugn ◽

Joseph C Kvedar

Keyword(s):

Health Care ◽

Information And Communication Technologies ◽

Mobile Communications ◽

Care Delivery ◽

Healthcare Delivery ◽

Standard Of Care ◽

Third Party ◽

The Future ◽

Referral Hospitals ◽

The Individual

summary Telemedicine can provide a compelling alternative to conventional acute, chronic and preventive care, and can improve clinical outcomes. In the industrialized world, it is likely that telemedicine will continue to move healthcare delivery from the hospital or clinic into the home. In the developing world or in regions with limited infrastructure, telemedicine will mainly be used in applications that link providers based at health centres, referral hospitals and tertiary centres. The future of telemedicine will depend on: (1) human factors, (2) economics and (3) technology. Behaviours related to technology affect change at the individual, organizational and societal level. Personnel shortages and decreasing third-party reimbursement are significant drivers of technology-enabled health care in the industrialized world, particularly in the areas of home care and self-care. We can safely assume that developments in mobile communications, sensor devices and nanotechnology will alter the way that health care is delivered in the future. The growth and integration of information and communication technologies into health-care delivery holds great potential for patients, providers and payers in health systems of the future. Perhaps the most difficult question to answer, however, is ‘When will telemedicine become part of the standard of care?’

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The Future of Glioblastoma Therapy: Synergism of Standard of Care and Immunotherapy

Cancers ◽

10.3390/cancers6041953 ◽

2014 ◽

Vol 6 (4) ◽

pp. 1953-1985 ◽

Cited By ~ 42

Author(s):

Mira Patel ◽

Jennifer Kim ◽

Jacob Ruzevick ◽

Gordon Li ◽

Michael Lim

Keyword(s):

Standard Of Care ◽

The Future

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Muslims in Europe

American Journal of Islam and Society ◽

10.35632/ajis.v25i1.395 ◽

2008 ◽

Vol 25 (1) ◽

pp. 40-62

Author(s):

H. A. Hellyer

Keyword(s):

European Identity ◽

The Past ◽

European Nation ◽

Nation States ◽

The Future ◽

Muslims In Europe ◽

Foregone Conclusion

Muslims and Islam have been at the center of some of the most vital post-9/11 debates. In Europe, the controversy has intensified due to the conflation of the aforementioned discussions and the arguments currently raging in Europe surrounding European identity. In such parleys, the assumption has been that Muslims in Europe are an alien presence with a short and temporary history. This article seeks to demonstrate that historically speaking, this is not necessarily a foregone conclusion. The integration of Muslims and the recognition of Islam may take place through a variety of different ways owing to the specificities of individual European nation-states. However, they will need to consider the past precedents of the Muslim presence in order to appropriately organize the present and in looking to the future.

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The Present Age in the Eschatology of the Pastoral Epistles

New Testament Studies ◽

10.1017/s0028688500013667 ◽

1986 ◽

Vol 32 (3) ◽

pp. 427-448

Author(s):

P. H. Towner

Keyword(s):

Potential Role ◽

Clear Picture ◽

Pastoral Epistles ◽

The Past ◽

The World ◽

The Future ◽

The Mind ◽

Directing Attention ◽

The Church ◽

Foregone Conclusion

Recent attempts to explain the theology of the Pastoral Epistles are generally agreed that the present age looms large in the thought of the author. But there is less concord regarding the significance of this leitmotif for the message of these letters as a whole, and none have shown in detail the factors which go into the formulation of this theme. As to the first matter, it is usually noted that the present age is the age of salvation. But can a partial understanding of how the author portrays this present age guarantee a clear picture of his full conception of the nature of salvation? For example, Dibelius and Conzelmann ostensibly suggest that the stress on the present age is a concomitant to the delay of the parousia, which more or less required the church to reconcile herself to a long stay in the world. At the same time, the epiphany schema, which plays a part in directing attention to the present age, leads them to what may be generally termed an ‘early catholic’ explanation of salvation which locates salvation almost wholly in the past Christ event: ‘… salvation in the future appears to be nothing but the shadow of this past epiphany’. But there is more to be considered than just the epiphany schema if the author's understanding of the present age and the salvation connected with it are to be perceived aright. Equally, the almost foregone conclusion in some quarters that the delay of the parousia led to a removal of any vivid expectancy of the event in the mind of our author requires a fresh and balanced reappraisal, especially in view of the potential role it could play within the theological structure of his thought. In short, the kind of approach and explanation of Dibelius and Conzelmann and others seems to centre on a conspicuously slender portion of the evidence, and is therefore rightfully challenged.

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