scholarly journals The Golden Hour: Early Interventions for Medical Emergencies during Pregnancy

2020 ◽  
Author(s):  
Luis D. Pacheco ◽  
M. J. Lozada ◽  
George R. Saade
Keyword(s):  
Heart Diseases ◽  
Medical Knowledge ◽  
The United States ◽  
Therapeutic Interventions ◽  
Golden Hour ◽  
Medical Interventions ◽  
Key Points ◽  
Medical Emergencies ◽  
Basic Medical Knowledge ◽  
Time Of Presentation

Maternal mortality has increased in the last decades in the United States as a result of increased prevalence of coexisting medical diseases such as hypertension, diabetes, and both acquired and congenital heart diseases. Obstetricians and maternal–fetal medicine physicians should have the basic medical knowledge to initiate appropriate diagnostic and early therapeutic interventions since they may be the only provider available at the time of presentation. The goal of this article is not to extensively discuss the management of complex medical diseases during pregnancy, rather we provide a concise review of key early medical interventions that will likely result in improved clinical outcomes. Key Points

Practice Guidelines: How Good are Medicine's New Recipes?

1995 ◽  
Vol 23 (1) ◽  
pp. 47-48 ◽  
Author(s):  
Alexander Morgan Capron
Keyword(s):  
Health Care ◽  
Nonprofit Organizations ◽  
Medical Knowledge ◽  
Medical Specialty ◽  
Therapeutic Interventions ◽  
Medical Interventions ◽  
Practice Parameters ◽  
Wide Range ◽  
Standard Of Practice

Over the last decade, standards for when and how to undertake a wide range of medical interventions have poured forth from medical specialty groups, commercial and nonprofit organizations, and state and federal panels. Known by a variety of names—from practice parameters to clinical guidelines—and intended for a range of purposes—from diminishing the incidence of maloccurences in hospitals to cutting the costs of health care—these guidelines share one important feature: the intention of decreasing the range of variation in medical practice. Such standardization immediately appeals to anyone interested in improving the quality of health care and, in particular, reducing inappropriate medical interventions, in light of the difficulties for a conscientious physician today in adhering to the best standard of practice when faced with ever increasing medical knowledge and the growing number and complexity of diagnostic, preventive, and therapeutic interventions.

scholarly journals Miért mennek/mentek külföldre a debreceni orvosok? Egy felmérés eredményei

2017 ◽  
Vol 158 (37) ◽  
pp. 1458-1468 ◽  
Author(s):  
Zoltán Szekanecz ◽  
Zoltán Tóth ◽  
Attila Hamar ◽  
Levente Lánczi
Keyword(s):  
Medical Knowledge ◽  
The United States ◽  
University Education ◽  
Family Issues ◽  
The Us ◽  
Basic Medical Knowledge ◽  
The University ◽  
Financial Issues ◽  
Basic Medical

Abstract: Introduction: Numerous beliefs have arisen in relation to the emigration of doctors. First of all, in most cases emigration has been attributed to, almost exclusively, low salaries. There are a number of non-financial issues that could possibly be more easily addressed. Method: In order to get closer to these issues, we sent out a 37-item questionnaire to doctors, who originally graduated from the University of Debrecen. Altogether 82 of them sent back the questionnaire. Results: The mean age at the time of emigration was 32 years. The most popular destination was the United States, however, many colleagues left for the US to do research, as well as clinical practice. Among the European countries, the most popular ones were Sweden, Germany, United Kingdom, Switzerland and Norway. The five most popular clinical specialties were general practice, internal medicine, anesthesiology/intensive care, laboratory/pathology and surgery. With respect to the planned duration of working abroad, at the time of emigration one-fourth of our colleagues planned very short (<2 years) stay. When we asked them now, 38% plans much longer, even indefinite stay. The most common reasons of emigration were also assessed. The most common one was the lack of career track, followed by low salary, quality of life, family issues and adventurousness. Interestingly, burnout and “gratuities” were at the end of the list. A mean 1.3 million HUF per month would make our colleagues satisfied but they think that a mean 486.000 HUF would be realistic and would keep most doctors within the country. As far as university education is concerned, our colleagues agreed that the basic medical knowledge of Hungarian doctors is excellent, but their practical skills are much worse. Conclusions: Although returning to Hungary would be unrealistic by most colleagues, low salaries are definitely not the most important or exclusive reason for leaving the country. These issues are rather complex, there are numerous non-financial issues, which could be addressed much easier by expressing a positive attitude. Orv Hetil. 2017; 158(37): 1458–1468.

Civic Engagement and Environmentalism in Emerging Adulthood

2018 ◽  
Author(s):  
Michael W. Pratt ◽  
M. Kyle Matsuba
Keyword(s):  
Civic Engagement ◽  
Emerging Adults ◽  
Life Story ◽  
The United States ◽  
Research Literature ◽  
John Muir ◽  
Conservation Movement ◽  
Key Points ◽  
Positive Engagement

Chapter 9 focuses on contexts of positive engagement in the domain of the wider society among emerging adults. The authors examine the growing research literature on civic engagement and volunteering, covering patterns of development and change during emerging to young adulthood, describing how this development is linked to the three personality levels of the McAdams and Pals model. They also describe work on one salient contemporary type of civic engagement, environmentalism, and review what is known on this particular topic in youth. The authors cover the evidence on both of these domains from their Futures Study sample, using both questionnaire and narrative material to expand these findings. As a way of illuminating the key points, the chapter ends with a case study of the early life story of John Muir, an important founder of the environmental and conservation movement in the United States.

scholarly journals VirtualCPR: Virtual Reality Mobile Application for Training in Cardiopulmonary Resuscitation Techniques

Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2504
Author(s):  
Francisco Javier García Fierros ◽  
Jesús Jaime Moreno Escobar ◽  
Gabriel Sepúlveda Cervantes ◽  
Oswaldo Morales Matamoros ◽  
Ricardo Tejeida Padilla
Keyword(s):  
Virtual Reality ◽  
Cardiopulmonary Resuscitation ◽  
Mobile Application ◽  
Force Measurement ◽  
Heart Diseases ◽  
Medical Knowledge ◽  
Public Health Problem ◽  
Force Sensor ◽  
Previous Training ◽  
Color Indicator

Deaths due to heart diseases are a leading cause of death in Mexico. Cardiovascular diseases are considered a public health problem because they produce cardiorespiratory arrests. During an arrest, cardiac and/or respiratory activity stops. A cardiorespiratory arrest is rapidly fatal without a quick and efficient intervention. As a response to this problem, the VirtualCPR system was designed in the present work. VirtualCPR is a mobile virtual reality application to support learning and practicing of basic techniques of cardiopulmonary resuscitation (CPR) for experts or non-experts in CPR. VirtualCPR implements an interactive virtual scenario with the user, which is visible by means of employment of virtual reality lenses. User’s interactions, with our proposal, are by a portable force sensor for integration with training mannequins, whose development is based on an application for the Android platform. Furthermore, this proposal integrates medical knowledge in first aid, related to the basic CPR for adults using only the hands, as well as technological knowledge, related to development of simulations on a mobile virtual reality platform by three main processes: (i) force measurement and conversion, (ii) data transmission and (iii) simulation of a virtual scenario. An experiment by means of a multifactorial analysis of variance was designed considering four factors for a CPR session: (i) previous training in CPR, (ii) frequency of compressions, (iii) presence of auditory suggestions and (iv) presence of color indicator. Our findings point out that the more previous training in CPR a user of the VirtualCPR system has, the greater the percentage of correct compressions obtained from a virtual CPR session. Setting the rate to 100 or 150 compressions per minute, turning on or off the auditory suggestions and turning the color indicator on or off during the session have no significant effect on the results obtained by the user.

scholarly journals Trends in survival of patients with Burkitt lymphoma/leukemia in the USA: an analysis of 3691 cases

Blood ◽  
2013 ◽  
Vol 121 (24) ◽  
pp. 4861-4866 ◽  
Author(s):  
Luciano J. Costa ◽  
Ana C. Xavier ◽  
Amy E. Wahlquist ◽  
Elizabeth G. Hill
Keyword(s):  
United States ◽  
Young Adults ◽  
Burkitt Lymphoma ◽  
Unmet Need ◽  
The United States ◽  
The Past ◽  
Black Patients ◽  
Key Points ◽  
The Usa

Key Points Survival of patients with BL improved substantially in the United States during the past decade, mainly among young adults. Survival of patients with BL remains relatively low, particularly for older and black patients, identifying an unmet need.

scholarly journals Mitochondrial Function, Biology, and Role in Disease

2016 ◽  
Vol 118 (12) ◽  
pp. 1960-1991 ◽  
Author(s):  
Elizabeth Murphy ◽  
Hossein Ardehali ◽  
Robert S. Balaban ◽  
Fabio DiLisa ◽  
Gerald W. Dorn ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Mitochondrial Function ◽  
The United States ◽  
Therapeutic Interventions ◽  
Therapeutic Approaches ◽  
Mitochondrial Defects ◽  
Exciting Time ◽  
Insight Into ◽  
Novel Therapeutic

Cardiovascular disease is a major leading cause of morbidity and mortality in the United States and elsewhere. Alterations in mitochondrial function are increasingly being recognized as a contributing factor in myocardial infarction and in patients presenting with cardiomyopathy. Recent understanding of the complex interaction of the mitochondria in regulating metabolism and cell death can provide novel insight and therapeutic targets. The purpose of this statement is to better define the potential role of mitochondria in the genesis of cardiovascular disease such as ischemia and heart failure. To accomplish this, we will define the key mitochondrial processes that play a role in cardiovascular disease that are potential targets for novel therapeutic interventions. This is an exciting time in mitochondrial research. The past decade has provided novel insight into the role of mitochondria function and their importance in complex diseases. This statement will define the key roles that mitochondria play in cardiovascular physiology and disease and provide insight into how mitochondrial defects can contribute to cardiovascular disease; it will also discuss potential biomarkers of mitochondrial disease and suggest potential novel therapeutic approaches.

Medical Adaptation to Academic Pressure

2014 ◽  
Vol 79 (6) ◽  
pp. 1039-1066 ◽  
Author(s):  
Marissa D. King ◽  
Jennifer Jennings ◽  
Jason M. Fletcher
Keyword(s):  
Socioeconomic Status ◽  
The United States ◽  
Substantial Effect ◽  
Behavioral Issues ◽  
Stimulant Use ◽  
Medical Interventions ◽  
School Year ◽  
Academic Pressure ◽  
Accountability System ◽  
Lower Socioeconomic

Despite the rise of medical interventions to address behavioral issues in childhood, the social determinants of their use remain poorly understood. By analyzing a dataset that includes the majority of prescriptions written for stimulants in the United States, we find a substantial effect of schooling on stimulant use. In middle and high school, adolescents are roughly 30 percent more likely to have a stimulant prescription filled during the school year than during the summer. Socioeconomically advantaged children are more likely than their less advantaged peers to selectively use stimulants only during the academic year. These differences persist when we compare higher and lower socioeconomic status children seeing the same doctors. We link these responses to academic pressure by exploiting variation between states in educational accountability system stringency. We find the largest differences in school year versus summer stimulant use in states with more accountability pressure. School-based selective stimulant use is most common among economically advantaged children living in states with strict accountability policies. Our study uncovers a new pathway through which medical interventions may act as a resource for higher socioeconomic status families to transmit educational advantages to their children, either intentionally or unwittingly.

Clinical Oncology Practice 2015: Preparing for the Future

2015 ◽  
pp. e622-e627 ◽  
Author(s):  
Michael P. Kosty ◽  
Anupama Kurup Acheson ◽  
Eric D. Tetzlaff
Keyword(s):  
Clinical Oncology ◽  
Nurse Practitioners ◽  
Cancer Care ◽  
Medical Knowledge ◽  
Physician Assistants ◽  
The United States ◽  
Practice Model ◽  
American Society ◽  
Oncology Practice

The clinical practice of oncology has become increasingly complex. An explosion of medical knowledge, increased demands on provider time, and involved patients have changed the way many oncologists practice. What was an acceptable practice model in the past may now be relatively inefficient. This review covers three areas that address these changes. The American Society of Clinical Oncology (ASCO) National Oncology Census defines who the U.S. oncology community is, and their perceptions of how practice patterns may be changing. The National Cancer Institute (NCI)-ASCO Teams in Cancer Care Project explores how best to employ team science to improve the efficiency and quality of cancer care in the United States. Finally, how physician assistants (PAs) and nurse practitioners (NPs) might be best integrated into team-based care in oncology and the barriers to integration are reviewed.

scholarly journals The Remarkable 10th Anniversary of Stuxnet

2020 ◽  
Vol 19 (3) ◽  
pp. 85-98
Author(s):  
Gábor Selján
Keyword(s):  
The United States ◽  
United States Government ◽  
Nuclear Facilities ◽  
Physical Damage ◽  
Public And Private ◽  
10Th Anniversary ◽  
Infrastructure Monitoring ◽  
Key Points ◽  
Cyber Espionage ◽  
Public And Private Sector

It has been ten years since Stuxnet, a highly sophisticated malware that was originally aimed at Iran’s nuclear facilities, was uncovered in 2010. Stuxnet is considered to be the first cyber weapon, used by a nation state threat actor in a politically motivated cyberattack. It has significantly changed the cybersecurity landscape, since it was the first publicly known malware that could cause physical damage to real processes or equipment. Its complexity and level of sophistication, due to the exploitation of four different zero-day vulnerabilities in Windows and the usage of two stolen certificates, has triggered a paradigm shift in the cybersecurity industry. The recently uncovered cyber espionage campaign known as SolarStorm is a worthy anniversary celebration for Stuxnet. Especially because now the tables have turned. This campaign targeted the United States Government and its interests with a highly sophisticated supply chain attack through the exploitation of the SolarWinds Orion Platform used by thousands of public and private sector customers for infrastructure monitoring and management. In this article, I attempt to summarise the key points about the malware deployed in the SolarStorm campaign that can be drawn from reports available at the time of the writing.

scholarly journals Health Literacy and Use of Preventative Care of Female Undergraduate Nursing vs. Non-Nursing Students

2017 ◽  
Vol 3 (1) ◽  
pp. 22
Author(s):  
Kristen Eden ◽  
Michelle Mann ◽  
Gina Miller ◽  
Sam Abraham
Keyword(s):  
College Students ◽  
Health Care ◽  
Health Literacy ◽  
Nursing Students ◽  
Medical Knowledge ◽  
Preventative Care ◽  
Female Undergraduate ◽  
Cross Sectional ◽  
Undergraduate Nursing ◽  
Basic Medical Knowledge

Background: Health literacy and use of preventative care are important aspects of health care. Health literacy, or the ability to understand basic medical knowledge, affects a person’s understanding and use of preventative health care. Aim: This study was designed to investigate the perception of health literacy and use of preventative care resources by female undergraduate college students. Method: This is a quantitative, non-experimental descriptive research study with a cross-sectional design. A 30-item demographic yes or no and a Likert-type scale was used to survey 62 female college students living in a dormitory. The goal was to discover if additional education is needed to obtain optimal utilization of health care resources for this population. Result: Surveying the undergraduate nursing and non-nursing students helped raise awareness of health literacy of the female students. Conclusion: Understanding the use of preventative care resources by this population may influence the way nursing interventions are formulated.

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