scholarly journals Managing an Unhappy Patient

2021 ◽  
Author(s):  
Viral Desai
Keyword(s):  
Clinical Study ◽  
Patient Expectations ◽  
Medical Procedures ◽  
Electronic Information ◽  
Difficult Patients ◽  
Hair Transplantation ◽  
Patient Dissatisfaction ◽  
Multiple Factors ◽  
The Subject ◽  
Practice Patient

AbstractA clinical study has noted that one out of six patients is perceived as “difficult” by clinicians. Not surprisingly, patient dissatisfaction has to do with multiple factors, both within and outside the control of the surgeon. In the present times of electronic information and ratings, managing difficult patients is a critical skill—a patient's dissatisfactory review could adversely affect a practitioner's reputation built over years of meticulous practice. Patient expectations are often more pronounced in case of elective medical procedures such as hair transplants. The subject of managing an unhappy patient in the context of hair transplantation is, therefore, one that requires due enquiry and is the subject that this article seeks to explore.

scholarly journals The use of electronic information services by students at Glasgow Caledonian University: background to the project and introductory focus groups

2009 ◽  
Vol 27 (86) ◽  
pp. 30-36 ◽  
Author(s):  
John Crawford
Keyword(s):  
Focus Groups ◽  
Performance Indicators ◽  
Subject Area ◽  
Information Services ◽  
The Internet ◽  
Electronic Information ◽  
Qualitative And Quantitative ◽  
Course Work ◽  
The Subject ◽  
Metropolitan University

This paper reports on the first stage of a study on the usage of electronic information services (EIS) by staff and students at Glasgow Caledonian University (GCU) and Leeds Metropolitan University (LMU). The study used by qualitative and quantitative methodologies. The questionnaires used at GCU were modeled on those developed at LMU. The project aimed to monitor off-campus usage of EIS, the use of passworded databases, and the freely available internet. The volume of electronic citations in students' course work and the possibility of developing routine performance indicators were also examined. Focus Groups were conducted with both staff and students between November 2001 and March 2002. These suggested, inter alia, that paramedics are the heaviest users of EIS and that paramedicine is the subject area where EIS are most integrated into the curriculum. Attitudes to the internet are extremely varied. Mode of attendance and workplace usage are important factors.

scholarly journals Tinjauan Yuridis Terhadap Tindak Pidana Pengancaman dalam Undang-Undang Informasi dan Transaksi Elektronik

2020 ◽  
Vol 4 (2) ◽  
pp. 51-58
Author(s):  
Sry Wahyuni ◽  
Elwidarifa Marwenny
Keyword(s):  
Law Enforcement ◽  
Social Values ◽  
District Court ◽  
Electronic Information ◽  
Positive Law ◽  
Electronic Transactions ◽  
Research Implication ◽  
The Subject ◽  
The Law

The subject matter of this research is the Juridical Review of the Crime of Threats in the Information and Electronic Transactions Law (Case Study of the Koto Baru District Court). This issue is divided into two sub-discussions, first, how is the application of material crimes against criminal acts of threats in the Law on Information and Electronic Transactions, second, how are judges' legal considerations in imposing crimes against threats of threats in the Law on Electronic Information and transactions. The method used in this research is to use a normative juridical problem approach. about the problem that is the object of the problem.The results showed that efforts to apply sanctions were made to overcome the perpetrators of extortion and threats, namely: firmly enforcing the existing positive laws. For subjective positive law enforcement, it may be necessary to have instruments or law enforcers who have the instinct of justice, namely "Judges" who decide all existing cases. The research implication is: it is hoped that the inculcation of social values ​​and norms in society in using social media and in UUITE is not trapped in behavior that plunges them into criminal acts / crimes, it is also hoped that the Panel of Judges in deciding cases must consider more The facts of the trial, the elements of the offense, and the consideration of the severity of the crime with reference to the defendant's situation and the victim's loss.

Fetal vibroacoustic stimulation test: features of the stimulus

1995 ◽  
Vol 7 (2) ◽  
pp. 87-98 ◽  
Author(s):  
Robert M Abrams ◽  
Kenneth J Gerhardt ◽  
Douglas S Richards ◽  
Aemil JM Peters
Keyword(s):  
Clinical Study ◽  
Stress Test ◽  
Acoustic Stimulation ◽  
Stimulation Test ◽  
Loud Sound ◽  
Fetal Health ◽  
Fetal Movements ◽  
Contraction Stress ◽  
The Subject

Fetal reactivity to acoustic stimulation is a long-recognized phenomenon. Obstetrical interest in this phenomenon is usually considered to have begun with peiper’s report in 1925 of marked fetal movements following a pulsed, loud sound. Occasional attention to the subject was given in the subsequent five decades. Read and Miller are often credited with writing the first comprehensive clinical study of the usefulness of acoustic stimulation in evaluating fetal health. A clear finding in this study was the correlation between an abnormal contraction stress test and faliure of the fetus to respond to stimulation.

scholarly journals Evaluation of Physiological Intracranial Calcifications in Children Using Computed Tomography

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Katarina Raspopovic ◽  
Valentina Opancina ◽  
Maja Vulovic ◽  
Slavica Markovic ◽  
Radisa Vojinovic
Keyword(s):  
Computed Tomography ◽  
Clinical Study ◽  
Pineal Gland ◽  
The Other ◽  
Intracranial Calcifications ◽  
Randomized Clinical Study ◽  
Clinical Center ◽  
The Subject ◽  
The Mean ◽  
Neuro Imaging

AbstractIntroduction. Physiological intracranial calcifications have an increasing prevalence with the age and can be found in both children and in adults. These calcifications are basically asymptomatic and their presence can only be noticed through neuro-imaging.The aim of the paper was to evaluate physiological intracranial calcifications in children using computed tomography, in our conditions.Materials and methods. The study was designed as a retrospective, observational, non-randomized clinical study. It was conducted at the Department of Radiology, Clinical Center Kragujevac, Serbia. The study included all the patients scanned by CT from 1st October, 2008. to 30th September, 2018.. The criteria for the inclusion were: the patients aged up to 18 years who underwent a non-contrast computed tomography in the observed period, with diagnosed intracranial calcifications that do not have pathological etiology.Results. Our study included 420 patients. Out of them, 213 (50.7%) were boys and 207 (49.3%) were girls. The mean age was 12.47. We divided the patients into two age categories: the first one included the patients aged 1 to 10 years and the other one included the patients aged 11 to 18 years. Our study has demonstrated that physiological intracranial calcifications are the most frequent in habenula (28.1%), followed by the pineal gland (22.6%) and choroid plexus (18.8%).Conclusion. There is a small number of studies with the subject of physiological intracranial calcification distribution, especially in children. It is important to know in which locations we can expect physiological intracranial calcifications, as well as the age in which they become detectable by imaging, in order not to mix them with hemorrhages, pathological tumor or metabolic mineralization.

scholarly journals A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF LAVANGADI GUTIKA AND PIPPALYADI GUTIKA IN KAPHAJA KASA

2021 ◽  
Vol 9 (10) ◽  
pp. 2347-2352
Author(s):  
Risin Sugunan ◽  
Zenica D’souza
Keyword(s):  
Clinical Study ◽  
Chronic Bronchitis ◽  
Early Management ◽  
Normal Life ◽  
Significant Difference ◽  
Comparative Clinical Study ◽  
Group A ◽  
The Subject ◽  
Group B

Kasa is one of the Pranavaha Srothodusti vikara which hinders normal life. Kaphaja Kasa is a type of Kasa with Vata and Kapha as predominant doshas and present with Prabhuta, Ghana and Bahala kapha. Kaphaja Kasa can be best compared with Chronic Bronchitis. If left untreated it leads to various conditions like Swasa, Kshaya, Chardi, Svarasaadha etc. This signifies the importance of its early management. The present study was conducted on 40 diagnosed subjects of Kaphaja Kasa who were randomly allocated into 2 groups with 20 patients each. La- vangadi gutika was taken in Group A and Pippalyadi gutika in Group B. Medicines was given for 30 days and the data was collected from the subject at baseline, 16th day, 31st day and on 46th day (follow up). The result of the study showed that there was a statistically significant difference in the assessment parameters in both the groups from baseline. However no statistically significant difference was observed between the effect of Lavangadi guti- ka and Pippalyadi gutika in the management of Kaphaja Kasa suggesting that both interventions were having a significant effect on the condition.

CYSTIC DISEASE OF THE LIVER AND KIDNEY

PEDIATRICS ◽  
1959 ◽  
Vol 24 (2) ◽  
pp. 215-224
Author(s):  
Donald B. Lathrop
Keyword(s):  
Portal Hypertension ◽  
Clinical Study ◽  
Liver Function ◽  
Intravenous Injection ◽  
Renal Involvement ◽  
Disease Process ◽  
Clinical Importance ◽  
Cystic Disease ◽  
Liver And Kidney ◽  
The Subject

The subject of cystic disease of the liver and kidneys has been reviewed. A family has been studied in which at least four and probably six of seven children of normal parents have been affected by the disease, as shown by clinical study and biopsy, liver function and biopsy, and by pyelograms made after intravenous injection of radio-opaque material. The prognosis of the condition usually depends upon the amount of renal involvement. In the patients studied here, however, the disease process in the liver has assumed even greater clinical importance, since two children have developed severe portal hypertension.

scholarly journals The Management of Cultural Heritage: The Importance of No Profit Subjects

2014 ◽  
Vol 11 ◽  
pp. 542-548 ◽  
Author(s):  
Carmela Tramontana
Keyword(s):  
Cultural Heritage ◽  
Management Model ◽  
Financial Sustainability ◽  
Optimal Management ◽  
History And Memory ◽  
Multiple Factors ◽  
Program Manager ◽  
The Subject ◽  
The One ◽  
The Cost

This study aims to contribute to the enhancement of cultural and environmental heritage of Calabria, with the objective to identify the optimal management model, able to achieve results effective, efficient and long lasting, as the effects of mismanagement often determine causes of decay and abandonment of heritage: have been used the verification of the comparative financial sustainability, as suggested by the Legislative Decree 42/2004, between two categories of program manager, profit and no profit, starting from the assumption that the real manager public, owner of a large part of cultural heritage, it is not in the best condition to manage because of multiple factors. From the simulation performed on the Geraces Cultural Park of History and Memory, it is clear that the subject no profit is the one best suited, so, with the same objectives, and services to be provided within the tariff, it checks the condition of equilibrium between costs and revenues: specifically, the cost of a no profit entity is considerably lower, making use of voluntary unlike a subject who must supply profit instead of real salaries.

scholarly journals Impact of the Choice of Cross-Validation Techniques on the Results of Machine Learning-Based Diagnostic Applications

2021 ◽  
Vol 27 (3) ◽  
pp. 189-199
Author(s):  
Ilias Tougui ◽  
Abdelilah Jilbab ◽  
Jamal El Mhamdi
Keyword(s):  
Machine Learning ◽  
Clinical Study ◽  
Cross Validation ◽  
Learning Technologies ◽  
Data Availability ◽  
Support Vector ◽  
Training Set ◽  
The Subject ◽  
Validation Set ◽  
Diagnostic Applications

Objectives: With advances in data availability and computing capabilities, artificial intelligence and machine learning technologies have evolved rapidly in recent years. Researchers have taken advantage of these developments in healthcare informatics and created reliable tools to predict or classify diseases using machine learning-based algorithms. To correctly quantify the performance of those algorithms, the standard approach is to use cross-validation, where the algorithm is trained on a training set, and its performance is measured on a validation set. Both datasets should be subject-independent to simulate the expected behavior of a clinical study. This study compares two cross-validation strategies, the subject-wise and the record-wise techniques; the subject-wise strategy correctly mimics the process of a clinical study, while the record-wise strategy does not.Methods: We started by creating a dataset of smartphone audio recordings of subjects diagnosed with and without Parkinson’s disease. This dataset was then divided into training and holdout sets using subject-wise and the record-wise divisions. The training set was used to measure the performance of two classifiers (support vector machine and random forest) to compare six cross-validation techniques that simulated either the subject-wise process or the record-wise process. The holdout set was used to calculate the true error of the classifiers.Results: The record-wise division and the record-wise cross-validation techniques overestimated the performance of the classifiers and underestimated the classification error.Conclusions: In a diagnostic scenario, the subject-wise technique is the proper way of estimating a model’s performance, and record-wise techniques should be avoided.

scholarly journals The Frequency of Technical and Tactical Offensive Actions of Elite Serbian Handball Teams

GYMNASIUM ◽  
2020 ◽  
Vol XXI (2 (Supplement)) ◽  
pp. 92
Author(s):  
Igor Ilić ◽  
Veroljub Stanković ◽  
Hadži Saša Ilić
Keyword(s):  
Modal Characteristics ◽  
Multiple Factors ◽  
Fast Pace ◽  
Unequal Number ◽  
The Subject

The goal of this research is to determine the modal characteristics of technical and tactical actions in handball offense. The subject sample consists of elite Serbian national handball teams. The observed variables are selected based on the unique criteria that characterizes the conclusion of the offensive actions, both in situations when there is an equal and unequal number of players on the field. The results confirm that all analysed actions are not equally represented in play of the observed teams and that there are multiple factors that contribute to the final team standing. The data shows that the defining characteristic and the highest offensive efficiency of the best teams was achieved by using counterattacks, which is to be expected given the fast pace of the modern handball.

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