Introduction

ESC CardioMed ◽  
2018 ◽  
pp. 1927-1928
Author(s):  
Giuseppe Boriani
Keyword(s):  
Clinical Skills ◽  
Care Delivery ◽  
Scientific Evidence ◽  
Healthcare Providers ◽  
Cardiac Pacing ◽  
Daily Practice ◽  
Specific Patient ◽  
Current Prevalence ◽  
History Of ◽  
The Impact

The history of pacing for bradycardia started more than 50 years ago and in these five decades the technologically driven evolution of devices and tools has been complemented by the acquisition of important scientific evidence of benefit in specific patient settings. The current prevalence of bradyarrhythmias requiring permanent cardiac pacing therapy is not precisely known, but the progressive ageing of the population makes it necessary to improve knowledge of the impact of bradycardia on patients’ health, as well as to improve the implementation in daily practice of the most appropriate and evidence-based device treatments, with an adequate reorganization of care. Moreover, the impressive technological evolution that occurred in this field, as a result of extensive cooperation between physicians, scientists, engineers, manufacturers, regulatory agencies, and healthcare providers, led to the appearance of new requirements such as improved clinical skills, the need for continuous education on rapidly evolving technology, the assessment of treatment costs, the need for consensus guidelines, and the need for reorganization of care delivery including telemedicine for device follow-up.

Treatment of varicose tributaries with sclerotherapy with polidocanol 0.5 % foam

VASA ◽  
2010 ◽  
Vol 39 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Reich-Schupke ◽  
Weyer ◽  
Altmeyer ◽  
Stücker
Keyword(s):  
Scientific Evidence ◽  
Daily Practice ◽  
Severe Adverse Effect ◽  
Safe Procedure ◽  
Efficacy And Safety ◽  
Foam Sclerotherapy ◽  
History Of ◽  
One Year ◽  
Additional Therapy

Background: Although foam sclerotherapy of varicose tributaries is common in daily practice, scientific evidence for the optimal sclerosant-concentration and session-frequency is still low. This study aimed to increase the knowledge on foam sclerotherapy of varicose tributaries and to evaluate the efficacy and safety of foam sclerotherapy with 0.5 % polidocanol in tributaries with 3-6 mm in diameter. Patients and methods: Analysis of 110 legs in 76 patients. Injections were given every second or third day. A maximum of 1 injection / leg and a volume of 2ml / injection were administered per session. Controls were performed approximately 6 months and 12 months after the start of therapy. Results: 110 legs (CEAP C2-C4) were followed up for a period of 14.2 ± 4.2 months. Reflux was eliminated after 3.4 ± 2.7 injections per leg. Insufficient tributaries were detected in 23.2 % after 6.2 ± 0.9 months and in 48.2 % after 14.2 ± 4.2 months, respectively. Only 30.9 % (34 / 110) of the legs required additional therapy. In 6.4 % vein surgery was performed, in 24.5 % similar sclerotherapy was repeated. Significantly fewer sclerotherapy-sessions were required compared to the initial treatment (mean: 2.3 ± 1.4, p = 0.0054). During the whole study period thrombophlebitis (8.2 %), hyperpigmentation (14.5 %), induration in the treated region (9.1 %), pain in the treated leg (7.3 %) and migraine (0.9 %) occurred. One patient with a history of thrombosis developed thrombosis of a muscle vein (0.9 %). After one year there were just hyperpigmentation (8.2 %) and induration (1.8 %) left. No severe adverse effect occurred. Conclusions: Foam sclerotherapy with injections of 0.5 % polidocanol every 2nd or 3rd day, is a safe procedure for varicose tributaries. The evaluation of efficacy is difficult, as it can hardly be said whether the detected tributaries in the controls are recurrent veins or have recently developed in the follow-up period. The low number of retreated legs indicates a high efficacy and satisfaction of the patients.

Defying Deficit Thinking

2022 ◽  
pp. 101-126
Author(s):  
Sacha Cartagena ◽  
Lindsey Pike
Keyword(s):  
Inclusive Education ◽  
Universal Design For Learning ◽  
Daily Practice ◽  
Deficit Thinking ◽  
Social Emotional ◽  
Design For Learning ◽  
History Of ◽  
Education Act ◽  
Legislative Changes ◽  
The Impact

Bolstered by the reauthorization of the Individuals with Disabilities Education Act (IDEA), inclusion became part of the education vernacular. This chapter provides a review of key highlights in the history of inclusive education. The impact of deficit thinking and role of social justice are emphasized as undercurrents driving legislative changes. The authors propose systems thinking as a method to identify actionable items for advancing inclusive education. An overview of promising inclusive frameworks, specifically Universal Design for Learning and social-emotional learning, are described and recommended for embedding inclusive practices into daily practice within the education system.

scholarly journals Recurrent Perinatal Loss: A Case Study

1999 ◽  
Vol 39 (2) ◽  
pp. 133-147 ◽  
Author(s):  
Karen Kavanaugh ◽  
Pamela A. Robertson
Keyword(s):  
African American ◽  
Low Income ◽  
Healthcare Providers ◽  
Perinatal Loss ◽  
African American Parent ◽  
History Of ◽  
Critical Components ◽  
The Impact ◽  
The Way

To date, investigators have not demonstrated a clear relationship between a parent's history of prior perinatal losses and intensity of grief response following a subsequent perinatal loss. Examining this relationship for low-income, African-American parents is important because they are a vulnerable population due to the high incidence of perinatal mortality in Blacks and their other life stressors that can impact on grief response and caring needs. The purpose of this case study was to examine the impact of recurrent perinatal loss on a low-income African-American parent. The research design for this study was case report, using interview data collected from a mother who had recently experienced her fourth perinatal loss, which occurred at twenty-five weeks of gestation. Transcripts from two open-ended interviews were analyzed. The theoretical framework used to guide analysis of this case study was Lazarus and Folkman's stress and coping theory. Results demonstrated that the prior perinatal losses did not appear as critical components of the way the mother responded to her most recent loss. Instead, perception of the care she received from healthcare providers and how that care related to her experiences with her one living child who was born at the same gestational age was an important determinant in how she responded to her loss. The results of this case study demonstrate the importance assessing a person's perception of their experience and those factors which contribute to the way they respond.

scholarly journals The Use of Family History in Primary Health Care: A Qualitative Study

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Sarah Daelemans ◽  
Jan Vandevoorde ◽  
Johan Vansintejan ◽  
Liesbeth Borgermans ◽  
Dirk Devroey
Keyword(s):  
Health Care ◽  
Family History ◽  
Medical Records ◽  
Family Physicians ◽  
Daily Practice ◽  
History Data ◽  
Primary Health ◽  
The Family ◽  
History Of ◽  
The Impact

The aim of this study is to describe how Belgian family physicians register and use the family history data of their patients in daily practice. Qualitative in-depth semistructured one-to-one interviews were conducted including 16 family physicians in Belgium. These interviews were recorded, transcribed, and analysed. Recurring themes were identified and compared with findings from the existing literature. All interviewed family physicians considered the family history as an important part of the medical records. Half of the surveyed physicians confirmed knowing the family history of at least 50% of their patients. The data on family history were mainly collected during the first consultations with the patient. The majority of physicians did not use a standardised questionnaire or form to collect and to record the family history. To estimate the impact of a family history, physicians seldom use official guidance or resources. Physicians perceived a lack of time and unreliable information provided by their patients as obstacles to collect and interpret the family history. Solutions that foster the use of family history data were identified at the level of the physician and also included the development of specific instruments integrated within the electronic medical record.

scholarly journals Novel Coronavirus (COVID-19) and Dentistry–A Comprehensive Review of Literature

2020 ◽  
Vol 8 (2) ◽  
pp. 53 ◽  
Author(s):  
Poyan Barabari ◽  
Keyvan Moharamzadeh
Keyword(s):  
Clinical Skills ◽  
Dental Education ◽  
Healthcare Providers ◽  
Online Communication ◽  
The Novel ◽  
Current Crisis ◽  
Dental Research ◽  
Learning Platforms ◽  
Novel Coronavirus ◽  
The Impact

The novel coronavirus (COVID-19) pandemic has become a real challenge for healthcare providers around the world and has significantly affected the dental professionals in practices, universities and research institutions. The aim of this article was to review the available literature on the relevant aspects of dentistry in relation to COVID-19 and to discuss potential impacts of COVID-19 outbreak on clinical dentistry, dental education and research. Although the coronavirus pandemic has caused many difficulties for provision of clinical dentistry, there would be an opportunity for the dental educators to modernize their teaching approaches using novel digital concepts in teaching of clinical skills and by enhancement of online communication and learning platforms. This pandemic has also highlighted some of the major gaps in dental research and the need for new relevant knowledge to manage the current crisis and minimize the impact of such outbreaks on dentistry in the future. In conclusion, COVID-19 has had many immediate complications for dentistry of which some may have further long-term impacts on clinical practice, dental education and dental research.

scholarly journals Current prevalence, characteristics, and comorbidities of patients with COVID-19 in Indonesia

2020 ◽  
Vol 3 (2) ◽  
pp. 77
Author(s):  
Dionita Rani Karyono ◽  
Anggi Lukman Wicaksana
Keyword(s):  
Cardiovascular Diseases ◽  
Mortality Rate ◽  
Elderly People ◽  
Task Force ◽  
Healthcare Providers ◽  
Age Group ◽  
Current Information ◽  
Current Prevalence ◽  
History Of ◽  
Novel Coronavirus

Indonesia is currently fighting against a novel coronavirus disease, known as COVID-19. Current information of COVID-19 is crucial for healthcare providers. This study aimed to explore the current prevalence, characteristics, and comorbidities of patients with COVID-19 in Indonesia. We obtained data of the confirmed cases of COVID-19, characteristics and comorbidities from the official website of Indonesia COVID-19 Task Force. The data were extracted, explored and discussed to respond to the research aims. Up to June 3rd, 2020, it was reported there were 28,233 confirmed cases of COVID-19 in Indonesia. The current prevalence of COVID-19 case was 0.11‰ and transmission was distributed to all provinces in Indonesia. Almost one-third of the COVID-19 infections were in the age group of 31-45 years (29.3%) but the highest mortality rate occurred in elderly people (17.68%). Overall, males slightly dominated and contributed only 6.84% to the mortality rate. Cough (76.2%), history of fever (50.4%), and current fever (47.1%) were the most common symptoms among the patients with COVID-19. For comorbidities, patients with COVID-19 had higher numbers of hypertension (52.1%), diabetes (33.6%), and other cardiovascular diseases (20.9%). Those three comorbidities led the greater proportion of deaths among other comorbidities. The COVID-19 pandemic is still a new challenge for Indonesia.

scholarly journals Video Recording Patient Visits to Improve Patient Satisfaction and Hospital Consumer Assessment of Healthcare Providers and Systems Scores

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Malika Bhargava ◽  
Komal Naeem ◽  
Randall W Porter
Keyword(s):  
Patient Satisfaction ◽  
Quality Care ◽  
Video Recording ◽  
Healthcare Providers ◽  
Physician Satisfaction ◽  
Video Recordings ◽  
Hospital Consumer Assessment ◽  
History Of ◽  
Consumer Assessment ◽  
The Impact

Abstract INTRODUCTION A history of good physician-patient communication is critical to improving patient satisfaction with their physicians. This study sought to evaluate the impact of video recording healthcare visits on patient satisfaction using Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. METHODS HCAHPS surveys are administered by hospitals through Press Ganey. This institute's HCAHPS results were collected and analyzed from June 2016 through February 2019. The results of these surveys were divided into 2 physician groups: video recording users and non-users. The resulting percentile rankings of top-box answers (“always”) of HCAHPS measures were compared. RESULTS A total of 3516 HCAHPS surveys were completed between June 2016 and February 2019 at this institute. Of these, 1860 were completed by patients in the video recording users' group and 1656 were completed by patients in the non-users' group. Video recording users' HCAHPS scores were notably higher than non-users' scores. Most importantly, video recordings group patients vs non-users group patients who answered “always” (top-box score) for “Communication with the Doctor” and “Doctor Explained” had percentiles ranks of 91st vs 60th and 91st vs 57th, respectively. Perceived “Physician Skill” was the only category in which both groups scored high: 92nd percentile for video recordings users vs 93rd for non-users. In addition, 96% (137/142) of the video recordings patients watched their videos 1 to 5 times, and many reported that they chose to share their video with family or friends. CONCLUSION Physicians who provided patients with video recorded visits achieved higher HCAHPS physician satisfaction scores than those who did not. Practices that seek to improve their HCAHPS scores, especially considering incentivized payments of quality care, should consider offering video recordings for patients and their families to help improve real or perceived communication.

Measurement of person-centered care delivery of adult oncology in Ontario, Canada.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 223-223 ◽  
Author(s):  
Lesley Moody ◽  
Erica Bridge ◽  
Suman Dhanju ◽  
Brett Nicholls ◽  
Simron Singh
Keyword(s):  
Literature Review ◽  
Focus Groups ◽  
Best Practice ◽  
Assessment Tool ◽  
Care Delivery ◽  
Guideline Implementation ◽  
Healthcare Providers ◽  
Daily Practice ◽  
Modified Delphi ◽  
Strongly Agree

223 Background: In the Ontario, Canada, cancer system, the provincially endorsed Person Centred Care (PCC) Guideline provides recommendations for healthcare providers to implement PCC in the delivery of adult oncology services. However, it is unknown whether healthcare providers have incorporated these recommendations into their daily practice within the Regional Cancer Programs (RCPs). The purpose of this study was to develop an assessment tool to evaluate the implementation of the PCC Guideline in Ontario RCPs. Methods: Tool development consisted of a 3-step process: 1) literature review to identify relevant measures, 2) Modified Delphi with a panel of experts (n = 8), and 3) focus groups with patient/family advisors (n = 5) and RCP PCC leads (i.e., designated individual responsible for PCC deliverables) (n = 7). Results: Through the literature review, two relevant tools were identified ( i.e., Institute for Patient- and Family-Centered Care’s Hospital Assessment Tool and Accreditation Canada’s Cancer Care Standards), resulting in 187 measures deemed appropriate to include in the assessment tool. In round one of the Modified Delphi, each measure was evaluated independently by a panel of experts using a 5-point Likert Scale (1 = strongly disagree to 5 = strongly agree) to assess both the importance and feasibility of each measure. Sixty-seven measures were rated 4 or above by 70% of the experts. Consistent with Modified Delphi best practice, these measures were discussed during the second round with the panel of experts. An additional 33 measures were removed due to similarities/duplications. Nine measures were added. The 42 measures were presented to patient/family advisors and the RCP PCC Leads during focus groups and evaluated based on importance and feasibility of assessing PCC implementation in the RCPs. Wording recommendations were made and two additional measures were added. The final tool includes 44 measures to evaluate PCC implementation within the RCPs. The assessment tool was disseminated to the 14 RCPs in October 2016. Conclusions: The results of this assessment will provide an understanding of the current state of PCC Guideline implementation in Ontario, in order to identify facilitators and barriers to implementation.

scholarly journals The Impact of COVID-19 Pandemic in Children With Cancer: A Report From Saudi Arabia

2020 ◽  
Vol 13 ◽  
pp. 117863292098416
Author(s):  
Mohammad Alshahrani ◽  
Ghaleb Elyamany ◽  
Qanita Sedick ◽  
Walid Ibrahim ◽  
Amal Mohamed ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Population Mobility ◽  
Tertiary Institution ◽  
Children With Cancer ◽  
Cross Sectional ◽  
Delayed Treatment ◽  
The Impact

In January 2020, the WHO declared the novel coronavirus (2019-nCoV) outbreak as a public health emergency of international concern. Due to the rapid spread of 2019-nCoV, all countries started preventive and precautionary measures to prevent COVID-19 infection spread. These measures limited the population mobility and services provided, which subsequently Impact of on children with cancer and cancer care delivery in the many health centers in Saudi Arabia. We did a cross-sectional study to assess the impact of this outbreak on children with cancer concerning all aspects of life including medical services provided, the specific precautions to prevent spread in cancer patients, mental, psychological effects, and its effect on the quality of life. We collected 204 responses during a survey that assessed the impact on the treatment of cancer children at a tertiary institution during the COVID-19 pandemic. The majority of patients were receiving ongoing chemotherapy for leukemia/lymphoma. The majority of these patients (60.5%) reported a delay in treatment received due to hospital cancellation of appointments due to the pandemic. Although the majority of patients in our cohort complained of delayed treatment, fortunately, none of the delays led to fatalities. In the context of global lockdowns and physical distancing to help flatten the COVID-19 curve, telemedicine has proved fundamental to keeping patients and their healthcare providers connected and safe. Children also faced multiple other difficulties such as psychosocial issues during the COVID-19 pandemic. Our long-term goals are to develop new programs that will enable children with cancer to emerge successfully during a pandemic.

scholarly journals OS CAMINHOS DA AVALIAÇÃO PSICOLÓGICA NO BRASIL E NO MUNDO: REFLEXÕES PARA UM ESTADO DA ARTE

2021 ◽  
Vol 7 (1) ◽  
pp. 149-170
Author(s):  
Astrid Sharon Pontes Hasbun ◽  
Nilton Soares Formiga ◽  
Ionara Dantas Estevam
Keyword(s):  
Psychological Assessment ◽  
Professional Training ◽  
Scientific Evidence ◽  
History Of Psychology ◽  
Psychological Tests ◽  
Ethical Aspects ◽  
Future Directions ◽  
History Of ◽  
The Impact

Psychological assessment has a historical relevance for the development of Psychology as a science and profession in Brazil, since the history of psychological assessment in Brazil is confused with the history of Psychology as a science and profession in the country, as it occurs even before its professionalization with the creation of undergraduate courses and the provision of teaching psychological assessment. However, it is possible to perceive that the path of psychological assessment in Brazil has gone through some phases: first, a great interest in psychological tests, then a certain discredit and criticism due to the lack of quality and studies of standardization of the instruments used and the most current where a new flourishing of the area appears. Thus, this work aimed to trace a reflective history of the area, seeking an understanding of the paths taken, the weaknesses and difficulties faced in the area as well as future possibilities. In recent years, the Federal Council of Psychology has been making efforts to regulate the area through various actions and actions of Satepsi, as well as to reduce the gap still found in the ethical aspects that involve acting in psychological assessment. This study reflects on the impact of these actions on the role of the psychologist, his performance as professional and possible future directions for the area. It can be seen, therefore, that Psychology and the area of psychological assessment have undergone important changes aimed at qualifying professional training, valuing practices based on scientific evidence and paying attention to social demands.

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