scholarly journals 657 Patient Perspectives on Telesleep Care in COVID Times: An Urban Teaching Hospital Survey

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A257-A257
Author(s):  
Tomas Munoz ◽  
Palakkumar Patel ◽  
Shilpa Viswanath ◽  
Bharati Prasad
Keyword(s):  
Patient Care ◽  
Secure Communication ◽  
Technical Assistance ◽  
Sleep Medicine ◽  
Privacy And Security ◽  
Privacy Concerns ◽  
Internet Privacy ◽  
Quality Patient Care ◽  
First Time

Abstract Introduction Telehealth is a relatively new tool for patient care, and to reach underserved areas where certain specialties are available. With the advent of the COVID19 pandemic, Telehealth has become a universal way to provide safe and quality patient care. However, Telehealth is a new experience for many providers and patients. We surveyed patients who received telehealth visits in sleep medicine between March and June 2020 to determine patient satisfaction and common technology-related barriers. The goal was to formulate actionable steps for improving patient’s experiences and determine the feasibility of long-term telehealth services for sleep medicine. Methods We interviewed 63 patients by phone, utilizing IRB approved surveys for telehealth satisfaction and technology. Responses were de-identified, tabulated, and analyzed in aggregate using Excel®. Results 85% of respondents had a high-school diploma or a higher level of education (9.6% students, 39.7% employed, 15.9% unemployed, and 19% retirees). 62% of participants participated in Telehealth for the first time. 89% preferred Telehealth, and 76% rated telehealth experience as good or better than in-person visits. 92% did not require technical assistance during the visit. Long-term telehealth care was acceptable to 63% of participants. Approximately 33% had technology-related barriers (no computer or webcam), and 12% did not have email. However, 89% had smartphones (70% connected to personal internet). Other barriers cited were lack of private space (13%) and taking time off work (9%). No clear preference for phone versus video Telehealth was noted (approximately 40% each), but 7% expressed concern about bi-directional video communication. This may be related to the privacy and security concerns expressed by 20% of respondents. However, only 5% reported using the electronic health record (EHR) based secure communication portal. Conclusion Sleep care via Telehealth is preferred by most patients during the COVID pandemic and is acceptable to two-thirds of patients for the long-term. In addition to access to personal devices or the internet, privacy concerns were a barrier to Telehealth. We plan to increase patient enrollment in the EHR-based portal to deliver telehealth services and communication securely to mitigate these barriers. Support (if any):

scholarly journals Integrating Mobile Fitness Trackers Into the Practice of Medicine

2016 ◽  
Vol 11 (1) ◽  
pp. 77-79 ◽  
Author(s):  
Neera Ahuja ◽  
Errol Ozdalga ◽  
Alistair Aaronson
Keyword(s):  
Health Care ◽  
Health Status ◽  
Patient Care ◽  
Health Maintenance ◽  
Quality Patient Care ◽  
Practice Of Medicine ◽  
Potential Benefits ◽  
Future Potential ◽  
Fitness Trackers

Mobile fitness trackers are increasingly used by patients as a means to become more involved in their own self-care; however, these devices measure disparate outcomes that may have equivocal relevance to true health status. It is vital for physicians to interpret both the quality and accuracy of the information that these trackers provide, and it is important to delineate which role, if any, these devices may serve in promoting quality patient care in the future. Potential benefits of mobile fitness trackers include the ability to motivate patients toward a healthier lifestyle, to develop a community of like-minded individuals seeking to improve their health, as well as to create an environment of sustainability and accountability for long-term promotion of health maintenance. However, limitations include the fact that mobile fitness trackers are not regulated by the Food and Drug Administration, that the employed metrics are not necessarily the best surrogates for true health status, and that the accuracy of measured endpoints has not yet been proven. As mobile fitness trackers both continue to rise in popularity and become increasingly sophisticated, physicians must be equipped to interpret and use this technology to better serve patients within an ever-changing, more technology-reliant health care system.

scholarly journals How Can the NHS Account for “Care Correct First Time”

2021 ◽  
Vol 2 (1) ◽  
pp. 3-9
Author(s):  
Gordon Caldwell
Keyword(s):  
Patient Care ◽  
Conceptual Framework ◽  
Constant Pressure ◽  
Quality Care ◽  
Healthcare Providers ◽  
Opportunity Costs ◽  
Frontline Staff ◽  
First Time

NHS Healthcare providers are under constant pressure to make costs savings. There seems to be no way to account for the costs of errors, harms and inefficiencies in patient care. If we could account for these costs then we could create medium to long term plans to reduce the costs lost in the consequences of errors, harm and delayed or low quality care of patients. If we get Care Correct First Time these wasted costs will fall and could well achieve the 5% savings within 5 years. I propose a conceptual framework to allow accounting for these costs wasted on the consequences of error, harm or delays caused by Opportunity Costs in the inefficient way frontline staff have to work to Do Patient Care.

Somatic Embryogenesis and In vitro Plant Regeneration in Vigna trilobata (L.) Verd. - A Potential Pasture Legume

1970 ◽  
Vol 19 (1) ◽  
pp. 89-99
Author(s):  
K. Choudhary ◽  
M. Singh ◽  
M. S. Rathore ◽  
N. S. Shekhawat
Keyword(s):  
Somatic Embryogenesis ◽  
Growth Regulators ◽  
Somatic Embryos ◽  
Basal Medium ◽  
Long Term Study ◽  
Continuous Application ◽  
First Time ◽  
Pasture Legume

This long term study demonstrates for the first time that it is possible to propagate embryogenic Vigna trilobata and to subsequently initiate the differentiation of embryos into complete plantlets. Initiation of callus was possible on 2,4-D. Somatic embryos differentiated on modified MS basal nutrient medium with 1.0 mg/l  of 2,4-D and 0.5 mg/l  of Kn. Sustained cell division resulted in globular and heart shape stages of somatic embryos. Transfer of embryos on to a fresh modified MS basal medium with 0.5 mg/l of Kn and 0.5 mg/l of GA3 helped them to attain maturation and germination. However, the propagation of cells, as well as the differentiation of embryos, were inhibited by a continuous application of these growth regulators. For this reason, a long period on medium lacking these growth regulators was necessary before the differentiation of embryos occurred again. The consequences for improving the propagation of embryogenic cultures in Vigna species are discussed. Key words: Pasture  legume, Vigna trilobata, Globular, Heart shape, somatic embryogenesis D.O.I. 10.3329/ptcb.v19i1.4990 Plant Tissue Cult. & Biotech. 19(1): 89-99, 2009 (June)

An Evaluation of Provincial Macroeconomic Performance in Vietnam

2017 ◽  
pp. 34-47
Author(s):  
Hoi Le Quoc ◽  
Nam Pham Xuan ◽  
Tuan Nguyen Anh
Keyword(s):  
Development Strategy ◽  
Institutional Transformation ◽  
Economic Indicators ◽  
Macroeconomic Performance ◽  
Economic Development Strategy ◽  
Socio Economic Development ◽  
The Cost ◽  
Development Objectives ◽  
First Time

The study was targeted at developing a methodology for constructing a macroeconomic performance index at a provincial level for the first time in Vietnam based on 4 groups of measurements: (i) Economic indicators; (ii) oriented economic indicators; (iii) socio-economic indicators; and (iv) economic - social – institutional indicators. Applying the methodology to the 2011 - 2015 empirical data of all provinces in Vietnam, the research shows that the socio-economic development strategy implemented by those provinces did not provide balanced outcomes between growth and social objectives, sustainability and inclusiveness. Many provinces focused on economic growth at the cost of structural change, equality and institutional transformation. In contrast, many provinces were successful in improving equality but not growth. Those facts threaten the long-term development objectives of the provinces.

Internet Privacy Concerns: An Integrated Conceptualization and Four Empirical Studies

MIS Quarterly ◽  
2013 ◽  
Vol 37 (1) ◽  
pp. 275-298 ◽  
Author(s):  
Weiyin Hong ◽  
◽  
James Y. L. Thong ◽  
◽  
Keyword(s):  
Empirical Studies ◽  
Privacy Concerns ◽  
Internet Privacy

NEW VARIETIES OF CURRANTS AND GOOSEBERRY BREEDING PLANTS

1970 ◽  
pp. 41-46
Author(s):  
O. D. Golyaeva ◽  
O. V. Kurashev ◽  
S. D. Knyazev ◽  
А. Yu. Bakhotskaya
Keyword(s):  
Powdery Mildew ◽  
Genetic Basis ◽  
Black Currant ◽  
Leaf Spots ◽  
Agricultural Sciences ◽  
Berry Crops ◽  
New Varieties ◽  
First Time ◽  
Red Currant

The main goal of the scientific institution was and remains to improve the assortment of fruit and berry crops for the development of domestic horticulture. Black currant breeding at VNIISPK was started by A.F Tamarova and continued by the doctor of agricultural Sciences T.P.Ogoltsova and doctor of agricultural Sciences S.D. Knyazev. A long-term breeding program has been developed. The main goals of the program are to create black currant cultivars with continuous resistance to diseases, first of all powdery mildew, as wells resistance to pests, i.e. bud mite. As a result of the long-term work, over 40 black currant cultivars have been developed, 14 of them are zoned. Red currant breeding was led by the candidate of agricultural Sciences L.V. Bayanova; since 2001 the work has been continued by the candidate of agricultural Sciences O.D. Golyaeva. ‘Heinemanns Rote Spӓtlese’, the descendant of R. multiflorum Kit., was involved in the red currant breeding for the first time in Russia. On its genetic basis, a series of late maturing cultivars with long and dense racemes was created. At the Institute, in total 21cultivars of red currants have been developed, 13 of them are zoned. At present, red currant cultivars make up 25.5% of the zoned assortment in Russia. The first research on gooseberries was stated by V.P. Semakin and A.F Tamarova; since 1992 the systematic gooseberry breeding has been carried out by the candidate of agricultural Sciences O.V. Kurashev. On the basis of Grossularia robusta, we have created gooseberry forms that are resistant to powdery mildew and leaf spots. These forms are highly productive, weakly thorned, having bush habit suitable for mechanized harvest. The result of breeding activities was the transfer of 6 gooseberry cultivars to State agricultural testing: ‘Solnechny Zaychik’, ‘Nekrasovsky’, ‘Yupiter’, ‘Zemlianichny’, ‘Moryachok’ and ‘Discovery’.

Policy Direction for Philippine Level 3 Local Government Hospitals based on the Predictors of Quality Patient Care

2019 ◽  
Vol 4 (3) ◽  
pp. 53-63
Author(s):  
Lucille A. Abraham ◽  
Mary Caroline N. Castaño
Keyword(s):  
Local Government ◽  
Human Resources ◽  
Patient Care ◽  
Local Governments ◽  
Ordinary Least Squares ◽  
Quality Patient Care ◽  
Industry Type ◽  
Government Hospitals ◽  
Level 3 ◽  
Policy Direction

ABSTRACT Objective – The study aims to formulate a policy direction (through a model) among Philippine level 3 local government hospitals based on the predictors of Quality Patient Care (QPC). The predictors are cost-effectiveness, utilization of materials, services by human resources, accessibility, leadership and management and ethical standards as independent variables in relation to the dependent variable which is QPC. Methodology/Technique – Survey questionnaires and interviews were conducted to patients, hospital directors, doctors, nurses, administrative and ancillary officers. The study used descriptive (mean and standard deviation) and inferential (ordinary least squares and multiple regression analysis) statistics. Findings – The study revealed that the utilization of materials has the most influence/effect on QPC wherein an increase in 1% of materials brought about an increase of 0.55 % in QPC. Likewise, accessibility brought about an increase in QPC by 0.42 %; and services rendered by human resources brought about an increase in QPC by 0.05 %. Novelty – This is the first study of Philippine Level 3 local government hospitals which aims to formulate a policy direction (through a model) based on the predictors of QPC. This can be used by the national and local governments in devising policies to improve healthcare, particularly in the hospital industry. Type of Paper: Empirical Keywords: local government hospitals; Philippines; policy direction; quality patient care

scholarly journals Structure-Properties Correlation of Cross-Linked Penicillin G Acylase Crystals

Crystals ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 451
Author(s):  
Marta Kubiak ◽  
Janine Mayer ◽  
Ingo Kampen ◽  
Carsten Schilde ◽  
Rebekka Biedendieck
Keyword(s):  
Mechanical Stability ◽  
Structural Characteristics ◽  
Penicillin G ◽  
Bacillus Species ◽  
Diffusion Limitations ◽  
Small Water ◽  
Long Term Stability ◽  
Atomic Force ◽  
First Time

In biocatalytic processes, the use of free enzymes is often limited due to the lack of long-term stability and reusability. To counteract this, enzymes can be crystallized and then immobilized, generating cross-linked enzyme crystals (CLECs). As mechanical stability and activity of CLECs are crucial, different penicillin G acylases (PGAs) from Gram-positive organisms have proven to be promising candidates for industrial production of new semisynthetic antibiotics, which can be crystallized and cross-linked to characterize the resulting CLECs regarding their mechanical and catalytic properties. The greatest hardness and Young’s modulus determined by indentation with an atomic force microscope were observed for CLECs of Bacillus species FJAT-PGA CLECs (26 MPa/1450 MPa), followed by BmPGA (Priestia megaterium PGA, 23 MPa/1170 MPa) and BtPGA CLECs (Bacillus thermotolerans PGA, 11 MPa/614 MPa). In addition, FJAT- and BtPGA CLECs showed up to 20-fold higher volumetric activities compared to BmPGA CLECs. Correlation to structural characteristics indicated that a high solvent content and low number of cross-linking residues might lead to reduced stability. Furthermore, activity seems to be restricted by small water channels due to severe diffusion limitations. To the best of our knowledge, we show for the first time in this study that the entire process chain for the characterization of diverse industrially relevant enzymes can be performed at the microliter scale to discover the most important relationships and limitations.

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