scholarly journals Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA

2020 ◽  
Vol 8 (3) ◽  
pp. e000530 ◽  
Author(s):  
Asim Kichloo ◽  
Michael Albosta ◽  
Kirk Dettloff ◽  
Farah Wani ◽  
Zain El-Amir ◽  
...  

A narrative review was conducted to examine the current state of the utilisation of telemedicine amid the current COVID-19 pandemic and to evaluate the benefits of continuing telemedicine usage in the future. A literature review was performed for articles related to telemedicine. Databases including PubMed, Google Scholar, Cochrane Library and Ovid MEDLINE were searched. Three reviewers independently performed article selection based on relevance to our topic. We included all articles between 1990 and 2020 related to telemedicine using the following keywords: ‘telemedicine’, ‘telehealth’, ‘policy’, ‘COVID-19’, ‘regulation’, ‘rural’, ‘physical examination’, ‘future’. A total of 60 articles were identified, and through careful selection we narrowed the final number of articles to 42 based on relevance to our topic. Telemedicine has been rapidly evolving over the past several decades. Issues with regulation and reimbursement have prevented its full immersion into the healthcare system. During the current pandemic, Centers for Medicare and Medicaid services have expanded access to telemedicine services. The advantages of telemedicine moving forward include its cost-effectiveness, ability to extend access to specialty services and its potential to help mitigate the looming physician shortage. Disadvantages include lack of available technological resources in certain parts of the country, issues with security of patient data, and challenges in performing the traditional patient examination. It is critically important that changes are made to fully immerse telemedicine services into the healthcare landscape in order to be prepared for future pandemics as well as to reap the benefits of this service in the future.

2002 ◽  
Vol 49 (2) ◽  
pp. 15-18
Author(s):  
J.A. Wils

Colorectal cancer is a leading cause of morbidity and mortality, with approximately 300,000 new cases and 200,000 related deaths in Europe and the USA each year. Adjuvant treatment of colorectal cancer is now widely accepted and can reduce mortality with approximately 10%. This can be considered as one of the major achievements in oncology from the past decade. Current results will be discussed and strategies for the future will be outlined, including on-going or planned large-scale trials with new drugs and approaches.


2019 ◽  
Vol 25 (85) ◽  
pp. 64-88
Author(s):  
Janez Juvan

Abstract The article presents research on the international community’s engagement in the countries of the Western Balkans in the past and their possible approach in the future. The focus of our research is on the functioning of mechanisms through which the international community performs certain tasks in the region. These interventions are primarily political, in the form of conferences, political programmes, consultations, pressures and continuous persuasion. Economic initiatives follow afterwards. By using different reform approaches, international institutions try to improve cooperation with the European Union (EU) and countries such as the USA, Russia, Turkey and China. Our research attempts to identify possible methods and new solutions for individual cases of conflict in Western Balkans countries, especially where the international community is actively involved. On this basis, we created a more holistic approach. The application of these measures could make the necessary reforms of the future easier. Our approach emphasises all the elements of security that are essential to the stability of the region and for the prevention of conflicts in the future.


2020 ◽  
Vol 18 (3) ◽  
pp. 893-911
Author(s):  
Akos Rona-Tas

Abstract Predictive algorithms are replacing the art of human judgement in rapidly growing areas of social life. By offering pattern recognition as forecast, predictive algorithms mechanically project the past onto the future, embracing a peculiar notion of time where the future is different in no radical way from the past and present, and a peculiar world where human agency is absent. Yet, prediction is about agency, we predict the future to change it. At the individual level, the psychological literature has concluded that in the realm of predictions, human judgement is inferior to algorithmic methods. At the sociological level, however, human judgement is often preferred over algorthms. We show how human and algorithmic predictions work in three social contexts—consumer credit, college admissions and criminal justice—and why people have good reasons to rely on human judgement. We argue that mechanical and overly successful local predictions can result in self-fulfilling prophecies and, eventually, global polarization and chaos. Finally, we look at algorithmic prediction as a form of societal and political governance and discuss how it is currently being constructed as a wide net of control by market processes in the USA and by government fiat in China.


Perfusion ◽  
2003 ◽  
Vol 18 (4) ◽  
pp. 253-256 ◽  
Author(s):  
Joseph J Sistino

Treatment for cardiovascular disease has dramatically changed the surgical patient population over the past 10 years. Advances in medical management and interventional cardiovascular procedures have delayed surgery in many adults, and the surgical pool has begun to decrease despite an aging population. This affects perfusionists in terms of new psychological and technical challenges, and has serious consequences and implications for the future of the profession. This study will review the changing patterns of diagnosis and treatment of cardiovascular disease in the USA over the past 10 years by examining the annual surgical procedure rates and correlating them with the number of practicing perfusionists and new student graduates. The purpose of this review is to project the future employment opportunities for perfusionists. The second part of the paper will look at the alternative roles perfusionists have expanded into as a result of changes in the treatment of cardiovascular disease. The results of an e-mail survey of perfusionists will be presented to identify new applications of perfusion technology.


2011 ◽  
Vol 11 (2) ◽  
pp. 391-415 ◽  
Author(s):  
Dawn Knight

This paper takes stock of the current state-of-the-art in multimodal corpus linguistics, and proposes some projections of future developments in this field. It provides a critical overview of key multimodal corpora that have been constructed over the past decade and presents a wish-list of future technological and methodological advancements that may help to increase the availability, utility and functionality of such corpora for linguistic research.


2020 ◽  
Vol 31 (5) ◽  
pp. 23-36

The article describes the current state of left-wing post-Deleuzian philosophy, which is going through a period of obsession with the production of fictions. The authors argue that science fiction is today often mobilized as a tool for imagining a future that is incommensurable with the current late capitalist order. However, when trying to imagine a post-capitalist future, contemporary left-wing philosophers tend to look to the past for inspiration, a maneuver which only exacerbates the “exhaustion of the future,” that has retrofuturism as its cultural correlate. Based on this, the authors suggest that philosophical instrumentalization of science fiction may result in a distinct form of intellectual escapism. The article argues that in this context, special attention should be paid to the concept of hyperstition, which has arisen under the influence of science fiction narratives and is embedded in current popular rhetoric about hacking the future. The authors point out that the way hyperstition functions has a resemblance to marketing mechanisms, and they suggest that it corresponds to what Gilles Deleuze and Felix Guattari called an unconscious representation or fake image. The article subjects hyperstition to a critical analysis in which the authors show that the genealogy of hyperstition as a practice of programming reality through fictions stems from the ideas of William S. Burroughs. Burroughs set out to develop new ways of linguistic infection and modeling human behavior by means of his cutup technique. This approach blurs the distinction between reality and fiction. Some members of the CCRU transplanted Burroughs’ ideas to the theoretical soil that Deleuze and Guattari had tilled. Hyperstition has been reborn in the CCRU’s legacy project of left-wing accelerationism, which redirects the idea of self-fulfilling fiction toward developing a non-deterministic concept of progress. Pointing to the ineffectiveness of hyperstition as a tool for socio-political change, the authors propose abandoning Anti-Oedipus in favor of Anti-Hype.


2019 ◽  
Vol 104 (9) ◽  
pp. 3779-3784 ◽  
Author(s):  
Jonathon O Russell ◽  
Christopher R Razavi ◽  
Mohammad Shaear ◽  
Lena W Chen ◽  
Andrew H Lee ◽  
...  

Abstract Context The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a recently described procedure for surgical management of select thyroid pathology that avoids a cutaneous scar. TOETVA is far from the first described remote-access approach to the thyroid. In fact, numerous such techniques have been described over the past 20 years, although none has gained widespread implementation in North America or Europe. However, with its rapid growth worldwide and excellent outcomes to date, TOETVA may succeed where these prior techniques have failed. Evidence Acquisition The English literature was reviewed using the following keywords: transoral thyroidectomy, remote-access thyroidectomy, minimally invasive thyroidectomy, and TOETVA. Because three systematic reviews of this technique were recently conducted, this manuscript does not seek to provide a fourth. Rather, we summarize salient findings from these reviews and focus on candidates for the procedure, technique-specific characteristics that have led to early success with TOETVA, and prospects for the future. Evidence Synthesis TOETVA is the only thyroidectomy approach obviating the need for a cutaneous incision, and it offers several advantages over previously described remote-access thyroidectomy techniques. These include a favorable anatomic surgical perspective, a comparatively short learning curve, no requirement for expensive instrumentation, and a broad inclusion criterion. These characteristics have facilitated the excellent surgical outcomes to date. Conclusions TOETVA is a suitable surgical option with proven safety and feasibility for a carefully selected patient population. The potential value of the procedure outside enhanced cosmesis continues to be defined.


2014 ◽  
Vol 48 (3) ◽  
pp. 139-147
Author(s):  
Neeti Mittal

ABSTRACT The practice of the pediatric dental sedation has evolved continuously during the past few decades. Newer agents continuously seem to replace older agents and the pediatric dentists need to update themselves timely to efficiently administer sedation to their young and anxious patients. The practice and the research of pediatric dental sedation is very diverse throughout the world. In this paper, we attempt to review the diversity of pediatric dental sedation research through a systematic review. Further, we review the pharmacopoeia of pediatric dental sedation with brief description of commonly used agents. We also touch upon evolution of pediatric dental sedation guidelines in different countries and international variation in pediatric dental sedation practice. Lastly, we review the future perspective of research pertaining to field of pediatric dental sedation research. How to cite this article Mittal N, Gauba K, Goyal A, Kapur A. Pediatric Dental Sedation Practice: Evolution and Current State-of-the-Art. J Postgrad Med Edu Res 2014;48(3):139-147.


Author(s):  
Csaba Horváth ◽  
◽  
László Koltai ◽  
Klaudia Maňúrová ◽  
◽  
...  

The rate of change for the commercial printing industry with regard to technology, business models and customer demand is growing, and the landscape of the industry already looks vastly different from a few short decades ago. Across the commercial print sector today, there are many different types of companies – some very successful, with a young, skilled, enthusiastic workforce who have no trouble innovating and recruiting. However, as in any rapidly developing sector, other companies are trailing behind. Demographic changes are entering the market (Generation Z), as well as the upper levels of management in printing companies (Millennials), and “their preferences are now their demands”. This requires business models to be re-invented and a more intensive focus on issues relating to sustainability. The authors of the article summarize the future of the world of commercial printing and the current state of European commercial printing. They have based their work on a report published by the Smithers Research Institute in January 2020 on this topic and on the professional findings and arguments presented at major scientific conferences over the past two years, with the aim of getting these latest ideas to the earliest helping the researchers and practitioners to adapt to the rapidly changing situation and the challenge.


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