The use of multiple sclerosis databases at neurological university hospitals in Germany

2002 ◽  
Vol 8 (3) ◽  
pp. 265-267 ◽  
Author(s):  
M Pette ◽  
U K Zettl
Keyword(s):  
Multiple Sclerosis ◽  
Quality Management ◽  
Database System ◽  
Patient Records ◽  
Improve Quality ◽  
University Hospitals ◽  
The Way

The development of easy-to-use, clinically oriented multiple sclerosis (MS) database programs has been started, thus paving the way for MS centers to computerize their patient records and to improve quality management. To evaluate the prevalence of such programs at German neurological hospitals, a questionnaire was designed and sent to all clinic directors. With a return of more than 92%, it became evident that MS databases are still being used only by a minority of 22% on a regular basis. We did not recognize the predominance of a single program. A new MS database system that is being presently implemented in Germany is described.

Observatoire Français de la Sclérose en Plaques (OFSEP): A unique multimodal nationwide MS registry in France

2018 ◽  
Vol 26 (1) ◽  
pp. 118-122 ◽  
Author(s):  
Sandra Vukusic ◽  
Romain Casey ◽  
Fabien Rollot ◽  
Bruno Brochet ◽  
Jean Pelletier ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Scientific Community ◽  
Unmet Needs ◽  
National Registry ◽  
Sclérose En Plaques ◽  
University Hospitals ◽  
High Quality ◽  
Regional Networks ◽  
European Database ◽  
The Way

The care of multiple sclerosis (MS) in France is based on two complementary interlinked networks: MS expert centers in university hospitals and regional networks of neurologists. The routine use of European database for multiple sclerosis (EDMUS) in all those centers has paved the way for the constitution of a national registry, designated as Observatoire Français de la Sclérose En Plaques (OFSEP). It promotes a prospective, standardized, high-quality, and multimodal collection of data. On June 2018, there were 68.097 files, with 71.1% females, representing 761,185 person-years. This huge database is open to the scientific community and might contribute exploring unresolved issues and unmet needs in MS.

Clinical Judgment Revisited

1999 ◽  
Vol 38 (04/05) ◽  
pp. 279-286 ◽  
Author(s):  
L. L. Weed
Keyword(s):  
Decision Making ◽  
Medical Practice ◽  
Clinical Judgment ◽  
Medical Information ◽  
Patient Records ◽  
Practice Of Medicine ◽  
The Way

AbstractIt is widely recognised that accessing and processing medical information in libraries and patient records is a burden beyond the capacities of the physician’s unaided mind in the conditions of medical practice. Physicians are quite capable of tremendous intellectual feats but cannot possibly do it all. The way ahead requires the development of a framework in which the brilliant pieces of understanding are routinely assembled into a working unit of social machinery that is coherent and as error free as possible – a challenge in which we ourselves are among the working parts to be organized and brought under control.Such a framework of intellectual rigor and discipline in the practice of medicine can only be achieved if knowledge is embedded in tools; the system requiring the routine use of those tools in all decision making by both providers and patients.

Patients’ Perspective on the Psychological Impact of Multiple Sclerosis on Their Life

2021 ◽  
pp. 105413732110068
Author(s):  
Chrysoula Baka ◽  
Kalliopi Chatira ◽  
Evangelos C. Karademas ◽  
Konstantinos G. Kafetsios
Keyword(s):  
Multiple Sclerosis ◽  
Grounded Theory ◽  
Psychological Impact ◽  
Autoimmune Disorder ◽  
Positive Outcomes ◽  
Structured Interviews ◽  
Psychosocial Wellbeing ◽  
Positive Meaning ◽  
Patients Perspective ◽  
The Way

Multiple sclerosis is a chronic autoimmune disorder that greatly impacts on patients’ physical and psychosocial wellbeing. The purpose of this study is to investigate the experiences of people diagnosed with multiple sclerosis in Greece (N = 30), with regard to the way they coped with the diagnosis and the symptoms, the psychological implications of the disorder and the meaning they attributed to it. Data were collected through semi-structured interviews and they were analyzed using grounded theory. The findings showed that despite the negative implications of the disorder and the difficulty in managing the diagnosis and the symptoms, half of the patients attributed positive meaning to the disorder. Taking care of oneself, re-evaluation of life and a sense of liberation were described as the positive outcomes of experiencing multiple sclerosis.

Total Quality Management Benefits and Barriers in Construction Industry

2021 ◽  
Vol 11 (1) ◽  
pp. 193-199
Author(s):  
Rasha A. Al Salihi ◽  
Redvan Ghasemlounia
Keyword(s):  
Quality Management ◽  
Total Quality Management ◽  
Construction Industry ◽  
Improve Quality ◽  
Total Quality ◽  
Industry Growth ◽  
Continual Improvement ◽  
Full Participation ◽  
Industry Success ◽  
Building Project

The building sector is playing an important part Major factor in any country's development. The Construct industry growth depends on Building project efficiency. Quality is one thing Important factor in construction industry success in this paper the problems of quality definition in the construction industry are discussed, analysis potential advantages of quality implementation and considers quality barriers to Building implementation. Many implementing obstacles. We identify recent patterns that could lead to the Invade barriers. However, the various building actors must Know that improvement is necessary for the construction industry to improve quality TQM is specifically designed to deliver excellence in customer satisfaction by continual improvement full participation of product and processes every person who is a part of dedication that product/process. It's an orchestrated approach enhancement. If implemented correctly, it will support the Company of construction to boost its efficiency.

Clinical and Radiological Predictor of Disability among Multiple Sclerosis Patients in Ain Shams University Hospitals = المتنبئات السريرية والتصويرية للعجز في مرضى التصلب المتعدد بمستشفيات جامعة عين شمس

2015 ◽  
Vol 66 (4-6) ◽  
pp. 445-450
Author(s):  
سامية عاشور هلال ◽  
مجد فؤاد زكريا ◽  
عزة عبد الناصر عبد العزيز ◽  
هالة محمود الخواص ◽  
دينا عبد الجواد زمزم ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
University Hospitals ◽  
Multiple Sclerosis Patients

It's time to change the way we work

2021 ◽  
Vol 30 (11) ◽  
pp. 687-687
Author(s):  
Sam Foster
Keyword(s):  
Work Practices ◽  
University Hospitals ◽  
Oxford University ◽  
Staff Wellbeing ◽  
The Way

Sam Foster, Chief Nurse, Oxford University Hospitals, reflects on how the pandemic has changed work practices and suggests that refocusing priorities can not only improve staff wellbeing but also productivity and competition

scholarly journals Education in times of covid-19: are students learning in ergonomic conditions?

2021 ◽  
Vol 342 ◽  
pp. 01016
Author(s):  
Maria-Elena Boatca ◽  
Diana Robescu ◽  
Romulus Corlan ◽  
Nicoleta Mirea
Keyword(s):  
Quality Of Life ◽  
Online Learning ◽  
Learning System ◽  
Improve Quality ◽  
Sources Of Information ◽  
The Impact ◽  
Ergonomic Intervention ◽  
The Way ◽  
At Home

For more than a year, the way people work and learn witnessed dramatic changes on the back of the Covid-19 pandemic. While workers were supported and provided with trainings and a variety of sources of information, students did not benefit from the same ‘privilege’. In Romania, students had to adapt to online learning system since March 2020. To properly assess the impact of online learning on students’ health (both physical and mental), the authors conducted a study on students at Politehnica University of Timisoara. As part of this study, subjects were assessed using ‘Rapid Office Strain Assessment’ (ROSA). While some of them learn in ergonomic conditions, there are others exposed to high postural risk (primarily generated by use of inappropriate furniture). This assessment is part of a larger ergonomic intervention focused on educating students on the importance of creating ergonomic conditions at home with the aim to improve quality of life.

scholarly journals Correlation between fatigue and self-esteem in patients with multiple sclerosis

2009 ◽  
Vol 67 (3b) ◽  
pp. 818-821 ◽  
Author(s):  
Yára Dadalti Fragoso ◽  
Érika Oliveira da Silva ◽  
Alessandro Finkelsztejn
Keyword(s):  
Multiple Sclerosis ◽  
Severe Depression ◽  
Self Esteem ◽  
Socioeconomic Level ◽  
Mild Depression ◽  
Degree Of Disability ◽  
Severe Anxiety ◽  
The Way

OBJECTIVE: To assess the possible association of fatigue with self-esteem in multiple sclerosis (MS) patients. METHOD: Thirty patients were prospectively assessed. None of them presented moderate or severe depression or anxiety and their degree of disability was low (EDSS<3.5). They had been clinically stable for at least three months and had been receiving the same medication for at least six months. Socioeconomic level was assessed. Severity of fatigue and self-esteem were evaluated using specific, validated scales. Patients with moderate to severe anxiety and/or depression were excluded. RESULTS: Low self-esteem correlated with fatigue (p=0.01), but not with any other variables, such as age, gender, EDSS, MS duration, number of relapses, mild depression and/or anxiety. CONCLUSION: Greater severity of fatigue in MS correlates with low self-esteem, thus suggesting that this chronic complaint that affects so many patients can interfere with the way in which they see and value themselves.

scholarly journals An audit of risk assessment in an emergency setting

2002 ◽  
Vol 26 (3) ◽  
pp. 88-90 ◽  
Author(s):  
James Stone ◽  
George Szmukler
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Clinical Implications ◽  
Junior Doctors ◽  
Emergency Setting ◽  
Patient Records ◽  
Changing Practice ◽  
Self Harm ◽  
Harm To Others ◽  
The Way

Aims and MethodPatient records from the emergency clinic at the Maudsley Hospital were analysed from July 1999 to assess the standard of risk assessment for self-harm and for harm to others routinely recorded by junior doctors. The recorded risk factors for the consultation and the evidence that risk had been considered were noted. An intervention that comprised two seminars and two written reminders about the importance of risk assessment was made and the analysis of records in the emergency clinic repeated for July 2000.ResultsRisk factors were recorded more frequently for harm to self than for harm to others. There was little recorded evidence that consideration had been given to the overall risk of harm to self, and there was no evidence of this for harm to others. Recording of risk did not change significantly between 1999 and 2000.Clinical ImplicationsAssessment for risk of harm to others is not a part of the emergency consultation that is emphasised by the majority of junior psychiatrists. Changing practice will require a shift in the way that risk to others is presented in psychiatric teaching.

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