scholarly journals Tuke House: Initial experience of a new community service for neurotic illness

1987 ◽  
Vol 11 (8) ◽  
pp. 269-271
Author(s):  
David Newby ◽  
B. Lake ◽  
A. C. P. Sims
Keyword(s):  
Community Service ◽  
Initial Experience ◽  
Moderate Number ◽  
Number Of Patients ◽  
New Community

‘The number in each room rarely, if ever, exceeded ten. Here, I generally found several of the patients engaged in some useful or amusing employment. Every class seemed to form a little family … I incline to think, that the probability of recovery is greater, where a moderate number of patients associate together … I incline to think the number ought in no case to exceed fifteen’.

Tuke House: Initial experience of a new community service for neurotic illness

1987 ◽  
Vol 11 (8) ◽  
pp. 269-271 ◽  
Author(s):  
D. Newby ◽  
B. Lake ◽  
A. C. P. Sims
Keyword(s):  
Community Service ◽  
Initial Experience ◽  
New Community

scholarly journals Is Biofeedback through an Intra-Aural Device an Effective Method to Treat Bruxism? Case Series and Initial Experience

2020 ◽  
Vol 18 (1) ◽  
pp. 51
Author(s):  
Kira Pfeiffer ◽  
Thaqif El Khassawna ◽  
Deeksha Malhan ◽  
Christine Langer ◽  
Barbara Sommer ◽  
...  
Keyword(s):  
Clinical Evidence ◽  
Positive Impact ◽  
Case Series ◽  
Physiological Status ◽  
Initial Experience ◽  
Ear Canal ◽  
Number Of Patients ◽  
Patient Reported ◽  
Unpleasant Feeling ◽  
Ear Canals

Biofeedback was reported as an effective concept for bruxism treatment, through increasing patient’s awareness of the habit. During bruxing both ear canals become tighter, therefore, an in-ear device can provide biofeedback. The in-ear device is fitted to the ear canal in physiological status, during bruxing the ear-canal tightens resulting in stress on the canal walls and unpleasant feeling. Subsequently, patients stop their bruxing habit. The aim of this study is to provide first clinical evidence that in-ear devices have a positive impact on relieving bruxism in patients. Despite the low number of patients, this early study was designed as a controlled prospective study. The trial included seven female patients with a median age of 47.3 years (23–64 years). Only two patients implemented their devices for eight and seven months, respectively. One patient reported a relief in her symptoms, like headaches and pain intensity during the night, by 50% after three month and 80% after six months. Despite the limited number of participants, the study reflects a potential of Intra-aural devices as effective biofeedback devices in treating bruxism.

scholarly journals TQM DI RUMAH SAKIT

2019 ◽  
Author(s):  
vovi tridian ulfah ◽  
Rusdinal ◽  
Hade Afriansyah
Keyword(s):  
Service Quality ◽  
Medical Treatment ◽  
Community Service ◽  
Community Satisfaction ◽  
Private Hospitals ◽  
Number Of Patients ◽  
Satisfaction With Services ◽  
The Prestige

Abstrak¬¬-- a hospital is one of the community service centers that can accommodate people who will undergo medical treatment or care.the increasing number of people in Indonesia has resulted in a large number of patients to be dealt with, and it is evident that we can see that there are currently many private hospitals in circulation, thus reducing the prestige of public hospitals.To improve the quality of the hospital, it is necessary to improve the quality of the hospital, which is a challenge for leaders who are sick, especially in developing service quality, such as services from doctors, nurses, staff and other employees to increase community satisfaction with services. which is given

scholarly journals Meningkatkan Peran Serta Masyarakat dalam Mencegah Penyebaran Virus Covid-19

2021 ◽  
Vol 6 (1) ◽  
pp. 574-582
Author(s):  
Dwi Haryoto ◽  
Hari Wisodo ◽  
Sujito ◽  
Arif Hidayat ◽  
Hestiningtyas Yuli Pratiwi
Keyword(s):  
Human Resources ◽  
Community Service ◽  
Positive Response ◽  
Monitoring And Evaluation ◽  
Negative Response ◽  
Citizen Involvement ◽  
Number Of Patients ◽  
Positive Assessment

Community service has been carried out in RW 12 Kel. Merjosari Malang to increase the potential and participation of the community in health environment. The increase in the number of Covid-19 patients in Malang Raya, about 3,378 people, presents that the Covid-19 virus has increased drastically both number of patients confirmed positive and patients who died. The problems faced by partners are not understanding the Covid-19 disease, weak resources, limited funds, and difficulty accessing information. The method is socialization by conducting discussions, optimizing citizen resources, monitoring and evaluation. The result is conducting discussions, developing resources, providing training, providing counseling and assistance. Citizen involvement is to provide a place to install spraying equipment, maintain spraying facilities, provide a place to conduct training, provide human resources ready to be trained voluntarily. Citizens' anxiety and restlessness were slightly reduced by increased community understanding. Citizens give a positive assessment of service. This is proven by the percentage of residents giving a positive rating on average 95.68%, consisting of 95.33% giving a positive response, and 4.67% giving a negative response.

scholarly journals Double transcatheter balloon-expandable valve implantation for severe valve dysfunction in high-risk patients: initial experience

2020 ◽  
Vol 31 (4) ◽  
pp. 461-466
Author(s):  
João Bosco Breckenfeld Bastos Filho ◽  
Roney Orismar Sampaio ◽  
Felipe Reale Cividanes ◽  
Vitor Emer Egypto Rosa ◽  
Leonardo Paim Nicolau da Costa ◽  
...  
Keyword(s):  
Academic Research ◽  
Functional Class ◽  
Heart Valve Disease ◽  
Initial Experience ◽  
Valve Dysfunction ◽  
Nyha Functional Class ◽  
Number Of Patients ◽  
Research Consortium ◽  
Mitral Bioprosthesis

Abstract OBJECTIVES Concomitant valvular heart valve disease is a frequent finding, with higher morbidity and mortality among patients undergoing redo surgical procedures. Our goal was to report our initial experience with combined transcatheter Inovare bioprosthesis implants for severe valve dysfunction. METHODS Among 300 transcatheter procedures, a total of 6 patients had concurrent simultaneous transcatheter bioprosthesis implants for severe mitral bioprosthesis failure (valve-in-valve), with a second valve procedure that included native aortic (n = 2) or degenerated bioprostheses in the aortic position (n = 4). During the procedures, all patients were treated with a balloon-expandable Inovare transcatheter valve, using the transapical approach. RESULTS Patients were highly symptomatic [New York Heart Association (NYHA) functional class IV: 100%], with a mean age of 62 ± 5 years, yielding a mean European System for Cardiac Operative Risk II (EuroSCORE II) of 24.0 ± 10.1%. There was a mean of 1.6 ± 0.4 prior valve operations/patient, with a median time from prior mitral bioprosthesis surgery of 13.0 (9.2–20.0) years. Device success was 100% according to the Mitral Valve Academic Research Consortium and the Valve Academic Research Consortium-2 criteria. During the hospital stay, only 1 patient required dialysis, and the median intensive care unit and hospital lengths of stay were 5.0 (3.2–6.7) days and 16.0 (12.2–21.2) days, respectively. No deaths occurred at 30 days; at a median follow-up of 287 (194–437) days, 1 patient died of a non-cardiac cause and the rest of patients were in NYHA functional class I or II, with normofunctioning bioprostheses. CONCLUSIONS Transcatheter double valve interventions using the Inovare bioprosthesis in this initial series were shown to be a reasonable alternative to redo surgical operations. The short- and mid-term clinical and echocardiographic outcomes demonstrate promising results, although future studies with a larger number of patients and longer follow-up are warranted.

Consent and cooperation in the Greek context: Rhetoric and praxis

2014 ◽  
Vol 6 (3) ◽  
pp. 225-241 ◽  
Author(s):  
Maria Anagnostaki
Keyword(s):  
Substance Abuse ◽  
Community Service ◽  
Electronic Monitoring ◽  
Official Language ◽  
Treatment Interventions ◽  
The Core ◽  
Different Types ◽  
Alternative Measures ◽  
New Community ◽  
Community Sanctions

The core alternative measures in Greece have traditionally been implemented without supervision in the community. Since the early 1990s, however, new community measures have been introduced, following European developments and under the pressure of prison overcrowding. This article examines how issues of consent and cooperation in the supervision of offenders have been addressed in practice in relation to four community measures that are currently available in Greece: treatment interventions for substance abuse offenders, the community service order, the suspended sentence with probation and home detention with electronic monitoring. Different types and scales of approaches in relation to consent and cooperation are observed in different stages of the criminal procedure and between different community measures. An explanation of these variations is proposed with reference to the framework of the different ‘visions’ of community sanctions and measures – managerial, punitive, rehabilitative and reparative. Official language – rhetoric – is utilized in this exploration, while possible further action – praxis – is proposed.

scholarly journals Early exposure to community service learning in the medical curriculum: A model for orientation week introduction

2019 ◽  
Vol 16 (1) ◽  
pp. 19-25
Author(s):  
Kaitlin Endres
Keyword(s):  
Service Learning ◽  
Community Service ◽  
Medical Curriculum ◽  
First Year ◽  
Early Exposure ◽  
Community Service Learning ◽  
Learning Programs ◽  
Excellent Method ◽  
New Community ◽  
Orientation Week

Community service learning programs in pre-clerkship medical education are increasingly recognized as important in creating physicians who recognize the effects of one’s environment on their health and further strive to advocate for these patients to receive access to social programs that can improve their outcomes. The University of Ottawa Aesculapian Society recognized that an excellent method for providing early exposure to service opportunities in one’s new community is through Orientation Weeks. Prior to this year, no Orientation Week across Ontario had a philanthropy focus. Philanthropy in most students’ eyes refers to monetary donation. Understandably, Orientation Week directors continuously make the decision that asking medical students to donate money during the first week of one of many financially demanding yeas is unrealistic. Ottawa decided to incorporate philanthropy into our Orientation Week in the more inclusive form of community service, allowing students to donate their time, rather than donating their money. In addition to ensuring that philanthropy still has the opportunity to be a fundamental component of bonding during Medical School Orientation Weeks, as it does at the Undergraduate degree level, our initiative also served to facilitate early exposure to the various organizations students could complete their community service learning placements with later in their first year. Here we present our model, uO-Serves (“uOttawa-Serves”) of an Orientation Week philanthropy initiative of time-based community service in hopes that other Medical Schools will consider implementing a similar initiative within their Orientation Weeks

scholarly journals peningkatan TQM di Rumah Sakit

2019 ◽  
Author(s):  
vovi tridian ulfah ◽  
Rusdinal ◽  
Hade Afriansyah
Keyword(s):  
Service Quality ◽  
Community Service ◽  
Medical Equipment ◽  
Medical Personnel ◽  
Private Hospitals ◽  
Number Of Patients ◽  
The Government ◽  
Improve Service Quality ◽  
Satisfaction With Services

Abstrak¬¬-- In order to improve service quality conduct and synergize management to complement hospitals medical equipment supported by medical personnel who are quite reliable in their fields. Steps taken by the hospital, among others, cooperating with the government, opportunities for open relations partnership for investors to develop this hospital to be better in the future. a hospital is one of the community service centers that can accommodate people who will undergo medical treatment or care.the increasing number of people in Indonesia has resulted in a large number of patients to be dealt with, and it is evident that we can see that there are currently many private hospitals in circulation, thus reducing the prestige of public hospitals.To improve the quality of the hospital, it is necessary to improve the quality of the hospital, which is a challenge for leaders who are sick, especially in developing service quality, such as services from doctors, nurses, staff and other employees to increase community satisfaction with services. which is given

scholarly journals Robotic Orthogonal Implantation of Responsive Neurostimulation (RNS) Depth Electrodes in Patients With Unilateral Mesial Temporal Lobe Seizure Onset

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Alvin Y Chan ◽  
Sumeet Vadera
Keyword(s):  
Temporal Lobe ◽  
Disease Onset ◽  
Electrode Placement ◽  
Neutral Position ◽  
Initial Experience ◽  
Depth Electrodes ◽  
Number Of Patients ◽  
Multiple Variables ◽  
Mesial Temporal Lobe

Abstract INTRODUCTION Responsive neurostimulation (RNS) is a closed-loop neurostimulation modality for treating intractable epilepsy in patients who are not candidates for resection. A high number of patients have ictal onsets originating in the temporal lobe. In the past, implantation of depth electrodes have been placed using a transoccipital approach that transverses the long axis of the hippocampus. However, there have been no description of orthogonal approaches to RNS electrode placement into the medial temporal structures in the literature. We aimed to describe our initial experience with placing RNS depth electrodes using an orthogonal approach to target the short axis of the mesial temporal lobe. METHODS Presurgical work up included magnetic resonance imaging (MRI), video electroencephalography (vEEG), and neuropsychological testing. During the procedure, patients were placed with their heads in a neutral position. Electrodes were placed via stereotactic robotic assistance using a unilateral orthogonal approach targeting the amygdala or hippocampus. Patients who underwent RNS electrode implantation via orthogonal approach were identified after a retrospective review of all RNS patients at our institution. Multiple variables were collected, including age, disease onset, complications, follow-up, semiology, and seizure reduction. RESULTS There were 4 patients who underwent RNS implantation with orthogonal electrode placement. The mean age and follow-up were 44.8 and 1.2 yr, respectively. One of 8 patients was seizure free at last follow-up and 2 experienced over 50% reduction in seizures. There was one surgical complication but no mortality. CONCLUSION The initial experience using an orthogonal approach for depth electrode placement for RNS implantation was described. The potential advantages may include better safety, accuracy, and positioning in comparison to a transoccipital approach. Limitations included the retrospective nature of the study and a low sample size. Further research and experience are required to determine the best indications for an orthogonal approach.

New Community Service in Chester, PA

1919 ◽  
Vol 90 (2) ◽  
pp. 37-38
Author(s):  
Charles Frederick Weller
Keyword(s):  
Community Service ◽  
New Community
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