Comparing implementation of Telemedicine compliance and feasibility among oncology patients across countries during the COVID 19 pandemic.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e13622-e13622
Author(s):  
Sharon Pelles ◽  
Shira Peleg Hasson ◽  
Barliz Waissengrin ◽  
Lior Hasid ◽  
Irad Deutsch ◽  
...  

e13622 Background: COVID19 pandemic expedited the use of telemedicine across nations. Oncology patients as at risk population especially needed the use of telemedicine to continue patient care. Evaluating patients' compliance and satisfaction with telemedicine is needed and might vary across nations and cultures. Experience from telemedicine during COVID might help shape oncology care in the future. Methods: A questionnaire that was locally validated in the Tel-Aviv Sourasky Oncology Division was distributed internationally using the BELONG.life digital health platform, a free and anonymous application (app) for cancer pts and caregivers. Results were compared between US pts replied through the app and Israeli patients. Results: The questionnaire was distributed to 232 Israeli patients and to 362 BELONG users in the US. The compliance was 74% and 35% pts respectively. Majority of users in Israel were male (54%) versus female in the US (77%). In the US 75% were Caucasian. More Israeli patients had a family member present in the call then in the corresponding US group (47% vs 64%). Both Israeli and US pts felt satisfied with the meeting and reported the willingness to continue with the same approach in the future regardless of the pandemic situation (84.9%, 63%, respectively). 95.9% of Israeli patients were attended by their regular doctor as opposed to 71% in the US. Call time duration was prolonging to 30-60 min and willingness to repeat the calls dropped to 47% when performed with a different doctor. In the US 76% of patients reported the telemedicine call saved them precious time. Conclusions: Patients' response to telemedicine meetings across countries was positive with oncology care visits being maintained successfully despite the ongoing COID19 pandemic. Most patients regardless of country of origin showed willingness to continue with telemedicine however maintaining the care with the patient's regular physician is important for the continued use of telemedicine in reducing visits time and improving the pts interaction and satisfaction. Clinical trial information: 0227-20.

2018 ◽  
Vol 47 (3) ◽  
pp. 130-134

This section, updated regularly on the blog Palestine Square, covers popular conversations related to the Palestinians and the Arab-Israeli conflict during the quarter 16 November 2017 to 15 February 2018: #JerusalemIstheCapitalofPalestine went viral after U.S. president Donald Trump recognized Jerusalem as the capital of Israel and announced his intention to move the U.S. embassy there from Tel Aviv. The arrest of Palestinian teenager Ahed Tamimi for slapping an Israeli soldier also prompted a viral campaign under the hashtag #FreeAhed. A smaller campaign protested the exclusion of Palestinian human rights from the agenda of the annual Creating Change conference organized by the US-based National LGBTQ Task Force in Washington. And, UNRWA publicized its emergency funding appeal, following the decision of the United States to slash funding to the organization, with the hashtag #DignityIsPriceless.


Author(s):  
Frédéric Grare

India’s relationship with the United States remains crucial to its own objectives, but is also ambiguous. The asymmetry of power between the two countries is such that the relationship, if potentially useful, is not necessary for the United States while potentially risky for India. Moreover, the shift of the political centre of gravity of Asia — resulting from the growing rivalry between China and the US — is eroding the foundations of India’s policy in Asia, while prospects for greater economic interaction is limited by India’s slow pace of reforms. The future of India-US relations lies in their capacity to evolve a new quid pro quo in which the US will formulate its expectations in more realistic terms while India would assume a larger share of the burden of Asia’ security.


2017 ◽  
Vol 12 (1) ◽  
pp. 39-57
Author(s):  
Jamie McKeown

This article reports the findings from a study of discursive representations of the future role of technology in the work of the US National Intelligence Council (NIC). Specifically, it investigates the interplay of ‘techno-optimism’ (a form of ideological bias) and propositional certainty in the NIC’s ‘Future Global Trends Reports’. In doing so, it answers the following questions: To what extent was techno-optimism present in the discourse? What level of propositional certainty was expressed in the discourse? How did the discourse deal with the inherent uncertainty of the future? Overall, the discourse was pronouncedly techno-optimist in its stance towards the future role of technology: high-technological solutions were portrayed as solving a host of problems, despite the readily available presence of low-technology or no-technology solutions. In all, 75.1% of the representations were presented as future categorical certainties, meaning the future was predominantly presented as a known and closed inevitability. The discourse dealt with the inherent uncertainty of the subject matter, that is, the future, by projecting the past and present into the future. This was particularly the case in relation to the idea of technological military dominance as a guarantee of global peace, and the role of technology as an inevitable force free from societal censorship.


2009 ◽  
Vol 9 (4) ◽  
pp. 1125-1141 ◽  
Author(s):  
J. Chen ◽  
J. Avise ◽  
B. Lamb ◽  
E. Salathé ◽  
C. Mass ◽  
...  

Abstract. A comprehensive numerical modeling framework was developed to estimate the effects of collective global changes upon ozone pollution in the US in 2050. The framework consists of the global climate and chemistry models, PCM (Parallel Climate Model) and MOZART-2 (Model for Ozone and Related Chemical Tracers v.2), coupled with regional meteorology and chemistry models, MM5 (Mesoscale Meteorological model) and CMAQ (Community Multi-scale Air Quality model). The modeling system was applied for two 10-year simulations: 1990–1999 as a present-day base case and 2045–2054 as a future case. For the current decade, the daily maximum 8-h moving average (DM8H) ozone mixing ratio distributions for spring, summer and fall showed good agreement with observations. The future case simulation followed the Intergovernmental Panel on Climate Change (IPCC) A2 scenario together with business-as-usual US emission projections and projected alterations in land use, land cover (LULC) due to urban expansion and changes in vegetation. For these projections, US anthropogenic NOx (NO+NO2) and VOC (volatile organic carbon) emissions increased by approximately 6% and 50%, respectively, while biogenic VOC emissions decreased, in spite of warmer temperatures, due to decreases in forested lands and expansion of croplands, grasslands and urban areas. A stochastic model for wildfire emissions was applied that projected 25% higher VOC emissions in the future. For the global and US emission projection used here, regional ozone pollution becomes worse in the 2045–2054 period for all months. Annually, the mean DM8H ozone was projected to increase by 9.6 ppbv (22%). The changes were higher in the spring and winter (25%) and smaller in the summer (17%). The area affected by elevated ozone within the US continent was projected to increase; areas with levels exceeding the 75 ppbv ozone standard at least once a year increased by 38%. In addition, the length of the ozone season was projected to increase with more pollution episodes in the spring and fall. For selected urban areas, the system projected a higher number of pollution events per year and these events had more consecutive days when DM8H ozone exceed 75 ppbv.


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