The attitudes of multiprofessional teams to telehealth adoption in northern Finland health centres

2009 ◽  
Vol 15 (6) ◽  
pp. 290-296 ◽  
Author(s):  
Tiina Vuononvirta ◽  
Markku Timonen ◽  
Sirkka Keinänen-Kiukaanniemi ◽  
Olavi Timonen ◽  
Kirsti Ylitalo ◽  
...  
Keyword(s):  
Continuing Education ◽  
Health Care Professionals ◽  
Health Centre ◽  
Negative Attitude ◽  
University Hospital ◽  
Psychiatric Nurses ◽  
Project Staff ◽  
Health Centres ◽  
Different Types ◽  
The University

A telehealth network was established between seven health centres, the local university and the university hospital in the Oulu Arc Subregion in a rural area of northern Finland. During the period 2004–2007, the videophone network was used for different types of teleconsultation (orthopaedics, psychiatry, diabetes, rehabilitation), continuing education and various patient care and administrative meetings. Qualitative research with observation and interviews with 30 professionals (physicians, nurses, psychiatric nurses, physiotherapists) was carried out in early 2007 to find out health-care professionals' attitudes toward telehealth and to see how the attitudes were connected to telehealth usage. Overall, the attitudes were more positive than negative, ranging from negative to enthusiastically positive. Diversity of attitudes occurred in relation to time, situation, profession, health centre and telehealth application. Ten different types of telehealth adopters were recognized: enthusiastic user, positive user, critical user, hesitant user, positive participant, hesitant participant, critical participant, neutral participant, negative participant and positive non-participant. Telehealth was especially well accepted in continuing education and in diabetes teleconsultations. The study showed that a negative attitude was not a definite barrier to telehealth adoption, but it did require additional attention from project workers and managers. Project staff and managers need to take into account the diverse attitudes of health professionals, because different people require different actions to adopt telehealth in their work.

Successful Game Development Partnerships between Academics and Physicians

2013 ◽  
Vol 5 (3) ◽  
pp. 97-107 ◽  
Author(s):  
Elena Bertozzi ◽  
Leonard R. Krilov ◽  
Dilys Walker
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Serious Games ◽  
Home Birth ◽  
University Hospital ◽  
Game Development ◽  
Rural Mexico ◽  
Flu Vaccine ◽  
Game Developers ◽  
The University

This paper discusses the creation of two serious games developed by the Engender Games Group with the intention of meeting specific outcomes in the healthcare field. The processes and pitfalls of developing games of this kind are outlined with the intention of demonstrating how game developers and health care professionals can collaborate to produce compelling, fun games that meet specific goals. The Atendiendo el Parto en Casa (Home Birth), game is a collaboration with Drs. Dilys Walker and Carrie Rouse at the University of Washington Medical School to educate traditional midwives working in rural Mexico. The Flu Busters! game is a collaboration with a group of pediatric specialists at Winthrop-University Hospital on Long Island led by Dr. Leonard Krilov which explains how the flu vaccine works and encourages children to get vaccinated.

scholarly journals Adult attachment, intimacy, commitment and passion in relation to relationship satisfaction

2020 ◽  
Author(s):  
Martina Šlosáriková
Keyword(s):  
Relationship Satisfaction ◽  
Adult Attachment ◽  
Negative Attitude ◽  
Hierarchical Regression ◽  
Couple Relationship ◽  
Significant Relation ◽  
Stepwise Method ◽  
Different Types ◽  
The University ◽  
The Relationship

Objectives. The research aimed to examine the relationship between the different types ofadult attachment in (secure type, anxious and avoidant type) and relationship satisfaction.Also examine between relationship satisfaction and intimacy, commitment and passion.Sample and setting. The research sample consisted of 120 respondents aged 18 to 26 years (M= 22.54, SD = 1.71), students of the university. The sample consisted of 97 women and 23men.Hypotheses. We assume that a secure adult attachment would be positively related torelationship satisfaction. On the contrary, in the case of anxious and avoidant adultattachment, we assume a negative attitude towards relationship satisfaction. We assume thatintimacy, commitment and passion would be positively related to relationship satisfaction.Statistical analysis. Multiple linear hierarchical regression (stepwise method) was performedto verify the relations between the different types of adult attachment, intimacy, commitment,passion and relationship satisfaction.Results. Our research confirmed the relationship between adult attachment and relationshipsatisfaction, which was one of our main findings. Respondents who showed a secure type ofadult attachment were statistically more satisfied in a relationship than those who showedanxious or avoidant behavior. Another important finding was the significant relation betweenthe love component - intimacy and couple relationship satisfaction.Study limitation. As a possible limitation of our study, we consider that the data were obtainedonly from one of the partners.

P1362Diagnostic accuracy of R-wave detection by insertable cardiac monitors

EP Europace ◽  
2020 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
M De Coster ◽  
A Demolder ◽  
V De Meyer ◽  
F Vandenbulcke ◽  
F Van Heuverswyn ◽  
...  
Keyword(s):  
Remote Monitoring ◽  
Diagnostic Performance ◽  
Wave Amplitude ◽  
University Hospital ◽  
Arrhythmia Detection ◽  
Different Types ◽  
False Diagnosis ◽  
The University ◽  
R Wave Amplitude ◽  
Sudden Reduction

Abstract OnBehalf 1.Department of Cardiology, Ghent University Hospital, Ghent, Belgium Introduction Insertable cardiac monitors (ICM) allow automatic arrhythmia detection but the diagnostic performance can be hampered by poor R-wave sensing leading to false positive recordings. Purpose This study assesses the prevalence and predictors of R-wave under- and oversensing among different ICM types.  Methods Patients implanted with an ICM at the University Hospital of Ghent between January 2017 and August 2018 were included. All ICM tracings recorded at ICM interrogation or transmitted by remote monitoring were reviewed for inadequate R-wave sensing leading to false arrhythmia alerts. Inadequate R wave sensing was defined as undersensing due to sudden reduction in R wave amplitude or oversensing due to the occurrence of artefacts. Patient and implant characteristics were retrieved from the medical record and implant reports. Results The study screened 135 patients (age 59 ± 19 years, 44% female) implanted with different ICM types: Reveal XT and LINQ n = 92 (68%), Confirm and Confirm Rx n = 35 (26%),  BioMonitor n = 8 (6%). ICM analysis was conducted in 112 patients (83%). Overall, false arrhythmia alerts due to inadequate R wave sensing occurred in 22 (20%) of the patients. Among these 22 patients, false diagnosis of bradycardia or pauses were documented in 64%, false high ventricular rates in 14% and false atrial fibrillation alerts in 22% of the patients. Of interest, in an additional 7 (6%) patients significant changes in R wave sensing occurred, although not causing false arrhythmic alerts. Occurrence of R-wave changes occurred in 19% of Reveal, 17% of Confirm and 50% of BioMonitor ICMs (p = not significant). Occurrence of R-wave changes among the different types of ICMs were not related to age, sex, BMI, time of the day, heart frequency or implant R-wave sensing. Conclusion Poor R wave sensing, leading to false arrhythmia detection, occurred in a significant number of ICM, and seems to occur independent of ICM type, patient or implant characteristics. Abstract Figure.

scholarly journals Continuity of nursing care in Finnish primary health care settings: A 15-year follow-up

2018 ◽  
Vol 7 (1) ◽  
pp. 11 ◽  
Author(s):  
Risto Raivio ◽  
Eija Paavilainen ◽  
Kari J. Mattila
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Continuity Of Care ◽  
Nursing Care ◽  
Health Centre ◽  
University Hospital ◽  
Primary Health ◽  
Patient Reported ◽  
Health Centres

Objective: Continuity is an essential part of high-quality nursing care. This study is the first systematic follow-up of Finnish primary health care patients assessing continuity of health centre nursing staff. The aim was to ascertain how longitudinal interpersonal continuity of care is related to patients’ characteristics, their consultation experiences, and how continuity had changed over the 15-year study period.Methods: A questionnaire survey was conducted among patients attending the health centres in the Tampere University Hospital catchment area from 1998 to 2013. A total of 157,549 patients responded out of 363,464 in almost 60 health centres. We analysed the opinions of patients (n = 47,470) who had visited a nurse during the survey weeks. Opinions on the continuity of care were assessed with the question: “When visiting the health centre, do you usually see the same nurse”, the alternatives being “yes” or “no”. A binary logistic regression model was used.Results: Almost two thirds of the respondents had met the same nurse when visiting their health care centre. Longitudinal interpersonal continuity of care decreased by 15 percentage (67%-52%) during the study years. Continuity was connected to patient-related items such as a visit in the preceding 12 months (OR 1.32, 95% CI 1.17-1.49) and non-urgency of the visit (OR 1.44, 95% CI 1.27-1.63). The most prominent factor contributing to the sense of continuity of care was how attentively nurses had listened to their patients’ problems and shown an interest in them and a willingness to answer their questions (OR 1.31, 95% CI 1.120-1.43).Conclusions: In the past 15 years patient-reported longitudinal interpersonal continuity of nursing care has declined. However continuity of care proved to enhance the experienced quality of primary health care. Continuity was best realized in nursing care when nurses had listened to their patients’ problems, showed interest toward them and a willingness to answer their questions.

scholarly journals Ceftazidime/Avibactam-Resistant Klebsiella pneumoniae subsp. pneumoniae Isolates in a Tertiary Italian Hospital: Identification of a New Mutation of the Carbapenemase Type 3 (KPC-3) Gene Conferring Ceftazidime/Avibactam Resistance

2021 ◽  
Vol 9 (11) ◽  
pp. 2356
Author(s):  
Carla Fontana ◽  
Marco Favaro ◽  
Laura Campogiani ◽  
Vincenzo Malagnino ◽  
Silvia Minelli ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
Gene Mutations ◽  
University Hospital ◽  
Nucleotide Position ◽  
Chromogenic Medium ◽  
New Mutation ◽  
Different Types ◽  
Resistant Strains ◽  
The University ◽  
Type 3

Several Klebsiella pneumoniae carpabenemase (KPC) gene mutations are associated with ceftazidime/avibactam (CAZ-AVI) resistance. Here, we describe four Klebsiella pneumoniae subsp. pneumoniae CAZ-AVI-resistant clinical isolates, collected at the University Hospital of Tor Vergata, Rome, Italy, from July 2019 to February 2020. These resistant strains were characterized as KPC-3, having the transition from cytosine to thymine (CAC-TAC) at nucleotide position 814, with histidine that replaces tyrosine (H272Y). In addition, two different types of KPC gene mutations were detected. The first one, common to three strains, was the D179Y (G532T), associated with CAZ-AVI resistance. The second mutation, found only in one strain, is a new mutation of the KPC-3 gene: a transversion from thymine to adenine (CTG-CAG) at nucleotide position 553. This mutation causes a KPC variant in which glutamine replaces leucine (Q168L). None of the isolates were detected by a rapid immunochromatographic assay for detection of carbapenemase (NG Biotech, Guipry, France) and were unable to grow on a selective chromogenic medium Carba SMART (bioMerieux, Firenze, Italy). Thus, they escaped common tests used for the prompt detection of Klebsiella pneumoniae KPC-producing.

scholarly journals Impact of Communicative and Informative Strategies on Influenza Vaccination Adherence and Absenteeism from Work of Health Care Professionals Working at the University Hospital of Palermo, Italy: A Quasi-Experimental Field Trial on Twelve Influenza Seasons

Vaccines ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 5 ◽  
Author(s):  
Claudio Costantino ◽  
Alessandra Casuccio ◽  
Francesca Caracci ◽  
Stefania Bono ◽  
Giuseppe Calamusa ◽  
...  
Keyword(s):  
Health Care ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Health Care Professionals ◽  
High Risk Group ◽  
University Hospital ◽  
Hospital Units ◽  
Before And After ◽  
Quasi Experimental ◽  
The University

Every year, about 20% of health care workers (HCWs) acquire influenza, continuing to work and encouraging virus spreading. Influenza vaccination coverage rates and absenteeism from work among HCWs of the University Hospital (UH) of Palermo were analyzed before and after the implementation of several initiatives in order to increase HCWs’ awareness about influenza vaccination. Vaccines administration within hospital units, dedicated web pages on social media and on the UH of Palermo institutional web site, and mandatory compilation of a dissent form for those HCWs who refused vaccination were carried out during the last four influenza seasons. After the introduction of these strategies, influenza vaccination coverage went up from 5.2% (2014/2015 season) to 37.2% (2018/2019 season) (p < 0.001), and mean age of vaccinated HCWs significantly decreased from 48.1 years (95% CI: 45.7–50.5) to 35.9 years (95% CI: 35.0–36.8). A reduction of working days lost due to acute sickness among HCWs of the UH of Palermo was observed. Fear of adverse reactions and not considering themselves as a high-risk group for contracting influenza were the main reasons reported by HCWs that refused vaccination. Strategies undertaken at the UH of Palermo allowed a significant increase in vaccination adherence and a significant reduction of absenteeism from work.

scholarly journals A pragmatic health centre-based evaluation comparing the effectiveness of a PCV13 schedule change from 3+0 to 2+1 in a high pneumococcal carriage and disease burden setting in Malawi: a study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e050312
Author(s):  
Todd D Swarthout ◽  
Ana Ibarz-Pavon ◽  
Gift Kawalazira ◽  
George Sinjani ◽  
James Chirombo ◽  
...  
Keyword(s):  
Research Ethics ◽  
Health Centre ◽  
Ethics Committee ◽  
Research Ethics Committee ◽  
Pneumococcal Carriage ◽  
Health Centres ◽  
Schedule Change ◽  
The University ◽  
The Impact ◽  
Carriage Prevalence

IntroductionStreptococcus pneumoniae (the pneumococcus) is commonly carried as a commensal bacterium in the nasopharynx but can cause life-threatening disease. Transmission occurs by human respiratory droplets and interruption of this process provides herd immunity. A 2017 WHO Consultation on Optimisation of pneumococcal conjugate vaccines (PCV) Impact highlighted a substantial research gap in investigating why the impact of PCV vaccines in low-income countries has been lower than expected. Malawi introduced the 13-valent PCV (PCV13) into the national Expanded Programme of Immunisations in 2011, using a 3+0 (3 primary +0 booster doses) schedule. With evidence of greater impact of a 2+1 (2 primary +1 booster dose) schedule in other settings, including South Africa, Malawi’s National Immunisations Technical Advisory Group is seeking evidence of adequate superiority of a 2+1 schedule to inform vaccine policy.MethodsA pragmatic health centre-based evaluation comparing impact of a PCV13 schedule change from 3+0 to 2+1 in Blantyre district, Malawi. Twenty government health centres will be randomly selected, with ten implementing a 2+1 and 10 to continue with the 3+0 schedule. Health centres implementing 3+0 will serve as the direct comparator in evaluating 2+1 providing superior direct and indirect protection against pneumococcal carriage. Pneumococcal carriage surveys will evaluate carriage prevalence among children 15–24 months, randomised at household level, and schoolgoers 5–10 years of age, randomly selected from school registers. Carriage surveys will be conducted 18 and 33 months following 2+1 implementation.AnalysisThe primary endpoint is powered to detect an effect size of 50% reduction in vaccine serotype (VT) carriage among vaccinated children 15–24 months old, expecting a 14% and 7% VT carriage prevalence in the 3+0 and 2+1 arms, respectively.Ethics and disseminationThe study has been approved by the Malawi College of Medicine Research Ethics Committee (COMREC; Ref: P05.19.2680), the University College London Research Ethics Committee (Ref: 8603.002) and the University of Liverpool Research Ethics Committee (Ref: 5439). The results from this study will be actively disseminated through manuscript publications and conference presentations.Trial registration numberNCT04078997.

The importance of continuing education in the radiology service: a successful practice at the University Hospital of the Federal University of Maranhão

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Lillian Lettiere Bezerra Lemos Marques ◽  
Gabriela Leal Aguiar ◽  
Itamar Antonio Sousa Silva ◽  
Livia Teresa Moreira Rios
Keyword(s):  
Health Services ◽  
Ionizing Radiation ◽  
Diagnostic Imaging ◽  
Continuing Education ◽  
University Hospital ◽  
Initial Training ◽  
Radiology Service ◽  
The University ◽  
Health Field

The concept of permanent education is materialized in the possibility of exchanging knowledge after initial training. This theme is of great importance to society and needs to be explored to provide a reflection on the reality of health services. This study presents permanent education for radiology services in accordance with current legislation and the project implemented at the University Hospital of the Federal University of Maranhão. The aim is to build a knowledge of continuing education in the health field, identifying the practice of this project and also contributing to the enrichment and theoretical dissemination aimed at diagnostic imaging services that make use of technologies with ionizing and non-ionizing radiation. Thus, improving the assistance and safety to radiology professionals and their users, through a gradual and appropriate knowledge.

scholarly journals Adult attachment, intimacy, commitment and passion in relation to relationship satisfaction

2020 ◽  
Author(s):  
Martina Šlosáriková
Keyword(s):  
Relationship Satisfaction ◽  
Adult Attachment ◽  
Negative Attitude ◽  
Hierarchical Regression ◽  
Couple Relationship ◽  
Significant Relation ◽  
Stepwise Method ◽  
Different Types ◽  
The University ◽  
The Relationship

Objectives. The research aimed to examine the relationship between the different types ofadult attachment in (secure type, anxious and avoidant type) and relationship satisfaction.Also examine between relationship satisfaction and intimacy, commitment and passion.Sample and setting. The research sample consisted of 120 respondents aged 18 to 26 years (M= 22.54, SD = 1.71), students of the university. The sample consisted of 97 women and 23men.Hypotheses. We assume that a secure adult attachment would be positively related torelationship satisfaction. On the contrary, in the case of anxious and avoidant adultattachment, we assume a negative attitude towards relationship satisfaction. We assume thatintimacy, commitment and passion would be positively related to relationship satisfaction.Statistical analysis. Multiple linear hierarchical regression (stepwise method) was performedto verify the relations between the different types of adult attachment, intimacy, commitment,passion and relationship satisfaction.Results. Our research confirmed the relationship between adult attachment and relationshipsatisfaction, which was one of our main findings. Respondents who showed a secure type ofadult attachment were statistically more satisfied in a relationship than those who showedanxious or avoidant behavior. Another important finding was the significant relation betweenthe love component - intimacy and couple relationship satisfaction.Study limitation. As a possible limitation of our study, we consider that the data were obtainedonly from one of the partners.

Telemedicine in northern Norway

1997 ◽  
Vol 3 (1) ◽  
pp. 1-22 ◽  
Author(s):  
D. R. Elford
Keyword(s):  
Health Professionals ◽  
Health Care Professionals ◽  
University Hospital ◽  
Critical Number ◽  
Northern Norway ◽  
National Centre ◽  
Health Authorities ◽  
Laboratory Results ◽  
The University ◽  
Electronic Delivery

The University Hospital of Tromso has been involved in a variety of telemedicine activities since the late 1980s, including teleradiology, telepathology, teledermatology, remote endoscopy, remote gastroscopy, teleechocardiography, transmission of electrocardiograms, telepsychiatry, electronic delivery of laboratory results and distance learning for health professionals. Since 1993 the department of telemedicine in Tromsl has been designated the national centre of competence in telemedicine. With a wealth of experience to draw from, a critical number of health-care professionals exposed to and using telemedicine routinely, the support of the Norwegian health authorities, a national centre guiding telemedicine research, no licensing barriers within the country, nationwide ISDN and reimbursement for telemedicine services, the future of telemedicine in Norway looks promising.

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