Patient-oriented Approaches for X-ray Therapy Medical Care

2021 ◽  
Vol 66 (1) ◽  
pp. 54-58
Author(s):  
D. Kicha ◽  
J Zuenkova ◽  
I Kamyshanskaya ◽  
V Cheremisin
Keyword(s):  
Medical Care ◽  
Operational Efficiency ◽  
High Rate ◽  
Patient Orientation ◽  
Patient Centered ◽  
X Ray ◽  
Organizational Conditions ◽  
Short Time ◽  
Therapy Service

X-ray is a highly demanded therapy method with wide clinical indications. The high operational efficiency of such equipment makes it possible to ensure the accessibility of medical care. Taking into account the current healthcare trend towards patient-oriented principles of work, it is necessary to evaluate medical organizations and their units for compliance with these principles. Purpose of the study: to assess the implementation of patient-oriented principles in the work of the X-ray therapy service of the City Mariinsky Hospital. Objectives of the research: to analyze the organizational conditions of the X-ray therapy service, to study the structure and dynamics of patients and make conclusions about the implementation of the principles of patient-oriented principles of work. Material and methods. The activity of the X-ray therapy was assessed from the patient-oriented approach. The methods of bibliographic and informational search of sources in document databases, as well as semantic search on the Internet were used. Results: The hospital’s X-ray therapy service demonstrates high rates of operational efficiency, providing in a short time high rate of access to the X-ray therapy for patients with different nosology. It’s work meets most of the criteria for patient-centered work - the proximity of medical care to the patient, orientation towards respectful attitude to the values and needs of patients, rational use of available technical, time and human resources. For further improvement of work in accordance with the principles of patient orientation, it is necessary to introduce formalized questionnaires of the quality of life and assess the quality of medical services. Conclusion. The presented analysis is the first comprehensive multicriteria study of the patient-centered work of the X-ray therapy service in Russia.

scholarly journals �A Phenomenal Person and Doctor�: Thank You Letters to Medical Care Providers (Preprint)

2016 ◽  
Author(s):  
Talya Miron-Shatz ◽  
Stefan Becker ◽  
Franklin Zaromb ◽  
Alexander Mertens ◽  
Avi Tsafrir
Keyword(s):  
Medical Care ◽  
The United States ◽  
Care Providers ◽  
Good Care ◽  
Patient Centered ◽  
Medical Facilities ◽  
Centered Care ◽  
Quality Of Medical Care ◽  
The Web

BACKGROUND Thank you letters to physicians and medical facilities are an untapped resource, providing an invaluable glimpse into what patients notice and appreciate in their care. OBJECTIVE The aim of this study was to analyze such thank you letters as posted on the Web by medical institutions to find what patients and families consider to be good care. In an age of patient-centered care, it is pivotal to see what metrics patients and families apply when assessing their care and whether they grasp specific versus general qualities in their care. METHODS Our exploratory inquiry covered 100 thank you letters posted on the Web by 26 medical facilities in the United States and the United Kingdom. We systematically coded and descriptively presented the aspects of care that patients and their families thanked doctors and medical facilities for. We relied on previous work outlining patient priorities and satisfaction (Anderson et al, 2007), to which we added a distinction between global and specific evaluations for each of the already existing categories with two additional categories: general praise and other, and several subcategories, such as treatment outcome, to the category of medical care. RESULTS In 73% of the letters (73/100), physicians were primarily thanked for their medical treatment. In 71% (71/100) of the letters, they were thanked for their personality and demeanor. In 52% cases (52/100), these two aspects were mentioned together, suggesting that from the perspective of patient as well as the family member, both are deemed necessary in positive evaluation of medical care. Only 8% (8/100) of the letters lacked reference to medical care, personality or demeanor, or communication. No statistically significant differences were observed in the number of letters that expressed gratitude for the personality or demeanor of medical care providers versus the quality of medical care (χ21, N=200=0.1, not statistically significant). Letters tended to express more specific praise for personality or demeanor, such as being supportive, understanding, humane and caring (48/71, 68%) but more general praise for medical care (χ21, N=424=63.9, P<.01). The most often mentioned specific quality of medical care were treatment outcomes (30/73, 41%), followed by technical competence (15/73, 21%) and treatment approach (14/73, 19%). A limitation of this inquiry is that we analyzed the letters that medical centers chose to post on the Web. These are not necessarily a representative sample of all thank you letters as are sent to health care institutions but are still indicative of what centers choose to showcase on the Web. CONCLUSIONS Physician demeanor and quality of interaction with patients are pivotal in how laymen perceive good care, no less so than medical care per se. This inquiry can inform care providers and medical curricula, leading to an improvement in the perceived quality of care.

Application of the Modified Snyder's Program for the Data Processing of an Automated X-Ray Powder Diffractometer

1981 ◽  
Vol 25 ◽  
pp. 261-265
Author(s):  
G. Platbrood ◽  
J. M. Quitin ◽  
H. Barten
Keyword(s):  
Data Processing ◽  
Diffraction Analysis ◽  
Analytical Tool ◽  
Short Time Period ◽  
X Ray Diffraction ◽  
X Ray ◽  
Powder Diffractometer ◽  
Time Period ◽  
Short Time

X-ray diffraction analysis is an excellent analytical tool. But if a certain quality of the results is needed or if solutions of analytical problems are to be obtained in a short time period, the X-ray diffractometer must be automated and the spectra reduced with dedicated algorithms.In LABORELEC, three programs are principally used to solve the problems encountered in the X-ray diffraction analysis: a modified program given by R. L. Snyder; the search/match G. G. Johnson program (last version); and the POWD5 program.

scholarly journals Effects of adolescence-onset hypogonadism on metabolism, bone mineral density and quality of life in adulthood

2015 ◽  
Vol 28 (9-10) ◽  
Author(s):  
Friederike I.W. Tam ◽  
Angela Huebner ◽  
Lorenz C. Hofbauer ◽  
Julia Rohayem
Keyword(s):  
Quality Of Life ◽  
Bone Mineral Density ◽  
General Population ◽  
Medical Care ◽  
Hormone Replacement ◽  
Dual Energy ◽  
Z Score ◽  
Mineral Density ◽  
X Ray

AbstractIn a cross-sectional study of 54 patients with adolescence-onset hypogonadism (33 females, 21 males; age range: 19–40 years), medical care, quality of life, and health status were assessed. Most patients had received adequate medical care with short cumulative periods of interruption of hormone replacement. The prevalence of the metabolic syndrome was 27% in females and 19% in males. In comparison to the general population, females had both a lower bone mineral density (dual-energy X-ray absorptiometry, Z-score=−0.8, p<0.001) and a higher prevalence of obesity (age 19–29 years: study population 35%, general population 4%). The body fat percentage (dual-energy X-ray absorptiometry) was significantly elevated (age 19–29 years: females Z-score=+1.8, p<0.001, males Z-score=+2.4, p=0.001). Quality of life (SF-36) was normal. Despite adequate treatment, patients with early-onset hypogonadism are prone to develop signs and symptoms consistent with inadequate hormone replacement. A successful transition from pediatric to adult medicine seems important to optimize treatment outcomes.

scholarly journals Physiotherapy in Urinary Dysfunction Post-Surgery for Endometriosis: Case Report

2021 ◽  
Author(s):  
Natália Mainardi Simas ◽  
Domingos Mantelli Borges Filho ◽  
Erica M. C. Mantelli Borges ◽  
Carla Maria de Abreu Pereira ◽  
Vera Lúcia dos Santos Alves
Keyword(s):  
Quality Of Life ◽  
Uterine Cavity ◽  
Sao Paulo ◽  
Urinary Dysfunction ◽  
São Paulo ◽  
Post Surgery ◽  
Inflammatory Processes ◽  
Short Time ◽  
Therapy Service

Endometriosis is characterised by the presence of endometrial tissue outside the uterine cavity that responds to oestrogen and stimulates local inflammatory processes, adhesions, pelvic pain, and infertility. The treatment of endometriosis includes the use of medications and videolaparoscopy for excision of adhesions or lesions. Some complications are associated with the videolaparoscopy, such as vascular, intestinal, urinary, neurological, and more rarely, vulvar oedema, which makes the rehabilitation difficult in the immediate postoperative period. In relation to the urinary dysfunction and to the vulvar oedema, physiotherapy has resources with demonstrated efficacy in the treatment of such complications after videolaparoscopy; they can rehabilitate the patient and improve their quality of life in a short time. In this study, the authors report the case of a patient treated by the Physical Therapy Service of the Santa Casa de Misericórdia Hospital of São Paulo, São Paulo, Brazil, with urinary retention and vulvar oedema after videolaparoscopy for endometriosis, which showed improvement in vulvar oedema with the application of physiotherapy.

scholarly journals Patient-centered care, advance care planning, and treatment preferences among home medical care patients in Japan: The ZEVIOUS study

2021 ◽  
Author(s):  
Shinu Hayashi ◽  
Yutaka Shirahige ◽  
Yukio Tsugihashi ◽  
Hidekazu Iida ◽  
Misaki Hirose ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Care ◽  
Treatment Preferences ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Quality Of Primary Care ◽  
Centered Care ◽  
Advance Care ◽  
Home Medical Care

AbstractBackgroundIt remains unclear how both the quality of patient-centered care and the patient’s illness affect advance care planning (ACP) in primary care settings. Identifying the facilitators and barriers to ACP in primary care settings has become a growing scientific and clinical challenge.ObjectiveTo examine the association between the quality of primary care and ACP preparedness among patients. Additionally, to investigate whether ACP preparedness and the patient’s illness are associated with the expression of future treatment preferences.DesignMulticenter cross-sectional study.ParticipantsAdult Japanese patients receiving home medical care.Main MeasuresA survey was run to assess consideration of ACP by patients and expression of future treatment preferences. The quality of primary care, which reflects patient centeredness, was assessed with the Japanese version of the Primary Care Assessment Tool– Short Form. Information on the clinical conditions that required home medical care was collected from physicians.Key ResultsOf 194 patients using 29 home medical services, 62 patients (32%) showed signs of ACP preparedness, and 153 patients (78%) expressed their treatment preferences. In a multivariable-adjusted generalized estimating equation, primary care quality was associated with ACP preparedness (per 10-point increase, adjusted OR: 1.96, 95% CI: 1.51–2.56). However, we found insufficient evidence to support that ACP preparedness was associated with a lower incidence of non-expression of treatment preferences (adjusted OR: 1.02, 95% CI 0.49–2.12). In contrast, having cancer was associated with a lower incidence of non-expression of treatment preferences (adjusted OR: 0.12, 95% CI: 0.01–0.995).ConclusionsAt a minimum, patient centeredness in home medical care facilitates must ensure the initiation of ACP preparedness. To understand the association between ACP preparedness and expression of treatment preferences, further efforts are warranted to clarify the quality and content of ACP preparedness simultaneously with the patient’s illness.

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