scholarly journals Development of personal competencies of a cardiologist

2021 ◽  
Vol 26 (9) ◽  
pp. 4680
Author(s):  
M. A. Kudinova ◽  
O. Yu. Shaydyuk
Keyword(s):  
General Practitioner ◽  
Communication Skills ◽  
Clinical Guidelines ◽  
Healthcare Delivery ◽  
Point Of View ◽  
Professional Standards ◽  
Patient Centered ◽  
Practical Point ◽  
Personal Competencies

The article considers federal educational and professional standards for doctors’ training from a practical point of view. In contrast to algorithms, clinical guidelines and protocols for healthcare delivery, competence in the field of informing and communicating with a patient and legal representatives requires the humanitarian skills, that is, a fundamentally different methodological point of view. The ways to develop such skills in a general practitioner or a cardiologist during education are not clear. In many countries, research is being conducted on the need for doctors to master not just patient-centered skills, but specific communication skills for cardiology practice. Certain favorable results are evident, but such work is complicated by a completely different epistemological category of this kind of skills than the generally accepted biomedical one, which is usually called clinical.

Tertiary Nitrification Pilot Plants on Parisian Waste Water

1990 ◽  
Vol 22 (1-2) ◽  
pp. 347-352 ◽  
Author(s):  
C. Paffoni ◽  
B. Védry ◽  
M. Gousailles
Keyword(s):  
Waste Water ◽  
Metropolitan Area ◽  
Fixed Bed ◽  
Point Of View ◽  
Operating Conditions ◽  
Research Center ◽  
Daily Output ◽  
Practical Point ◽  
Fixed Bed Reactors

The Paris Metropolitan area, which contains over eight million inhabitants, has a daily output of about 3 M cu.meters of wastewater, the purification of which is achieved by SIAAP (Paris Metropolitan Area Sewage Service) in both Achères and Valenton plants. The carbon pollution is eliminated from over 2 M cu.m/day at Achères. In order to improve the quality of output water, its tertiary nitrification in fixed-bed reactors has been contemplated. The BIOFOR (Degremont) and BIOCARBONE (OTV) processes could be tested in semi-industrial pilot reactors at the CRITER research center of SIAAP. At a reference temperature of 13°C, the removed load is approximately 0.5 kg N NH4/m3.day. From a practical point of view, it may be asserted that in such operating conditions as should be at the Achères plant, one cubic meter of filter can handle the tertiary nitification of one cubic meter of purified water per hour at an effluent temperature of 13°C.

Patient preferences for specialist outpatient video consultations: A discrete choice experiment

2021 ◽  
pp. 1357633X2110228
Author(s):  
Centaine L Snoswell ◽  
Anthony C Smith ◽  
Matthew Page ◽  
Liam J Caffery
Keyword(s):  
General Practitioner ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Patient Preferences ◽  
Choice Experiment ◽  
Healthcare Delivery ◽  
General Practitioner Practice ◽  
Specialist Care ◽  
Time Away ◽  
Out Of Pocket Costs

Introduction Telehealth has been shown to improve access to care, reduce personal expenses and reduce the need for travel. Despite these benefits, patients may be less inclined to seek a telehealth service, if they consider it inferior to an in-person encounter. The aims of this study were to identify patient preferences for attributes of a healthcare service and to quantify the value of these attributes. Methods We surveyed patients who had taken an outpatient telehealth consult in the previous year using a survey that included a discrete choice experiment. We investigated patient preferences for attributes of healthcare delivery and their willingness to pay for out-of-pocket costs. Results Patients ( n = 62) preferred to have a consultation, regardless of type, than no consultation at all. Patients preferred healthcare services with lower out-of-pocket costs, higher levels of perceived benefit and less time away from usual activities ( p < 0.008). Most patients preferred specialist care over in-person general practitioner care. Their order of preference to obtain specialist care was a videoconsultation into the patient’s local general practitioner practice or hospital ( p < 0.003), a videoconsultation into the home, and finally travelling for in-person appointment. Patients were willing to pay out-of-pocket costs for attributes they valued: to be seen by a specialist over videoconference ($129) and to reduce time away from usual activities ($160). Conclusion Patients value specialist care, lower out-of-pocket costs and less time away from usual activities. Telehealth is more likely than in-person care to cater to these preferences in many instances.

scholarly journals On the Design of Outdoor Leader-Follower UAV-Formation Controllers from a Practical Point of View

IEEE Access ◽  
2021 ◽  
pp. 1-1
Author(s):  
Lucas Vago Santana ◽  
Alexandre Santos Brandao ◽  
Mario Sarcinelli-Filho
Keyword(s):  
Point Of View ◽  
Practical Point

scholarly journals Interoperability frameworks linking mHealth applications to electronic record systems

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kagiso Ndlovu ◽  
Maurice Mars ◽  
Richard E. Scott
Keyword(s):  
Primary Healthcare ◽  
Developing World ◽  
Healthcare Delivery ◽  
Implementation Strategies ◽  
Electronic Record ◽  
Digital Information ◽  
Patient Centered ◽  
Health Records ◽  
Healthcare Needs ◽  
The Impact

Abstract Background mHealth presents innovative approaches to enhance primary healthcare delivery in developing countries like Botswana. The impact of mHealth solutions can be improved if they are interoperable with eRecord systems such as electronic health records, electronic medical records and patient health records. eHealth interoperability frameworks exist but their availability and utility for linking mHealth solutions to eRecords in developing world settings like Botswana is unknown. The recently adopted eHealth Strategy for Botswana recognises interoperability as an issue and mHealth as a potential solution for some healthcare needs, but does not address linking the two. Aim This study reviewed published reviews of eHealth interoperability frameworks for linking mHealth solutions with eRecords, and assessed their relevance to informing interoperability efforts with respect to Botswana’s eHealth Strategy. Methods A structured literature review and analysis of published reviews of eHealth interoperability frameworks was performed to determine if any are relevant to linking mHealth with eRecords. The Botswanan eHealth Strategy was reviewed. Results Four articles presented and reviewed eHealth interoperability frameworks that support linking of mHealth interventions to eRecords and associated implementation strategies. While the frameworks were developed for specific circumstances and therefore were based upon varying assumptions and perspectives, they entailed aspects that are relevant and could be drawn upon when developing an mHealth interoperability framework for Botswana. Common emerging themes of infrastructure, interoperability standards, data security and usability were identified and discussed; all of which are important in the developing world context such as in Botswana. The Botswana eHealth Strategy recognises interoperability, mHealth, and eRecords as distinct issues, but not linking of mHealth solutions with eRecords. Conclusions Delivery of healthcare is shifting from hospital-based to patient-centered primary healthcare and community-based settings, using mHealth interventions. The impact of mHealth solutions can be improved if data generated from them are converted into digital information ready for transmission and incorporation into eRecord systems. The Botswana eHealth Strategy stresses the need to have interoperable eRecords, but mHealth solutions must not be left out. Literature insight about mHealth interoperability with eRecords can inform implementation strategies for Botswana and elsewhere.

scholarly journals The importance of soft skills development in a hard data world: learning from interviews with healthcare leaders

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Traci H. Abraham ◽  
Greg L. Stewart ◽  
Samantha L. Solimeo
Keyword(s):  
Leadership Training ◽  
Soft Skills ◽  
Quality Care ◽  
Healthcare Delivery ◽  
Care Staff ◽  
Patient Centered ◽  
Data Infrastructure ◽  
Hard Data ◽  
Formal Leadership ◽  
Healthcare Leaders

Abstract Background Learning healthcare systems have invested heavily in training primary care staff to provide care using patient-centered medical home models, but less is known about how to effectively lead such teams to deliver high quality care. Research is needed to better understand which healthcare leadership skills are most utilized or in need of development through additional training. Method Semi-structured telephone interviews with healthcare leaders familiar with Patient-Aligned Care Teams (PACT) implementation in the U.S. Department of Veterans Affairs (VA). We interviewed sixteen (N = 16) physician, nursing, and administrative leaders at VA facilities located in the upper Midwestern United States. Content analysis of interviews transcripts using template techniques. Results Participants described instrumental challenges that they perceived hindered leadership effectiveness, including the supervisory structure; pace of change; complexity of the clinical data infrastructure; an over-reliance on technology for communication; and gaps in available leadership training. Factors perceived as facilitating effective leadership included training in soft skills, face-to-face communication, and opportunities for formal training and mentorship. A cross-cutting theme was the importance of developing “soft skills” for effective PACT leadership. Conclusions Although formal leadership training and development were perceived as beneficial, healthcare leaders familiar with PACT implementation in the VA described a mismatch between the skills and knowledge PACT leaders need to succeed and the training available to them. Closing this gap could improve retention of skilled and knowledgeable healthcare leaders, thereby reducing the costs associated with training and leading to improvements in healthcare delivery.

Quantitative Analysis of Microstructure and Modeling of Sintering

2009 ◽  
Vol 624 ◽  
pp. 1-18 ◽  
Author(s):  
Jean Marc Chaix
Keyword(s):  
Image Analysis ◽  
Input Data ◽  
3D Imaging ◽  
Point Of View ◽  
Size Distributions ◽  
Practical Point ◽  
The Past ◽  
Modeling Techniques ◽  
Mean Size ◽  
Sintering Mechanisms

Microstructure is the key scale to understand and describe sintering mechanisms and their consequences at the macroscopic level. As modeling techniques are continuously developing, the need for input data and comparison with more and more accurate descriptions of the evolution is expected to create a growing demand for quantitative microstructure data. Image analysis is the classic way to get these data. This paper reviews the practical use and progresses of this old technique in the sintering literature during the past and recent years. The place of basic tools and more recent ones, such as 3D imaging, are discussed from a practical point of view accounting from sintering models needs: mean size and size distributions in pores and grains, homogeneity, sintering trajectories…

Technology and the management imagination

2005 ◽  
Vol 13 (3) ◽  
pp. 533-563 ◽  
Author(s):  
Fred Phillips
Keyword(s):  
Corporate Culture ◽  
Point Of View ◽  
Local Culture ◽  
Social Consensus ◽  
Practical Point ◽  
Research Questions ◽  
Crisis Managers

This paper explores the evolution of the techno-management imagination (TMI). This is the process by which, in times of crisis, managers think not just out of the box, but out of the very reality in which the box resides. Tacit social consensus, also known as corporate culture, can lead to a shared, implicit, and incorrect view that certain actions are impossible. TMI transcends local culture, accessing technological solutions that are unknown and/or unimagined. Members of the organization tend to call such solutions “magic”. The paper looks at social, perceptual, and managerial aspects of magic from a practical point of view that is grounded in research. It examines the risks of TMI, and concludes with suggested perspectives and research questions for management scientists and cognitive scientists.

Towards a New Model of Conversion Careers: the Impact of Personality and Contingency Factors

Exchange ◽  
2005 ◽  
Vol 34 (2) ◽  
pp. 149-166 ◽  
Author(s):  
Henri Gooren
Keyword(s):  
Religious Conversion ◽  
Religious Affiliation ◽  
Point Of View ◽  
Small Scale ◽  
Central Question ◽  
Roman Catholicism ◽  
Guatemala City ◽  
Practical Point ◽  
The Poor ◽  
The Impact

AbstractThe central question of this article — why people may change their religious affiliation or become disaffiliated — is relevant from both an academic and a practical point of view. The article makes first an inventory of existing literature on religious conversion. Next I sketch the contours of the new conversion careers approach I am currently working on. I make some comparisons with a region that is not usually mentioned in the literature on conversion: Latin America. These comparisons are based on my earlier fieldwork on Roman Catholicism, Pentecostalism, and Mormonism in Costa Rica and Guatemala (H. Gooren, Rich among the Poor: Church, Firm, and Household among Small-scale Entrepreneurs in Guatemala City, Amsterdam: Thela Thesis 1999).

DURATION OF ACARICIDAL ACTION OF THE DRUG «KENEM» AND ECONOMIC JUSTIFICATION FOR THE PROTECTION OF CATTLE FROM IXODIC MITES

Habarshy ◽  
2021 ◽  
pp. 50-60
Author(s):  
A.B. Myrzhiyeva ◽  
M.Zh Suleimenov ◽  
Uslu Ugur ◽  
A.S. Ibazhanova ◽  
L.O Zhanteliyeva L.O
Keyword(s):  
Economic Feasibility ◽  
Point Of View ◽  
Scientific Article ◽  
Special Equipment ◽  
Practical Point ◽  
Acaricidal Efficacy ◽  
Economic Justification ◽  
Long Duration ◽  
Similar Drug ◽  
The Cost

The scientific article presents the duration of acaricidal effect of «Kenem» drug, and its economic feasibility for protecting cattle against ixodic ticks. As a result of the study, the acaricidal efficacy and the duration of the residual acaricidal effect of drugs are important components in the planning of anti-tick measures. From a practical point of view, the economic feasibility of treating cattle against ixodic ticks in the presented conditions of acaricides in the southern regions is considered important. Despite the fact that the cost of the drug per 100 head exceeds the cost of a similar drug by 1 788.15 tenge, the frequency of its use is less, and additional installations are not required. This is due to the long duration of residual acaricidal effect of Kenem, which is 30 days, which allows to reduce the number of therapeutic measures.When calculating the economic feasibility for the use of acaricides to protect cattle against ixodic ticks, the most convenient way to prevent the sucking of ixodic ticks to animals is the local application of Kenem, which does not require special equipment and special skills of technical staff. Drug duration is 30 days, therefore the cost of its use for the entire season of active ticks per 1 animal is 44% cheaper, compared to veteran, i.e. 1,421.4 tenge.

On the readability of leaders in boundary labeling

2018 ◽  
Vol 18 (1) ◽  
pp. 110-132
Author(s):  
Lukas Barth ◽  
Andreas Gemsa ◽  
Benjamin Niedermann ◽  
Martin Nöllenburg
Keyword(s):  
Detailed Analysis ◽  
Task Performance ◽  
User Study ◽  
Point Of View ◽  
Practical Point ◽  
Subjective Preference ◽  
Two Measures ◽  
Preference Ratings ◽  
Boundary Labeling

External labeling deals with annotating features in images with labels that are placed outside of the image and are connected by curves (so-called leaders) to the corresponding features. While external labeling has been extensively investigated from a perspective of automatization, the research on its readability has been neglected. In this article, we present the first formal user study on the readability of leader types in boundary labeling, a special variant of external labeling that considers rectangular image contours. We consider the four most studied leader types (straight, L-shaped, diagonal, and S-shaped) with respect to their performance, that is, whether and how fast a viewer can assign a feature to its label and vice versa. We give a detailed analysis of the results regarding the readability of the four models and discuss their aesthetic qualities based on the users’ preference judgments and interviews. As a consequence of our experiment, we can generally recommend L-shaped leaders as the best compromise between measured task performance and subjective preference ratings, while straight and diagonal leaders received mixed ratings in the two measures. S-shaped leaders are generally not recommended from a practical point of view.

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