Risk-benefit evaluation of established messenger apps for clinical practice - is secure communication via smartphone possible? (Preprint)

2021 ◽  
Author(s):  
Jochen Jung ◽  
David Alexander Back ◽  
Julian Scherer ◽  
Felix Fellmer ◽  
Georg Osterhoff ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Secure Communication ◽  
Point Of View ◽  
Formal Specifications ◽  
Communication Medium ◽  
Related Data ◽  
Software Market ◽  
Benefit Evaluation ◽  
Treatment Context ◽  
Formal Requirements

BACKGROUND The establishment of smartphones as the most important communication medium of the 21st century has led to usage of mobile messenger services also in the medical context. However, the use of the most commonly used smartphone-app WhatsApp in a medical treatment context represents an incalculable risk from a legal point of view (data protection) and can ultimately lead to a violation of medical confidentiality with potential legal consequences. OBJECTIVE Therefore, this study aimed to assess which alternatives in terms of messenger applications exist for secure communication of patient-related data. METHODS A systematic literature and online “Appstore” search was conducted to identify secure messenger services. These had to comply with currently valid technical and legal formal specifications in terms of data security as well as to provide similar usability and functions as WhatsApp. RESULTS A total of 13 messenger apps were identified. However, only 5 apps (Famedly, JOIN, Siilo, Threema and Trustner) met the formal requirements as a secure communication medium. JOIN is the only service which has been approved by the FDA and is classified as a medical device. CONCLUSIONS The current practice of rather random and unstructured use of messenger apps in everyday hospital life should be a thing of the past. From today's perspective, the apps Famedly, JOIN, Siilo, Threema and Trustner are recommended. They have considerable advantages over the apps used in everyday clinical practice today (like e.g., WhatsApp). The rapid developments on the software market will certainly drive further developments, so that the recommendation formulated here is only a snapshot.

scholarly journals Detection limits of significant prostate cancer using multiparametric MR and digital rectal examination in men with low serum PSA: Up-date of the Italian Society of Integrated Diagnostic in Urology

2021 ◽  
Vol 93 (1) ◽  
pp. 92-100
Author(s):  
Andrea B. Galosi ◽  
Erika Palagonia ◽  
Simone Scarcella ◽  
Alessia Cimadamore ◽  
Vito Lacetera ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Clinical Practice ◽  
Early Stage ◽  
Specific Antigen ◽  
Digital Rectal Examination ◽  
Point Of View ◽  
Italian Society ◽  
Rectal Examination ◽  
Normal Limits ◽  
Low Serum

Reasons why significant prostate cancer is still missed in early stage were investigated at the 22nd National SIEUN (Italian Society of integrated diagnostic in Urology, Andrology, Nephrology) congress took place from 30th November to 1st December 2020, in virtual modality. Even if multiparametric magnetic resonance (MR) has been introduced in the clinical practice several, limitations are emerging in patient with regular digital rectal examination (DRE) and serum prostate specific antigen (PSA) levels approaching the normal limits. The present paper summarizes highlights observed in those cases where significant prostate cancer may be missed by PSA or imaging and DRE. The issue of multidisciplinary interest had been subdivided and deepened under four main topics: biochemical, clinical, pathological and radiological point of view with a focus on PI-RADS 3 lesions.

scholarly journals Pain at the crossroads between nature and culture

2013 ◽  
pp. 145-148
Author(s):  
Francesco N. Gaspa ◽  
Giuliano Pinna
Keyword(s):  
Social Contexts ◽  
Point Of View ◽  
The Body ◽  
Research Perspective ◽  
Related Data ◽  
Nature And Culture ◽  
History Of ◽  
Pain And Suffering ◽  
Specific Meaning ◽  
Pain Stimuli

Pain and suffering represent unavoidable experiences that have left a deep mark on the history of mankind. In this review, pain is examined from an anthropological point of view, because there is no pain without suffering, and every biophysical event is brought to the consciousness of an individual by an emotional signal. The body is an entity that changes from culture to culture and operates within particular historical and social contexts. Each society incorporates the concept of pain into its particular worldview, assigning it a specific meaning and value. Few human experiences can be read in as many different keys: from neuroscience to linguistic research, perspective selection, and emotional and cognitive functions. Although pain is currently regarded as a destructive force that is per se pathological, it is actually a form of protection. In today’s society, pain is experienced as a problem in itself, a disease within a disease, and its physiopathological aspects have been extensively characterized. But pain must also be analyzed within its anthropological, sociological, political, and economic contexts. The phenomenon of pain lies at the crossroads between nature and culture, and analysis from this perspective is essential for explaining the multiplicity of related data. The ‘‘anthropology of pain’’ explains, among other things, the assortment of reactions to identical pain stimuli among individuals and groups: for example, the higher opposition to pain observed among individuals living in poverty, the phenomenon of ‘‘combat analgesia’’, and the wide variety of analgesics used by traditional populations.

scholarly journals Correlations Between the Attitudes about Learning of After-School Club Students during School and the Teaching Quality of Elementary School Teachers

2020 ◽  
Vol 9 (7) ◽  
pp. 125
Author(s):  
Shih-Hsien Tseng ◽  
Huang-Yi Kang ◽  
Tien Son Nguyen ◽  
Meng-Yun Liu
Keyword(s):  
Elementary School Teachers ◽  
Teaching Quality ◽  
Point Of View ◽  
After School ◽  
Environment Interaction ◽  
Self Regulated Learning ◽  
Related Data ◽  
Learning Interest ◽  
School Club

In this study, we investigated the correlations between the attitudes about learning of elementary students who attended after-school clubs and the teaching quality of their educators during school. Previously, scholars have focused on service quality and satisfaction from the point of view of the parents, while overlooking the attitudes of students and teachers. To investigate the correlation between student enthusiasm and teaching quality, we sent out a questionnaire survey, collected 343 valid responses, and tested the related data via regression analysis. From the teacher’s point of view, this study can be divided into five constructs: learning interest, self-regulated learning, completing homework, interaction with the environment, and preparation for examinations. We also examined the correlations between each construct and teaching quality. We found that learning interest, homework assignments, environment interaction, and preparation for examinations had a positive correlation with the teaching quality of the elementary level teachers. Lastly, based on our findings, we made recommendations on how to improve teaching quality and leaning in the classroom.

scholarly journals Malfunctions of robotic system in surgery: role and responsibility of surgeon in legal point of view

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 286-291 ◽  
Author(s):  
Alessia Ferrarese ◽  
Giada Pozzi ◽  
Felice Borghi ◽  
Alessandra Marano ◽  
Paola Delbon ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Robotic Surgery ◽  
Surgical Training ◽  
Rapid Growth ◽  
Robotic System ◽  
Point Of View ◽  
Device Malfunction ◽  
Legal Implications ◽  
Surgical Field ◽  
The Impact

AbstractRobotic surgery (RS) technology has undergone rapid growth in the surgical field since its approval. In clinical practice, failure of robotic procedures mainly results from a surgeon’s inability or to a device malfunction. We reviewed the literature to estimate the impact of this second circumstance in RS and its consequent legal implications. According to data from the literature, device malfunction is rare. We believe it is necessary to complement surgical training with a technical understanding of RS devices.

scholarly journals P23.12: Role of fetal MRI in the clinical practice: a radiologist's point of view

2014 ◽  
Vol 44 (S1) ◽  
pp. 324-324
Author(s):  
L. Ples ◽  
R. Sima ◽  
E. Mihaly ◽  
E. Tarta ◽  
A. Ghergus ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Fetal Mri ◽  
Point Of View

scholarly journals Gastroesophageal reflux disease: actual aspects of diagnostics and treatment in real clinical practice of therapist

2019 ◽  
pp. 22-31
Author(s):  
D. I. Trukhan ◽  
I. A. Viktorova
Keyword(s):  
Clinical Practice ◽  
General Practitioner ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Proton Pump ◽  
Reflux Disease ◽  
Point Of View ◽  
Diagnosis And Treatment ◽  
Multimorbid Patients ◽  
Real Clinical Practice

Gastroesophageal reflux disease (GERD) in terms of prevalence ranks first among gastroenterological diseases. A large number of works on the diagnosis and treatment of GERD, forms the point of view that about GERD «everything is long and well known.» However, in real clinical practice, for various reasons, possible «pitfalls, reefs and shallows» are not taken into account, the underestimation of which can introduce certain difficulties in the diagnosis and treatment. This review discusses the most significant aspects of the diagnosis and treatment of GERD in real clinical practice by a general practitioner and general practitioner. Currently, proton pump inhibitors are the main drugs for the treatment of GERD and other acid-dependent diseases. The results of numerous foreign and Russian studies indicate the effectiveness and safety of pantoprazole in the treatment of GERD, especially in multimorbid patients due to the lower potential of drug interactions. The presence on the Russian pharmaceutical market of two forms of release of the generic drug pantoprazole Panum® increases the availability of effective and safe therapy for GERD and other acid-dependent diseases.

scholarly journals Chronic heart failure: actual aspects of treatment in real clinical practice

2019 ◽  
pp. 50-58
Author(s):  
D. I. Trukhan ◽  
E. L. Davydov
Keyword(s):  
Heart Failure ◽  
Clinical Practice ◽  
Drug Therapy ◽  
Chronic Heart Failure ◽  
Sinus Node ◽  
Public Health Problem ◽  
Point Of View ◽  
Primary Health ◽  
Long Time ◽  
Real Clinical Practice

An urgent public health problem is the optimization of drug therapy in patients with chronic heart failure.A large number of works devoted to the treatment of chronic heart failure form the point of view that about the treatment of chronic heart failure «all is well known for a long time.» However, in real clinical practice, especially at the stage of primary health care, for various reasons, possible pitfalls, reefs and shallows are not taken into account, the underestimation of which can introduce certain difficulties and cause the treatment of patients with chronic heart failure to be ineffective.The review article examined a number of important aspects of the treatment of chronic heart failure, which, for various reasons, are underestimated in the supervision of patients. First of all, this refers to antagonists of mineralocorticoid receptors, in particular to spironolactone, and an inhibitor of If - channels of the sinus node ivabradine.The results of foreign and Russian studies, modern recommendations for the supervision of patients with chronic heart failure, indicate that the presence of spironolactone and ivabradine in the arsenal of a practical doctor allows optimizing drug therapy in patients with chronic heart failure and increasing its effectiveness.

scholarly journals The revised pancreatitis etiology-based classification system TIGAR-O, version 2: adaptation for the Russian clinical practice

2020 ◽  
Vol 48 (6) ◽  
pp. 349-363
Author(s):  
D. S. Bordin ◽  
Yu. A. Kucheryavyy ◽  
M. A. Kiryukova
Keyword(s):  
Clinical Practice ◽  
Chronic Pancreatitis ◽  
Medical Practice ◽  
Point Of View ◽  
Medical Community ◽  
Routine Medical Practice ◽  
Pancreatitis Etiology ◽  
Visualization Techniques ◽  
Russian Medical

The discoveries in molecular genetics and breakthrough visualization techniques in the last 20 years have changed our understanding of the pancreatitis causes and biomarkers, expanded our knowledge on the pathophysiology of the disease, and promoted the development of new additional conservative treatments. From the practical perspective, the physician's comprehension of the etiology is of particular importance. It is for this reason that the activities to elaborate an etiology-based classification of pancreatitis have been already started since long ago. The first internationally acknowledged system was TIGAR-O checklist, introduced in 2001. Being innovative at the time, it structured our understanding of the etiology of chronic pancreatitis. The revised version (version 2) was published in 2019 and is less known to the Russian medical community, although from the authors' point of view, it has been substantially extended and structured to be maximally convenient and useful for physicians in routine medical practice. The review presents key provisions of the TIGAR-O, version 2 and recommendations for its adaption to the Russian clinical setting.

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