THERAPEUTIC AND NONTHERAPEUTIC REACTIONS IN A GROUP OF NURSES AND DOCTORS IN TURKEY TO PATIENTS WHO HAVE ATTEMPTED SUICIDE

In this study a questionnaire was used to investigate the predictors of therapeutic versus nontherapeutic reactions to patients hospitalized for attempting suicide in a group of doctors (n = 158) and in a group of nurses (n = 206) working in the health care system of a small city in the Western part of Turkey. Doctors said that they would react therapeutically towards patients hospitalized for attempting suicide to a greater extent than did nurses, while nurses said that they would engage in nontherapeutic reactions to a greater extent than doctors did. Believing that suicidal problems should be communicated, feeling sympathy for a suicidal patient and not feeling anxiety/fear for a suicidal patient were found to be the independent predictors of therapeutic reactions, while feeling anger about a suicidal patient emerged as an independent predictor of nontherapeutic reactions in both doctors and nurses. The attitudes of nurses towards suicide were more traditional than the attitudes of doctors. Nurses believed to a greater extent than doctors that suicidal people would be punished after death and that suicide in one's family was to be hidden. Doctors, on the other hand, believed to a greater extent than nurses that suicide attempts resulted from illness/biological reasons. Men were found to be more prejudiced about suicide and suicidal individuals than were women.

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The Role of Humanoid Robotics in Health Care System

Journal of Regenerative Biology and Medicine ◽

10.37191/mapsci-2582-385x-3(1)-053 ◽

2021 ◽

Author(s):

Stefan Bittmann

Keyword(s):

Health Care ◽

Everyday Life ◽

Health Care System ◽

The Other ◽

Humanoid Robotics ◽

New Developments ◽

Other Hand ◽

The One ◽

Care System

In Japan, new developments in the field of robotics are being received with interest and enthusiasm by the population and used in everyday life. This can be explained on the one hand by a long tradition of stories that report positively on artificial servants for humans. These stories continue into modern manga comics. Robots take on positive roles, expanding the capabilities of humans and being of service to them. On the other hand, Japanese religions and philosophies such as Buddhism and Shintoism influence attitudes towards robots.

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Health Care and Workers' Self-Management in Yugoslavia

International Journal of Health Services ◽

10.2190/9240-yux2-vx2h-ru0l ◽

1979 ◽

Vol 9 (3) ◽

pp. 521-537 ◽

Cited By ~ 1

Author(s):

Stephen J. Kunitz

Keyword(s):

Economic Growth ◽

Health Care ◽

Health Care System ◽

Participatory Democracy ◽

The Other ◽

Self Management ◽

The West ◽

Other Hand ◽

Care System

The form of communism developed in Yugoslavia since the early 1950s—called workers' self-management—has been of interest to many westerners concerned with the ideas of participatory democracy and workers' self-management. Yugoslavia's economic growth and general openness toward the West have encouraged many people to visit and to investigate the health care system as well as other aspects of the society. It is generally said that self-management is responsible for the remarkable successes that Yugoslavia has achieved. This paper suggests, on the other hand, that many of the successes achieved in the health care system are attributable largely to the fact that self-management is not allowed to work as freely as it does in other sectors of the economy.

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Review on Tanduliyaka (Amaranthus spinosus L) - A Weed, A Vegetable and A Medicinal Plant

International Journal of Ayurvedic Medicine ◽

10.47552/ijam.v9i4.1169 ◽

2019 ◽

Vol 9 (4) ◽

pp. 231-238

Author(s):

Karnam Chandrashekhar

Keyword(s):

Health Care ◽

Medicinal Plant ◽

Ethnic Groups ◽

Health Care System ◽

The Other ◽

Amaranthus Spinosus ◽

Therapeutic Uses ◽

Care System

Weed is an unwanted plant growing on a cultivating land. Surprisingly, sometimes, certain weed turns out to be a great source of food or medicine. Nature has been so generous in providing a lot of useful things to humans. The great sages of Ayurveda have never let down any plant. They always tried to appreciate the usefulness of a plant in one or the other way. But, there are some instances where few therapeutic uses of certain plants were not documented in the literature of Ayurveda for unknown reasons. Ethno-botanical uses of such plants, if collected and studied, in addition to Ayurveda, will certainly make wonders in health care system. This review directs towards an underutilized, less explained, perhaps not significantly appreciated and categorically unspoken plant called Tanduliyaka (Amaranthus spinosus Linn) which has been used by many folklore and ethnic groups of India. This study reveals 45 synonyms of plant along with some notable ethno-botanical uses and its validated activities proving itself as the plant of much interest .

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Health technology assessment processes for nanotechnologies: the ethical domain

Nanotechnology Development ◽

10.4081/nd.2011.e1 ◽

2011 ◽

Vol 1 (1) ◽

pp. 1 ◽

Cited By ~ 1

Author(s):

Antonio G. Spagnolo ◽

Pietro Refolo ◽

Dario Sacchini ◽

Viviana Daloiso

Keyword(s):

Health Care ◽

Health Technology Assessment ◽

Health Care System ◽

Technology Assessment ◽

Health Technology ◽

Legal Issues ◽

The Other ◽

Ethical Assessment ◽

Care System

The ethical assessment of the use of technologies is generally considered a component of the health technology assessment (HTA) processes. HTA is a multidisciplinary process that summarizes information about medical, economic, organizational, ethical, psychological, social and legal issues related to the implementation of a certain health technology in health care system and its main purpose is to inform policymaking. Unlike the other technologies nanotechnologies pose different risks and, therefore, new bioethical implications should be assessed. So, the ethical assessment of nanotechnologies within the HTA processes could be more problematic. The article intends to debate this complexity.

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The Impact of a Social Networking Service–Enhanced Smart Care Model on Stage 5 Chronic Kidney Disease: Quasi-Experimental Study (Preprint)

10.2196/preprints.15565 ◽

2019 ◽

Author(s):

Feng-Jung Yang ◽

Ying-Hui Hou ◽

Ray-E Chang

Keyword(s):

Health Care ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Social Networking ◽

Health Care System ◽

The Other ◽

Dialysis Initiation ◽

Care Model ◽

Social Networking Service ◽

Care System

BACKGROUND Stage 5 chronic kidney disease (CKD) presents a high risk for dialysis initiation and for complications such as uremic encephalopathy, uremic symptoms, gastrointestinal bleeding, and infection. One of the most common barriers to health care for patients with stage 5 CKD is poor continuity of care due to unresolved communication gaps. OBJECTIVE Our aim was to establish a powerful care model that includes the use of a social networking service (SNS) to improve care quality for patients with CKD and safely delay dialysis initiation. METHODS We used a retrospective cohort of CKD patients aged 20-85 years who received care between 2007 and 2017 to evaluate the efficacy of incorporating an SNS into the health care system. In 2014, author F-JY, a nephrologist at the National Taiwan University Hospital Yunlin Branch, started to use an SNS app to connect with stage 5 CKD patients and their families. In cases of emergency, patients and families could quickly report any condition to F-JY. Using this app, F-JY helped facilitate productive interactions between these patients and the health care system. The intention was to safely delay the initiation of dialysis therapy. We divided patients into four groups: group 1 (G1) included patients at the study hospital during the 2007-2014 period who had contact only with nephrologists other than F-JY; group 2 (G2) included patients who visited F-JY during the 2007-2014 period before he began using the SNS app; group 3 (G3) included patients who visited nephrologists other than F-JY during the 2014-2017 period and had no interactions using the SNS; and group 4 (G4) included patients who visited F-JY during the 2014-2017 period and interacted with him using the SNS app. RESULTS We recruited 209 patients with stage 5 CKD who had been enrolled in the study hospital’s CKD program between 2007 and 2017. Each of the four groups initiated dialysis at different times. Before adjusting for baseline estimated glomerular filtration rate (eGFR), the G4 patients had a longer time to dialysis (mean 761.7 days, SD 616.2 days) than the other groups (G1: mean 403.6 days, SD 409.4 days, P=.011 for G4 vs G1; G2: 394.8 days, SD 318.8 days, P=.04; G3: 369.1 days, SD 330.8 days, P=.049). After adjusting for baseline eGFR, G4 had a longer duration for each eGFR drop (mean 84.8 days, SD 65.1 days) than the other groups (G1: mean 43.5 days, SD 45.4 days, P=.005; G2: mean 42.5 days, SD 26.5 days, P=.03; G3: mean 3.8.7 days, SD 33.5 days, P=.002). CONCLUSIONS The use of an SNS app between patients with stage 5 CKD and their physicians can reduce the communication gap between them and create benefits such as prolonging time-to-dialysis initiation. The role of SNSs and associated care models should be further investigated in a larger population.

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Teleradiology and Emergency Neurosurgery-Presence in a Small Asian City State and Need in a Large Canadian Province

Journal of brain disease ◽

10.4137/jcnsd.s2216 ◽

2009 ◽

Vol 1 ◽

pp. JCNSD.S2216

Author(s):

Wai Hoe Ng ◽

Ernest Wang ◽

Ivan Ng ◽

Mark Bernstein

Keyword(s):

Health Care ◽

Health Care System ◽

Patient Information ◽

Small City ◽

Geographic Isolation ◽

Canadian Province ◽

Scarce Resources ◽

Strategic Implementation ◽

City State ◽

Care System

Teleradiology involving the transfer of vital patient information such as scan images is an important technology to facilitate effective and efficient provision of neurosurgical care in the setting of scarce resources and geographic isolation. We review the implementation of teleradiology initiatives in the small city state of Singapore and its potential and need in the large province of Ontario and draw parallels in their strategic implementation. Although it may seem intuitive that teleradiology has greater applications in regions of vast geographical size, the technology has universal usefulness if applied appropriately in any neurosurgical or health care system.

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The Impact of a Social Networking Service–Enhanced Smart Care Model on Stage 5 Chronic Kidney Disease: Quasi-Experimental Study

Journal of Medical Internet Research ◽

10.2196/15565 ◽

2020 ◽

Vol 22 (4) ◽

pp. e15565 ◽

Cited By ~ 1

Author(s):

Feng-Jung Yang ◽

Ying-Hui Hou ◽

Ray-E Chang

Keyword(s):

Health Care ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Social Networking ◽

Health Care System ◽

The Other ◽

Dialysis Initiation ◽

Care Model ◽

Social Networking Service ◽

Care System

Background Stage 5 chronic kidney disease (CKD) presents a high risk for dialysis initiation and for complications such as uremic encephalopathy, uremic symptoms, gastrointestinal bleeding, and infection. One of the most common barriers to health care for patients with stage 5 CKD is poor continuity of care due to unresolved communication gaps. Objective Our aim was to establish a powerful care model that includes the use of a social networking service (SNS) to improve care quality for patients with CKD and safely delay dialysis initiation. Methods We used a retrospective cohort of CKD patients aged 20-85 years who received care between 2007 and 2017 to evaluate the efficacy of incorporating an SNS into the health care system. In 2014, author F-JY, a nephrologist at the National Taiwan University Hospital Yunlin Branch, started to use an SNS app to connect with stage 5 CKD patients and their families. In cases of emergency, patients and families could quickly report any condition to F-JY. Using this app, F-JY helped facilitate productive interactions between these patients and the health care system. The intention was to safely delay the initiation of dialysis therapy. We divided patients into four groups: group 1 (G1) included patients at the study hospital during the 2007-2014 period who had contact only with nephrologists other than F-JY; group 2 (G2) included patients who visited F-JY during the 2007-2014 period before he began using the SNS app; group 3 (G3) included patients who visited nephrologists other than F-JY during the 2014-2017 period and had no interactions using the SNS; and group 4 (G4) included patients who visited F-JY during the 2014-2017 period and interacted with him using the SNS app. Results We recruited 209 patients with stage 5 CKD who had been enrolled in the study hospital’s CKD program between 2007 and 2017. Each of the four groups initiated dialysis at different times. Before adjusting for baseline estimated glomerular filtration rate (eGFR), the G4 patients had a longer time to dialysis (mean 761.7 days, SD 616.2 days) than the other groups (G1: mean 403.6 days, SD 409.4 days, P=.011 for G4 vs G1; G2: 394.8 days, SD 318.8 days, P=.04; G3: 369.1 days, SD 330.8 days, P=.049). After adjusting for baseline eGFR, G4 had a longer duration for each eGFR drop (mean 84.8 days, SD 65.1 days) than the other groups (G1: mean 43.5 days, SD 45.4 days, P=.005; G2: mean 42.5 days, SD 26.5 days, P=.03; G3: mean 3.8.7 days, SD 33.5 days, P=.002). Conclusions The use of an SNS app between patients with stage 5 CKD and their physicians can reduce the communication gap between them and create benefits such as prolonging time-to-dialysis initiation. The role of SNSs and associated care models should be further investigated in a larger population.

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Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

Perspectives on Telepractice ◽

10.1044/teles4.1.23 ◽

2014 ◽

Vol 4 (1) ◽

pp. 23-29

Author(s):

Constance Hilory Tomberlin

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Patient Care ◽

Health Care System ◽

Gulf Coast ◽

New Technology ◽

Cost Effective ◽

Veterans Health ◽

Potential Benefits ◽

Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

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