scholarly journals The Love Surgeon: A Story of Trust, Harm and the Limits of Medical Regulation

2021 ◽  
Vol 107 (1) ◽  
pp. 37-38
Author(s):  
David A. Johnson
Keyword(s):  
Medical Regulation

scholarly journals Optimizing the Performance of Pure ALOHA for LoRa-Based ESL

Sensors ◽  
2021 ◽  
Vol 21 (15) ◽  
pp. 5060
Author(s):  
Malak Abid Ali Khan ◽  
Hongbin Ma ◽  
Syed Muhammad Aamir ◽  
Ying Jin
Keyword(s):  
Radio Frequency Identification ◽  
Learning Algorithm ◽  
Near Field ◽  
Scientific Development ◽  
Maximum Efficiency ◽  
Received Signal Strength Indicator ◽  
Successful Transmission ◽  
Medical Regulation ◽  
Frequency Identification ◽  
Exact Position

(1) Background: The scientific development in the field of industrialization demands the automization of electronic shelf labels (ESLs). COVID-19 has limited the manpower responsible for the frequent updating of the ESL system. The current ESL uses QR (quick response) codes, NFC (near-field communication), and RFID (radio-frequency identification). These technologies have a short range or need more manpower. LoRa is one of the prominent contenders in this category as it provides long-range connectivity with less energy harvesting and location tracking. It uses many gateways (GWs) to transmit the same data packet to a node, which causes collision at the receiver side. The restriction of the duty cycle (DC) and dependency of acknowledgment makes it unsuitable for use by the common person. The maximum efficiency of pure ALOHA is 18.4%, while that of slotted ALOHA is 36.8%, which makes LoRa unsuitable for industrial use. It can be used for applications that need a low data rate, i.e., up to approximately 27 Kbps. The ALOHA mechanism can cause inefficiency by not eliminating fast saturation even with the increasing number of gateways. The increasing number of gateways can only improve the global performance for generating packets with Poisson law having a uniform distribution of payload of 1~51 bytes. The maximum expected channel capacity usage is similar to the pure ALOHA throughput. (2) Methods: In this paper, the improved ALOHA mechanism is used, which is based on the orthogonal combination of spreading factor (SF) and bandwidth (BW), to maximize the throughput of LoRa for ESL. The varying distances (D) of the end nodes (ENs) are arranged based on the K-means machine learning algorithm (MLA) using the parameter selection principle of ISM (industrial, scientific and medical) regulation with a 1% DC for transmission to minimize the saturation. (3) Results: The performance of the improved ALOHA degraded with the increasing number of SFs and as well ENs. However, after using K-mapping, the network changes and the different number of gateways had a greater impact on the probability of successful transmission. The saturation decreased from 57% to 1~2% by using MLA. The RSSI (Received Signal Strength Indicator) plays a key role in determining the exact position of the ENs, which helps to improve the possibility of successful transmission and synchronization at higher BW (250 kHz). In addition, a high BW has lower energy consumption than a low BW at the same DC with a double-bit rate and almost half the ToA (time on-air).

Safer patients and good doctors: medical regulation in the 21st century

Clinical Risk ◽  
2007 ◽  
Vol 13 (4) ◽  
pp. 138-142
Author(s):  
Ash Samanta ◽  
Jo Samanta
Keyword(s):  
21St Century ◽  
Medical Regulation

scholarly journals COVID-19 outbreak: organisation of a geriatric assessment and coordination unit. A French example

2020 ◽  
Vol 49 (4) ◽  
pp. 516-522 ◽  
Author(s):  
Séverine Koeberle ◽  
Thomas Tannou ◽  
Kévin Bouiller ◽  
Nicolas Becoulet ◽  
Justin Outrey ◽  
...  
Keyword(s):  
Palliative Care ◽  
Ad Hoc ◽  
Care Service ◽  
Palliative Care Service ◽  
Infectious Disease Physician ◽  
Levels Of Care ◽  
Organisation Of Care ◽  
Medical Regulation ◽  
Holistic Management ◽  
Sustainable Implementation

Abstract Older people are particularly affected by the COVID-19 outbreak because of their vulnerability as well as the complexity of health organisations, particularly in the often-compartmentalised interactions between community, hospital and nursing home actors. In this endemic situation, with massive flows of patients requiring holistic management including specific and intensive care, the appropriate assessment of each patient’s level of care and the organisation of specific networks is essential. To that end, we propose here a territorial organisation of health care, favouring communication between all actors. This organisation of care is based on three key points: To use the basis of territorial organisation of health by facilitating the link between hospital settings and geriatric sectors at the regional level.To connect private, medico-social and hospital actors through a dedicated centralised unit for evaluation, geriatric coordination of care and decision support. A geriatrician coordinates this multidisciplinary unit. It includes an emergency room doctor, a supervisor from the medical regulation centre (Centre 15), an infectious disease physician, a medical hygienist and a palliative care specialist.To organise an ad hoc follow-up channel, including the necessary resources for the different levels of care required, according to the resources of the territorial network, and the creation of a specific COVID geriatric palliative care service. This organisation meets the urgent health needs of all stakeholders, facilitating its deployment and allows the sustainable implementation of a coordinated geriatric management dynamic between the stakeholders on the territory.

Back to Bedlam? Chelmsford and the Press

1993 ◽  
Vol 27 (1) ◽  
pp. 140-148 ◽  
Author(s):  
Deborah Lupton
Keyword(s):  
Psychiatric Care ◽  
Medical Profession ◽  
Royal Commission ◽  
The Public ◽  
Medical Regulation ◽  
South Wales ◽  
The Press ◽  
The Government ◽  
Role Of The Government

The Australian press played a vital part in bringing the events at Chelmsford Private Hospital to the attention of the general public, and in pressuring the New South Wales government to institute a Royal Commission into Deep Sleep Therapy. This paper describes the ways in which the press brought Chelmsford events onto the public agenda. It pays particular attention to aspects of the press coverage of the findings of the Royal Commission. The paper identifies the discourses concerning psychiatric care, the doctor-patient relationship and the role of the government in regulating the medical profession which were dominant in press accounts of Chelmsford. It is argued that while pre-existing stereotypes about mad psychiatrists and asylums were used to describe Chelmsford, more confronting ideas concerning the need for medical regulation and patient consumerism received press attention and therefore a public airing. The implications for psychiatric care in Australia are examined.

scholarly journals The History of the Federation of State Medical Boards: Part Three — Federation Resurgence, 1930–1959

2012 ◽  
Vol 98 (3) ◽  
pp. 18-25
Author(s):  
David Johnson ◽  
Humayun J. Chaudhry
Keyword(s):  
Regulatory System ◽  
Medical Regulation ◽  
The Third ◽  
Medical Licensing ◽  
History Of ◽  
Publishing Group ◽  
Centennial Anniversary ◽  
State Medical Boards

The Federation of State Medical Boards celebrates its centennial anniversary in 2012. In honor of this milestone, the Journal of Medical Regulation offers the third in a series of articles presenting the history of the FSMB within the context of the growth of America's medical regulatory system. These articles are adapted from Medical Licensing and Discipline in America: A History of the Federation of State Medical Boards now available from Lexington Books, a subsidiary of Rowman and Littlefield Publishing Group.

scholarly journals Desiring the restructuring of physiology laboratories for digital way of teaching: Perceptions of medical teachers in India

2021 ◽  
Vol 64 ◽  
pp. 309-314
Author(s):  
Madhuri Taranikanti ◽  
Aswin Kumar Mudunuru ◽  
Aruna Kumari Yerra ◽  
M. Srinivas ◽  
Rohith Kumar Guntuka ◽  
...  
Keyword(s):  
Learning Experience ◽  
Practical Experience ◽  
Medical Council ◽  
Theoretical Concepts ◽  
Medical College ◽  
Medical Regulation ◽  
The Past ◽  
Laboratory Setup ◽  
Teaching Learning ◽  
Medical Teachers

Objectives: The medical college curriculum in India has not seen a change for the past several years. An initiative has been taken by the Medical Council of India (MCI) in the Graduate Medical Regulation 2018 to bring a uniform change in teaching-learning methods. This change is necessary in all fields of medical education. Restructuring the physiology laboratories to teach practical procedures using digital computerised equipment and techniques could bring about deeper learning. The past several years have made physiology merely imaginative rather than experiential. Materials and Methods: A qualitative study was done using a questionnaire to obtain the perceptions of medical teachers of both genders engaged in teaching medical physiology. Desires and opinions of physiology teachers in changing the way physiology is taught were obtained. Results: Medical teachers felt that a change is necessary to provide better learning experience. More than 80% opined that computerised equipment provide better practical experience with wider understanding of the concepts which students can relate to theoretical concepts. About 85% of teachers supported the move to suggest to MCI on restructuring the laboratories with computerised equipment. More importantly, many teachers expressed that the digital laboratories would make learning very interesting, autonomous and self-directed. The study is not just a platform for opinions but is intended to prompt reflection and bring clarity to the regulatory bodies showing a way forward to change the laboratory setup urgently. Conclusion: Most of the medical teachers in India are finding it appropriate to employ digital ways in teaching Physiology to have better learning outcomes.

scholarly journals Reforming medical regulation: a qualitative study of the implementation of medical revalidation in England, using Normalization Process Theory

2019 ◽  
Vol 25 (1) ◽  
pp. 30-40
Author(s):  
Abigail Tazzyman ◽  
Jane Ferguson ◽  
Alan Boyd ◽  
Marie Bryce ◽  
John Tredinnick-Rowe ◽  
...  
Keyword(s):  
Medical Profession ◽  
Radical Change ◽  
Normalization Process Theory ◽  
Process Theory ◽  
Regulatory Body ◽  
Medical Regulation ◽  
The Uk ◽  
Normalization Process ◽  
The Way

Objectives The introduction of medical revalidation in 2012 has been a controversial and radical change to medical regulation in the UK. It involved changes to the way organizations manage medical performance, and to the relationships between doctors, their employers and the professional regulatory body. In this paper, we explore the implementation of medical revalidation, analysing the change process and its consequences for doctors and organizations. Methods We conducted a qualitative investigation of the implementation of revalidation in 15 case study organizations in 2016–2017, collecting documents and undertaking a total of 80 interviews with medical and non-medical staff. We used Normalization Process Theory to frame and structure the analysis. Results Revalidation reforms were largely implemented successfully within and across our case study organizations, with evidence of growing acceptance of the purpose and processes of revalidation. There was an emergent shift from securing doctors’ compliance towards the use of revalidation to strengthen clinical governance, and towards evaluating revalidation processes and seeking to make them more effective. However, there was substantial variation in the implementation and impact of revalidation; it was still not fully understood by many doctors, and revalidation processes were highly reliant on a few key individuals in each organization. The changes brought about by revalidation have had consequences for the way in which doctors construct their identity and the way they relate to the organizations in which they work. Conclusion Despite considerable early scepticism and overt opposition in the medical profession, revalidation has become gradually accepted, embedded and even valued over time. Its impact and effectiveness are still questioned by many stakeholders, and the focus of attention has now shifted towards revising and improving the way revalidation works in practice.

Sign in / Sign up

Export Citation Format

Share Document