Medical Sexism: Contraception Access, Reproductive Medicine, and Health Care by Jill B. Delston

2021 ◽  
Vol 14 (2) ◽  
pp. 200-204
Author(s):  
Deborah McNabb ◽  
Lisa Campo-Engelstein
Author(s):  
Elena Vladimirovna Frolova

In terms of its efficiency and accessibility, the health care of Cyprus is not inferior in many ways to the systems of medical care in a number of developed countries of the world. By placing the main emphasis on the organization of preventive care, the Cypriots were able to achieve quite a high level of life expectancy — 85 years for women and 81 years for men. Due to its excellent geographical position and mild climate, the country has a special attraction in terms of medical tourism, the most popular areas of which are plastic cosmetology, dentistry, and reproductive medicine. Foreigners who come for medical services have the opportunity not only to improve their health, but also to have a wonderful rest, enjoy Mediterranean cuisine, golden sandy beaches and blessed sunshine. Fortunately, nature provides all the opportunities for this — scientists say that at least 300 days a year are sunny on this island.


Author(s):  
A. O. Belebeyeva ◽  
M. V. Shevchenko ◽  
Yu. G. Vernigor ◽  
L. M. Semenyuk

The purpose of this paper is to study the distribution of the roles of medical staff in teams that provide medical care in a tertiary health care facility. Materials and methods. The study was conducted among medical workers of the Ukrainian Scientific and Practical Center for Endocrine Surgery, Transplantation of Endocrine Organs and Tissues of the Ministry of Health of Ukraine: Departments of Reproductive Medicine, Surgery and Consultative Clinic according to R. Belbin’s methodology for diagnosing team roles using BSPIQ uestionnaire (Belbin Self-Perception Inventory). The study involved 25 health workers from three structural units of the center: the Department of Reproductive Medicine (7 respondents), a consultative clinic of different specialties (11) and the Department of Endocrine Surgery (7). This study was conducted in several stages. In the first stage, respondents identified and assessed their role in the team based on self-assessment. Respondents answered «Yes» / «No» to 3 short questions concerning the knowledge about the distribution of team members according to the typology of roles proposed by R.M. Belbin (1); belief that the roles that employees perform in the department are identical to their positions or expectations; confidence in the definition of team roles by personality type (3). The following is the direct diagnosis and definition of team roles among the selected medical staff of this health care institution.The survey was conducted during COVID-19 pande­mic, so it has some sampling limitations and is a pilot study. Results and discussion. According to the survey, it was found that all respondents were not previously familiar with this methodology. Every second respondent does not believe in the identity of the roles that employees perform in these teams, their positions or descriptions. However, 84 % of respondents indicated the dependence of team roles on personality type. The results of respondents’ self-assessment of their own roles in teams and direct diagnosis of the distribution of roles using the BSPI-questionnaire coincided with only 5 % of respondents. According to the study, there was a statistically significant relationship between gender and team membership. In particular, only women work in team I (Department of Reproductive Medicine), and 91 % of men (p < 0.002) work in team III (Department of Endocrine Surgery). The situation is similar in terms of position and work in individual clinical teams studied (p < 0.001). The hypothesis of the existence of a relationship between the age of the respondent and the severity of his command role behavioral functions was not confirmed (p < 0.991).The teams differed statistically significantly in the filling of roles (p < 0.087). Separate regularities of distribution of roles in each of the studied commands are revealed. Conclusions. This study points to the importance of studying the distribution of roles in teams. According to its results, it was found that the team (behavioral) role (role) of a member of the studied teams depends on gender and position, but is not related to the age factor. Team roles in the studied clinical teams are distributed differently: the most pronounced role characteristics in all teams are a specialist (expert), a completer-finisher (controller); the absence of a coordinator role has been established. Roles such as monitor evaluator and resource investigator exist only in the team of doctors of the consulting clinic.


2021 ◽  
Vol 28 (5) ◽  
pp. 34-41
Author(s):  
Abdul Kadir Abdul Karim ◽  
◽  
Muhammad Azrai Abu ◽  
Mohd Faizal Ahmad ◽  
Norazilah Mat Jin ◽  
...  

The novel coronavirus (COVID-19) pandemic has affected the community at large. It has affected almost everyone and every aspect of social, economic and educational activities. Training in reproductive medicine has not been spared, as training in this field requires a combination of clinical interaction with patients, procedural experience, constant discussions and the element of research. The changes to numbers of new infections or active cases dictate the restrictions placed on the community and health care services alike. At the beginning of the pandemic, both the patients’ fear of going to a health care facility and movement restrictions had caused a significant reduction in the number of COVID-19 cases. Furthermore, the Ministry of Health (MOH) Malaysia’s recommendation to withhold all non-essential medical services, including those related to reproductive medicine, falls under this category. Therefore, it could negatively impact the quality of training and lead to an extension of training duration in reproductive medicine. Thus, the procedural experience could be supplemented with simulator training, teleconsultation could replace standard clinic sessions and online meeting platforms could replace routine academic meetings. Any modifications must be adaptable or flexible, as similar infectious pandemics and restrictions could recur from time to time.


1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.


1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.


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