scholarly journals Defensive Medicine in the Management of Cesarean Delivery: A Survey among Italian Physicians

Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1097
Author(s):  
Vittorio Fineschi ◽  
Mauro Arcangeli ◽  
Nicola Di Fazio ◽  
Zoe Del Fante ◽  
Benedetta Fineschi ◽  
...  
Keyword(s):  
Complete Information ◽  
Defensive Medicine ◽  
High Rate ◽  
Medical Liability ◽  
Multiple Choice Questions ◽  
Professional Behaviors ◽  
Public And Private ◽  
Definition Of ◽  
Few Data ◽  
Type Of Delivery

Background and Objectives: This study aims to contribute to the definition of the defensive medicine phenomenon between obstetricians and gynecologists, as well as to possible effects on the frequency of deliveries performed by cesarean sections (CS). Materials and Methods: a digital questionnaire was administered through a mail-list including 600 gynecological specialists (of these 168 doctors completed the test), both in public and private settings. It was made of twenty multiple choice questions, concerning their awareness about the practice of defensive medicine and the planning and execution of CS. All doctors involved received clear and complete information about the purpose of this study and about the organizations that received their answers. Analyses of variance and regression were performed to describe differences between groups and to estimate the relationships between variables. The value of p < 0.5 was considered statistically relevant. Results: our analysis revealed that most respondents are confident with the defensive medicine definition and characteristics. This survey confirmed that gynecologists fear legal actions promoted by their patients and therefore modulate their choices by implementing professional behaviors of so-called “defensive medicine”. This relates to a greater number of medical liability judgements, which more often concern omission or delayed execution of cesarean section, rather than unskillful surgical procedures. Conclusions: there are few data to support a relation between the high rate of CS and defensive medicine. Numerous scientific studies associated this CS rate with the phenomenon of defensive medicine. This practice is constantly growing in all medical areas, especially in high-risk specialties such as obstetrics and gynecology. Our study highlights physicians’ awareness of adopting defensive medicine behaviors in their clinical practice, affecting the choice of the type of delivery to be performed.

The Noise Abatement Campaign in Industrializing Japan, 1923–37

Resonance ◽  
2020 ◽  
Vol 1 (3) ◽  
pp. 298-327
Author(s):  
Shuhei Hosokawa
Keyword(s):  
Public Opinion ◽  
Legal Regulation ◽  
Public Realm ◽  
Political Responsibility ◽  
Noise Abatement ◽  
Public And Private ◽  
The Public ◽  
Causal Responsibility ◽  
Kanto Earthquake ◽  
Definition Of

Drawing on Karin Bijsterveld’s triple definition of noise as ownership, political responsibility, and causal responsibility, this article traces how modern Japan problematized noise, and how noise represented both the aspirational discourse of Western civilization and the experiential nuisance accompanying rapid changes in living conditions in 1920s Japan. Primarily based on newspaper archives, the analysis will approach the problematic of noise as it was manifested in different ways in the public and private realms. In the public realm, the mid-1920s marked a turning point due to the reconstruction work after the Great Kantô Earthquake (1923) and the spread of the use of radios, phonographs, and loudspeakers. Within a few years, public opinion against noise had been formed by a coalition of journalists, police, the judiciary, engineers, academics, and municipal officials. This section will also address the legal regulation of noise and its failure; because public opinion was “owned” by middle-class (sub)urbanites, factory noises in downtown areas were hardly included in noise abatement discourse. Around 1930, the sounds of radios became a social problem, but the police and the courts hesitated to intervene in a “private” conflict, partly because they valued radio as a tool for encouraging nationalist mobilization and transmitting announcements from above. In sum, this article investigates the diverse contexts in which noise was perceived and interpreted as such, as noise became an integral part of modern life in early 20th-century Japan.

Effect of water temperature on water consumption in female angora goats

1991 ◽  
Vol 1991 ◽  
pp. 163-163
Author(s):  
R.A. Cooper ◽  
Bryany Hill ◽  
J.A. Kirk
Keyword(s):  
Water Temperature ◽  
Water Intake ◽  
Water Consumption ◽  
Effect Of Water ◽  
Angora Goats ◽  
Definition Of ◽  
Few Data

It is commonly held that goats prefer their water ‘warm’ and that consumption may be encouraged by offering warmed water. Conversely, it is argued that water intake may go down if water is ‘too cold.’ There are, however, few data available and no definition of what constitutes ‘warm’ or ‘cold’ in the eyes of a goat. This trial was undertaken to provide some data in an attempt to confirm or refuse these conventional wisdoms.

Public and Private Social Welfare

2021 ◽  
pp. 152-172
Author(s):  
Willem Adema ◽  
Peter Whiteford
Keyword(s):  
Welfare State ◽  
Social Welfare ◽  
Public Spending ◽  
Social Expenditure ◽  
Public And Private ◽  
Incorrect Measurement ◽  
Definition Of ◽  
Distributional Impact ◽  
The Impact ◽  
The Welfare State

This chapter contributes to the discussion of public and private social welfare by drawing together recent information on these different ways of providing social benefits. It presents data on public social expenditure for 2015–17 and accounts for the impact of the tax system and private social expenditure to develop indicators on net social expenditure for 2015. The chapter shows that conventional estimates of gross public spending differ significantly from estimates of net public spending and net total social expenditure, leading to an incorrect measurement and ranking of total social welfare effort across countries.Just as importantly, the fact that total social welfare support is incorrectly measured implies that the outcomes of welfare state support may also be incorrectly measured. Thus, the main objectives of the chapter include considering the implications of this more comprehensive definition of welfare state effort for analysis of the distributional impact of the welfare state and for an assessment of the efficiency and incentive effects of different welfare state arrangements.

scholarly journals Medical liability, defensive medicine and professional insurance in otolaryngology

2015 ◽  
Vol 8 (1) ◽  
Author(s):  
Sergio Motta ◽  
Domenico Testa ◽  
Ugo Cesari ◽  
Giuseppe Quaremba ◽  
Gaetano Motta
Keyword(s):  
Defensive Medicine ◽  
Medical Liability

scholarly journals Protection against imposing unfavorable contract terms by the dominant party in the russian legislation: issues of ensuring the balance of convenience

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Kirill Andreevich Pisenko ◽  
Stanislav Lvovich Botvinnik
Keyword(s):  
Legal Regulation ◽  
Philosophical Perspective ◽  
Public And Private ◽  
Scientific Methods ◽  
Dominant Party ◽  
Legal Method ◽  
General Logic ◽  
Legal Nature ◽  
Definition Of ◽  
Antitrust Regulation

Legal issues of counteracting the imposition of unfavorable contract terms by the dominant party raise a number of theoretical and practical problems. The authors of the article try to determine the legal nature of imposition and develop methods of comprehensive counteraction to this violation in order to ensure the balance of convenience. From the philosophical perspective and a certain worldview, the study is based on the balance of convenience regarded as the objective foundation of legal regulation. The main philosophical and scientific methods used in this article include the dialectic method, the formal-legal method, the method of legal hermeneutics, as well as the comparative-legal and empirical methods. The theoretical basis is represented by scientific works in the field of civil, administrative, entrepreneurial and procedural branches of law. The legal nature of imposition as a type of violation should be determined with due regard to the general logic of antitrust regulation. The parallel use of both public and private law necessitates the development of procedural legal means ensuring uniform law enforcement and the balance of convenience. First of all, the unity of approaches regarding legal tools of public and civil law should be concerned with the definition of features and the essence of elements compiling the imposition itself. The authors also propose approaches to the formation of an appropriate procedural model.

scholarly journals Adequação da MOSE® Competence para a Implementação do Capítulo VII da LGPD: Um Mapeamento dos Ativos de Segurança e Boas Práticas

2021 ◽  
Author(s):  
Maykon Araújo de Souza ◽  
Sandro Ronaldo Bezerra Oliveira
Keyword(s):  
Research Question ◽  
Personal Data ◽  
Private Companies ◽  
Public And Private ◽  
Good Practices ◽  
Goods And Services ◽  
Brazilian Government ◽  
General Data ◽  
Definition Of ◽  
Specific Section

This study presents a mapping of the assets present in the Guiding Model for the Success of Public and Private Companies (MOSE) and the articles included in the General Data Protection Law (LGPD) of the Brazilian Government, with regard to Security and Good Practices in Chapter VII of this law. The theme becomes relevant, as more and more companies from different contexts need to implement the articles contained in this law in order to adhere to the standard of regulation of personal data processing activities defined by the Brazilian Federal Government. However, this law still needs guidelines for its proper implementation based on the adoption of good practices in models, methods and/or techniques available in the specialized literature. One of these instruments refers to the MOSE, which helps public and private companies to achieve levels of excellence in performance, governance and quality, in the production of goods and services, based on the use of practices and indicators specific to the area of knowledge or specialty. Thus, the research question guiding this work is: how to correspond/map the practices included in the MOSE to guide the implementation of the articles of the LGPD law? The methodology adopted was the asset mapping, described in a specific section of the paper, which included the following steps: definition of the LGPD chapter that focuses on data security management; definition of the model and law structures, and their inputs to be analyzed; identification of the description of each asset; analysis of correspondence between assets; evaluation of the mapping using the peer review technique with expert in the two target standards of this research. The result was the perception that 33% of the MOSE’s competences goals, with the appropriate adjustments, have total adherence with 100% of the security and good pratices assets of LGPD. This mapping is intended to provide assistance in defining a roadmap containing activities, work products, tools, indicators and expected results to achieve the goals defined in the LGPD.

Sporting Safe in the Liminal Sphere

2016 ◽  
pp. 865-875
Author(s):  
Santosh Khadka
Keyword(s):  
New Media ◽  
Web 2.0 ◽  
Social Networking ◽  
Social Networking Site ◽  
Public And Private ◽  
Public Spheres ◽  
Private And Public ◽  
Definition Of ◽  
Rhetorical Performance ◽  
The Web

Facebook, like any other social networking site, troubles the traditional categories of private and public spheres. As it complicates (and transcends) the distinction, it can be called a different space, or a liminal space, which falls somewhere in-between private and public spheres. The author argues that this recognition of Facebook as a liminal sphere has important implications to the (re) definition of public and private spheres and to the ways rhetoric should work or be used in the Web 2.0 sites like Facebook. The author also proposes that Michael de Certeau's notions of “strategy” and “tactics” can be powerful rhetorical tools to deal with Facebook's liminality and to enhance the rhetorical performance of self in Facebook and other similar new media forums.

The Use of an Enterprise Architecture Framework to Guide the Management of Big Data in Health Organisations

2021 ◽  
pp. 39-50
Author(s):  
Monica Nehemia ◽  
Tandokazi Zondani
Keyword(s):  
Big Data ◽  
Enterprise Architecture ◽  
Business Processes ◽  
High Rate ◽  
Infrastructure Development ◽  
Multiple Sources ◽  
Technology Infrastructure ◽  
Public And Private ◽  
Architecture Framework ◽  
Enterprise Architecture Framework

Big data has gained popularity in recent years, with increased interest from both public and private organisations including academics. The automation of business processes led to the proliferation of different types of data at various speeds through information systems. Big data is generated at a high rate from multiple sources that can become complex to manage with challenges to collect, manipulate, and store data with traditional IS/IT. Big data has been associated with technical non-technical challenges. Due to these challenges, organisations deploy enterprise architecture as an approach to holistically manage and mitigate challenges associated with business and technology. An exploratory study was done to determine how EA could be used to manage big data in healthcare facilities. This study employs the interpretive approach with documentation as the analysis. Findings were governance, internal and external big data sources, information technology infrastructure development, and big data skills. Through the different EA domains, big data challenges could be mitigated.

scholarly journals A balanced scorecard for assessing a strategic plan in a clinical laboratory

2019 ◽  
Vol 29 (2) ◽  
pp. 284-291
Author(s):  
Luisa Alvarez ◽  
Anna Soler ◽  
Leonor Guiñón ◽  
Aurea Mira
Keyword(s):  
Balanced Scorecard ◽  
Clinical Laboratory ◽  
Theoretical Perspective ◽  
Strategic Plan ◽  
Reference Laboratory ◽  
Healthcare Organizations ◽  
Public And Private ◽  
The Balanced Scorecard ◽  
Definition Of ◽  
Public And Private Sector

The Balanced Scorecard (BSC) is a tool for strategic management that is used in many companies and organizations worldwide, both in the public and private sector. With this purpose it has also been used in healthcare organizations and institutions but there are not many studies on the implementation of BSC methodology in the day-to-day clinical laboratory. This review shows the strategy for the development of a BSC, which includes theoretical perspective objectives, as well as some indicators and goals with which the monitoring and quantitative measurement of the achievements of a strategic plan in a clinical laboratory can be done. Moreover, the results of the indicators allow the prioritization of the initiatives to be implemented each year. The methodology for the development of the proposed BSC includes the following steps: definition of theoretical objectives of each of the perspectives most used in the management of a clinical laboratory (customers, financial, internal processes and learning) taking into account the vision and the organizational model of the laboratory; creation of a strategic map of perspective objectives; definition of the relevant indicators to follow up on the objectives in a quantitative manner and establishment of the goals. Whether or not the laboratory is a reference laboratory, in which specific and infrequent analysis and health population programs are performed, is another fact to take into account. In this review a BSC for a reference clinical laboratory of the Spanish public sector is shown.

The creation and use of big administrative data

2019 ◽  
pp. 23-34
Author(s):  
Harvey Goldstein ◽  
Ruth Gilbert
Keyword(s):  
Administrative Data ◽  
Poor Quality ◽  
Quality Data ◽  
Data Repositories ◽  
Public And Private ◽  
The Public ◽  
Public Benefit ◽  
Public Benefits ◽  
Poor Quality Data ◽  
Few Data

his chapter addresses data linkage which is key to using big administrative datasets to improve efficient and equitable services and policies. These benefits need to weigh against potential harms, which have mainly focussed on privacy. In this chapter we argue for the public and researchers to be alert also to other kinds of harms. These include misuses of big administrative data through poor quality data, misleading analyses, misinterpretation or misuse of findings, and restrictions limiting what questions can be asked and by whom, resulting in research not achieved and advances not made for the public benefit. Ensuring that big administrative data are validly used for public benefit requires increased transparency about who has access and whose access is denied, how data are processed, linked and analysed, and how analyses or algorithms are used in public and private services. Public benefits and especially trust require replicable analyses by many researchers not just a few data controllers. Wider use of big data will be helped by establishing a number of safe data repositories, fully accessible to researchers and their tools, and independent of the current monopolies on data processing, linkage, enhancement and uses of data.

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