scholarly journals The evaluation of information provided to patients about the disease and its course in hospitals

Medicina ◽  
2007 ◽  
Vol 43 (8) ◽  
pp. 664 ◽  
Author(s):  
Rytė Giedrikaitė ◽  
Irena Misevičienė ◽  
Irayda Jakušovaitė
Keyword(s):  
Decision Making ◽  
Response Rate ◽  
Medical Examination ◽  
Negative Consequences ◽  
General Hospitals ◽  
Treatment Methods ◽  
The Republic ◽  
Right To Information ◽  
Methods Of Treatment

The aim of the study was to evaluate and compare patients’ and physicians’ opinions about the assurance of patients’ right to information about the disease, the results of medical examination, treatment methods and their outcomes. Material and methods. The study was performed during November 2006 – February 2007 in two counties of Lithuania. Seven hospitals were randomly selected for the study. The participants of the study were all patients who on the day of the inquiry were treated in the departments of internal diseases and surgery and all physicians who worked in these departments on that day. Patients with severe conditions and those who were newly admitted were excluded from the study. In total, 494 questionnaires were distributed, of which 366 were distributed among patients (response rate – 71.3%) and 128 among physicians (response rate – 70.3%). Results. One-half of the inquired patients (50.9%) did not know what rights they are guaranteed by the Republic of Lithuania Law on the Rights of Patients and Compensation of the Damage to Their Health. However, the majority of patients thought that they were provided information about their disease (86.1%), the results of medical examination (76.2%), the methods of treatment (74.2%), and possible positive and negative consequences (65.2%). The comparison of patients’ and physicians’ evaluation of the provided information revealed certain differences. Physicians were inclined to evaluate themselves better. More than one-half (65.5%) of physicians stated that they provided patients with information concerning the possibility for their participation in treatment-related decision-making, but patients did not participate sufficiently actively (34.5% of positive responses) in making heath-related decisions. Conclusions. Patients are not very well informed about the Republic of Lithuania Law on the Rights of Patients and Compensation of the Damage to Their Health. The majority of patients in the studied general hospitals stated that they were provided with and understood information about their disease, the results of medical examination, and treatment methods and prognosis. The study showed that only one-third of patients expressed their opinion to the physician when making treatment-related decisions, and their opinion was taken into consideration.

scholarly journals Etiology and methods of treatment of toothache in traditional medicine of Karelians

2019 ◽  
Vol 11 (1) ◽  
pp. 56-60
Author(s):  
Tatiana V. Pashkova
Keyword(s):  
Traditional Medicine ◽  
Comparative Methods ◽  
Medicinal Herbs ◽  
Treatment Methods ◽  
Rational Treatment ◽  
Preventive Actions ◽  
The Republic ◽  
Methods Of Treatment

The article discusses the representation of all groups of Karelians (Karelians, Livvik and Ludik Karelians) on the causes and ways of treatment of toothache (rational and irrational). The study used comparative-historical and comparative-comparative methods. The research involved the works of Russian and Finnish researchers who address various aspects of Karelian traditional medicine. In addition, the author used field materials collected in the Olonetsky and Pryazha districts of the Republic of Karelia. The Karelians noticed one of the causes of toothache, which was the result of a cold, a natural cause. However, since even after the conversion to Christianity the Karelians remained the beliefs of pagan origin, and in the toothache (as a symptom) was viewed from mythological view. The Karelians looked at a toothache as a serious, painful disease. In order to prevent its occurrence, the Karelians used salt and performed ritual preventive actions. As well as the causes of toothache, treatments could be rational and irrational. From the rational treatment methods, Karelians practiced warming and compresses, made tincture and ointments from medicinal herbs. Bleeding was considered effective for relieving toothache. Irrational methods of treatment included sorcery. This can be seen in all Karelian groups.

Conflicts in Biafra, Katanga and Cabinda as a result of the geopolitical legacy of colonialism

2020 ◽  
Vol 2020 (10-3) ◽  
pp. 238-246
Author(s):  
Olga Dzhenchakova
Keyword(s):  
Democratic Republic ◽  
Economic Factor ◽  
Colonial Period ◽  
Sub Saharan Africa ◽  
Negative Consequences ◽  
Post Colonial ◽  
Republic Of The Congo ◽  
Sub Saharan ◽  
The Republic ◽  
The Impact

The article considers the impact of the colonial past of some countries in sub-Saharan Africa and its effect on their development during the post-colonial period. The negative consequences of the geopolitical legacy of colonialism are shown on the example of three countries: Nigeria, the Democratic Republic of the Congo and the Republic of Angola, expressed in the emergence of conflicts in these countries based on ethno-cultural, religious and socio-economic contradictions. At the same time, the focus is made on the economic factor and the consequences of the consumer policy of the former metropolises pursuing their mercantile interests were mixed.

Use of an Atrial Fibrillation Medication Decision Aid Improves Knowledge and Process for Decision Making (Preprint)

2018 ◽  
Author(s):  
Molly Beinfeld ◽  
Suzanne Brodney ◽  
Michael Barry ◽  
Erika Poole ◽  
Adam Kunin
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Shared Decision Making ◽  
Anticoagulant Therapy ◽  
Decision Aid ◽  
Response Rate ◽  
Intervention Group ◽  
Shared Decision ◽  
Community Based ◽  
Baseline Group

BACKGROUND A rural community-based Cardiology practice implemented shared decision making supported by an evidence-based decision aid booklet to improve the quality of anticoagulant therapy decisions in patients with atrial fibrillation. OBJECTIVE To develop a practical workflow for implementation of an anticoagulant therapy decision aid and to assess the impact on patients’ knowledge and process for anticoagulant medication decision making. METHODS The organization surveyed all patients with atrial fibrillation being seen at Copley Hospital to establish a baseline level of knowledge, certainty about the decision and process for decision making. The intervention surveys included the same knowledge, certainty, process and demographic questions as the baseline surveys, but also included questions asking for feedback on the decision aid booklet. Stroke risk scores (CHA2DS2-VASc score) were calculated by Copley staff for both groups using EMR data. RESULTS We received 46 completed surveys in the baseline group (64% response rate) and 50 surveys in the intervention group (72% response rate). The intervention group had higher knowledge score than the baseline group (3.6 out of 4 correct answers vs 3.1, p=0.036) and Decision Process Score (2.89 out of 4 vs 2.09, p=0.0023) but similar scores on the SURE scale (3.12 out of 4 vs 3.17, p=0.79). Knowledge and Process score differences were sustained even after adjusting for co-variates in stepwise linear regression analyses. Patients with high school or lower education appeared to benefit the most from shared decision making, as demonstrated by their knowledge scores. CONCLUSIONS It is feasible and practical to implement shared decision making supported by decision aids in a community-based Cardiology practice. Shared decision making can improve knowledge and process for decision making for patients with atrial fibrillation. CLINICALTRIAL None

scholarly journals The Biography of an Algorithm: Performing algorithmic technologies in organizations

2021 ◽  
Vol 2 (2) ◽  
pp. 263178772110046
Author(s):  
Vern L. Glaser ◽  
Neil Pollock ◽  
Luciana D’Adderio
Keyword(s):  
Decision Making ◽  
Organizational Capabilities ◽  
Negative Consequences ◽  
Organizational Decision Making ◽  
Computational Tools ◽  
Dynamic Perspective ◽  
Over Time

Algorithms are ubiquitous in modern organizations. Typically, researchers have viewed algorithms as self-contained computational tools that either magnify organizational capabilities or generate unintended negative consequences. To overcome this limited understanding of algorithms as stable entities, we propose two moves. The first entails building on a performative perspective to theorize algorithms as entangled, relational, emergent, and nested assemblages that use theories—and the sociomaterial networks they invoke—to automate decisions, enact roles and expertise, and perform calculations. The second move entails building on our dynamic perspective on algorithms to theorize how algorithms evolve as they move across contexts and over time. To this end, we introduce a biographical perspective on algorithms which traces their evolution by focusing on key “biographical moments.” We conclude by discussing how our performativity-inspired biographical perspective on algorithms can help management and organization scholars better understand organizational decision-making, the spread of technologies and their logics, and the dynamics of practices and routines.

scholarly journals Access to information and decision making on teenage pregnancy prevention by females in Tshwane

Curationis ◽  
2015 ◽  
Vol 38 (2) ◽  
Author(s):  
J.P.F. Masemola-Yende ◽  
Sanah M. Mataboge
Keyword(s):  
Decision Making ◽  
Primary Healthcare ◽  
Teenage Pregnancy ◽  
Hormonal Contraception ◽  
Pregnancy Prevention ◽  
Exploratory Research ◽  
Access To Information ◽  
Negative Consequences ◽  
Sources Of Information ◽  
Female Teenagers

Background: The increase in the number of teenage pregnancies and its negative consequences has encouraged various researchers to explore the possible causes of teenage pregnancy. Findings from previously-conducted research have indicated different preventable factors that predispose female teenagers to pregnancy, such as staff attitudes and the lack of information resulting from poor access to health facilities.Objective: To explore and describe access to information and decision making on teenage pregnancy prevention by females using a primary healthcare clinic in Tshwane, South Africa.Method: In this study, the researchers used a descriptive qualitative and exploratory research design to explore and describe the verbal reports regarding prevention of teenage pregnancy by females using a primary healthcare clinic in Tshwane, South Africa. Face-to-face semistructured interviews were conducted with 15 female participants aged between 15 and 26, who had been pregnant once or more during their teens.Results: Two themes emerged, namely, access to information and decision making by female teenagers. Five categories that emerged were: access to information on pregnancy prevention; ignoring of provided information; the use of alternative medicine with hormonal contraception; personal reasons for use and non-use of contraception; and decisions made by teenagers to not fall pregnant. Females in this study fell pregnant in their teens, even though they had access to information.Conclusion: Given the complexity of this problem, female teenagers should use their families as primary sources of information for reproductive health promotion and educational institutions should build on this to aid the prevention of teenage pregnancy.

scholarly journals Quality of life of the elderly population during the virus Covid-19 pandemic with special reference to agriculturists

2020 ◽  
Vol 67 (4) ◽  
pp. 1155-1167
Author(s):  
Pavle Radanov ◽  
Ivana Lešević ◽  
Pavle Brzaković ◽  
Dragan Pajić
Keyword(s):  
Quality Of Life ◽  
Rural Areas ◽  
Urban Areas ◽  
Elderly Population ◽  
The Elderly ◽  
Special Importance ◽  
Negative Consequences ◽  
State Of Emergency ◽  
The Republic

In the Republic of Serbia, on March 15 th , 2020 Government decided to declare a state of emergency due to the Covid-19 pandemic. One of the measures was a movement ban for people over 65 in urban areas and those over 70 in rural areas. This research should indicate how people over 65 in urban areas have endured this situation, especially in relation to the same population in rural areas, as well as implications of the movement ban on the quality of life of the elderly population. Special importance is given to the rural population engaged in agriculture. A tool of data collection in this research was anonymous survey. Respondents' answers were statistically processed, which led to clear conclusions about the large negative consequences for the elderly population, including the agricultural activities in rural areas. Covid-19 is still present, which opens further questions related to the quality of life of the elderly population, if necessity for similar measures recurs in the future.

scholarly journals Fasciolosis disease in cattle and sheep in Karakalpakstan in 2015-2020, prevalence, epizootology and treatment methods and results obtained

2020 ◽  
Vol 3 (12) ◽  
pp. 83-86
Author(s):  
Shаvkat Avezimbetov ◽  
Odilbek Dosumbetov
Keyword(s):  
Definitive Host ◽  
Clinical Signs ◽  
Treatment Methods ◽  
The Republic ◽  
Cattle And Sheep

Fastioliosis in the Republic of Karakalpakstan in acute, chronic and mixed course, acute course of F. gigantica-induced fasciolosis in sheep, clinical signs of fasciolosis, adult fasciolia, definitive host-infected fasciola larvae,  possible factors, diagnosis, results of complete dissection of the liver in animals that died from the disease, drugs for the treatment of fasciolosis are described.

scholarly journals Users’ Experiences With an Interactive Evidence to Decision (iEtD) Framework: A Qualitative Analysis

2020 ◽  
Author(s):  
Jose Francisco Meneses-Echavez ◽  
Sarah Rosenbaum ◽  
Gabriel Rada ◽  
Signe Flottorp ◽  
Jenny Moberg ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Content Analysis ◽  
Response Rate ◽  
Guideline Development ◽  
Structured Interview ◽  
Positive Experience ◽  
Audio Recordings ◽  
Real Scenario ◽  
Care Decision

Abstract Background: Evidence to Decision (EtD) frameworks bring clarity, structure and transparency to health care decision making. The interactive Evidence to Decision (iEtD) tool, developed in the context of the DECIDE project and published by Epistemonikos, is a stand-alone online solution for producing and using EtD frameworks. Since its development, little is known about how organizations have been using the iEtD tool and what characterizes users’ experiences with it.Methods: This study aimed to describe users’ experiences with the iEtD and identify main barriers and facilitators related to use. We contacted all users registered in the iEtD via email and invited people who identified themselves as having used the solution to a semi-structured interview. Audio recordings were transcribed, and one researcher conducted a content analysis of the interviews guided by a user experience framework. Two researchers checked the content independently for accuracy. Results: Out of 860 people contacted, 81 people replied to our introductory email (response rate 9.4%). Twenty of these had used the tool in a real scenario and were invited to an interview. We interviewed all eight users that accepted this invitation (from six countries, four continents). ‘Guideline development’ was the iEtD use scenario they most commonly identified. Most participants reported an overall positive experience, without major difficulties navigating or using the different sections. They reported having used most of the EtD framework criteria. Participants reported tailoring their frameworks, for instance by adding or deleting criteria, translating to another language, or rewording headings. Several people preferred to produce a Word version rather than working online, due to the burden of completing the framework, or lack of experience with the tool. Some reported difficulties working with the exportable formats, as they needed considerable editing.Conclusion: A very limited number of guideline developers have used the iEtD tool published by Epistemonikos since its development. Although users’ general experiences are positive, our work has identified some aspects of the tool that need improvement. Our findings could be also applied to development or improvement of other solutions for producing or using EtD frameworks.

scholarly journals Results of the Presidential Elections in Uzbekistan: The Economic and Political Course of Sh. Mirziyoyev

2021 ◽  
pp. 97-114
Author(s):  
E. Ionova
Keyword(s):  
Foreign Policy ◽  
Presidential Elections ◽  
Economic Reforms ◽  
Social Program ◽  
Negative Consequences ◽  
Asian Countries ◽  
Central Asian ◽  
The Social ◽  
Central Asian Countries ◽  
The Republic

The main result of the presidential elections in Uzbekistan held on October 24, 2021 was that President Sh. Mirziyoyev received a mandate to further implement his economic and political course which provisions were set out in his election program. In the elections opponents of the president, representing in general pro-government parties, were unable to provide an effective alternative to the president's program, which, moreover, accumulated many of their proposals. In the next five years, the republic which economy is the fastest growing in Central Asia will face further economic reforms. Their effect will largely depend on the objective conditions associated primarily with the pandemic. The social program of the president, if it is actually implemented, can help smooth out the negative consequences of market reforms. Mirziyoyev’s foreign policy reflected new geopolitical landmarks of the Central Asian countries, including Afghanistan and Turkey. At the same time, the development of relations between Uzbekistan and Russia is increasing, indicating the desire of Tashkent under the leadership of Mirziyoyev to maintain balance in relations with leading foreign policy players. As a result, it can be stated that today the President of Uzbekistan has strong positions both within the country and abroad.

scholarly journals Parallel Planning Mechanisms as a "Recipe for Disaster"

2017 ◽  
Vol 13 (1) ◽  
pp. 213
Author(s):  
Jeannie Van Wyk
Keyword(s):  
South Africa ◽  
Urban Planning ◽  
Critical Reflection ◽  
Land Development ◽  
Negative Consequences ◽  
Planning Law ◽  
Municipal Planning ◽  
Urban Planning And Development ◽  
The Republic

This note offers a critical reflection of the recent landmark decision in City of Johannesburg Metropolitan Municipality v Gauteng Development Tribunal which lay to rest the negative consequences of employing the DFA procedures of the Development Facilitation Act 67 of 1995 (DFA) alongside those of the provincial Ordinances to establish townships (or to use DFA parlance, “land development areas”). The welcome and timely decision in City of Johannesburg Metropolitan Municipality v Gauteng Development Tribunal has declared invalid chapters V and VI of the DFA. Moreover, it has formalised planning terminology in South Africa, delineated the boundaries of “municipal planning” and “urban planning and development” as listed in Schedules 4 and 5 of the Constitution of the Republic of South Africa, 1996 and, in the process, clarified the structure of planning law. This note examines the decision of the SCA and focus on the role it will clearly have in reforming some of the law relating to planning. It considers the facts of the case, uncertainties around terminology, the structure of planning in South Africa, the content of municipal planning, the role of the DFA and the consequences of the declaration of invalidity by the SCA.

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