Operations Research in Healthcare Supply Chain Management Under Fuzzy-Stochastic Environment

2020 ◽  
pp. 1833-1875
Author(s):  
S. Priyan ◽  
R Uthayakumar
Keyword(s):  
Customer Service ◽  
Operations Research ◽  
Health Care Systems ◽  
Good Condition ◽  
Vital Role ◽  
The People ◽  
Care Systems ◽  
Increase Productivity ◽  
The Right ◽  
Almost All

Operations research is for mankind in almost all aspects of our life. Applying the scientific method to the management of organizations, industry, government and other enterprises play a vital role in OR. It is used to increase productivity, to improve customer service, to improve quality and to reduce costs. Healthcare has attracted a great attention of governments in order to provide sufficient health services to the people. The provision of healthcare is very complicated and very responsible, that the right drug to the right people at the right time and in good condition to fight the disease. Today, the importance and significance of planning in healthcare can hardly be over emphasized when providing proper and adequate service continues to be a key concern of most countries. Operations research provides a wide range of methodologies that can help health care systems to significantly improve their operations. It helps to solve approximately all the problems involved in healthcare with its useful modeling techniques.

Operations Research in Healthcare Supply Chain Management Under Fuzzy-Stochastic Environment

2016 ◽  
pp. 271-314 ◽  
Author(s):  
S. Priyan ◽  
R Uthayakumar
Keyword(s):  
Customer Service ◽  
Operations Research ◽  
Health Care Systems ◽  
Good Condition ◽  
Vital Role ◽  
The People ◽  
Care Systems ◽  
Increase Productivity ◽  
The Right ◽  
Almost All

Operations research is for mankind in almost all aspects of our life. Applying the scientific method to the management of organizations, industry, government and other enterprises play a vital role in OR. It is used to increase productivity, to improve customer service, to improve quality and to reduce costs. Healthcare has attracted a great attention of governments in order to provide sufficient health services to the people. The provision of healthcare is very complicated and very responsible, that the right drug to the right people at the right time and in good condition to fight the disease. Today, the importance and significance of planning in healthcare can hardly be over emphasized when providing proper and adequate service continues to be a key concern of most countries. Operations research provides a wide range of methodologies that can help health care systems to significantly improve their operations. It helps to solve approximately all the problems involved in healthcare with its useful modeling techniques.

Health of Newcomers

2017 ◽  
Author(s):  
Patricia Illingworth ◽  
Wendy E. Parmet
Keyword(s):  
Health Care ◽  
Global Climate ◽  
Health Care Systems ◽  
Vital Role ◽  
Health Policies ◽  
Global Public Good ◽  
Policy Makers ◽  
Native Populations ◽  
Care Systems ◽  
The Right

Immigration and health are two of the most contentious issues facing policy makers today. Policies that relate to both issues—to the health of newcomers—often reflect misimpressions about immigrants, their health, and their impact on health care systems. Although immigrants are typically younger and healthier than natives, and many newcomers play a vital role in providing care in their new lands, natives are often reluctant to extend basic health care to immigrants. Likewise, many nations turn against immigrants when epidemics strike, falsely believing that native populations can be kept well by keeping immigrants out. This book demonstrates how such reactions thwart attempts to create efficient and effective health policies and efforts to promote public health. The book argues that because health is a global public good and people benefit from the health of neighbor and stranger alike, it is in everyone’s interest to ensure the health of all. Reviewing issues as diverse as medical repatriation, epidemic controls, the right to health, the medical brain drain, organ tourism, and global climate change, the book shows why solidarity between natives and newcomers is ethically required and in the service of health for all.

Study on Service Oriented Architecture for Clinical Evaluation Using Computational Model

2020 ◽  
Vol 17 (4) ◽  
pp. 1931-1936
Author(s):  
C. Thaventhiran ◽  
K. R. Sekar ◽  
R. Manikandan ◽  
Robbi Rahim ◽  
Ambeshwar Kumar
Keyword(s):  
Service Oriented Architecture ◽  
Health Care Systems ◽  
Research Work ◽  
Vital Role ◽  
The People ◽  
Care Systems ◽  
Service Oriented ◽  
Community People ◽  
Cross Platform ◽  
The Web

In the recent one and half decades the service oriented architecture (SoA) is the emerging technology and also inevitable for the web community people. The relevant applications are incorporated together through the web service component that provides bountiful Information to the people and the customers all over the world today. Here orchestration and choreography plays a vital role in SoA. Using the initial and the basic information, it is possible to predict the unforeseen schedule of the scenario through random process methodologies. In that particularly stochastic model is much appreciated for the above said. The recommendations can be obtained through the above method and provides all the necessary information’s to the customers using SoA interfaces. Normally hybrid linked applications were in the form of SoA. In the recent year of 2016 the leading journal established the role of SoA is an inevitable web services component and also acting as a aggregation in distributed systems (Traore, B.B., et al., 2016. Integrating MDA and SOA for improving telemedicine services. Telematics and Informatics, 33(3), pp.733–741). For any cross platform communication and commercial transactions can be possible via SoA modern architecture, which is emphasized in the journal published in the year 2014 (Su, X.Y., et al., 2014. A service oriented tele-health promotion information system with mobile application. Procedia Computer Science, 37, pp.274–281). The integration of Applications which has got some relevancy and homogeneity needs interoperable communications in health care systems. Decision making support can also be possible through the above said scenario which is accomplished through SoA [21]. In the research work 21 relevant papers were analyzed in deep and identified the gap about the methodology is the strenuous job. The real theme of the research work is to provide quicker information’s to the customers without making them in starvations.

scholarly journals Covid-19 FAQ’s in Paediatric and Congenital Cardiology – AEPC position paper.

2021 ◽  
pp. 1-21
Author(s):  
Skaiste Sendzikaite ◽  
Ruth Heying ◽  
Ornella Milanesi ◽  
Katarina Hanseus ◽  
Ina Michel-Behnke
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Systems ◽  
Scientific Data ◽  
Position Paper ◽  
Paediatric Cardiology ◽  
European Paediatric ◽  
Care Systems ◽  
The Times ◽  
Almost All

Abstract The Covid-19 pandemic has had a huge influence in almost all areas of life, affecting societies, economics and health care systems worldwide. The paediatric cardiology community is no exception. As the challenging battle with Covid-19 continues, professionals from the Association for the European Paediatric and Congenital Cardiology (AEPC) receive many questions regarding Covid-19 in a Paediatric and Congenital Cardiology setting. The aim of this paper is to present the AEPC position on frequently asked questions based on the most recent scientific data, as well as to frame a discussion on how to take care of our patients during this unprecedented crisis. As the times are changing quickly and information regarding Covid-19 is very dynamic, continuous collection of evidence will help guide constructive decision-making.

Bước đầu đánh giá hiệu quả hệ thống theo dõi SpO2 từ xa ở bệnh nhân Covid-19 mức độ nhẹ - trung bình

2022 ◽  
Author(s):  
An Vinh Bui-Duc
Keyword(s):  
Monitoring System ◽  
Clinical Symptoms ◽  
Health Care Systems ◽  
Care Center ◽  
Vital Role ◽  
Blood Oxygen Saturation ◽  
Runny Nose ◽  
Care Systems ◽  
The Mean ◽  
D Dimer

TÓM TẮT Đặt vấn đề: Đại dịch COVID-19 (coronavirus disease of 2019) do chủng vi rút Corona mới SARS-CoV-2 vẫn đang bùng phát trên toàn thế giới, gây gia tăng gánh nặng lên Hệ thống chăm sóc Y Tế các quốc gia. Chính vì vậy, việc phát triển hệ thống giúp hỗ trợ chẩn đoán và theo dõi bệnh nhân COVID-19 từ xa được xem là vấn đề cấp thiết hiện nay. Trong đó, chỉ số SpO2 có vai trò quan trọng đối với bệnh COVID-19 và được lựa chọn để theo dõi bệnh nhân tại các Cơ sở Y tế cũng như tại nhà. Nghiên cứu này được chúng tôi thực hiện với mục đích đánh giá hiệu quả ban đầu của hệ thống theo dõi SpO2từ xa trên các bệnh nhân COVID-19 mức độ nhẹ - trung bình. Đối tượng, phương pháp: Nghiên cứu cắt ngang, theo dõi dọc ngắn hạn các bệnh nhân COVID-19 mức độ nhẹ - trung bình điều trị tại Trung tâm Hồi sức Tích cực điều trị bệnh nhân COVID-19 trực thuộc Bệnh viện Trung Ương Huế tại TP. Hồ Chí Minh. Kết quả: Trong giai đoạn từ 8/2021 - 10/2021, 32 bệnh nhân COVID-19 được gắn thiết bị theo dõi chỉ số SpO2, trung bình là 34,2 ± 12,0 tuổi. Các yếu tố nguy cơ bao gồm: BMI xếp loại béo phì 25%, hút thuốc lá (18,8%), tăng huyết áp (15,6%) và đái tháo đường (12,5%). Phần lớn bệnh nhân vào viện do khó thở (71,9%) và chuyển từ tuyến dưới (62,5%). Triệu chứng lâm sàng chủ yếu là ho, hắt hơi, chảy mũi nước (40,6%), theo sau đó là giảm hoặc mất khứu giác, vị giác (25%). 81,3% có D-Dimer ≤ 500ng/mL. 62,5% bệnh nhân được phân độ COVID-19 mức trung bình. Tổng cộng 3.161 lượt đo SpO2, trong đó có 8 lượt cảnh báo SpO2 < 93%. SpO2 trung bình 98,1 ± 0,2 %. Tất cả bệnh nhân xuất viện thành công. Kết luận: Hệ thống theo dõi SpO2 từ xa bước đầu có hiệu quả giúp theo dõi các bệnh nhân COVID-19 mức độ nhẹ - trung bình. ABSTRACT INITIAL EFFECTIVENESS EVALUATION OF THE REMOTE SPO2 MONITORING SYSTEM IN PATIENTS WITH MILD - TO - MODERATE COVID-19 DISEASE Background: The COVID-19 pandemic affected by the new Coronavirus SARS-CoV-2 continues to spread globally, increasing the burden on countries’ Health Care systems. Therefore, generating a platform to help diagnose and monitor COVID-19 patients remotely is considered an essential issue today. In particular, the SpO2 index plays a vital role in COVID-19 disease and is selected to monitor patients at health facilities and homes. This study aimed to evaluate the initial effectiveness of the remote SpO2 monitoring system in patients with mild - to - moderate COVID-19 diseases. Methods: This cross - section study was conducted on mild - to - moderate COVID-19 patients treated at the COVID-19 Intensive Care Center operated by Hue Central Hospital in Ho Chi Minh City, Vietnam Results: From August 2021 to October 2021, 32 COVID-19 patients were applied with SpO2 monitoring smartwatches. The mean age was 34.2 ± 12.0. Risk factors including obesity (25%), smoking (18.8%), hypertension (15.6%), and diabetes (12.5%). Most patients were admitted to the center due to shortness of breath (71.9%) and transferred from lower - level hospitals (62.5%). The main clinical symptoms are coughing, sneezing, runny nose (40.6%), followed by a decrease or loss of smell and taste (25%). 81.3% of patients had D-Dimer ≤ 500 ng/mL. 62.5% of patients had moderate COVID-19 grades. A total of 3,161 SpO2 measurements, including 8 alarms < 93%. The average SpO2 was 98.1 ± 0.2 %. All patients were discharged successfully. Conclusion: A remote SpO2 monitoring system is considered to have preliminary effectiveness in monitoring mild - to - moderate COVID-19 patients. Keywords: COVID-19, blood oxygen saturation, smartwatch, health monitoring system.

Adult Care in Cystic Fibrosis

2019 ◽  
Vol 40 (06) ◽  
pp. 857-868 ◽  
Author(s):  
J. Stuart Elborn
Keyword(s):  
Health Care ◽  
Cystic Fibrosis ◽  
Care Delivery ◽  
Health Care Systems ◽  
Well Being ◽  
Models Of Care ◽  
Adult Care ◽  
Care Systems ◽  
Expanding Population ◽  
Almost All

AbstractCystic fibrosis (CF) is now more common in adults than children in countries with well-developed health care systems. The number of adults continues to increase and will further increase if the new cystic fibrosis transmembrane conductance regulator (CFTR) modulators are disease modifying. Most of the complex morbidity and almost all the mortality of CF occur in adults and will increasingly follow this pattern even with new effective modulator therapies. Maintaining good quality of life including social functioning and maximizing survival for adults are the key priorities. This requires a highly knowledgeable and adaptable multidisciplinary team, which, though focused on maintaining lung health, requires an increasing range of other disciplines and specialties to maximize well-being. Changes in health care systems will require current models of care to adapt to provide care for the large number of adult patients. With increasing survival and age, many are likely to have both CF morbidities and additional diseases of aging. New models are needed for health care delivery for this expanding population with complex medical conditions.

The Death of Horatia

1979 ◽  
Vol 29 (2) ◽  
pp. 436-447 ◽  
Author(s):  
Alan Watson
Keyword(s):  
Criminal Law ◽  
Legal Issues ◽  
Legal Procedure ◽  
The People ◽  
The Right ◽  
Almost All

Central to any understanding of archaic Roman criminal law is the trial, as recorded by Livy, of Horatius for killing his sister. It is not just that the case raises so many legal issues; the jurisdiction of the father (paterfamilias) and of the king, the institution of a separate state procedure with two judges (the duoviri), the right of appeal to the people, the scope of the crime of perduellio (usually roughly translated as ‘treason’) and of parricidium, murder, and the use of sacral punishment. But also, on the ability to determine how accurate for the period of King Tullus Hostilius is this account of law and legal procedure will depend our wider appreciation of the reliability of the sources. It must be admitted that almost all modern scholars regard Livy's account as quite untrustworthy.

El Derecho al Trabajo en Épocas de Crisis: el Caso de España / The Right to Work in Times of Crisis: the Case of Spain

2017 ◽  
Author(s):  
Carmen Almagro Martín
Keyword(s):  
Human Rights ◽  
Main Subject ◽  
Human Right ◽  
Derechos Humanos ◽  
Right To Work ◽  
The People ◽  
The One ◽  
The Right ◽  
Almost All ◽  
Unemployed Individual

ResumenSin duda alguna, en épocas de crisis como la que vivimos desde hace años, que se ha mostrado especialmente intensa en España, el Derecho al trabajo es uno de los que resultan más perjudicados. Se trata de un Derecho fundamental del ser humano y, como tal, aparece recogido en la Declaración Universal de Derechos Humanos, formando parte de ese “ideal común” que todos los pueblos y naciones deben esforzarse en conseguir. En España, el desempleo ha alcanzado niveles tan elevados que se ha convertido en la principal preocupación de los españoles (prácticamente en todas las familias hay al menos un miembro en “paro”). La situación es desoladora, habiéndose llegado a rozar los 6 millones de trabajadores en situación de desempleo, resultando evidente que el país debe continuar la reforma en el ámbito laboral poniendo en práctica políticas activas que permitan la reducción de esta cifra y la normalización del mercado de trabajo. Sin embargo, no menos importante será la adopción de medidas para la protección de los millones de desempleados, que viéndose privados de trabajo, principal fuente de ingresos para la mayoría de ellos, carecen de los recursos necesarios para hacer frente a sus necesidades básicas y las de sus familias.AbstractWithout any doubt, in times of crisis, as the one we have been currently living for years, the right to work has been particularly affected. It is a Fundamental Human Right, as it is expressed in the Universal Declarationof Human Rights, shaping this “common ideal” towards which all the people and nations must try to achieve. In Spain, unemployment has reached such levels that it has become the main subject of preoccupation among Spaniards (in almost all families, there is at least one unemployed individual). The situation is devastating, as almost 6 million of people are unemployed, urging the country to carry on its labour reforms, implementing active policies that enable to reduce this number and to normalize the labour market. It will be also important to adopt some measures to protect millions of unemployed individuals who, having no job, (as the main source of income for them), are lacking the necessary means to cope with the basic needs of themselves and their families. ResumoSem dúvida, em tempos de crise como a que temos vivenciado há anos, e que tem demostrado ser particularmente intensa na Espanha, o direito ao trabalho tem sido particularmente prejudicado. Trata-se de um direito humano fundamental e como tal, aparece na Declaração Universal dos Direitos Humanos, formando parte desse “ideal comum” que todos os povos e nações devem buscar realizar. Na Espanha, o desemprego atingiu níveis tão elevados que se tornou a principal preocupação dos Espanhóis (praticamente todos em todas as famílias lares têm pelo menos um membrosem emprego). A situação é sombria, tendo em vista que há quase 6 milhões de desempregados, exigindo que o país prossiga com suas reformas trabalhistas, implementando políticas públicas ativas que permitam reduzir essa cifra e normalizar o mercado do trabalho. Torna-se importante adotar medidas que protejam os milhões de desempregados que, sem emprego– principal fonte de ingressos para a maioria deles –, carecem dos recursos necessários às suas necessidades básicas e de suas famílias.

Women’s Perceptions of Their Right to Choose the Place of Childbirth: A Qualitative Study

2012 ◽  
Vol 2 (4) ◽  
pp. 230-240
Author(s):  
Eleni Hadjigeorgiou ◽  
Christiana Kouta ◽  
Evridiki Papastavrou ◽  
Irena Papadopoulos ◽  
Lena B. Mårtenson
Keyword(s):  
Health Professionals ◽  
Maternity Care ◽  
Health Care Systems ◽  
Informed Choice ◽  
Field Work ◽  
Phenomenological Approach ◽  
Women’S Perceptions ◽  
Care Systems ◽  
Republic Of Cyprus ◽  
The Right

OBJECTIVE: To explore Greek Cypriot women’s perceptions of their right to choose the place of childbirth.DESIGN: This study is qualitative and is based on Husserl’s phenomenological approach. The field work extended over a 6-month period in 2010–2011.SETTING: In all cities of the Republic of Cyprus.PARTICIPANTS: Purposive sample of 55 women within 1 year after birth. Forty-eight women were recruited for semistructured interviews and six of them took place in first focus group. The second group consisted of seven women that did not participate in interviews.RESULTS: Women’s perceptions were categorized into four themes: (a) informed choice for birth place, (b) trusting relationship with health professionals, (c) medicalization of childbirth, and (d) safety of the mother and baby.CONCLUSIONS: There is no equity and accessibility in Cyprus maternity care system because it does not provide correct information and accessibility to all birthplace choices. This study demonstrated the need to explore women’s views before formulating policy for maternity care. These views will be helpful for the creation of an innovative evidence-based maternity care policy, taking into account women’s needs, and will be helpful to raise awareness among health professionals for maternity care improvement.IMPLICATIONS FOR PRACTICE: Ensuring the right for birthplace choices is a social and political necessity that enhances the existing health care systems and health professionals to provide quality and holistic maternity care. Conducting more studies on maternity care in Cyprus will reinforce the aim for improving the health of the women, neonates, and society.

scholarly journals Right to Health and the Social Determinants of Health in the Face of COVID-19. Tthe Spanish Experience after Austerity Policies

2021 ◽  
pp. 220-241
Author(s):  
Carlos Lema Añón
Keyword(s):  
Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Health Care Systems ◽  
Right To Health ◽  
Determinants Of Health ◽  
The Face ◽  
Care Systems ◽  
The Right ◽  
The Impact

The COVID-19 pandemic has particularly affected Spain in 2020. Although the specific causes and Spain’s response—as well as the aspects to be improved—are yet to be evaluated, many experts agree that this crisis has magnified some of the problems of the Spanish health system, highlighting the problems derived from the cuts in the capacities of the health and public health systems. We assess the current situation from the perspective of the right to health in its twofold dimension: health care and social determinants. For this purpose, we look into the configuration of the right to health in Spain and how the economic crisis and austerity policies affected it. In particular, we consider the impact both on institutional health care systems and in terms of social determinants of health. Finally, we make several proposals for strengthening the right to health.

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