scholarly journals Role of internal medicine in a new model of hospital: a proposal of Tuscany’s FADOI

2013 ◽  
pp. 65-69 ◽  
Author(s):  
M. Alessandri ◽  
C. Bartolomei ◽  
M. Bernardini ◽  
G. Landini ◽  
R. Laureano ◽  
...  

BACKGROUND The Tuscany’s FADOI society proposes the role of internal medicine in a new model of hospital care. The cornerstones of this new model are the “care intensity” and the “department”. We propose that hospital care should be organized so that the patient and his needs represent the core of this care system, in accordance with the idea of the progressive patient care. This aim can be obtained by dividing the hospital’s areas for intensity of care and, therefore, going beyond the present model of hospital care, where the patients are treated in specialty divisions. This new model of care may find its own execution within the department. For medical area, the department of medicine undoubtedly offers a strong multidisciplinary integration and favours the organization for intensity of care. The management of a large amount of patients should be left to the internist. In fact, because of his olistic formation, this clinician seems more appropriate than the other specialists to play this role. The specialists will take care of those patients who suffer from disturbances with a strong specialistic characterization, and in other cases acting as consultants. CONCLUSIONS In Tuscany we can now view various experiences which are trying to experiment this model. Results are encouraging. Starting from these results and greatly believing in them, we offer this contribute to the internists who work in hospital, persuaded to draw from them useful matters for discussion.

2020 ◽  
Vol 18 (2) ◽  
pp. 91-110
Author(s):  
Marta Balcerek-Kosiarz ◽  

The aim of the article is to indicate a new direction of research on the evolution of system models of local self-government in Germany in the perspective of communalization and de-communalization. Communalization can be used to explain legal regulations of a local government, which are similar to the South German model and, on the other hand, to explain how analogous regulations that strengthen the role of the legislative body, both in the municipal self-government and in the county self-government, function in the same federal states. De-communalization enables to investigate the role of starosta (Starost) in the organizational structure of county self-government. The core result of the study is the fact that on the basis of the three research criteria (geographic, historic, and the range of relations between legislative and executive bodies) the process of communalization of municipal self-governments and county self-governments in 11 federal states has been duly corroborated.


2020 ◽  
Vol 61 (2) ◽  
pp. 252-271
Author(s):  
Elyssa Livergant

February 2010. The lights are off. As I adjust to the dark I can make out shapes of others scattered around the room. Disoriented and uncertain I wait for some sign or direction of what to do. The air is thick with anticipation, but as time drags it becomes clear that no instructions are coming. Then it begins all around me. Sat in the dark in a workshop in the courtroom studio of Toynbee Studios, I begin to feel anxious. I see the outline of another body in front of me and I panic. I should do something. I reach for anything that might keep things working, that might keep play going. Does anyone want to dance, I ask. I waltz. I sense someone dancing behind me.In what follows I think through my participation in a 2010 workshop led by Anne Bean, recounted in part above, to understand better the role of play in the conditions of production for theatre and performance under capital. Bean is an interdisciplinary artist, belonging to (or claimed by) multiple experimental art scenes, including visual, performance, and sound art, who has been a central figure of European live art since the 1970s. The workshop, which was conducted largely in the dark and focused on the aestheticization of cooperation through an emphasis on its participants doing play was held at Artsadmin's Toynbee Studios, the influential UK arts producing organization's home in East London. This article puts my account of Bean's workshop in conversation with Victorian economist Arnold Toynbee's demand for a new capitalist morality. Toynbee's appeal was, of course, not directed at me or the other workshop participants disoriented and uncertain in the dark. But, I argue, the situation of play that arose in Bean's workshop is a contemporary iteration of what Toynbee called a gospel of life, a term referring to a commitment to self and civic betterment at the core of a burgeoning capitalist morality. The connection between the shaping of Victorian labor practices and the staging of cooperation between participants in Bean's contemporary workshop is the basis for this essay's core assertion: that the value of play as a counterpoint to work within practices and discourses of theatre and performance needs considerable rethinking.


Etyka ◽  
1974 ◽  
Vol 13 ◽  
pp. 127-132
Author(s):  
Leonid Archangielski

In Soviet ethical literature, the study of the language of morals is denoted as “the study of ethical categories”. These categories include the concepts of good and evil, duty, conscience, dignity, happiness and meaning of life. The set of categories is open but these traditional categories will always constitute the core of the system of ethical concepts. Remarkable difficulties in interpreting the nature of ethical categories result from the fact that they develop on the borderland between two forms of social consciousness – morality and ethics conceived of as the science of morals. Thus, on the one hand, they are scientific notions, but, on the other, they retain the specific qualities of morality: prescriptivity, evaluativeness and evocativeness. While professing his allegiance to the programme of Marxist ethics as a science intended to develop a system of ethical categories the author points out the danger of overrating the role of the economic factor as this may lead to misapprehending the specific qualities of ethics.


PEDIATRICS ◽  
1995 ◽  
Vol 96 (2) ◽  
pp. 376-376
Author(s):  
James E. Shira

The Committee on Hospital Care (COHC) was indeed remiss in failing to include the hospital pharmacist in the list and description of essential unit personnel in its statement "Staffing Patterns for Patient Care and Support Personnel in a General Pediatric Unit."1 The omission was truly unintentional and unfortunate. We sincerely appreciate Dr Oddis' valuable comments and wholeheartedly concur with his message that pharmacists provide many essential services both to patients and the other members of the health care team on the pediatric unit.


2008 ◽  
Vol 37 (7) ◽  
pp. 429-431 ◽  
Author(s):  
Susan E. Noffke

Three issues emanating from the Bulterman-Bos article (2008) form the core of this commentary. First, the issue of relevancy is addressed from the standpoint of action research and other forms of practitioner inquiry. From this perspective, the divisions between the cultures of university and school are addressed both ways: Each can potentially be transformed by research emanating from the other. Second, another view of the role of theory in research is offered, one that builds on the inherently political dimensions of educational practices, whether in universities or elsewhere. Finally, global changes in the nature of knowledge production demand that research enhance its capacity to work for social justice.


PEDIATRICS ◽  
1995 ◽  
Vol 96 (2) ◽  
pp. 376-376
Author(s):  
Joseph A. Oddis

We noted with interest the report of the American Academy of Pediatrics' Committee on Hospital Care entitled "Staffing Patterns for Patient Care and Support Personnel in a General Pediatric Unit" that was published in Pediatrics.1 For the most part we found the document to be well-written and comprehensive, but we were surprised that it makes no mention of the role of pharmacists. We believe that pharmacists are integral to the care of patients in pediatric units.


2019 ◽  
Vol 26 (12) ◽  
pp. 1-9
Author(s):  
Gail Kingston ◽  
Tilley Pain ◽  
Kym Murphy ◽  
Michelle Bennett ◽  
Michelle Watson

Background/Aims This study was conducted at a regional tertiary referral facility in Australia. It was part of a project to implement a new model of care for occupational therapy services on medical wards. Before the new model was implemented, focus groups were conducted to explore the perceived role of the occupational therapist on the acute medical ward, identify potential barriers to changing the service and garner support for the change in service. Methods Three focus groups were held. The groups consisted of nursing, physiotherapy and speech pathology staff who worked on acute medical wards. Participants were asked for their perception of the role of occupational therapy on the acute medical ward. Audio-recordings of the groups were transcribed and analysed. Results Qualitative content analysis highlighted the following themes: assessment of patient function; ‘safe discharge’; more than assessment; equipment and home modifications; collaboration and communication; delegating tasks to assistants; and specialist intervention strategies. Conclusions Multidisciplinary team members' overriding perception is that occupational therapists in acute care settings provide assessment of patient function for the specific purpose of safe discharge. Some participants recalled that occupational therapists had a greater role in ensuring patients returned to their chosen function through rehabilitation and home visits, suggesting support for a change to our proposed post-acute model of care. Concerns highlighted by focus group members regarding increased workload for multidisciplinary team members and loss of communication need to be addressed to ensure the change in service is successful.


2016 ◽  
Vol 44 (3) ◽  
pp. 295-325 ◽  
Author(s):  
Mattia Thibault

The aim of the article is to introduce an approach to play based on semiotics of culture and, in particular, grounded in the works and ideas of Juri Lotman. On the one hand, it provides an overview of Lotman’s works dedicated to play and games, starting from his article on art among other modelling systems, in which the phenomenon of play is treated deeply, and mentioning Lotman’s articles dedicated to various forms of play forms, such as involving dolls and playing cards. On the other hand, it applies a few Lotmanian theories and ideas to playfulness in order to shed some light on this highly debated, as well as intriguing, anthropic activity. Thus, the paper approaches some of the core questions for a play theory, such as the definition of play, the cultural role of toys and playthings, the importance of unpredictability, the position held by playfulness in the semiosphere and, finally, the differences and commonalities between play and art. Lotman’s theories and works, often integrated by other existing semiotic or ludologic perspectives offer an extremely insightful and fresh take on play and illustrate the great heuristic potential of semiotics of culture.


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