scholarly journals Paramedic patient advocacy: a review and discussion

Author(s):  
Alan Batt ◽  
Gerard Ward ◽  
Joseph Acker

Introduction: Patient advocacy is an often encountered term, but one for which no consistent definition exists. Advocacy is a new and developing role of the paramedic that is closely linked to the developing professionalism of paramedicine, along with the expanding role of the paramedic as a healthcare professional in the community. This role however requires exploration and clarification. Methods: A literature search was performed of multiple databases, including MEDLINE, EMBASE, CINAHL and prominent paramedic journals. Results: No published literature investigating the theory or practice of paramedic patient advocacy, the potential conflicts and benefits of this role, or the perceived and actual barriers to advocacy paramedics face was discovered. Conclusion: The following literature review and discussion investigate the concept of paramedic patient advocacy, the contexts in which advocacy may take place, potential barriers, benefits and conflicts. Proposals are also included for areas requiring further research.

2016 ◽  
Vol 37 (2) ◽  
pp. 126-133 ◽  
Author(s):  
C. Miller ◽  
V. Pradeep ◽  
M. Mohamad ◽  
Z. Izmeth ◽  
M. T. P. Reynolds ◽  
...  

IntroductionThe direct involvement of patients and carers in psychiatric education is driven by policy in the United Kingdom and Ireland. The benefits of this involvement are well known, however, it is important to consider the ethical aspects. This paper suggests how further research could explore and potentially mitigate adverse outcomes.MethodA literature search evaluating the role of patients and carer involvement in psychiatric education was undertaken to summarise existing evidence relating to the following: methods of involvement, evidence of usefulness, patient’s/carer’s views and learners’ views.ResultsThe Medline search produced 231 articles of which 31 were included in the literature review based on the key themes addressed in the paper.Discussion/conclusionThe available evidence is generally positive regarding the use of patients and carers in psychiatric education. However, available research is varied in approach and outcome with little information on the ethical consequences. More research is required to inform policies on teaching regarding potential adverse effects of service user involvement.


2011 ◽  
Vol 1 (2) ◽  
pp. 32 ◽  
Author(s):  
Mohammed Mohsin Uzzaman ◽  
Muhammed Rafay Sameem Siddiqui

The most commonly encountered complication after haemorrhoidectomy is post-operative pain. Relief of this pain may aid earlier recovery. A literature search was performed examining the different surgical and medical agents for the relief of post haemorrhoidectomy pain using Pubmed, MEDLINE, EMBASE, CINAHL and Cochrane library databases. Pain can be relieved by surgical or medical agents. Surgery incorporates a risk of incontinence. A number of studies examine the role of medical agents.A variety of surgical techniques and medical agents are available to the clinician in the treatment of post haemorrhoidectomy pain. Tailored management to individual patients should ensure appropriate symptomatic control and prompt recovery.


Diagnostics ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 935
Author(s):  
Joanna Jaworska ◽  
Anna Komorowska-Piotrowska ◽  
Andrzej Pomiećko ◽  
Jakub Wiśniewski ◽  
Mariusz Woźniak ◽  
...  

This evidence-based consensus aims to establish the role of point-of-care lung ultrasound in the management of pneumonia and bronchiolitis in paediatric patients. A panel of thirteen experts form five Polish tertiary pediatric centres was involved in the development of this document. The literature search was done in PubMed database. Statements were established based on a review of full-text articles published in English up to December 2019. The development of this consensus was conducted according to the GRADE (Grading of Recommendations, Assessment, Development and Evaluations)—adopted and Delphi method. Initially, 22 proposed statements were debated over 3 rounds of on-line discussion and anonymous voting sessions. A total of 17 statements were agreed upon, including four statements referring to general issues, nine referring to pneumonia and four to bronchiolitis. For five statements experts did not achieve an agreement. The evidence supporting each statement was evaluated to assess the strength of each statement. Overall, eight statements were rated strong, five statements moderate, and four statements weak. For each statement, experts provided their comments based on the literature review and their own experience. This consensus is the first to establish the role of lung ultrasound in the diagnosis and management of pneumonia and bronchiolitis in children as an evidence-based method of imaging.


2020 ◽  
Vol 6 (1) ◽  
pp. 258-260
Author(s):  
Chaula Luthfia Sukasah ◽  
Indri Aulia ◽  
T. Fadli Nazwan Sani

Background : A Surgeon should have good leadership. Leadership plays an important role in improving health services. Leadership can shape a better future.  Method : A literature search was conducted in November 2019. Related keywords were applied to Pubmed, Medline, and SCOPUS for studies published in the last five years. Relevant research is taken to be used as the discussion material. Result : The key to surgical leadership is collaboration and cooperation, humanism and mentorship, and operational efficiency. Conclusion: Effective leadership in a surgical team has the following characteristics: (1) Defines the role of a leader clearly, especially in critical situations; (2) Leadership style that suits the clinical situation; (3) Clear directions to team members; (4) Consistently seeking input from team members; (5) Involving members in decision making.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Kabbani ◽  
J Kabbani

Abstract Introduction The role of technology in surgery is continuously evolving, with the use of Virtual Reality (VR) transcending specialties for both practical and educational purposes. VR measures, analyses, and incorporates information into computer-generated environments and has been increasingly used in dermatology. We performed a literature review to assess the merits of VR for dermatological surgery training. Method A literature search of PubMed was conducted using the key words “surgery”, “dermatology” and “virtual”. Primary studies assessing the merits of VR for dermatological surgery training were included. Results Of 51 articles found, 7 discussed the application of VR in dermatological surgery. Proposed benefits include improved knowledge-retention in trainees, possibly due to the removal of time restrictions imposed with physical cases, as well as increased exposure to rarer presentations. However, concerns include cost considerations and reduced opportunities for developing communication skills. Although VR tools for practicing communication exist, their effectiveness and impact on behaviour remain undetermined. Conclusions The use of VR for training in other surgical specialties, alongside demonstrated benefits in the use of VR for dermatological surgery, lends merit to further assessment and incorporation of VR in dermatology training. However, clinicians should be wary of neglecting “soft skills,” such as communication.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
T El-nakhal ◽  
S Eid ◽  
W Al-Jundi

Abstract Aim to describe good outcomes in a case with Aortic graft infection (AGI) managed with Bovine patch and outline management of AGI. Method Literature review utilising keywords ‘’Aortic graft infection’’AND’’Bovine Patch’’ revealed initially 1350 articles, all studies in English were included, all duplicates were removed, screening was performed using the PRISMA flow. To correlate with the findings, we followed up a 72-year-old patient who presented with aortic graft infection followed by graft explantation and a fashioned Bovine graft insertion and followed up for 1 year for any re-infection in the clinics. Results Literature search resulted 73 articles discussing the role of Bovine Patch as a choice in prevention of Aortic graft re-infection. In our case, there was no clinical nor radiological evidence of Bovine patch re-infection for over a year. Literature review showed that AGI is a rare but serious complication with mortality up to 60%.The main management is IV antibiotics, followed by graft explantation and consideration of re-implantation of various types of grafts. The European society of vascular surgery (ESVS) guidelines recommend re-implantation with an aortic antibiotic soaked graft, yet re-infection rate is quoted at 20%. however, in our case Bovine graft was free from re-infection at 1 year follow up. Conclusions IV anitbioics and explantation remain the mainstay for treatment of aortic grafts infection, however, there is increasing evidence that Bovine grafts show excellent freedom from re-infection at follow up. Hence, this might be the conduit of choice when performing such surgeries; however, more evidence is needed.


2019 ◽  
pp. 121-143
Author(s):  
Riccardo Resciniti ◽  
Federica De Vanna

The rise of e-commerce has brought considerable changes to the relationship between firms and consumers, especially within international business. Hence, understanding the use of such means for entering foreign markets has become critical for companies. However, the research on this issue is new and so it is important to evaluate what has been studied in the past. In this study, we conduct a systematic review of e-commerce and internationalisation studies to explicate how firms use e-commerce to enter new markets and to export. The studies are classified by theories and methods used in the literature. Moreover, we draw upon the internationalisation decision process (antecedents-modalities-consequences) to propose an integrative framework for understanding the role of e-commerce in internationalisation


2016 ◽  
pp. 43-47
Author(s):  
O.V. Basystyi ◽  

The data of domestic and foreign literature on etiology, pathogenesis and intrauterine growth retardation diagnosis are presented in the paper. It highlights pathogenetic role of nitric oxide deficiency in case of obstetric complications and intrauterine growth retardation. Key words: intrauterine growth retardation (IUGR), system L-arginin–NO, obstetric complications.


2018 ◽  
pp. 57-67
Author(s):  
P. E. Tulin ◽  
M. B. Dolgushin ◽  
D. I. Nevzorov ◽  
P. V. Kochergin ◽  
Yu. I. Patyutko

Pancreatic cancer has a poor prognosis, often because most pancreatic neoplasms are found to be unresectable at diagnosis. Early staging of the tumor process can change the tactics of treatment and affect the survival of patients. The purpose of this review is to provide an overview of pancreatic cancer and the role of modern imaging in its diagnosis with an emphasis on PET/CT with a various radiopharmaceuticals.


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