scholarly journals TELEMEDICINE USE DURING COVID-19 PANDEMIC : PROSPECTS AND CHALLENGES

2021 ◽  
Vol 8 (3) ◽  
pp. 225-233
Author(s):  
Muhammad Luthfi Adnan ◽  
Miranti Dewi Pramaningtyas
Keyword(s):  
Clinical Practice ◽  
Medical Practice ◽  
Google Scholar ◽  
At Home

Pendahuluan: Infeksi COVID-19 telah menjadi salah satu permasalahan kesehatan global saat ini. Kebijakan physical distancing dan karantina mandiri yang dilakukan untuk memutuskan rantai penularan penyakit menyulitkan interaksi antara dokter dan pasien. Telemedicine merupakan layanan kesehatan jarak jauh menggunakan sarana elektronik untuk mendiagnosis, pengobatan, dan pencegahan penyakit dan cedera, penelitian dan edukasi, pendidikan penyedia layanan kesehatan untuk meningkatkan kesehatan. Tujuan dari tinjauan pustaka ini adalah membahas mengenai penggunaan telemedicine selama pandemi COVID-19 saat ini dan tantangan penggunaanya untuk pemanfaatannya bagi praktek medis di masa depan. Metode: Pencarian literatur dilakukan dengan menggunakan mesin pencari PubMed, Science Direct dan Google Scholar. Pencarian literatur dengan menggunakan kombinasi kata kunci “clinical practice”, “COVID-19”, ”telemedicine”, “telehealth”, “management” dan “medical practice”. Pembahasan: Krisis COVID-19 saat ini menyebabkan meningkatnya beban sistem kesehatan. Penggunaan telemedicine dapat menerapkan konsep “hospitality at home” yaitu perawatan medis di rumah, dimana perawatan di rumah dalam beberapa kondisi lebih baik dibandingkan perawatan di rumah sakit. Namun penggunaan telemedicine saat ini masih kurang mendapatkan perhatian oleh para dokter dan pembuat kebijakan kesehatan sehingga penggunaan telemedicine belum bisa dimaksimalkan. Simpulan: Penggunaan teknologi telemedicine dapat membantu aktivitas dokter dalam interaksi perawatan pasien. Penelitian lebih lanjut diperlukan untuk meningkatkan efektifitas telemedicine untuk praktek dokter yang lebih baik di masa depan.

Integral Metatheory in the Time of COVID: Implications for Medical and Nursing Teaching and Practice

2021 ◽  
pp. HumanCaring-D-20-00027
Author(s):  
Stephen J. Darcy
Keyword(s):  
Nursing Education ◽  
Clinical Practice ◽  
Patient Care ◽  
Medical Practice ◽  
Potential Application ◽  
Illness Experience ◽  
Comprehensive View ◽  
Practice Of Medicine ◽  
Basic Concepts ◽  
Interpretive Framework

Ken Wilber's integral metatheory is an interpretive framework that can that be applied to the clinical practice of medicine and medical and nursing education. It offers a comprehensive view of the patient illness experience superior to current models of patient care and may provide a valuable guide for nursing and medical practice and teaching. This article seeks to explain some of the basic concepts of integral metatheory and show their potential application to practice and teaching using the current COVID-19 pandemic as an illustrative model.

Ethics in Medical Practice and Research

2021 ◽  
Vol 10 (1) ◽  
pp. 54-56
Author(s):  
Pramod Kattel
Keyword(s):  
Clinical Practice ◽  
Treatment Group ◽  
Medical Practice ◽  
Human Subject ◽  
Codes Of Conduct ◽  
Basic Sciences ◽  
Medical Practitioners ◽  
Medical Curricula ◽  
Trained Personnel ◽  
Standard Of Practice

Ethics is a moral guide that helps the treatment group to be treated with due respect and care following the standard of practice. It also helps the research to be conducted without or minimal harm to the population under study. Besides ethics, clinical practice and research are guided by some nationally and internationally accepted principles or codes of conduct. The human subject under treatment or study should be respected to the utmost level and should be performed by trained personnel. The importance of ethics starts before studies so should be kept in medical curricula starting from basic sciences so that medical practitioners become acquainted from the beginning of the study.

Adrenal incidentaloma

2011 ◽  
pp. 781-788
Author(s):  
Massimo Terzolo
Keyword(s):  
Clinical Practice ◽  
Medical Practice ◽  
Adrenal Mass ◽  
Adrenal Incidentaloma ◽  
Specific Diagnosis ◽  
Incidental Discovery ◽  
Definition Of ◽  
Adrenal Disease ◽  
Ct And Mri

Adrenal incidentaloma is an adrenal mass that is discovered serendipitously with a radiological examination performed for indications unrelated to adrenal disease (1). The incidental discovery of an adrenal mass has become an increasingly common problem, because of the widespread use of ultrasonography, CT, and MRI in clinical practice (2, 3). These techniques have greatly improved their power of resolution over recent years, thereby increasing the possibility of detection of tiny adrenal lumps. Several factors hinder a clear characterization of the phenomenon ‘adrenal incidentaloma’, which may be considered as a byproduct of technology applied to medical practice. Adrenal incidentaloma is not a single pathological entity and the likelihood of any specific diagnosis depends both on the circumstances of discovery and the applied definition of incidentaloma. Unfortunately, published reports are inconsistent in applying inclusion and exclusion criteria for these various factors, making the results difficult to interpret. A further issue is the lack of specific clinical features of the patients carrying an adrenal incidentaloma.

The role of diagnosis in medical practice and society

2019 ◽  
pp. 17-33
Author(s):  
Ahmed Samei Huda
Keyword(s):  
Clinical Practice ◽  
Medical Practice ◽  
Clinical Information ◽  
Relevant Information ◽  
Access To Healthcare ◽  
Social Effects ◽  
Health Statistics ◽  
Social Functions ◽  
Teaching And Research

Organization of knowledge is needed to help doctors learn and recall information in their clinical practice. Diagnostic constructs help, providing prototypes against which doctors can diagnose patient conditions. They then seek to confirm or disprove this diagnosis by searching for relevant information. Attached to these diagnostic constructs are information such as causes, prognosis, and treatment. Diagnostic constructs are provisional and should be changed if information suggests they are incorrect. They also aid communication between professionals for teaching and research, and have important social functions such as providing access to healthcare, determining eligibility for welfare, offering administrative and payment functions, and collecting health statistics. Some social effects of diagnostic constructs can be harmful, such as stigma. Diagnostic constructs are included in broad diagnostic formulations including relevant clinical information.

Women in otorhinolaryngology: a historical perspective

2018 ◽  
Vol 132 (8) ◽  
pp. 670-672 ◽  
Author(s):  
S Konstantinidou ◽  
M Adams
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Historical Perspective ◽  
Google Scholar ◽  
Modern Times ◽  
History Of ◽  
Ancient Times ◽  
Nineteenth And Twentieth Centuries ◽  
Women Pioneers ◽  
The Way

AbstractBackgroundOtorhinolaryngology has an extensive history that spans nearly five millennia, and the history of women as medical and surgical practitioners stretches back to at least 3500 BC.ObjectivesTo explore the history of women in ENT from ancient to modern times, and discover their fascinating role in this field over the years.MethodA literature review was conducted using Google Scholar and PubMed.ResultsIn ancient and medieval times, there were female doctors accomplished in areas pertaining to ENT. In the nineteenth and twentieth centuries, inspirational women pioneers paved the way for modern female ENT surgeons. This led to a rapid increase in the representation of female otorhinolaryngologists in clinical practice and authorship over the last fifty years.ConclusionThe contribution of women to otorhinolaryngology has evolved since ancient times and the greatest advancement has occurred within the last two hundred years.

scholarly journals Preferences on Vital and Nonvital Tooth Bleaching: A Survey Among Dentists from a City of Southern Brazil

2013 ◽  
Vol 24 (5) ◽  
pp. 527-531 ◽  
Author(s):  
Flávio Fernando Demarco ◽  
Marcus Cristian Muniz Conde ◽  
Caroline Ely ◽  
Eliana Nascimento Torre ◽  
José Ricardo Souza Costa ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Graduate Training ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Tooth Bleaching ◽  
Southern Brazil ◽  
Chi Square ◽  
Cross Sectional ◽  
First Choice ◽  
At Home

This study evaluated the preferences of general dentists regarding vital and nonvital tooth bleaching therapies and investigated whether the time of clinical practice and post-graduate training influence these options. A cross-sectional study was conducted using a questionnaire with closed questions applied to dentists (n=276) of a mid-sized city of the southern Brazil (Pelotas, RS). Information was collected regarding sociodemographic variables, level of specialization and time since graduation. In addition, options regarding bleaching therapies including the first choice of material, technique and clinical practice for vital and nonvital tooth bleaching therapies were included. Data were submitted to descriptive analysis and the associations were evaluated using chi-square and Fisher exact tests (α=0.05). The response rate was 68% (n=187). At-home bleaching therapy was broadly preferred (78.1%) over in-office (21.9%) bleaching. For at-home bleaching, most dentists answered to use 10% carbamide peroxide (CP) (40.2%) and >30% hydrogen peroxide (HP) (31.7%) for nonvital therapies. The majority of dentists with post-graduation training preferred at-home bleaching techniques (p=0.003). At-home bleaching therapy was also more indicated by younger dentists. No association was found between the choice for nonvital bleaching therapies and time since graduation (p=0.532) or continuous education (p=0.083). In conclusion, at-home bleaching was preferred over in-office therapies; 10% CP and >30% HP were chosen as first option agents to treat discolored vital and nonvital teeth, respectively. The time in clinical practice and the level of specialization affected dentists' choices only for vital tooth bleaching treatment.

scholarly journals SIGNIFICANCE AND APPLICATION OF NANOTECHNOLOGIES IN DENTISTRY

2021 ◽  
Vol 10 (34) ◽  
Author(s):  
S.S GRECHIKHIN ◽  
Keyword(s):  
Clinical Practice ◽  
Medical Practice ◽  
Educational System ◽  
Daily Clinical Practice ◽  
High Quality ◽  
Potential Applications ◽  
Materials Used ◽  
Modern Application

Nanotechnology is a promising industry within the educational system of teaching. The emerging science of nanotechnology, especially in dental and medical practice, has sparked the interest of many researchers in their potential applications and advantages over traditional materials used. Currently, there are many studies in the field of nanotechnology in the field of dentistry. The purpose of this study was to evaluate the application of nanotechnology in the field of dentistry and their benefits. Therefore, understanding how these materials can be used in our daily clinical practice requires a deeper understanding of the science behind nanotechnology. This article presents nanoscience, as well as the advantages and limitations of nanotechnology. In addition, our study will examine nanodialogue in dental diagnostics, the dental prevention. Thus, the scientific aspects, significance and modern application of nanotechnologies in dentistry are highlighted. Based on this, the use of nanotechnologies, especially in dentistry and medicine, has a number of advantages over the traditional materials used, since they are more efficient, accessible, structured, meet all modern parameters and are of high quality.

scholarly journals A Systematic Review of Unpublished and Non-Refereed Music Therapy Mental Health Papers Found via Google Scholar

2018 ◽  
Vol 18 (2) ◽  
Author(s):  
Melody R Peterson ◽  
Michael J Silverman
Keyword(s):  
Mental Health ◽  
United States ◽  
Systematic Review ◽  
Clinical Practice ◽  
Music Therapy ◽  
The United States ◽  
Google Scholar ◽  
Future Research ◽  
Mental Health Literature ◽  
Doctoral Dissertations

As Google Scholar searches yield unpublished papers, it may inadvertently impact the perception of the music therapy literature for clinicians, researchers, and service users. Therefore, the purpose of this systematic review was to identify and analyze the current literature comprised of unpublished and non-refereed papers regarding music therapy and mental health from January 2000 to September 2017 located via Google Scholar. After establishing inclusion and exclusion criteria, papers were identified using a variety of combinations of music therapy and mental health keywords. Twenty-one papers met inclusion criteria. Sixteen papers were master’s theses and five were doctoral dissertations. Almost half of the papers (n = 8) involved adolescents with mental health diagnoses. Although not all papers contained data, more papers contained qualitative data (n = 10) than quantitative data (n = 3). The unpublished music therapy and mental health literature may represent a valuable resource for guiding clinical practice and research. As the majority of authors were affiliated with universities outside the United States, perhaps there is greater interest in mental health outside the United States. It is concerning that many identified papers required additional login credentials. Implications for clinical practice, limitations, and suggestions for future research are provided.

scholarly journals Children with COVID-19 like symptoms in Italian Pediatric Surgeries: the dark side of the coin

2020 ◽  
Author(s):  
Gianfranco Trapani ◽  
Vassilios Fanos ◽  
Enrico Bertino ◽  
Giulia Maiocco ◽  
Osama Al Jamal ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Practice ◽  
Gastrointestinal Symptoms ◽  
Cost Effective ◽  
Pediatric Care ◽  
Dark Side ◽  
Risk Level ◽  
Italian Regions ◽  
Clinical Differential Diagnosis ◽  
At Home

BACKGROUND: Symptoms of SARS-CoV-2 infection in children are nonspecific and shared with other common acute viral illnesses (fever, respiratory or gastrointestinal symptoms, and cutaneous signs), thus making clinical differential diagnosis tricky. In Italy, first line management of pediatric care is handed over to Primary Care Pediatricians (PCPs), who were not allowed to directly perform diagnostic tests during the recent COVID-19 outbreak. Without a confirmatory diagnosis, PCPs could only collect information on ″COVID-19 like symptoms″ rather than identify typical COVID-19 symptoms. AIM: To evaluate the prevalence of COVID-19 like symptoms in outpatient children, during Italian lockdown. To provide PCPs a risk score to be used in clinical practice during the differential diagnosis process. METHODS: A survey was submitted to 50 PCPs (assisting 47,500 children) from 7 different Italian regions between the 4th of March and the 23rd of May 2020 (total and partial lockdown period). COVID-19 like symptoms in the assisted children were recorded, as well as presence of confirmed/suspected cases in children′s families, which was taken as proxy of COVID-19. Multivariable logistic regression was accomplished to estimate the risk of having suspected/confirmed cases in families, considering symptoms as potential determinants. RESULTS: 2,300 children (4.8% of overall survey population) fell ill with COVID-19 like symptoms, 3.1% and 1.7% during total and partial lockdown period respectively. The concurrent presence of fatigue, cough, and diarrhea in children, in absence of sore throat/earache and abnormal skin signs, represents the maximum risk level of having a suspected/confirmed case of COVID-19 at home. CONCLUSIONS: The percentage of children presenting COVID-19 like symptoms at home has been remarkable also during the total lockdown period. The present study identified a pattern of symptoms which could help, in a cost-effective perspective, PCPs in daily clinical practice to define priorities in addressing children to the proper diagnostic procedure.

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