scholarly journals Workplace Support Systems in Small- and Medium-Sized Companies for Employees Receiving Medical Treatment in Japan

2020 ◽  
Vol 12 (3) ◽  
pp. 91
Author(s):  
Ryoko Rikitake ◽  
Satoru Kamitani ◽  
Miyako Takahashi ◽  
Takahiro Higashi
Keyword(s):  
Medical Treatment ◽  
Chronic Diseases ◽  
Support Systems ◽  
Medical Condition ◽  
Marketing Research ◽  
Medical Treatments ◽  
Work Arrangements ◽  
Medical Needs ◽  
Workplace Policies ◽  
Therapeutic Needs

BACKGROUND: Maintaining one’s current job is important for patients. Few studies have investigated the presence of support systems in small- and medium-sized companies to help balance the therapeutic needs and occupational roles of workers in Japan. AIMS: To understand whether small- and medium-sized companies in Japan have established workplace policies to help employees with chronic disease balance medical treatment and professional life. METHODS: We surveyed a sample of small- and medium-sized companies in Japan identified from a large database of corporate credit and marketing research companies between February and March 2017. A questionnaire addressed workplace policies that supported employees’ medical treatments and professional lives, such as flexible work arrangements and the preparation of manuals and forms to facilitate communication with treating physicians. RESULTS: Of the 4158 companies initially contacted, 1140 companies (27%) responded to the survey. Of the valid respondents, 21% of the workplaces reported having established sufficient office rules to address employee’s necessary medical needs. Approximately half of the workplaces (53%) shared that they had a system in place to provide temporary medical leave for employees with chronic diseases. Few (12%) workplaces had established a process for having a trial return to work after a period of absence due to a medical condition. CONCLUSIONS: Currently, a minority of small- and medium-sized companies in Japan have established workplace policies to address the medical needs of employees with chronic diseases.

Hypnotherapy as an Adjunct to Medical Treatment: Highlighting Effectiveness and Identifying Barriers to Further Integrative Treatment

2021 ◽  
pp. 097206342110115
Author(s):  
Feryad A. Hussain
Keyword(s):  
Health Care ◽  
Medical Treatment ◽  
Health Care Services ◽  
Well Being ◽  
Medical Treatments ◽  
Care Services ◽  
Secondary Health Care ◽  
History Of ◽  
Clinical Hypnosis ◽  
The Mind

Integrative models of health care have garnered increasing attention over the years and are currently being employed within acute and secondary health care services to support medical treatments in a range of specialities. Clinical hypnosis has a history of working in partnership with medical treatments quite apart from its psychiatric associations. It aims to mobilise the mind–body connection in order to identify and overcome obstacles to managing symptoms of ill health, resulting in overall improved emotional and physical well-being. This article aims to encourage the use of hypnotherapy in physical health care by highlighting the effectiveness of hypnosis as an adjunct to medical treatment and identifying barriers preventing further integrative treatments.

scholarly journals Extra Health and Health-Related Costs of Living With Frailty Among Rural and Urban Elders in China

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 78-78
Author(s):  
Yalu Zhang ◽  
Ada Mui
Keyword(s):  
Chronic Diseases ◽  
Household Income ◽  
Statistical Significance ◽  
Healthcare Services ◽  
Standard Of Living ◽  
Medical Needs ◽  
Rural And Urban ◽  
Need Support ◽  
Health Related ◽  
Rural Elders

Abstract Growing attention has been focused on how to improve the affordability and accessibility of healthcare services, especially for elders (aged 55 and above) who have higher levels of medical needs. Following the standard of living approach, which assumes that people’s standard of living would be negatively affected if additional needs (i.e., healthcare) arise at a given level of household income, this secondary research examines elders’ extra health and health-related costs of having chronic diseases and disabilities in rural (n=5,509) and urban (n=3,225) areas of China. Bivariate analyses show there were no significant differences between rural and urban groups in terms of the prevalence of having one or more chronic diseases (56% vs. 58%) and at least one type of disability (15% vs. 13%). Multivariate analyses indicate that living with chronic diseases incurred more extra costs for rural elders than their urban peers, after controlling for individual and household characteristics. On average, rural elders who had at least three chronic medical conditions would spend 108.3% more on medical services than those who had no chronic disease; elders with at least two types of disabilities would spend 59.8% more than those with no disability. The extra health-related costs were boosted when people had at least one type of disability (63.6%), but this was not the case for those who had chronic diseases. Statistical significance was not found among urban elders in China regarding both health and health-related expenditures. The results suggest that rural elders need support to manage their chronic health conditions.

scholarly journals El paciente testigo de Jehová : la negativa al tratamiento médico en situación de gravedad y la circular 1/2012 de la Fiscalía General del Estado

2012 ◽  
Author(s):  
José Ramón Díez Rodríguez
Keyword(s):  
Pregnant Woman ◽  
Medical Treatment ◽  
Patient Autonomy ◽  
Blood Transfusions ◽  
Health Law ◽  
Medical Treatments ◽  
Jehovah’S Witness ◽  
Jehovah's Witness ◽  
Para Determinar ◽  
Witness Patient

El paciente testigo de Jehová y su rechazo a determinados tratamientos médicos, en concreto a las transfusiones de sangre, constituye uno de los problemas fundamentales con el que históricamente se ha tenido que enfrentar el derecho sanitario. La actual Ley 41/2002 de autonomía del paciente parece dejar claro el supuesto del paciente mayor de edad y la posibilidad de rechazar tratamientos médicos, pero mayores problemas plantean los supuestos del menor de edad, y especialmente la figura del menor maduro, y el supuesto de la mujer embarazada testigo de Jehová. Será necesario atender a la proporcionalidad de derechos en conflicto para determinar los criterios que en cada caso nos permitan inclinar la balanza a favor de una u otra posición.The Jehovah’s Witness patient and their rejection of certain medical treatments, namely blood transfusions, is one of the fundamental problems with which historically had to face the health law. The current Law 41/2002 of patient autonomy seems to clarify the adult patient’s adult and their possibility of refusing medical treatment, but major problems posed minor assumptions, especially the mature minor figure, and the course pregnant woman Jehovah’s Witness. It will be necessary to address the proportionality of conflicting rights, and determining criteria in each case allow us to tip the balance in favor of one position or another.

Contemporary Heart Failure Treatment Based on Improved Knowledge and Personalized Care of Comorbidities

2019 ◽  
pp. 1565-1579
Author(s):  
Kostas Giokas ◽  
Charalampos Tsirmpas ◽  
Athanasios Anastasiou ◽  
Dimitra Iliopoulou ◽  
Vassilia Costarides ◽  
...  
Keyword(s):  
Heart Failure ◽  
Decision Making ◽  
Chronic Diseases ◽  
Clinical Decision Making ◽  
Medical Condition ◽  
Collective Intelligence ◽  
Clinical Decision ◽  
Mortality And Morbidity ◽  
Personalized Care ◽  
Care Approach

Chronic diseases are the leading cause of mortality and morbidity. A significant contribution to the burden of chronic diseases is the concurrence of co-morbidities. Heart failure (HF) is a complex, chronic medical condition frequently associated with co-morbidities. The current care approach for HF patients with co-morbidities is neither capable to deliver personalised care nor to halt the on-going increase of its socio-economic burden. Our approach aims to improve the complete care process for HF patients and related co-morbidities to improve outcome and quality of life. This will be achieved by the proposed standardised yet personalised patient-oriented ICT system that supports evidence-based clinical decision making as well as interaction and communication between all stakeholders with focus on the patients and their relatives to improve self-management. We propose that such a system should be build upon a novel European-wide data standard for clinical input and outcome and that it should facilitate decision making and outcome tracking by new collective intelligence algorithms.

scholarly journals Safety of psychotropic medications in people with COVID-19: evidence review and practical recommendations

BMC Medicine ◽  
2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Giovanni Ostuzzi ◽  
Davide Papola ◽  
Chiara Gastaldon ◽  
Georgios Schoretsanitis ◽  
Federico Bertolini ◽  
...  
Keyword(s):  
Working Group ◽  
Medical Condition ◽  
Potential Interaction ◽  
Psychotropic Medications ◽  
Evidence Based ◽  
Medical Treatments ◽  
Safety Issues ◽  
Safety Risks ◽  
Novel Coronavirus ◽  
Practical Recommendations

Abstract Background The novel coronavirus pandemic calls for a rapid adaptation of conventional medical practices to meet the evolving needs of such vulnerable patients. People with coronavirus disease (COVID-19) may frequently require treatment with psychotropic medications, but are at the same time at higher risk for safety issues because of the complex underlying medical condition and the potential interaction with medical treatments. Methods In order to produce evidence-based practical recommendations on the optimal management of psychotropic medications in people with COVID-19, an international, multi-disciplinary working group was established. The methodology of the WHO Rapid Advice Guidelines in the context of a public health emergency and the principles of the AGREE statement were followed. Available evidence informing on the risk of respiratory, cardiovascular, infective, hemostatic, and consciousness alterations related to the use of psychotropic medications, and drug–drug interactions between psychotropic and medical treatments used in people with COVID-19, was reviewed and discussed by the working group. Results All classes of psychotropic medications showed potentially relevant safety risks for people with COVID-19. A set of practical recommendations was drawn in order to inform frontline clinicians on the assessment of the anticipated risk of psychotropic-related unfavorable events, and the possible actions to take in order to effectively manage this risk, such as when it is appropriate to avoid, withdraw, switch, or adjust the dose of the medication. Conclusions The present evidence-based recommendations will improve the quality of psychiatric care in people with COVID-19, allowing an appropriate management of the medical condition without worsening the psychiatric condition and vice versa.

Hair restoration

2021 ◽  
pp. 1373-1378
Author(s):  
Nagham Darhouse
Keyword(s):  
Medical Treatment ◽  
Hair Loss ◽  
Side Effect ◽  
Medical Condition ◽  
Correct Diagnosis ◽  
Hair Follicles ◽  
Men And Women ◽  
Detailed History ◽  
Dermatological Condition ◽  
Treatment Surgery

Hair restoration focuses on replacing hair where it has been lost, although there is also a demand for hair to be placed where it is desired, but lacking, for a perceived aesthetic gain. For both men and women, hair loss can be devastating and lead to loss of confidence and self-esteem. Hair restoration can be beneficial but treatment should be tailored to the individual’s needs and the correct diagnosis for the hair loss needs to be determined through a detailed history, thorough examination, and appropriate investigations. The average human has over 5 million hair follicles of which only about 100,000 are located on the scalp. While it is loss of scalp hair that is often most noticeable and distressing, eyebrow and eyelash hair loss is also very obvious in both sexes, as is loss of beard and moustache hair in men. Hair loss may be localized or generalized, part of a medical condition, a side effect of medications, the result of a dermatological condition, or genetically predetermined. Hair restoration can be achieved through medical treatment, surgery, and non-surgical alternatives.

scholarly journals Unemployment risk among individuals undergoing medical treatment for chronic diseases

2015 ◽  
Vol 66 (2) ◽  
pp. 143-149 ◽  
Author(s):  
N. Nakaya ◽  
T. Nakamura ◽  
N. Tsuchiya ◽  
I. Tsuji ◽  
A. Hozawa ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Chronic Diseases ◽  
Unemployment Risk

scholarly journals Acceptance and Influencing Factors of Social Virtual Reality in the Urban Elderly

2020 ◽  
Vol 12 (22) ◽  
pp. 9345 ◽  
Author(s):  
Dan Shao ◽  
I-Jui Lee
Keyword(s):  
Virtual Reality ◽  
Medical Treatment ◽  
Elderly People ◽  
Influencing Factors ◽  
Virtual Communities ◽  
The Elderly ◽  
Medical Needs ◽  
Head Mounted Display ◽  
The Social ◽  
Perceived Enjoyment

In the stage of aging society and population aging, the social needs of the elderly are widely discussed by researchers. Especially driven by the demand of tele-medical treatment and tele-rehabilitation therapy, it is vital for the elderly to integrate into virtual communities by combining social virtual reality (VR) with different medical services and entertainment needs. In addition, affected by the COVID-19 epidemic, it is more difficult for people to have face-to-face contacts. With more remote consultation, entertainment and virtual social connectivity, the application of social VR is more urgent and valuable. However, there is little discussion on the acceptability and influencing factors of social VR among the elderly at present. Therefore, in order to get further data, we used (1) early stage semi-structured interviews and then (2) Unified Theory of Acceptance and Use of Technology (UTAUT) questionnaires for investigation. One hundred fourteen elderly people aged 60–89 living in the metropolitan area of Taipei were taken as the subjects. To help them understand the situation and state of using social VR, these elderly people were asked to use a head-mounted display (HMD) to experience social VR games. The preliminary results showed that the elderly had obvious preference for entertainment (32.4%) and medical treatment (31.3%). The interview showed that this was related to the physiological condition or medical needs of the age range. In order to further understand how social VR would affect the social life of the elderly, we proposed the further demand structure of UTAUT Model based on the interview of both experts and the elderly. The model structures include (1) Performance Expectancy, (2) Perceived Enjoyment, (3) Social Influence, (4) User Attitude, (5) Behavioral Intention, and so on. These structures were applied to conduct interviews and questionnaires to find out the influence extent and relevance of the elderly on different structural needs, and suggestions were given accordingly. The results of the above interviews showed that (1) the elderly thought that the functions of entertaining and interacting of social VR could increase their social opportunities, and also meet medical needs (teleconference, cognitive decline, etc.), (2) the closeness of social relations (between family members, friends, doctors, and places), and also affect the relevance of Perceived Enjoyment (β = 0.77, p = 0.000 < 0.05). The results of these phenomena and interviews showed the interplay between the demand structures and their special relevance. They also indicated that as to social VR technologies, various demands and functional issues of the elderly need to be considered, and these demands would appear in the subtle usage, and different social VR interfaces and functions would emerge based on their special living ways and physical and psychological demands.

scholarly journals “You Can't be any Poorer than Dead”: Difficulties in Recognizing Artificial Nutrition and Hydration as Medical Treatments

1994 ◽  
Vol 61 (2) ◽  
pp. 77-87
Author(s):  
Stephen J. Heaney
Keyword(s):  
Medical Treatment ◽  
Natural Law ◽  
Artificial Nutrition ◽  
Artificial Nutrition And Hydration ◽  
Medical Treatments ◽  
Great Caution ◽  
Do No Harm ◽  
Commission Report ◽  
Life Sustaining Treatment ◽  
Nutrition And Hydration

The President's Commission Report Deciding to Forego Life-Sustaining Treatment comes down squarely in favor of two propositions: 1) artificial provision of nutrition and hydration are medical treatments, and 2) as such, these medical treatments may be foregone by certain categories of patients or their proxies. This latter conclusion is based on roughly consequentialist grounds; the former is more assumed than argued There is a school of thought opposed to both of these conclusions. After first demonstrating that nourishment is not medicine, a non-consequentialist or natural law argument is employed to show that nourishment may not be foregone insofar as it violates the principle, “First, do no harm.” I was once a member of this school, and this paper was to argue its position. In the end, however, this paper adopts the position that artificial provision of nourishment and hydration can be medical treatments, and as such may be foregone by certain categories of patients, without violating a natural law understanding of “First, do no harm “Still, exposing my retained sympathies for my former position, the paper attempts to argue for a very careful standard for non-treatment. As a result, the argument of the paper takes four steps. First, I present the argument that artificial provision of nutrition is never medical treatment, giving as much strength to that argument as possible. Second, I show how the focus of that argument leads it astray, and that artificial provision of nourishment is medical treatment. Third, I try to show by what standard patients (or proxies) can legitimately forego this medical treatment Fourth, I point out where my former position has valid criticisms of certain arguments used by those who hold that such treatment may be withdrawn, and urge great caution in deciding to forego treatment.

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