scholarly journals A Systematic Review of the Use of Telemedicine in the Military Forces Worldwide

2020 ◽  
Vol 21 (11) ◽  
Author(s):  
Reza Mohammadi ◽  
Zeinab Tabanejad ◽  
Shahabeddin Abhari ◽  
Behnam Honarvar ◽  
Mina Lazem ◽  
...  
Keyword(s):  
Systematic Review ◽  
Data Extraction ◽  
Healthcare Providers ◽  
Military Medicine ◽  
Healthcare Services ◽  
Developed Countries ◽  
The United States ◽  
Positive Effects ◽  
Military Forces ◽  
The Military

Context: Considering the pivotal role of telemedicine in providing healthcare services for remote areas, some of the military medical centers, especially in developed countries, use different types of telemedicine programs. Objectives: The present study aimed at identifying the implemented telemedicine projects in military medicine worldwide and introducing their features. Evidence Acquisition: The current systematic review was performed in 2018. PubMed, Scopus, Embase, and Web of Science databases were searched for articles published from 2014 to 2018 by a combination of related keywords, and the related original articles were then selected based on the inclusion and exclusion criteria. Data were collected by a data extraction form, and then the data were summarized and reported based on the study objectives. Results: Of the 173 articles retrieved from the first round of search, 12 were included in the study; five (41.66%) studies had used the synchronous (real-time telemedicine) method. The United States, with nine studies, had the highest number of projects in military telemedicine. Most studies (n = 7) were performed on tele-psychology and the application of telemedicine in psychology. All selected studies reported the positive effects of telemedicine on providing healthcare for military forces. Conclusions: The proper utilization of telemedicine equipment is effective in saving time for both patients and healthcare providers, reducing costs, supporting in natural disasters, and satisfying patients with military medicine. To achieve telemedicine program objectives, they should be set precisely. Considering the importance of timely healthcare services, it is suggested to utilize synchronous methods and tools such as video conferencing.

Leadership and Crisis Management (DRAFT)

2018 ◽  
Author(s):  
Brad W. Butcher
Keyword(s):  
Crisis Management ◽  
Situational Awareness ◽  
Time Pressure ◽  
Healthcare Providers ◽  
Military Medicine ◽  
The United States ◽  
Aviation Industry ◽  
High Stakes ◽  
Team Members ◽  
The Military

Medical errors were recently identified as the third leading cause of death in the United States. Many of these errors result from deficiencies in nontechnical skills (NTS), including effective communication and appropriate task delegation. Rapid response teams (RRTs) operate in error-prone, high-stakes environments where elevated clinical risk, substantial time pressure, and the need to perform multiple actions in parallel coexist. Borrowing from the aviation industry and the military, medicine is placing a growing emphasis on instructing healthcare providers, particularly members of teams, in the NTS of crisis management. Barriers to developing these skills can be overcome through encouraging standardization and practice using realistic simulation. When directing a team in the care of a deteriorating patient, RRT leaders must introduce team members and their roles, maintain an assertive yet inclusive tone, practice closed loop communication, control the crowd, maintain situational awareness, promote a flattened hierarchy, and perform regular debriefing sessions.

scholarly journals Systematic review of former unaccompanied immigrant minors’ access to healthcare services in the United States

2021 ◽  
Author(s):  
Sanghamitra M. Misra ◽  
Natalie Holdstock ◽  
Johanna Creswell Baez ◽  
Nohemi Garcia ◽  
Adriana Guiterrez ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Data Extraction ◽  
Group Living ◽  
Healthcare Services ◽  
The United States ◽  
Cultural Barriers ◽  
Eligibility Criteria ◽  
Wide Range ◽  
The Usa

Abstract Aim Former unaccompanied immigrant minors (UMs) now living in the USA are a uniquely vulnerable population. The US Office of Refugee Resettlement shelters provide health services, but most are discontinued once UMs leave the shelters. A systematic review was therefore designed to quantify access to medical, mental, and dental healthcare services by former UMs living in the USA. Subject and methods The study protocol was registered with PROSPERO. A search was made in Ovid MEDLINE, Embase, Scopus, and Academic Search Complete in June 2020. Full-text review, data extraction, and data analysis were completed by all authors. Results Searches returned a total of 2646 studies, of which 15 met all eligibility criteria. There was an overlap in the services investigated in the studies — 13 assessed mental health, ten assessed medical, and four included dental care. Sample sizes ranged from one to 4809, and there was a wide range of study designs. Some studies included multiple locations. Nine studies demonstrated success in community-based clinics or programs; one in a hospital, four in schools, three in group living settings, and one in U.S. Customs Border Patrol (CBP) custody. Three studies explored access to services post-release from shelters. Conclusions Healthcare programs at shelters, schools, and in the community have provided some screening and diagnosis of medical, mental health, and dental conditions for UMs, but multiple financial and cultural barriers make ongoing treatment difficult to access. Long-term studies following UMs in shelters and post-release through adulthood are needed to help create new, or modify existing, programs, to adequately support UMs now living in the USA.

The Washington Consensus, liberal ideas and terms of the military-technological policy

2020 ◽  
Vol 16 (11) ◽  
pp. 2103-2123
Author(s):  
V.L. Gladyshevskii ◽  
E.V. Gorgola ◽  
D.V. Khudyakov
Keyword(s):  
United States ◽  
Production Management ◽  
Developed Countries ◽  
The United States ◽  
Internal Quality ◽  
Industrial Complex ◽  
Active Involvement ◽  
Military Industrial Complex ◽  
Industrial Complexes ◽  
The Military

Subject. In the twentieth century, the most developed countries formed a permanent military economy represented by military-industrial complexes, which began to perform almost a system-forming role in national economies, acting as the basis for ensuring national security, and being an independent military and political force. The United States is pursuing a pronounced militaristic policy, has almost begun to unleash a new "cold war" against Russia and to unwind the arms race, on the one hand, trying to exhaust the enemy's economy, on the other hand, to reindustrialize its own economy, relying on the military-industrial complex. Objectives. We examine the evolution, main features and operational distinctions of the military-industrial complex of the United States and that of the Russian Federation, revealing sources of their military-technological and military-economic advancement in comparison with other countries. Methods. The study uses military-economic analysis, scientific and methodological apparatus of modern institutionalism. Results. Regulating the national economy and constant monitoring of budget financing contribute to the rise of military production, especially in the context of austerity and crisis phenomena, which, in particular, justifies the irrelevance of institutionalists' conclusions about increasing transaction costs and intensifying centralization in the industrial production management with respect to to the military-industrial complex. Conclusions. Proving to be much more efficient, the domestic military-industrial complex, without having such access to finance as the U.S. military monopolies, should certainly evolve and progress, strengthening the coordination, manageability, planning, maximum cost reduction, increasing labor productivity, and implementing an internal quality system with the active involvement of the State and its resources.

scholarly journals A Systematic Review of Research Studies Examining Telehealth Privacy and Security Practices Used By Healthcare Providers

2017 ◽  
Vol 9 (2) ◽  
pp. 39-58 ◽  
Author(s):  
Valerie J.M. Watzlaf ◽  
Leming Zhou ◽  
Dilhari R. DeAlmeida ◽  
Linda M. Hartman
Keyword(s):  
Systematic Review ◽  
Computer Security ◽  
Healthcare Providers ◽  
The United States ◽  
Specific Information ◽  
Exclusion Criteria ◽  
Privacy And Security ◽  
Security Practices ◽  
Meta Analyses ◽  
Encryption And Authentication

The objective of this systematic review was to systematically review papers in the United States that examine current practices in privacy and security when telehealth technologies are used by healthcare providers. A literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). PubMed, CINAHL and INSPEC from 2003 – 2016 were searched and returned 25,404 papers (after duplications were removed). Inclusion and exclusion criteria were strictly followed to examine title, abstract, and full text for 21 published papers which reported on privacy and security practices used by healthcare providers using telehealth.  Data on confidentiality, integrity, privacy, informed consent, access control, availability, retention, encryption, and authentication were all searched and retrieved from the papers examined. Papers were selected by two independent reviewers, first per inclusion/exclusion criteria and, where there was disagreement, a third reviewer was consulted. The percentage of agreement and Cohen’s kappa was 99.04% and 0.7331 respectively. The papers reviewed ranged from 2004 to 2016 and included several types of telehealth specialties. Sixty-seven percent were policy type studies, and 14 percent were survey/interview studies. There were no randomized controlled trials. Based upon the results, we conclude that it is necessary to have more studies with specific information about the use of privacy and security practices when using telehealth technologies as well as studies that examine patient and provider preferences on how data is kept private and secure during and after telehealth sessions.Keywords: Computer security, Health personnel, Privacy, Systematic review, Telehealth 

scholarly journals The Convergence of Military Conduct and Policing in Israeli-Controlled Territories

2020 ◽  
Vol 35 (2) ◽  
pp. 1-8
Author(s):  
Nir Gazit ◽  
Keyword(s):  
United States ◽  
Police Officer ◽  
The United States ◽  
Police Brutality ◽  
Media Attention ◽  
Military Forces ◽  
The Us ◽  
The Military ◽  
The Impact

The murder of George Floyd by a police officer in the United States in May 2020 and the subsequent turmoil, as well as the violence against migrants on the US-Mexican border, have drawn major public and media attention to the phenomenon of police brutality (see, e.g., Levin 2020; Misra 2018; Taub 2020), which is often labeled as ‘militarization of police’. At the same time, in recent years military forces have been increasingly involved in policing missions in civilian environments, both domestically (see, e.g., Kanno-Youngs 2020; Schrader 2020; Shinkman 2020) and abroad. The convergence of military conduct and policing raises intriguing questions regarding the impact of these tendencies on the military and the police, as well as on their legitimacy.

scholarly journals Experiences of living with long COVID and of accessing healthcare services: a qualitative systematic review

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e050979
Author(s):  
Karen Macpherson ◽  
Kay Cooper ◽  
Jenny Harbour ◽  
Dawn Mahal ◽  
Charis Miller ◽  
...  
Keyword(s):  
Systematic Review ◽  
Support Groups ◽  
Data Extraction ◽  
Healthcare Services ◽  
Bibliographic Databases ◽  
Discussion Forums ◽  
Inclusion Criteria ◽  
Systematic Map ◽  
Qualitative Systematic Review ◽  
Review Team

ObjectiveTo explore the experiences of people living with long COVID and how they perceive the healthcare services available to them.DesignQualitative systematic review.Data sourcesElectronic literature searches of websites, bibliographic databases and discussion forums, including PubMed LitCovid, Proquest COVID, EPPI Centre living systematic map of evidence, medRxiv, bioRxiv, Medline, Psychinfo and Web of Science Core Collection were conducted to identify qualitative literature published in English up to 13 January 2021.Inclusion criteriaPapers reporting qualitative or mixed-methods studies that focused on the experiences of long COVID and/or perceptions of accessing healthcare by people with long COVID. Title/abstract and full-text screening were conducted by two reviewers independently, with conflicts resolved by discussion or a third reviewer.Quality appraisalTwo reviewers independently appraised included studies using the qualitative CASP (Critical Appraisal Skills Programme) checklist. Conflicts were resolved by discussion or a third reviewer.Data extraction and synthesisThematic synthesis, involving line-by-line reading, generation of concepts, descriptive and analytical themes, was conducted by the review team with regular discussion.ResultsFive studies published in 2020 met the inclusion criteria, two international surveys and three qualitative studies from the UK. Sample sizes varied from 24 (interview study) to 3762 (survey). Participants were predominantly young white females recruited from social media or online support groups. Three analytical themes were generated: (1) symptoms and self-directed management of long COVID; (2) emotional aspects of living with long COVID and (3) healthcare experiences associated with long COVID.ConclusionsPeople experience long COVID as a heterogeneous condition, with a variety of physical and emotional consequences. It appears that greater knowledge of long COVID is required by a number of stakeholders and that the design of emerging long COVID services or adaptation of existing services for long COVID patients should take account of patients’ experiences in their design.

scholarly journals Cardiac Rehabilitation: A Bibliometric Review From 2001 to 2020

2021 ◽  
Vol 8 ◽  
Author(s):  
Guozhen Yuan ◽  
Jingjing Shi ◽  
Qiulei Jia ◽  
Shuqing Shi ◽  
Xueping Zhu ◽  
...  
Keyword(s):  
Public Health ◽  
Cardiac Rehabilitation ◽  
Developed Countries ◽  
The United States ◽  
Positive Effects ◽  
Sports Science ◽  
Subject Categories ◽  
Cardiovascular Morbidity And Mortality ◽  
Wide Range ◽  
Topic Distribution

Cardiovascular disease (CVD) is a serious threat to global public health due to its high prevalence and disability rate. Meanwhile, cardiac rehabilitation (CR) has attracted increasing attention for its positive effects on the cardiovascular system. There is overwhelming evidence that CR for patients with CVD is effective in reducing cardiovascular morbidity and mortality. To learn more about the development of CR, 5,567 papers about CR and related research were retrieved in the Web of Science Core Collection from 2001 to 2020. Then, these publications were scientometrically analyzed based on CiteSpace in terms of spatiotemporal distribution, author distribution, subject categories, topic distribution, and references. The results can be elaborated from three aspects. Firstly, the number of annual publications related to CR has increased year by year in general over the past two decades. Secondly, a co-occurrence analysis of the output countries and authors shows that a few developed countries such as the United States, Canada, and the UK are the most active in carrying out CR and where regional academic communities represented by Sherry Grace and Ross Arena were formed. Thirdly, an analysis of the subject categories and topic distribution of the papers reveals that CR is a typical interdiscipline with a wide range of disciplines involved, including clinical medicine, basic medicine, public health management, and sports science. The research topics cover the participants and implementers, components, and the objectives and requirements of CR. The current research hotspots are the three core modalities of CR, namely patient education, exercise training and mental support, as well as mobile health (mHealth) dependent on computer science. In conclusion, this work has provided some useful information for acquiring knowledge about CR, including identifying potential collaborators for researchers interested in CR, and discovering research trends and hot topics in CR, which can offer some guidance for more extensive and in-depth CR-related studies in the future.

scholarly journals HIV-Related Stigma by Healthcare Providers in the United States: A Systematic Review

2018 ◽  
Vol 32 (10) ◽  
pp. 418-424 ◽  
Author(s):  
Angelica Geter ◽  
Adrienne R. Herron ◽  
Madeline Y. Sutton
Keyword(s):  
United States ◽  
Systematic Review ◽  
Healthcare Providers ◽  
The United States ◽  
Related Stigma

Evolution of military medicine literature: a scientometric study of global publications on military medicine between 1978 and 2017

2019 ◽  
Vol 166 (E) ◽  
pp. e25-e33 ◽  
Author(s):  
Engin Şenel
Keyword(s):  
Military Medicine ◽  
Developed Countries ◽  
Least Developed Countries ◽  
Academic Field ◽  
Novel Studies ◽  
Publication Patterns ◽  
The Us ◽  
The Uk ◽  
Developed Nations ◽  
The Military

ObjectivesScientometrics is a popular statistical discipline providing data relevant to publication patterns and trends in a certain academic field. There are no scientometric analyses of publications produced in military medicine literature. The present study aims to perform a holistic analysis of military medicine literature.MethodsAll data of this study were collected from the Web of Science Core Collection. All indexed documents between 1978 and 2017 were included. Countries, authors, institutions, citations and keywords relevant to the military medicine literature were comprehensively analysed. An infomap revealing global productivity and infographics of scientometric networks were generated.ResultsA total of 48 240 published items were found, 82.29% of which were original articles. USA, covering 56.66% of all literature dominated the military medicine field followed by the UK, China, Canada and Israel. We found that 18 of 20 most productive institutions in the world were from USA and the US Department of Defense was the most contributing institution in the literature with 9664 documents. The most used keywords over a 40-year period were ‘military’, ‘veterans’, ‘posttraumatic stress disorder’ and ‘military personnel’. A scientometric network of keywords showed a complicated ‘starburst pattern’.ConclusionAll most contributing countries except Turkey, China and Israel were developed nations. Only one institution (Tel Aviv University) from developing countries was noted in the list of 20 most productive institutions. The researchers from developing and the least developed countries should be encouraged and supported to carry out novel studies on military medicine.

scholarly journals The changing landscape of military medical malpractice: from the Feres Doctrine to present

2020 ◽  
Vol 49 (5) ◽  
pp. E7
Author(s):  
Callum D. Dewar ◽  
Jason H. Boulter ◽  
Brian P. Curry ◽  
Dana M. Bowers ◽  
Randy S. Bell
Keyword(s):  
Medical Malpractice ◽  
Healthcare Providers ◽  
Supreme Court Decision ◽  
The United States ◽  
United States Government ◽  
National Defense ◽  
Military Healthcare ◽  
Active Duty Personnel ◽  
The Military ◽  
First Time

Medical malpractice suits within the military have historically been limited by the Feres Doctrine, a legal precedent arising from a Supreme Court decision in 1950, which stated that active-duty personnel cannot bring suit for malpractice against either the United States government or military healthcare providers. This precedent has increasingly become a focus of discussion and reform as multiple cases claiming malpractice have been dismissed. Recently, however, the National Defense Authorization Act of 2020 initiated the first change to this precedent by creating an administrative body with the sole purpose of evaluating and settling claims of medical malpractice within the military’s $50 billion healthcare system. This article seeks to present the legal history related to military malpractice and the Feres Doctrine as well as discuss the potential future implications that may arise as the Feres Doctrine is modified for the first time in 70 years.

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