scholarly journals Remote Clinics and Investigations in Arrhythmia Services: What Have We Learnt During Coronavirus Disease 2019?

2021 ◽  
Vol 10 (2) ◽  
pp. 120-124
Author(s):  
Shohreh Honarbakhsh ◽  
Simon Sporton ◽  
Christopher Monkhouse ◽  
Martin Lowe ◽  
Mark J Earley ◽  
...  
Keyword(s):  
Medical Care ◽  
Outpatient Care ◽  
Previous Experience ◽  
Ecg Monitoring ◽  
Permanent Change ◽  
Multidisciplinary Meetings ◽  
The Way

The coronavirus disease 2019 (COVID-19) pandemic has had a dramatic impact on the way that medical care is delivered. To minimise hospital attendance by both patients and staff, remote clinics, meetings and investigations have been used. Technologies including hand-held ECG monitoring using smartphones, patch ECG monitoring and sending out conventional Holter monitors have aided remote investigations. Platforms such as Google Meet and Zoom have allowed remote multidisciplinary meetings to be delivered effectively. The use of phone consultations has allowed outpatient care to continue despite the pandemic. The COVID-19 pandemic has resulted in a radical, and probably permanent, change in the way that outpatient care is delivered. Previous experience in remote review and the available technologies for monitoring have allowed the majority of outpatient care to be conducted without obviously compromising quality or safety.

scholarly journals The way of hyperlipidemia medical care

2006 ◽  
Vol 95 (9) ◽  
pp. 1932-1938
Author(s):  
TAMIO TERAMOTO
Keyword(s):  
Medical Care ◽  
The Way

scholarly journals Does in-patient ECG monitoring have an impact on medical care in chronic heart failure patients?

2000 ◽  
Vol 2 (3) ◽  
pp. 281-285 ◽  
Author(s):  
Cristina Opasich ◽  
Soccorso Capomolla ◽  
P. Giorgio Riccardi ◽  
Oreste Febo ◽  
Giovanni Forni ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Medical Care ◽  
Ecg Monitoring ◽  
Heart Failure Patients

scholarly journals A Tiered Framework for Organizing and Categorizing Medical Interoperability

2019 ◽  
Vol 185 (3-4) ◽  
pp. 330-333 ◽  
Author(s):  
Sean D Mclaughlin ◽  
Ramey L Wilson
Keyword(s):  
Global Health ◽  
Medical Care ◽  
National Security ◽  
Medical Personnel ◽  
Security Risks ◽  
Defense Strategies ◽  
The World ◽  
Training Event ◽  
The Way

Abstract Developing, cultivating, and sustaining medical interoperability strengthens the support we provide to the warfighter by presenting our Commanders options and efficiencies to the way we can enable their operations. As our national security and defense strategies change the way our forces are employed to address our security risks throughout the world, some military commands will find they cannot provide adequate medical care without working in concert with willing and available partners.This article proposes a tiered framework that allows medical personnel to further describe and organize their engagement activities around the concept and practicalities of medical interoperability. As resources become diverted to other theaters or missions expand beyond assigned capabilities, medical interoperability provides Commanders with options to medically enable their missions through their partnerships with others. This framework links and connects activities and engagements to build partner capacity with long-term or regional interoperability among our partners and challenges engagement planners to consider ways to build interoperability at all four tiers when planning or executing health engagements and global health development. Using this framework when planning or evaluating an engagement or training event will illuminate opportunities to develop interoperability that might have otherwise been unappreciated or missed.

Rhythms of Care: Medical Travels beyond the Borders of Bangladesh

2020 ◽  
Vol 14 (1) ◽  
pp. 61-83
Author(s):  
Karen M. McNamara
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Tourism ◽  
Tourism Industry ◽  
Emotional Challenges ◽  
Detailed Case ◽  
Care Practices ◽  
The Way

Abstract This article examines the experiences of Bangladeshi patients and their families as they travel transnationally within Asia for medical care. I explain how failures of biomedicine in Bangladesh feed into idealized expectations of care abroad. This medical imaginary is fueled by the hope that more expensive treatment in wealthier countries will result in better care, and it is sustained by the way the medical tourism industry operates and the way Bangladeshi patients and their families make choices and engage in the doing of care abroad. A detailed case study of a Bangladeshi cancer patient’s prolonged care in Singapore illustrates the tensions and ambivalences in the quest for the best treatment. These tensions are exacerbated by the linguistic, monetary, and emotional challenges faced in traveling back and forth between countries. While patients feel at times betrayed by experiences of care that do not meet their expectations, they also feel compelled to carry on. I capture this dynamic in the term rhythms of care, understanding these as the way the medical imaginary shapes care practices that become a scaffolding for hope to be maintained and further travel to be undertaken. I also reflect on how I become part of these rhythms by acting as the family’s interpreter as they navigate health care in Singapore.

scholarly journals ASSUMPTIONS OF MAXIMAL INDIVIDUALISM IN THE TIME OF THE COVID-19 PANDEMIC: ETHICAL ASPECTS

2020 ◽  
Vol 4 (3) ◽  
pp. 79-88 ◽  
Author(s):  
EWA BAUM ◽  
AGNIESZKA ŻOK
Keyword(s):  
Human Rights ◽  
Medical Care ◽  
Ethical Aspects ◽  
To Come ◽  
Optimal Medical Care ◽  
The Way

Maximal individualism, which is currently a prevalent trend in the way many patients think, places high hopes in the achievements of biomedicine and assumes that everyone should always receive optimal medical care. Such an approach is in line with many normative and legal acts operating worldwide, including the Declaration of Human Rights. However, its feasibility and effectiveness in the time of the COVID-19 pandemic raises numerous ethical, social and economic dilemmas. The culture of prosperity and excess, characteristic of contemporary Western societies, makes it even more challenging to come to terms with this situation.

scholarly journals Evaluation of Austrias first PHC: What lessons can be learned?

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
B Fröschl ◽  
K Antony ◽  
S Ivansitis ◽  
B Piso
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Care ◽  
Outpatient Care ◽  
High Performance ◽  
Control Group ◽  
Multiprofessional Team ◽  
Primary Health ◽  
High Level ◽  
Point Of Service

Abstract Issue/problem The Austrian health care system regularly shows high performance. While about 99.9% of the population is covered by the compulsory health insurance system, the system is highly fragmented with shared responsibilities for inpatient and outpatient care. Description of the problem Primary health care in Austria is mainly provided by general practitioners (GP) in solo practises with average opening hours of 16-20 hours a week. This leads to high frequencies in outpatient care departments of hospitals and secondly to inefficiencies due to a high level of uncoordinated care. Thus in June 2014, the Federal Target-Based Governance Commission adopted a new concept for providing primary Health Care in an integrative, quality-assured manner and steering patients to the Best Point of Service. PHC centres are providing care in a multiprofessional approach (psychologists, nutritionists, and nurses) and have significantly longer opening hours with 45 hours per week. Results In 2015, the State Target-Based Governance Commission of Vienna commissioned the Austrian Public Health Institute (Gesundheit Österreich GmbH) with the evaluation of these pilot centers. The evaluation results of the first two years of the first PHC center shows a high level of satisfaction with the services provided by PHC and high level of utilisation, indicating an improvement in the service offered. PHC patients show a significantly higher level of utilisation of general medical care and at the same time a lower level of utilisation of specialist medical care than patients of the control group. Furthermore PHC patients have a significantly lower frequency of contacts in general emergency outpatient clinics. Lessons Changes in structural conditions such as the expansion in the range of services and the provision of care by a multiprofessional team results in advantages for patients, the team and the utilization of services at the best point of service. Key messages PHC centers can lead to a lower utilization of outpatient departments and thus to an improvement in the coordination of care. Cooperation in multi-professional teams can lead to a relief of the physicians and a higher job satisfaction.

Medical Care on a Balanced Diet

Philosophy ◽  
1983 ◽  
Vol 58 (225) ◽  
pp. 396-398
Author(s):  
Andrew Ward
Keyword(s):  
Medical Care ◽  
Necessary Condition ◽  
Bernard Williams ◽  
Balanced Diet ◽  
State Of Affairs ◽  
The Way

Prominent among the principles put forward by Professor Bernard Williams in ‘The Idea of Equality’ were that for every difference in the way men are treated a relevant reason should be given and the proper ground of the distribution of medical care is ill health. Prominent among his conclusions was that we are confronted with an irrational state of affairs where wealth functions as a necessary condition for receiving medical care. In ‘The Idea of Equality Reconsidered’ Philosophy (January 1973) 85–90), I argued that, on his principles alone, this conclusion though correct was one-sided.

HOW MANY MILES TO BABYLON? MAPS, GUIDES, ROADS, AND RIVERS IN THE EXPEDITIONS OF XENOPHON AND ALEXANDER

2015 ◽  
Vol 62 (1) ◽  
pp. 60-74
Author(s):  
Richard Stoneman
Keyword(s):  
Crisis Management ◽  
Previous Experience ◽  
Persian Empire ◽  
The Way

When Alexander III of Macedon set out on campaign against the Persian Empire in 334 bc, he had little previous experience to draw on in devising the route to follow. Xenophon had covered some of the ground, but his written account took the route in reverse and was notably full of crisis management and extemporizing: it is doubtful whether Alexander made much use of it. Herodotus had described the basic topography of the Persian empire over a century before, but not in much detail. This article considers the kinds of information that Alexander had to draw on in planning his route, and the ways in which he, and Xenophon before him, acquired the information they needed on the way.

The missionary message of second Isaiah

1965 ◽  
Vol 18 (3) ◽  
pp. 308-318 ◽  
Author(s):  
A. Gelston
Keyword(s):  
Previous Experience ◽  
The World ◽  
The Way

We have long been accustomed to thinking of the great prophet of the exile, whose words are recorded in Isa. 40–55, as the seer who first discerned plainly the truth that Yahweh is the only real God in existence, and who drew the inference that He must therefore be the God, not of Israel only, but of all men the world over. But we have not always borne in mind the way in which this revelation came to the prophet. This was no sudden disclosure, unrelated to Israel's previous experience of Yahweh; it was a revelation indeed, but it came to the prophet through the travail of his own and his people's experience in Babylon.

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