scholarly journals Changing face of dermatology – A paradigm shift

2021 ◽  
Vol 1 ◽  
pp. 1
Author(s):  
Devinder Mohan Thappa
Keyword(s):  
Paradigm Shift ◽  
Postgraduate Medical Education ◽  
Imaging Techniques ◽  
Aesthetic Surgery ◽  
The United States ◽  
Ageing Population ◽  
Cosmetic Industry ◽  
Aesthetic Practice ◽  
Cosmetic Dermatology ◽  
Jawaharlal Institute

Over the last three and half-decade of my life, I have seen the changes in dermatology and marked paradigm shift towards procedural dermatology and cosmetic dermatology. Dermatosurgery clinics started in 1996, and lasers were procured in 2009, setting the tone for laser and cosmetic dermatology at Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry. Cosmetic dermatology (aesthetic medicine/medical aesthetics) has now been recognized as a sub-specialty of dermatology. Dermatologists have supremacy over other aesthetic practitioners as they also treat visible as well as stigmatizing skin disorders. In the last two decades in India, more and more women are taking up dermatology to pursue aesthetic practice. Women in dermatology have started their association, the Women’s Dermatologic Society, and their journal, International Journal of Women’s Dermatology (IJWD). Skin lightening products are overwhelmingly used by women and are one of the world’s largest markets. Nowadays, aesthetic surgical procedures are done with a motive to earn profits. Cosmetology has gained tremendous interest in the world, especially in the United States of America. Much of its recognition is due to scientific research in the development of imaging techniques, drug therapy, and other nonsurgical methods lessening downtime for the patients. The focus in dermatology is shifting gradually from diseased skin to desired skin which people prefer. Hence, the journal CosmoDerma, gives cosmetology its due place. Moreover, there is an increase in the anti-ageing population in this world who don’t want their face wrinkles and aging skin changes. In the absence of world wars in recent times and the increasing longevity of man, the cosmetic industry/aesthetic industry is surging ahead despite the COVID 19 pandemic. Accreditation system to regulate the practice of cosmetology practice needed to be put in place in all countries. Many of these cosmetology practitioners are inadequately equipped to perform cosmetology procedures. There is a need for structured training and accreditation for cosmetic dermatology, aesthetic surgery, dermatosurgery, use of lasers, and hair transplantation.

Normal ageing and the brain

1998 ◽  
Vol 15 (1) ◽  
pp. 26-28
Author(s):  
CS Breathnach
Keyword(s):  
Cerebral Cortex ◽  
Imaging Techniques ◽  
Structure And Function ◽  
Ageing Population ◽  
Cell Shrinkage ◽  
Ageing Processes ◽  
Normal Ageing ◽  
And Function ◽  
Ageing Brain ◽  
The Brain

AbstractInterest in the psychiatric aspects of old age predated the institution of geriatrics as a clinical discipline, but the systematic study of the ageing brain only began in the second half of this century when an ageing population presented a global numerical challenge to society. In the senescent cerebral cortex, though the number of neurons is not reduced, cell shrinkage results in synaptic impoverishment with consequent cognitive impairment. Recent advances in imaging techniques, combined with burgeoning knowledge of neurobiological structure and function, have increased our understanding of the ageing processes in the human brain and permit an optimistic approach in the application of the newer insights into neuropsychology and geriatric psychiatry.

Accreditation of postgraduate medical education in the United States and Canada: a comparison of two systems

1999 ◽  
Vol 33 (7) ◽  
pp. 493-498 ◽  
Author(s):  
Josephine M Cassie ◽  
Judith S Armbruster ◽  
M Ian Bowmer ◽  
David C Leach
Keyword(s):  
United States ◽  
Medical Education ◽  
Postgraduate Medical Education ◽  
The United States ◽  
Two Systems

The Economics of Long-Term Care

2013 ◽  
Vol 14 (2) ◽  
pp. 343-375 ◽  
Author(s):  
Luigi Siciliani
Keyword(s):  
Long Term Care ◽  
Private Insurance ◽  
Care Home ◽  
Significant Proportion ◽  
Empirical Work ◽  
The United States ◽  
Ageing Population ◽  
Public Insurance ◽  
Term Care

Abstract Long-term care expenditure is expected to rise, driven by an ageing population. Given that public long-term care expenditure is high in many OECD countries, governments are increasingly concerned about its future growth. This study focuses on three relevant issues. First, we discuss factors that affect the growth of long-term expenditure and its projections. These include demographics, the balance in provision between informal and formal care, whether higher life expectancy translates into higher disability, the interrelation between health and long-term care, and whether long-term care suffers from Baumol’s disease. Second, given that a significant proportion of long-term care expenditure is nursing- and care-home expenditure, we discuss the role of government regulation aimed at ensuring that individuals receive appropriate quality of care in such institutions. We focus in particular on price regulation, competition, and the non-profit sector; these have been the subject of considerable empirical work (mainly in the United States). Third, we discuss the relative merits of public and private insurance. Countries differ greatly in their approach. Some countries have nearly exclusively public insurance but in others this is small. We consider the conditions under which public insurance can overcome the limitations of a private insurance market.

Capital Punishment, Retribution, and Emotion

2018 ◽  
Vol 21 (2) ◽  
pp. 267-290
Author(s):  
Anthony Walsh ◽  
Virginia L. Hatch
Keyword(s):  
Decision Making ◽  
Death Penalty ◽  
Capital Punishment ◽  
Imaging Techniques ◽  
The United States ◽  
Fully Integrated ◽  
Group Stability ◽  
Normal People ◽  
Capital Cases ◽  
Almost All

This article explores the emotions behind the retributive urge as it applies to the death penalty in the United States. It is argued that the retributive urge is so strong because it engages the most primitive of our emotions, and that these emotions served adaptive purposes over the course of human evolution. Many scholars offended by the retributive instinct insist that we must put emotions aside when discussing the death penalty, even as jurors in death penalty cases, and rely on our rationality. To ask this is to ask what almost all normal people find impossible because the emotions evoked in capital cases (disgust, anger, sympathy for the victim, desire for justice) evolved for the purpose of maintaining group stability and survival by punishing freeloaders. Modern neuroscience has destroyed the traditional notion that rationality and emotion are antagonists. Brain imaging techniques show that they are fully integrated in our brain wiring, and both are engaged in decision making, but when reason and emotion yield conflicting judgments, the latter almost always triumphs. The evolutionary rationales for why emotions conducive to punitive responses for wrongdoers exist are examined.

scholarly journals Applying Value-Focused Thinking to a Make Versus Buy Decision

2016 ◽  
Vol 4 (2) ◽  
pp. 171-177
Author(s):  
Anthony Bianchi ◽  
John Barnett ◽  
William Dempsey ◽  
Matthew Giachinta ◽  
Matt Hugenberg ◽  
...  
Keyword(s):  
United States Army ◽  
Paradigm Shift ◽  
The United States ◽  
Project Manager ◽  
Problem Definition ◽  
Candidate Solution ◽  
Value Focused Thinking ◽  
The Us ◽  
Implementation Method ◽  
Lake City

The United States Army placed emphasis on decreasing the load an individual Soldier carries by reducing the weight of ammunition through the use of polymer-cased ammunition.  This paradigm shift from brass to polymer raises concerns over the implementation aspect of this new procedure into the US Army’s current ammunition production process.  Our client, Project Manager Maneuver Ammunition Systems (PM-MAS) sponsored our team to analyze various candidate solutions using a methodology grounded in value-focused thinking, and recommend an implementation method to produce 7.62 mm polymer-cased ammunition at the Lake City Army Ammunition Plant (LCAAP) in Lake City, Missouri.  This paper outlines the application of systems thinking concepts, various problem definition techniques and value modeling in order to effectively compare three given scenarios using a total value score versus cost analysis for each candidate solution.  Our final recommendation is to implement the Buy scenario because of its total score of 63.5 and estimated cost of $14.62 million.   

scholarly journals Experiences from tsunami relief activity: implications for medical training

2012 ◽  
Vol 3 (2) ◽  
pp. e138-e140
Author(s):  
Sudharsanam Manni Balasubramaniam ◽  
Gautam Roy ◽  
Yogesh Mohan
Keyword(s):  
Medical Education ◽  
Disaster Preparedness ◽  
Medical Training ◽  
Postgraduate Medical Education ◽  
Group Discussion ◽  
Leadership Skills ◽  
Psychological Impact ◽  
Vital Role ◽  
Medical Relief ◽  
Jawaharlal Institute

A tsunami struck the coast of Tamilnadu and Pondicherry on 26 December 2004. Jawaharlal Institute of Postgraduate Medical Education & Research, (JIPMER) in Pondicherry played a vital role in providing medical relief. The experiences from the relief activities revealed areas of deficiency in medical education in regards to disaster preparedness. A qualitative study using focus group discussion was employed to find the lacunae in skills in managing medical relief measures. Many skills were identified; the most important of which was addressing the psychological impact of the tsunami on the victims. Limited coordination and leadership skills were also identified. It is recommended that activity-based learning can be included in the curriculum to improve these skills.

scholarly journals Teaching Building Design and Construction Engineering. Are we ready for the paradigm shift?

2011 ◽  
Author(s):  
Daniel Forgues ◽  
Sheryl Staub-French ◽  
Leila M. Farah
Keyword(s):  
Paradigm Shift ◽  
Integrated Design ◽  
Building Design ◽  
The United States ◽  
Information Modeling ◽  
Research Experience ◽  
Building Information ◽  
Practice Knowledge ◽  
Teaching Programs ◽  
The Impact

Drastic changes are occurring in the construction industry. Building Information Modeling (BIM) processes and technologies, and new Integrated Project Delivery (IPD) approaches are transforming the way buildings are planned, designed, built and operated. With the needs for new skills to cope with these accelerating changes, architecture, engineering and construction (AEC) associations in the United States are working with universities to reengineer teaching programs, integrating architecture training within an engineering and construction curriculum. Leading universities are already developing new programs, such as BIM studio courses, and promoting new ways to teach practice knowledge within design laboratories.These changes are also starting to occur in the Canadian industry. Some large governmental bodies are starting to request that their projects are designed and built using BIM. Canadian universities must respond to these changing requirements to prepare future architects, engineers, and construction managers for these new challenges and emerging industry needs. This paper provides examples for how to bridge this gap by bringing practice knowledge and research to the classroom. First, it synthesizes the impact of BIM and IPD on engineering practices in Canada. Second, it describes curriculum development undertaken between a school of architecture and two engineering departments for the development of multidisciplinary design studios to teach integrated design and BIM. Case studies are set in urban contexts and include the development of new buildings as well as refurbishment proposals for an industrial obsolete landmark. Finally, learning from this teaching and research experience, it raises questions and issues regarding our readiness to cope with this paradigm shift.

scholarly journals Identifying barriers and facilitators to implementing advance care planning in prisons: a rapid literature review

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Ashley Macleod ◽  
Divya Nair ◽  
Ekin Ilbahar ◽  
Marcus Sellars ◽  
Linda Nolte
Keyword(s):  
Advance Care Planning ◽  
The United States ◽  
Barriers And Facilitators ◽  
System Level ◽  
Ageing Population ◽  
Care Planning ◽  
Limited Information ◽  
Correctional Setting ◽  
Academic Literature ◽  
Advance Care

Abstract Background Limited information is available describing advance care planning (ACP) within correctional facilities, despite its increasing relevance due to the ageing population in prisons and the high rates of complex medical comorbidities. In Western countries, self-determination with respect to making future medical decisions is a human right that prisoners do not lose when they are remanded into custody. ACP enables individuals to plan for their health and personal care so their values, beliefs and preferences are made known to inform future decision-making, for a time when they can no longer communicate their decisions. This paper examines the limited academic literature relating to ACP within prisons to identify barriers and facilitators that influence the uptake of ACP and advance care directive (ACD) documentation. Common themes related to ACP in a correctional setting were extracted and synthesised to produce a high-level analysis of barriers and facilitators influencing ACP uptake for prisoners within a correctional setting. Results Six articles met the selection criteria and reported on the experience of ACP and ACDs in prisons; five from the United States of America and one from Switzerland. Three dominant themes were identified, with related subthemes: system-level factors, attitudes and perceptions, and ACP knowledge and comprehension. Barriers to ACP and ACD implementation were more prominent in articles than facilitators. Conclusions Limited academic literature regarding the implementation and experience of ACP in prisons is available. The dominance of barriers identified in studies highlights key challenges for improving ACP uptake in correctional settings. Further research is required to understand the barriers, enablers, and attitudes to ACP in prisons.

Aged care nurse practitioners in Australia: evidence for the development of their role

2013 ◽  
Vol 37 (5) ◽  
pp. 594 ◽  
Author(s):  
Shannon Clark ◽  
Rhian Parker ◽  
Brenton Prosser ◽  
Rachel Davey
Keyword(s):  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
The United States ◽  
Aged Care ◽  
Service Planning ◽  
Current Evidence ◽  
Ageing Population ◽  
Healthcare Outcomes ◽  
The Impact

Aim To consider evidence surrounding the emerging role of nurse practitioners in Australia with a particular focus on the provision of healthcare to older people. Methods Methods used included keyword, electronic database and bibliographic searches of international literature, as well as review of prominent policy reports in relation to aged care and advanced nursing roles. Results This paper reports on evidence from systematic reviews and international studies that show that nurse practitioners improve healthcare outcomes, particularly for hard to service populations. It also maps out the limited Australian evidence on the impact of nurse practitioners’ care in aged care settings. Conclusions If Australia is to meet the health needs of its ageing population, more evidence on the effectiveness, economic viability and sustainability of models of care, including those utilising nurse practitioners, is required. What is known about the topic? Australia, like many industrialised countries, faces unprecedented challenges in the provision of health services to an ageing population. Attempts to respond to these challenges have resulted in changing models of healthcare and shifting professional boundaries, including the development of advance practice roles for nurses. One such role is that of the nurse practitioner. There is international evidence that nurse practitioners provide high-quality healthcare. Despite being established in the United States for nearly 50 years, nurse practitioners are a relatively recent addition to the Australian health workforce. What does this paper add? This paper positions a current Australian evaluation of nurse practitioners in aged care against the background of the development of the role of nurse practitioners internationally, evidence for the effectiveness of the role, and evidence for nurse practitioners in aged care. Recent legislative changes in Australia now mean that private nurse practitioner roles can be fully implemented and hence evaluated. In the face of the increasing demands of an ageing population, the paper highlights limitations in current Australian evidence for nurse practitioners in aged care and identifies the importance of a national evaluation to begin to address these limitations. What are the implications for practitioners? The success of future healthcare planning and policy depends on implementing effective initiatives to address the needs of older Australians. Mapping the terrain of contemporary evidence for nurse practitioners highlights the need for more research into nurse practitioner roles and their effectiveness across Australia. Understanding the boundaries and limitations to current evidence is relevant for all involved with health service planning and delivery.

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