scholarly journals Telemedicine and Physical Examination: A Cautionary Tale and a Prescription for the Future

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
McCool Ryan R
MCU Journal ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 35-50
Author(s):  
Andrew Rhodes

American officers considering the role of the sea Services in a future war must understand the history and organizational culture of the Chinese military and consider how these factors shape the Chinese approach to naval strategy and operations. The Sino-Japanese War of 1894–95 remains a cautionary tale full of salient lessons for future conflict. A review of recent Chinese publications highlights several consistent themes that underpin Chinese thinking about naval strategy. Chinese authors assess that the future requires that China inculcate an awareness of the maritime domain in its people, that it build institutions that can sustain seapower, and that, at the operational level, it actively seeks to contest and gain sea control far from shore. Careful consideration of the Sino-Japanese War can support two priority focus areas from the Commandant’s Planning Guidance: “warfighting” and “education and training.”


2012 ◽  
Vol 34 (1) ◽  
Author(s):  
Cailin O’Connor ◽  
Nathan Fulton ◽  
Elliott Wagner ◽  
P. Kyle Stanford

AbstractIn this paper we critically examine and seek to extend Philip Kitcher’s Ethical Project to weave together a distinctive naturalistic conception of how ethics came to occupy the place it does in our lives and how the existing ethical project should be revised and extended into the future. Although we endorse his insight that ethical progress is better conceived of as the improvement of an existing state than an incremental approach towards a fixed endpoint, we nonetheless go on to argue that the metaethical apparatus Kitcher constructs around this creative metaethical proposal simply cannot do the work that he demands of it. The prospect of fundamental conflict between different functions of the ethical project requires Kitcher to appeal to a particular normative stance in order to judge specific changes in the ethical project to be genuinely progressive, and we argue that the virtues of continuity and coherence to which he appeals can only specify rather than justify the normative stance he favors. We conclude by suggesting an alternative approach for ethical naturalists that seems to us ultimately more promising than Kitcher’s own.


Author(s):  
Lawrence E. Wood

This chapter conveys the results of an empirical analysis designed to evaluate how e-government in practice, particularly at the local level, corresponds with e-government stages theory. At the same time, examining e-government activity through the lens of such theory provides insights regarding the e-government maturation process, in a way that informs our understanding of not only relatively recent trends, but perhaps expectations for the future as well. The research identifies major challenges associated with establishing even basic e-government activity in some locations, though the results across virtually all locations included in the analysis should serve as a cautionary tale in regards to some of the highly anticipated benefits of e-government, especially in the area of civic engagement. From a policy-oriented standpoint, the relatively straightforward nature of this analysis can serve as a framework for similar evaluations, especially as e-government opportunities, and indeed challenges, continue to evolve.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
Y Shah ◽  
K Shah

Abstract Background The COVID-19 pandemic has elicited the need to deliver consultation appointments remotely due to social-distancing measures, as well as some individuals having to shield. Virtual clinics are not a familiar setting for orthopaedic surgeons or their patients, but it is a necessity in the current climate and potentially also in the future. Aim This study aims to determine patient satisfaction of virtual orthopaedic consultations, during the COVID-19 pandemic and for the future. Method A 10-question survey assessed the satisfaction level of both new and follow-up patients towards virtual clinics for consultations with orthopaedic surgeons. Results Based on 100 patients who completed the surveys in a 6-month study during the pandemic, it was found that a majority (90%) of patients reported being satisfied (either very satisfied or satisfied) with the telephone clinics and would be content on having virtual clinics in the future. Conclusions Many patients view virtual clinics as an acceptable substitute for face-to-face appointments, specifically during the pandemic. However, it was also reported that a majority of patients would still prefer a physical examination as well. If virtual consultations are to persist beyond the COVID-19 pandemic, further exploration would need to be carried out to determine the efficacy.


2014 ◽  
Vol 14 (1) ◽  
pp. 115-147 ◽  
Author(s):  
Tomas Hamilton ◽  
Michael Ramsden

The use of ‘hybrid’ tribunals as a means to secure accountability for international crimes seeks to combine national ownership over the trials whilst providing a framework for the inclusion of international standards and personnel in the proceedings. The Extraordinary Chambers in the Courts of Cambodia (ECCC) represents one such hybrid experiment. Yet the ECCC has faced recurring allegations of political interference. These allegations are substantial and even if not always verifiable at least create an appearance of impropriety. The failure of the ECCC and United Nations to adequately address these allegations derived from a hybrid model that failed to provide sufficient safeguards against interference. The international community agreed on a solution to secure accountability with awareness that the trials were likely to be politically tainted. As such, the experiment in Cambodia provides a cautionary tale for the future design of hybrid tribunals.


UK-Vet Equine ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. 77-83
Author(s):  
James R. Crabtree ◽  
Jonathan Pycock

This article provides an overview of the examination of mares and fillies for breeding purposes, with a suggested protocol for examination including: identification and history taking; physical examination; and screening for infectious reproductive diseases, potentially heritable defects and genetic diseases. Examination of the female reproductive tract is discussed based on its anatomical elements, along with guidance on assessment, indications for further investigations and conditions which may affect the future fertility of the individual. An in-depth evaluation of vulval conformation is described and quantitative assessment is illustrated using the ‘Caslick's index’. The limitations of the examination are described, along with guidance on certification of the examination findings.


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