scholarly journals Application of Lucilia sericata Larvae in Debridement of Pressure Wounds in Outpatient Settings

10.3791/62590 ◽  
2021 ◽  
Author(s):  
Dariusz Bazaliński ◽  
Paweł Więch ◽  
Paulina Szymańska ◽  
Marek Muster ◽  
Maria Kózka
Keyword(s):  
Lucilia Sericata ◽  
Outpatient Settings

Economic and social problems of providing medical care to kidney and liver recipients on an outpatient basis (on the example of a regional outpatient transplantation center)

2020 ◽  
pp. 23-33
Author(s):  
Sergey Romanov ◽  
Sergey Zhukov ◽  
Svetlana Dzyubak
Keyword(s):  
Medical Care ◽  
Organ Transplantation ◽  
Economic Efficiency ◽  
Social Problems ◽  
Rehabilitation Program ◽  
Outpatient Basis ◽  
Medical Organization ◽  
Payment Mechanism ◽  
Transplantation Center ◽  
Outpatient Settings

The article is devoted to the problems of providing medical care in outpatient settings to patients who have undergone organ transplantation. The authors analyzed the economic efficiency of the outpatient transplantation center and concluded that a new payment mechanism for this type of medical services is needed. In addition, the article describes the system of social measures necessary for recipients of organs that are performed in a medical organization due to the lack of a rehabilitation program for such patients.

Psychiatrists and homicidal threats: a cross-sectional study

2021 ◽  
pp. 1-5
Author(s):  
Musaab Elzain ◽  
Ahmed Bashir ◽  
Noreen Moloney ◽  
Colum P. Dunne ◽  
Brendan D. Kelly ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Frequency Characteristics ◽  
Specific Method ◽  
Professional Lives ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Personal Lives ◽  
Urban Rural ◽  
History Of ◽  
Outpatient Settings

Objectives: To investigate the frequency, characteristics and impact of death threats by patients towards psychiatrists. Methods: A cross-sectional survey of psychiatrists (n = 60) was undertaken to investigate the frequency, characteristics and impact of death threats by patients in one Irish healthcare region serving a mixed urban–rural population of 470,000. Results: Forty-nine responses (82%) were received. Thirty-one per cent of respondents experienced death threats by patients during their careers. Victims were more likely to be male and in a consultant role. Patients making the threats were more likely to be males aged 30–60 with a history of violence and diagnosis of personality disorder and/or substance misuse. A majority of threats occurred in outpatient settings and identified a specific method of killing, usually by stabbing. Prosecution of the perpetrator was uncommon. Of the victimised psychiatrists, 53% reported that such threats affected their personal lives, and 67% believed their professional lives were impacted. In half of the incidents, there were adverse incidents subsequent to the threats, involving either the patient or the clinician. Conclusions: Death threats by patients have significant psychological and professional impacts on psychiatrists. Early liaison with employers and police and transferring the care of the patient to another clinician may be useful measures.

scholarly journals Comparing burnout and work-life balance among specialists in internal medicine: the role of inpatient vs. outpatient workplace

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Felix S. Hussenoeder ◽  
Erik Bodendieck ◽  
Franziska Jung ◽  
Ines Conrad ◽  
Steffi G. Riedel-Heller
Keyword(s):  
Outpatient Setting ◽  
Work Life ◽  
Work Life Balance ◽  
Full Time ◽  
Life Balance ◽  
Specific Factors ◽  
Physician Mental Health ◽  
Outpatient Settings ◽  
Subsequent Patient

Abstract Background Compared to the general population, physicians are more likely to experience increased burnout and lowered work-life balance. In our article, we want to analyze whether the workplace of a physician is associated with these outcomes. Methods In September 2019, physicians from various specialties answered a comprehensive questionnaire. We analyzed a subsample of 183 internists that were working full time, 51.4% were female. Results Multivariate analysis showed that internists working in an outpatient setting exhibit significantly higher WLB and more favorable scores on all three burnout dimensions. In the regression analysis, hospital-based physicians exhibited higher exhaustion, cynicism and total burnout score as well as lower WLB. Conclusions Physician working at hospitals exhibit less favorable outcomes compared to their colleagues in outpatient settings. This could be a consequence of workplace-specific factors that could be targeted by interventions to improve physician mental health and subsequent patient care.

Antibacterial substances of low molecular weight isolated from the blowfly, Lucilia sericata

2007 ◽  
Vol 21 (2) ◽  
pp. 127-131 ◽  
Author(s):  
L. HUBERMAN ◽  
N. GOLLOP ◽  
K. Y. MUMCUOGLU ◽  
E. BREUER ◽  
S. R. BHUSARE ◽  
...  
Keyword(s):  
Molecular Weight ◽  
Lucilia Sericata ◽  
Low Molecular Weight

scholarly journals Impact of Comingled Heterospecific Assemblages on Developmentally Based Estimates of the Post-Mortem Interval—A Study with Lucilia sericata (Meigen), Phormia regina (Meigen) and Calliphora vicina Robineau-Desvoidy (Diptera: Calliphoridae)

Insects ◽  
2021 ◽  
Vol 12 (4) ◽  
pp. 280
Author(s):  
Krystal R. Hans ◽  
Sherah L. Vanlaerhoven
Keyword(s):  
Growth Rate ◽  
Development Time ◽  
Lucilia Sericata ◽  
Phormia Regina ◽  
Calliphora Vicina ◽  
Immature Stages ◽  
Post Mortem ◽  
Blow Fly ◽  
Blow Flies ◽  
Post Mortem Interval

Estimates of the minimum post-mortem interval (mPMI) using the development rate of blow flies (Diptera: Calliphoridae) are common in modern forensic entomology casework. These estimates are based on single species developing in the absence of heterospecific interactions. Yet, in real-world situations, it is not uncommon to have 2 or more blow fly species developing on a body. Species interactions have the potential to change the acceptance of resources as suitable for oviposition, the timing of oviposition, growth rate, size and development time of immature stages, as well as impacting the survival of immature stages to reach adult. This study measured larval development and growth rate of the blow flies Lucilia sericata (Meigen, 1826), Phormia regina (Meigen, 1826) and Calliphora vicina Robineau-Desvoidy (Diptera: Calliphoridae) over five constant temperatures (15, 20, 25, 30, 35 °C), in the presence of conspecifics or two-species heterospecific assemblages. Temperature and species treatment interacted such that L. sericata larvae gained mass more rapidly when in the presence of P. regina at 20 and 30 °C, however only developed faster at first instar. At later stages, the presence of P. regina slowed development of L. sericata immatures. Development time of C. vicina immatures was not affected by the presence of P. regina, however larvae gained mass more slowly. Development time of P. regina immatures was faster in the presence of either L. sericata or C. vicina until third instar, at which point, the presence of L. sericata was neutral whereas C. vicina negatively impacted development time. Phormia regina larvae gained mass more rapidly in the presence of L. sericata at 20 °C but were negatively impacted at 25 °C by the presence of either L. sericata or C. vicina. The results of this study indicate that metrics such as development time or larval mass used for estimating mPMI with blow flies are impacted by the presence of comingled heterospecific blow fly assemblages. As the effects of heterospecific assemblages are not uniformly positive or negative between stages, temperatures or species combinations, more research into these effects is vital. Until then, caution should be used when estimating mPMI in cases with multiple blow fly species interacting on a body.

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