scholarly journals The practice of rheumatology during the covid-19 pandemic

2021 ◽  
Author(s):  
Estefania Fajardo De La Espriella
Keyword(s):  
Patient Care ◽  
New Technologies ◽  
Intermediate Care ◽  
Pan American ◽  
To Come ◽  
Care Ward

The COVID-19 pandemic has imposed many challenges that have ranged from migrating to new technologies to returning to an ICU or intermediate care ward. In the Pan-American Day of Rheumatology framework, we look at the challenges faced and at what is to come regarding patient care in this specialty.

74 Improving Handover Between Doctors and Nurses on An Elderly Care Ward

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
K Suseeharan ◽  
T Vedutla
Keyword(s):  
High Risk ◽  
Patient Care ◽  
Positive Impact ◽  
Elderly Care ◽  
Task Completion ◽  
Risk Area ◽  
High Risk Area ◽  
Staff Members ◽  
Care Ward ◽  
Doctors And Nurses

Abstract Background The Royal College of Physician guidelines (2011) identified handover as a “high risk step” in patient care, especially in recent times within the NHS where shift patterns lead to more disjointed care with a high reliance on effective handover by all staff members. Introduction At Cannock Chase hospital, Fairoak ward is an elderly care rehabilitation ward where there is a large multi-disciplinary team. While working on the ward as doctors we noticed that handover between the MDT was poor. Anecdotal evidence from both doctors and nurses felt that this was a high risk area in need of improvement. Aim to improve handover between doctors and nurses on this elderly care ward. Method To measure the quality of current handover practice we did a questionnaire. A total of 12 questionnaires were completed which showed that 92% of staff felt that handover on the ward was very poor and 50% preferred both written and verbal handover. We measured the number of tasks verbally handed over between doctors and nurses over 3 days. On average 65% of the tasks were completed. We then made the below interventions and re-audited to see if there was any improvement. Interventions over 3 week period: Results Questionnaire: Measuring task completion after interventions; Conclusion This project has made a positive change qualitatively and quantitatively to the ward handover practice. Staff satisfaction regarding handover has improved and the number of “handed over” tasks completed daily has significantly improved. The written handover sheet had poor utilisation by staff but in 4 months we are going to re-audit and trial the handover sheet again to further improve service delivery. We hope this improvement will have a positive impact on patient care on this elderly care ward.

Artificial intelligence: criminal and procedural aspects

2021 ◽  
pp. 75-89
Author(s):  
Igor I. Kartashov ◽  
Ivan I. Kartashov
Keyword(s):  
Artificial Intelligence ◽  
New Technologies ◽  
Human Beings ◽  
Criminal Proceedings ◽  
Legal Advice ◽  
Judicial Practice ◽  
Legal Expert ◽  
To Come ◽  
Definition Of ◽  
Self Learning

For millennia, mankind has dreamed of creating an artificial creature capable of thinking and acting “like human beings”. These dreams are gradually starting to come true. The trends in the development of modern so-ciety, taking into account the increasing level of its informatization, require the use of new technologies for information processing and assistance in de-cision-making. Expanding the boundaries of the use of artificial intelligence requires not only the establishment of ethical restrictions, but also gives rise to the need to promptly resolve legal problems, including criminal and proce-dural ones. This is primarily due to the emergence and spread of legal expert systems that predict the decision on a particular case, based on a variety of parameters. Based on a comprehensive study, we formulate a definition of artificial intelligence suitable for use in law. It is proposed to understand artificial intelligence as systems capable of interpreting the received data, making optimal decisions on their basis using self-learning (adaptation). The main directions of using artificial intelligence in criminal proceedings are: search and generalization of judicial practice; legal advice; preparation of formalized documents or statistical reports; forecasting court decisions; predictive jurisprudence. Despite the promise of using artificial intelligence, there are a number of problems associated with a low level of reliability in predicting rare events, self-excitation of the system, opacity of the algorithms and architecture used, etc.

scholarly journals Digital Economy : A Journey Through 21st Century Towards 22nd Century with Respect to India

2021 ◽  
pp. 85-94
Author(s):  
Dr. Pradipta Mukhopadhyay
Keyword(s):  
New Technologies ◽  
Research Work ◽  
Big Data Analytics ◽  
Digital Economy ◽  
Modern World ◽  
Economic Activities ◽  
22Nd Century ◽  
The World ◽  
The Difference ◽  
To Come

Digital Economy refers to an economy which is based on digital computing technologies and can also be referred to as internet economy or web economy as the business activities are conducted through markets based on the internet or the World Wide Web. A Digital Economy also refers to the usage of various digitised information and knowledge to perform various economic activities and uses various new technologies like Internet, Cloud Computing, Big Data Analytics to collect, store and analyse information digitally. This way the modern digital economies are helping the local and regional business organisations to come out of their local boundaries and step into the global scenario to take advantages of the modern liberalisation policies of the governments along with reduced trade barriers throughout the world. This paper will study the importance of digital economy in the modern world along with the difference between the traditional economy and the digital economy and the current state of digital economy in India. This Study has been casual, exploratory and empirical in nature and the data needed for research work has been collected by using both direct and indirect method of data collection.

scholarly journals Two Student Perspectives on Clinical Medical Education During the COVID19 Pandemic

2021 ◽  
Author(s):  
Anne P. George ◽  
Elise E. Ewens
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Patient Care ◽  
Direct Patient Care ◽  
Rural And Urban ◽  
Hands On ◽  
Hands On Learning ◽  
Ultimate Question ◽  
To Come ◽  
The U.S

In the age of COVID19, the ultimate question in healthcare became who was essential and who was not. Basically, who could be cut from the roster in patient care? Unfortunately, as medical students, many of us did not make that cut, and as rotations were continually evolving and changing, students from even the same institution had varying experiences. Third-year clerkships are defined by the direct patient care and hands-on learning students get, but in the age of COVID19, “hands-on learning” has been a bit hard to come by. Hence, COVID has caused many changes in the way medicine is being taught and practiced. This article will detail the experiences of two medical students from the same institution, working in different locations for their third-year clerkships. We contrast our rural and urban experiences as students in the time of COVID and display the varying experiences students are having during this time. We touch on the potential ramifications for these wide varieties of experiences from students across the U.S. and how this will affect sub-internships and residency applications. 

scholarly journals Bosnia and Herzegovina market research on the use of autonomous vehicles and drones in postal traffic

2021 ◽  
Vol 1 (2) ◽  
pp. 32-37
Author(s):  
Amel Kosovac ◽  
Ermin Muharemović ◽  
Alem Čolaković ◽  
Mirza Lakaca ◽  
Edvin Šimić
Keyword(s):  
Bosnia And Herzegovina ◽  
Autonomous Vehicles ◽  
Market Research ◽  
New Technologies ◽  
Rapid Development ◽  
Constant Change ◽  
To Come ◽  
Postal Sector ◽  
Business Sectors

New technologies primarily affect the lives of all people, their habits, needs, desires, but also significantly affect the demands placed on various business sectors. Discussions on the increasingly rapid development of technical-technological solutions that can be applied in the postal sector and logistics have a long history. New technologies in all areas bring a constant change in the relationship between companies and their customers, which significantly affect the quality of work and activities. In the years to come, it will be an increasing challenge for postal operators around the world, as well as for other companies, to achieve substantive communication and understanding of their customers through the application of innovative technologies. Understanding and learning about customer issues is key to offering them services that, with their precise targeting of stakeholders, quality, visibility, efficiency, and, perhaps most importantly, flexibility, will be able to meet needs that change so quickly over time. This will be possible with new technologies and innovative solutions. The paper presents a market research on the potential use of autonomous vehicles and drones in the postal sector in Bosnia and Herzegovina. The research is based on a survey questionnaire on the use of drones and autonomous vehicles in the postal sector in the segment of shipment delivery.

Future Trends in Management of Hazardous Envhionments - Panel Summary

2000 ◽  
Vol 44 (12) ◽  
pp. 2-602-2-605
Author(s):  
Thomas J. Smith
Keyword(s):  
Large Scale ◽  
New Technologies ◽  
Systems Approach ◽  
Environmental Safety ◽  
Future Trends ◽  
Psychological Consequences ◽  
Hazard Management ◽  
Musculoskeletal Problems ◽  
To Come ◽  
Panel Summary

Coming decades almost certainly will see a continuing process of change in the nature and distribution of workplace and environmental safety hazards and risks. This session discusses future trends in the management of hazardous environments, particularly in terms of how such management can benefit from the application of macroergonomic principles and methods, Thomas Albin points out that although the application of ergonomics will remain a key strategy for abating musculoskeletal problems in the workplace, there is need for a broader systems approach to ergonomics program design. Michael Smith deals with new types and patterns of hazards and risks related to the emergence of new technologies. Markku Mattila addresses future trends in management of workplace hazards from a Scandinavian and European perspective, including the integration of ergonomics and quality management. Victor Koscheyev and Gloria Leon discuss future needs and trends in systems management of large-scale disasters and in the psychological consequences of human exposure to such disasters. Thomas Smith notes that a number of prevailing concepts and practices in the safety profession remain contrary to the principle of ‘fitting the job to the worker,’ and that perhaps the greatest challenge facing the safety and hazard management field in the decades to come will be to broaden the acceptance and application of this principle to enhance safety performance in the workplace.

Things to Come

2015 ◽  
Author(s):  
Peter Marks
Keyword(s):  
Operating System ◽  
Medical Treatment ◽  
Environmental Stress ◽  
New Technologies ◽  
Space Station ◽  
Political Control ◽  
The Future ◽  
To Come ◽  
Near Future ◽  
The Relationship

This chapter deals with of recent novels and films that project forward into the near future, suggesting where surveillance might be heading. In Kim Stanley Robinson’s 2312, surveillance is figured into a future world of interplanetary environmentalism, in protecting planets and helping to monitor the ‘rewilding’ of an environmentally devastated Earth. Neill Blomkamp’s film Elysium fashions another Earth under environmental stress, patrolled by stringent surveillance operatives and systems that also screen the put-upon inhabitants from the eponymous eutopian space station literally and metaphorically above them. The film concentrates on the utopian urges of that population in their endeavour to overcome oppressive monitoring and receive medical treatment reserved for those on Elysium. Dave Eggers conjures up an apparently eutopian hi-tech company, The Circle, in his novel of the same name, representing how new technologies manipulate data and images for economic, social and political control. Spike Jonze’s film Her explores the relationship between surveillance and intimacy through the interaction between a human and an operating system. As with Eggers’ The Circle, Her investigates how data confuses definitions of identities as it allows for the fusion of surveillance and intimacy. These novels and films suggest some of the ways in which new forms of surveillance promise or threaten to fashion the worlds of the future. As with all such texts, they suggest options and present narratives and characters that enable readers and viewers to think and act so that the future approximates the eutopian rather than the dystopian.

scholarly journals A Toolkit for Evaluating Interventions to Improve Decision Making: The Garden Path Approach

2019 ◽  
Vol 8 (1) ◽  
pp. 130-134
Author(s):  
Simon Fernandez ◽  
Laura Militello ◽  
Christen Sushereba ◽  
David Bahner ◽  
Michael Barrie ◽  
...  
Keyword(s):  
Traffic Management ◽  
Nuclear Power ◽  
New Technologies ◽  
Air Traffic Management ◽  
Garden Path ◽  
Simulation Scenario ◽  
Asymmetric Learning ◽  
To Come ◽  
Measure Of Performance ◽  
Over Time

We propose a toolkit for objectively evaluating the effectiveness of new technologies for improving human cognitive performance. In complex socio-technical systems such as nuclear power generation and air traffic management, garden path scenarios have been effectively used to anchor initial inaccurate hypotheses that are then monitored for movement towards the correct hypotheses as increasing evidence over time makes it easier to change the diagnosis. The time to come to an accurate diagnosis in a well-crafted simulation scenario with an initial inaccurate anchor hypothesis is an objective, repeatable measure of performance for the macrocognition function of sensemaking. The time to verbalize the recognition of critical cues, which becomes increasingly less subtle over time, as well as the time to move from the inaccurate diagnosis at one of the correct diagnoses in the complete diagnostic set can all be reliably measured and compared in an across-subject study design. Modifications with conceptually matched scenarios using within-subject designs can also be employed if asymmetric learning effects are managed.

New Electric Transmission Technologies for Renewable Integration

2009 ◽  
Author(s):  
Merwin Brown ◽  
Lloyd Cibulka ◽  
Jim Cole ◽  
Larry Miller
Keyword(s):  
Power Flow ◽  
Power Plants ◽  
New Technologies ◽  
Technology Development ◽  
Cost Effective ◽  
Transmission System ◽  
Renewable Generation ◽  
Renewable Energy Resources ◽  
Electric Transmission ◽  
To Come

California has established aggressive Renewables Portfolio Standard (RPS) goals to increase the fraction of electricity generated from renewable energy resources and to decrease greenhouse gas emissions. Legislation AB 32 requires 20% of California’s electricity to come from renewables by 2010. More recently, an executive order has set a goal of 33% by 2020. Most of this new renewable generation will require the electric grid for delivering its electricity to customers. Renewable generators will be integrated into the grid at both transmission and distribution levels, but most of this capacity is expected to connect to the transmission system in locations remote from load centers and existing transmission infrastructure. Consequently, new transmission extensions must be built. But permitting and constructing new transmission are taking considerably longer than they do for the power plants the new transmission will serve, creating a significant challenge for meeting the RPS goals. Once connected to the grid, some of this renewable generation will exhibit properties, such as intermittency, quite different from traditional generation and loads, which pose special challenges for providing timely grid delivery capacity, maintaining reliability, and avoiding economic inefficiencies. Finally, power flow constraints through existing transmission “gateways” into population centers must be relieved before the electricity from renewables can reach customers. Meeting these challenges will require new or expanded capabilities for the grid. At higher RPS levels, the conventional “build” solutions, namely new extension lines, expanding the capacity of existing transmission gateways to load centers, and building conventional power plants for support, will prove inadequate by themselves, either because they are not the most cost effective or can’t be permitted. New transmission technologies offer the prospect of providing a substantial portion of these new or expanded capabilities to supplement these build solutions. This paper provides a technology development survey for achieving an electric transmission infrastructure functionally capable of performing its role in meeting the Renewables Portfolio Standard goals. These new technologies were examined in the context of providing three new or expanded broad capabilities: (1) Provide physical access for each new power plant, (2) Reliably accommodate any unique renewable generator behaviors, and (3) Increase the grid’s power carrying capacity to handle the additional electric power flows. Many of these new capabilities will foster a more intelligent, robust and flexible transmission system as part of the Smart Grid. This intelligence also opens the prospects for an expanded role for distributed renewable generation to help meet the RPS goals and reduce some of the burden on transmission. Finally new physical capabilities must be added to turn the intelligence into actions.

Impact of Physician Attire on Perception of Patient Care is Different for Patients and Family Members on an Inpatient Palliative Care Ward

2020 ◽  
Vol 231 (4) ◽  
pp. e23
Author(s):  
Atsushi Shimizu ◽  
Mitsue Takeuchi ◽  
Fumio Kurosaki ◽  
Kaichiro Tamba ◽  
Naohiro Sata ◽  
...  
Keyword(s):  
Palliative Care ◽  
Patient Care ◽  
Family Members ◽  
Care Ward
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