scholarly journals Prisons, sida et divulgation de renseignements médicaux. Analyse juridique et éthique

Criminologie ◽  
2005 ◽  
Vol 27 (2) ◽  
pp. 127-163 ◽  
Author(s):  
Ralf Jürgens ◽  
Norbert Gilmore
Keyword(s):  
Hiv Infection ◽  
Staff Member ◽  
Medical Staff ◽  
Medical Information ◽  
Correctional Institutions ◽  
Federal Inmates

The article addresses some of the issues raised in federal correctional institutions by the generation and communication of personal medical information pertaining the HIV infection. It examines, first, whether medical information pertaining to federal inmates — information considered confidential between medical staff and an inmate — can be disclosed absent the inmate's consent. It then examines what conditions or criteria determine whether or not such disclosure is ethically and legally justifiable, and if disclosure is justified, what conditions apply to its disclosure. Finally, specific situations in which a claim for disclosure may arise are examined. The article concludes that in federal correctional institutions, the disclosure of personal medical information absent consent of the person is seldom justifiable. In most situations, such disclosure is unnecessary and even appears to be counterproductive or harmful. Measures that can be undertaken to prevent exposure to and infection with HIV have to be undertaken regardless of whether an inmate or staff member is or is not known, to staff, wardens, or inmates, to be infected with HIV.

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

Assessment of Needs for Counseling After Prenatal Diagnosis of Congenital Heart Disease – A Multidisciplinary Approach

2018 ◽  
Vol 230 (05) ◽  
pp. 251-256 ◽  
Author(s):  
Alexander Kovacevic ◽  
Andreas Simmelbauer ◽  
Sebastian Starystach ◽  
Michael Elsässer ◽  
Christof Sohn ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Prenatal Diagnosis ◽  
Medical Staff ◽  
Congenital Heart ◽  
Multidisciplinary Approach ◽  
Medical Information ◽  
Coping Resources ◽  
Effective Counseling ◽  
Demographical Data

Abstract Background Congenital heart disease is the most common cause of major congenital anomalies. After prenatal diagnosis effective counseling is crucial. However, little research has been undertaken in determining the most effective techniques. Objectives To develop a questionnaire suitable to assess parental needs for counseling. Material and Methods A questionnaire was developed by pediatric cardiologists, maternal-fetal-medicine specialists and sociologists. Likert scaled and open-ended questions are combined with socio-demographical data. The questionnaire was prospectively pilot-tested on 17 parents. We present first analyses of n=41 parents. Results Response rate was 89.5%. The dependent variable “effective counseling” was measured in 5 dimensions (transfer of medical information, trust in medical staff, transparency of treatment process, coping resources and perceived situational control). The questionnaire’s internal consistency is high (Cronbach’s alpha>0.7). First analyses show that 44.7% perceived counseling as successful. Transfer of medical information seems difficult (36.6% success rate). Trust in medical staff was high with 75%. Conclusions This newly developed tool measures counseling success in five dimensions. A multidisciplinary approach is recommended as methodological expertise is essential for constructing adequate tests. Preliminary data indicate that transfer of medical information is not easily achieved. Further analyses are needed to identify factors that determine counseling success.

Questionable treatment by medical staff member

JAMA ◽  
1974 ◽  
Vol 230 (12) ◽  
pp. 1699b-1699
Author(s):  
D. P. Wilcox
Keyword(s):  
Staff Member ◽  
Medical Staff

An Airline Physician's Experiences with an Aircrash in Nairobi

1985 ◽  
Vol 1 (2) ◽  
pp. 197-198
Author(s):  
Horst H. Renemann
Keyword(s):  
Crisis Management ◽  
Medical Staff ◽  
Medical Service ◽  
Medical Information ◽  
Leading Edge ◽  
Accurate Information ◽  
Home Base ◽  
International Airport ◽  
Medical Supplies ◽  
Management Staff

A Boeing 747 took off from Nairobi International Airport on the morning of November 20, 1974. Its leading edge flaps failed to operate for technical reasons and barely a minute later the aircraft crashed, the tail separating from the fuselage. The wreck caught fire.Since the aircraft's home base was Frankfurt, a Crisis Management Staff (CMS) was immediately constituted there. As an airline physician, I was requested to evaluate the medical information received from Nairobi and act as medical advisor to the CMS. According to the first rough estimate received, approximately 160 persons were believed to be on board at the time of take-off. By the same estimate, about 100 of these had escaped with their lives, of whom about 60 had been injured. Since there was no accurate information about the availability of adequate medical supplies in Nairobi, I advised the CMS that I should go with a medical staff and equipment to Nairobi. In 1974, the Lufthansa Medical Service in Frankfurt was manned by only three physicians as compared with six at present. Of these three, one was on vacation, one was required to maintain the Medical Service in Frankfurt and only one could be spared to go to the site of the crash.On arrival in Nairobi, my colleague and I contacted and registered 44 passengers who had been on board: those who had been seriously injured were discovered in local hospitals, others were in hotels and lodgings in the locality.

On Research on HIV Infection and AIDS in Correctional Institutions

1989 ◽  
Vol 67 (2) ◽  
pp. 171 ◽  
Author(s):  
Nancy Neveloff Dubler ◽  
Victor W. Sidel
Keyword(s):  
Hiv Infection ◽  
Correctional Institutions

scholarly journals An Efficient Patient Information Transmission and Receiving Scheme using Cloud H-IoT System

2019 ◽  
Vol 8 (2S6) ◽  
pp. 180-184
Keyword(s):  
Patient Information ◽  
Medical Staff ◽  
Medical Information ◽  
Eating Habits ◽  
Medical Services ◽  
Medical Systems ◽  
Health Care Environment ◽  
Disease Information ◽  
Proposed Model ◽  
Iot Devices

The medical environment, combined with IT technology, is changing the paradigm for medical services from treatment to prevention. In particular infrastructure technologies such as big data and internet of things are being used in conjunction with the cloud as ICT convergence digital healthcare technology is applied to hospital medical systems. In particular, as medical services are used with IT devices, the quality of medical services is increasingly improving to make them easier for users to access. Medical institutions seeking to incorporate IoT services into cloud health care environment services are trying to reduce hospital operating costs and improve service quality, but have not yet been fully supported. In this paper, a patient information collection model from H-IoT(Hospital IoT)_system, which has established a cloud environment, is proposed. The proposed model prevents third parties from illegally eavesdropping and interfering with patients' biometric information through IoT devices attached to the patient's body at hospitals in cloud environments that have established H-IoT systems. In the proposed model, patients are now eligible for medical service by installing an IoT device, and medical staff can analyze patient disease information so that patients who visit the hospital can collect and receive treatment for diseases related to their eating habits. The disease information analyzed in the proposed model minimizes hospital work to facilitate the treatment and management of prescriptions according to the degree of disease in patients. On average, the time required for medical staff to collect and analyze IoT patient information was 7.8 percent lower than previous techniques. The results of 11.1% improvement in server efficiency for processing IoT patient information were obtained. The IoT medical information transmitted from IoT devices was 16.3% lower than the traditional technology, using diffusion band technology

scholarly journals Design and Functioning of Automated Medicine Dispensing Module

2021 ◽  
Vol 10 (4) ◽  
pp. 120-123
Author(s):  
Kunal Agarwal ◽  
Jil Jain ◽  
Vrutant Shah ◽  
Gargi Chauhan ◽  
Piyush Surani
Keyword(s):  
Developing Countries ◽  
Staff Member ◽  
Medical Staff ◽  
Repetitive Movement ◽  
The Right ◽  
Significant Shortage

In a world where technology has bridged the gap between people communicating to reducing human efforts and improving efficiency, the problem that major hospitals & pharmacies face is i.e. lack of staff & resources. As per the survey conducted by LANCET[1], India faces a significant shortage in medical staff which leads to patients being unattended for several hours. This problem can be solved if the tasks per staff member is reduced and one such way is by reducing their repetitive movement from the patient's room to the pharmacy for giving the medicines to the patient. This effort can be reduced by creating a remotely located machine which can be placed at the right place to dispense medicines automatically. This reduces the extra movements and hence provides them the time to do tasks that are of more importance. Although the concept of an automated medicine dispensing unit is not new, it is something that if built and implemented, can provide aid to patients in developing countries.

scholarly journals Risks of HIV Infection for Medical Staff. Postexposure Prophylaxis (by the Example of the Sverdlovsk Region)

2019 ◽  
Vol 18 (3) ◽  
pp. 54-59
Author(s):  
A. S. Podymova ◽  
A. A. Golubkova ◽  
V. A. Kukarkina ◽  
E. I. Sisin
Keyword(s):  
Hiv Infection ◽  
Medical Staff ◽  
Postexposure Prophylaxis

Transmission of hepatitis C virus (HCV) from a Haemodialysis Patient to a Medical Staff Member

1990 ◽  
Vol 22 (6) ◽  
pp. 757-758 ◽  
Author(s):  
Ursula Schlipköter ◽  
Michael Roggendorf ◽  
Kay Cholmakow ◽  
Achim Weise ◽  
Friedrich Deinhardt
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Staff Member ◽  
Medical Staff ◽  
Haemodialysis Patient

Issues in the Development and Implementation of HIV/AIDS Policy in Thailand's Prisons

1999 ◽  
Vol 5 (1) ◽  
pp. 21
Author(s):  
Atchara Suriyawong ◽  
Simon Barraclough
Keyword(s):  
High Risk ◽  
Human Resources ◽  
Hiv Infection ◽  
Hiv Positive ◽  
Correctional Institutions ◽  
Effective Implementation ◽  
Correctional Services ◽  
Aids Policy ◽  
Turn Over ◽  
Hiv Aids

Thailand's prisons are overcrowded, house many prisoners at high risk of HIV infection, and have a high turn-over of prisoners. Prevention and management of HIV is therefore important both for prisoners and staff and for the wider population. It is argued that although HIV/AIDS policy in Thailand's correctional institutions has often lagged behind policy developments in the wider Thai society it has nevertheless become more liberalised. Segregation and testing have been abandoned in favour of education and universal preventative precautions. Problems with financial and human resources continue to hamper the effective implementation of policy. There is also a greater need for co-operation between correctional services and non-government organisations to support HIV-positive prisoners upon their release.

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