Search results for "physicians"

Training of primary care physicians enhances performance of mobile teledermatology

2020

Can ECG-gated MDCT be considered an obligatory step to plan and manage a new chest-pain unit?

2007

The recent improvements in multi-detector computed tomography technology and its application in cardiac field allow to consider this non-invasive imaging technique as a promising comprehensive method for detecting significant coronary stenoses in a chest-pain unit. The possibility to use the ECG-synchronisation acquisition protocol, normally limited to the cardiac volume, for the entire thoracic vascular system should have the remarkable potential to reduce invasive and non-invasive procedures actually used to investigate acute chest pain and the number of unnecessary hospital admissions without reducing appropriate admissions in patients with chest pain.

Comprehensive cardiovascular ECG-gated MDCT as a standard diagnostic tool in patients with acute chest pain

2007

Acute myocardial infarction, pulmonary embolism, and aortic dissection are diseases associated with acute chest pain and may lead to severe morbidity and mortality. These diseases may not be trivial to diagnose in the settings of emergency room. ECG-gated multi-detector computed tomography (MDCT), already established for the assessment of pulmonary embolism and aortic dissection, provides reliable information regarding the triage of patients with acute coronary syndrome in the emergency room. MDCT recently appeared to be logistically feasible and a promising comprehensive method for the evaluation of cardiac and non-cardiac chest pain in emergency department patients. The possibility to sca…

Just a leader? Leadership work challenges and identity contradiction experienced by Finnish physician leaders.

2021

PurposeThis study seeks to improve the understanding of physician leaders' leadership work challenges.Design/methodology/approachThe subjects of the empirical study were physician leaders (n = 23) in the largest central hospital in Finland.FindingsA total of five largely identity-related, partially paradoxical dilemmas appeared regarding why working as “just a leader” is challenging for physician leaders. First, the dilemma of identity ambiguity between being a physician and a leader. Second, the dilemma of balancing the expected commitment to clinical patient work by various stakeholders and that of physician leadership work. Third, the dilemma of being able to compensate for leadership sk…

Physicians’ motivations to use mobile health monitoring:a cross-country comparison

2016

While mobile device receives increasing attention as a practical tool to remotely check patients’ health, little research has shed light on physicians’ acceptance of this information and communication technology. This study attempts to fill this research gap by examining how Japanese and Spanish physicians perceive a series of factors associated with mobile diabetes monitoring acceptance, and whether any differences exist in these perceptions between the countries due to different levels of physician scarcity, which is operationalised as the number of physicians available per 10,000 population. The hypotheses were tested by empirical surveys in Japan and Spain. In total, 471 and 497 usable …

The powers of masculinization in humanitarian storytelling: the case of the surgeon María Gómez Álvarez in the Varsovia Hospital (Toulouse, 1944–1950)

2020

This contribution is focused on analysing the power of 'masculinization' through which traditional humanitarian storytelling has been shaped. Strongly marked by a patriarchal vision, humanitarian accounts have traditionally hidden the work of women while stressing that performed by men, who appeared represented as true protagonists and, even, as heroes. In particular, this article analyses the professional career of a Spanish female surgeon named Maria Gomez (1914-1975) between 1944 and 1950, when she worked in a small charitable hospital based in Toulouse (France) for improving the health-care conditions of Spanish Republican refugees. Known as Hospital Varsovia or as Walter B. Cannon Memo…

Development of a European consensus from dentists, dental hygienists and physicians on a standard for oral health care in care-dependent older people…

2020

ObjectivesThis study aimed to obtain a consensus on oral health policy, access to dental care, oral hygiene measures and training levels.BackgroundPoor oral health is widespread in care-dependent older people, but no consensus for a minimum standard of oral health care exists yet.MethodsThe e-Delphi approach was applied to a selected panel of interdisciplinary experts. Data analysis was based on three measurements: (a) ≥70% of experts’ opinion fall into category “agree or strongly agree,” (b) median score on the 5-point Likert scale ≥4, (c) interquartile range ≤1.ResultsA total of 31 experts from 17 European countries participated in this survey. Agreement was achieved for a compulsory dent…

Incidence of potential drug interactions in a transplant centre setting and relevance of electronic alerts for clinical practice support

2013

Background Adverse drug events may occur as a result of drug–drug interactions (DDIs). Information technology (IT) systems can be an important decision-making tool for healthcare workers to identify DDIs.Objective The aim of the study is to analyse drug prescriptions in our main hospital units, in order to measure the incidence and severity of potential DDIs. The utility of clinical decision-support systems (CDSSs) and computerised physician order entry (CPOE) in term of alerts adherence was also assessed. DDIs were assessed using a Micromedex healthcare series database.Methods The system, adopted by the hospital, generates alerts for prescriptions with negative interactions and thanks to a…

Patients’ preferences for osteoarthritis treatment: the value of stated-preference studies

2019

Caesarean Section on Maternal Request-Ethical and Juridic Issues: A Narrative Review.

2022

In recent decades, the rate of caesarean deliveries has increased worldwide. The reasons for this trend are still largely misunderstood and controversial among researchers. The decision often depends on the obstetrician, his beliefs and experience, the characteristics of the patients, the hospital environment and its internal protocols, the increasing use of induction of labor, the medico-legal implications, and, finally, the mother’s ability to request delivery by caesarean section without medical indication. This review aims to describe the reasons behind the increasing demand for caesarean sections by patients (CDMR) and strategies aimed at reducing caesarean section rates and educating …