Academic literature on the topic 'In-house medical care'
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Journal articles on the topic "In-house medical care"
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YAMADA, M. "In-House Medical Care and Medical Information : Medical Optical Card." JAPANES JOURNAL OF MEDICAL INSTRUMENTATION 60, no. 12 (December 1, 1990): 552–55. http://dx.doi.org/10.4286/ikakikaigaku.60.12_552.
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Landers, Steven H., Paul W. Gunn, and Kurt C. Stange. "An Emerging Model of Primary Care for Older Adults: The House Call–Home Care Practice." Care Management Journals 10, no. 3 (September 2009): 110–14. http://dx.doi.org/10.1891/1521-0987.10.3.110.
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House calls to older adults have become more common, in part related to the emergence of medical practices that either emphasize or exclusively provide house calls. In this article we seek to describe organizational, clinician, and patient characteristics of house call–home medical care practices in the United States. We conducted telephone interviews with clinicians representing 36 randomly selected practices from across the United States. This study found that house call–home care practices typically are recently formed small groups of physicians and nurse practitioners that provide in-home primary care, especially chronic disease care, to Medicare beneficiaries. Clinicians are motivated by the opportunity to improve care and to maintain autonomy. This emerging model may represent a mutually beneficial trend for older adults and physicians.
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Hayhurst, Chris. "Enhancing Care Delivery Operations through an In-House Medical Physics Program." Biomedical Instrumentation & Technology 53, no. 1 (January 1, 2019): 59–63. http://dx.doi.org/10.2345/0899-8205-53.1.59.
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Seitman, David T. "In-house medical personnel scheduler: A computerized on-call scheduling program." International Journal of Clinical Monitoring and Computing 11, no. 1 (February 1994): 7–10. http://dx.doi.org/10.1007/bf01132838.
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Soh, Ling Ling, and Lian Leng Low. "Attitudes, perceptions and practice patterns of primary care practitioners towards house calls." Journal of Primary Health Care 10, no. 3 (2018): 237. http://dx.doi.org/10.1071/hc18022.
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ABSTRACT INTRODUCTION Historically, doctors routinely delivered medical care to sick patients in their homes, with house calls accounting for 40% of all doctor–patient encounters in the 1940s. This proportion has dwindled to less than 1% today. Advantages of house calls include decreased mortality rates, admissions to long-term care in the general elderly population and increased patient appreciation. Therefore, we asked ‘Why do some primary care practitioners do house calls and what are the reasons that others do not?’. AIM This review aims to understand the attitudes, perceptions of Primary Care Practitioners (PCPs) towards house calls and their practice patterns. METHODS A search of PubMed and Embase was conducted for articles published before 31 December 2017. A total of 531 articles with 44 duplicates was generated. Of these, 13 were shortlisted along with three hand-searched articles for a total of 16 articles included in this review. RESULTS Primary care providers were aware of the role of house calls and their advantages in enabling comprehensive care for a patient. They saw making house calls as a responsibility with rewards that enhanced the doctor–patient relationship. However, opportunity cost, time, medical liability and miscellaneous reasons such as the lack of training precluded some PCPs from making more house calls. DISCUSSION Primary care practitioners recognise the importance of house calls, especially in the care of elderly patients, but there are many unaddressed issues such as opportunity cost and clinical inadequacy in the home setting that have caused a decline in house calls over the years.
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Aakjær Andersen, Camilla, Martin Bach B. Jensen, Berit Skjødeberg Toftegaard, Peter Vedsted, Michael Harris, and Örenäs Research group. "Primary care physicians’ access to in-house ultrasound examinations across Europe: a questionnaire study." BMJ Open 9, no. 9 (September 2019): e030958. http://dx.doi.org/10.1136/bmjopen-2019-030958.
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ObjectiveThe overall objective of this study was to examine the differences in ultrasound availability in primary care across Europe.DesignCross-sectional study.SettingPrimary care.ParticipantsPrimary care physicians (PCPs).Primary and secondary outcomes measuresThe primary aim was to describe the variation in in-house primary care ultrasonography availability across Europe using descriptive statistics. The secondary aim was to explore associations between in-house ultrasonography availability and the characteristics of PCPs and their clinics using a mixed-effects logistic regression model.ResultsWe collected data from 20 European countries. A total of 2086 PCPs participated, varying from 59 to 446 PCPs per country. The median response rate per country was 24.8%. The median (minimum–maximum) percentage of PCPs across Europe with access to in-house abdominal ultrasonography was 15.3% (0.0%–98.1%) and 12.1% (0.0%–30.8%) had access to in-house pelvic ultrasonography with large variations between countries. We found associations between in-house abdominal ultrasonography availability and larger clinics (OR 2.5, 95% CI 1.2 to 4.9) and clinics with medical doctors specialised in areas, which traditionally use ultrasonography (OR 2.1, 95% CI 1.1 to 3.8). Corresponding associations were found between in-house pelvic ultrasonography availability and larger clinics (OR 1.9, 95% CI 1.3 to 2.7) and clinics with medical doctors specialised in areas, which traditionally use ultrasonography (OR 3.0, 95% CI 1.8 to 5.1). Additionally, we found a negative association between urban clinics and in-house pelvic ultrasound availability (OR 0.5, 95% CI 0.2 to 0.9).ConclusionsAcross Europe, there is a large variation in PCPs’ access to in-house ultrasonography and organisational aspects of primary care seem to determine this variation. If evidence continues to support ultrasonography as a front-line point-of-care test, implementation strategies for increasing its availability in primary care are needed. Future research should focus on facilitators and barriers that may affect the implementation process.
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Breugelmans, Raoul, and J. Patrick Barron. "The Role of In-House Medical Communications Centers in Medical Institutions in Nonnative English-Speaking Countries." Chest 134, no. 4 (October 2008): 883–85. http://dx.doi.org/10.1378/chest.08-1068.
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Kaul, Karen L. "Molecular Detection of Mycobacterium tuberculosis: Impact on Patient Care." Clinical Chemistry 47, no. 8 (August 1, 2001): 1553–58. http://dx.doi.org/10.1093/clinchem/47.8.1553.
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Abstract Background: Nucleic acid amplification technologies such as PCR are revolutionizing the detection of infectious pathogens such as tuberculosis (TB). Amplification technology offers the potential for the diagnosis of TB in a few hours with a high degree of sensitivity and specificity. However, molecular assays neither replace nor reduce the need for conventional smear and culture, speciation, and antibiotic sensitivity assays. Methods: We undertook prospective studies of sputum samples to assess the performance of two PCR-based assays for the detection of TB as well as the impact of more rapid availability of test results on patient care. Results: The sensitivity of both the in-house and Amplicor PCR assays was 100% for smear-positive sputa. For smear-negative sputa (two sputum samples collected during the first 24 h of hospitalization), the sensitivity was 85% for our in-house PCR assay and 74% for the Roche PCR assay. Approximately 10% of the smear- and culture-negative sputa yielded positive PCR results; however, more than one-half of these were positive with both the in-house and Amplicor assays, suggesting the presence of TB DNA or organisms. Several of these came from patients whose other samples grew Mycobacterium tuberculosis during the same admission, and others came from patients who had previously treated TB. Overall, the specificities of the in-house and Amplicor PCR assays in smear-negative patients were 86% and 93%, respectively. Conclusions: Molecular detection of slow-growing pathogens such as M. tuberculosis have the potential to improve clinical care through a dramatic reduction in the time required for detection and may provide substantial savings in the overall cost of care of a patient compared with conventional smear, culture, and speciation alone, despite the fact that conventional assays must still be performed for speciation of nontuberculous mycobacteria and for full assessment of antibiotic sensitivity.
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Barnes, John, and Greg Wilkinson. "Patterns of mental health care in a seaside lodging house." Psychiatric Bulletin 17, no. 2 (February 1993): 82–83. http://dx.doi.org/10.1192/pb.17.2.82.
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Much of the medical care of the long-term mentally ill falls to the general practitioner (Wilkinson et al, 1985) and, for example, a survey in Buckinghamshire showed that these patients consult their general practitioner (GP) twice as often as mental health services. Lodging house dwellers are known to show an increased prevalence of major mental illness and to suffer much secondary social handicap, presenting a challenge to helping services of all disciplines. For this reason we chose a lodging house in which to explore further the relationships between mental illness and residents' present contact with their GP, mental health services and other local sources of help.
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Parande, Malangori A., Namrata D. Mule, Sangita C. Shelke, Muralidhar P. Tambe, Rupali N. Baviskar, Ganesh R. Jagadale,, Minal B. Hatnapure, and Priyanka H. Salunke. "An outbreak investigation of dengue in medical students and health care workers in a tertiary care hospital, Pune." Indian Journal of Forensic and Community Medicine 8, no. 4 (December 15, 2021): 214–19. http://dx.doi.org/10.18231/j.ijfcm.2021.044.
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Dengue is fast emerging mosquito borne viral disease. There was sudden outbreak of dengue cases among Medical students and Health Care Workers in tertiary care hospital from September to November 2019. Therefore, outbreak investigation carried out and corrective actions taken to halt the outbreak. Study Objectives are to investigate outbreak of dengue cases in medical students and Health Care Workers and to take corrective actions to halt the outbreak.The outbreak investigations of Dengue cases was done as 28 cases were admitted which includes medical students and Health Care Workers in tertiary care hospital from September to November 2019. A thorough search for breeding sites of Aedes mosquito was done in premises of hospital, college and residential area. 5 teams were made consisting of Sanitary Inspector, interns, resident doctors and lecturer. House to house surveys were done for container index in Resident quarters and employees quarters. Health education on prevention of dengue was given to Medical students and Health Care Workers including interns, resident doctors, undergraduate students. Antilarval measures like abating, fogging and spraying of oildone.The mean age was 27.2 years, ranged for 14-68 years. Males 15(53.5%) and Females 13(46.4%). Out of 28,12(42.8%) Undergraduate students, 9(32.1%) Resident doctors and 7(25%) employees. 22(78.5%) NS-1positivecases and 16(57.1%) IgM dengue positive cases. The most common symptom found in this was fever (100%). Thrombocytopenia was most common abnormal laboratory finding which was present in 22(79%) patients out of 28 patients. Out of 22 patients having thrombocytopenia, platelet transfusion was done to 4 patients. Mean duration of stay in the hospital was 4 days.With the corrective measures taken, no new case of dengue was notified in November 2019 among Medical Students and Health Care Workers.
Dissertations / Theses on the topic "In-house medical care"
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Le, Roux Rhonddie. ""Acts of disclosing" : an enthnographic investigation of HIV/AIDS disclosure grounded in the experiences of those living with HIV/AIDS accessing Paarl Hospice House seeking treatment." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/16610.
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Thesis (MPhil)--University of Stellenbosch, 2005.ENGLISH ABSTRACT: Paarl, in the Western Cape, has been identified as one of the 15 national sites where antiretroviral treatment (ARVs) would be made available to people living with HIV/AIDS. Paarl Hospice initiated a support group for people to deal with this disease in 2003. Since February 2004 Paarl Hospice has been recruiting people from the surrounding informal settlements for ARVs. By means of participant observation I explored how HIV/AIDS-related disclosure experiences unfolded in places, spaces and events associated with the support group in the context of factors enabling and preventing people from accessing Hospice House. I did this by considering the insights drawn from an anthropological approach. I found the meanings of disclosure in the majority of studies to be limited and restricted. Available studies approached disclosure in a top-down fashion by regarding the definition of disclosure as the announcement of HIV-positivity at the time of diagnosis only. These studies have not considered social differences relating to disclosure neither did they focus on the actual process of disclosure. By means of a constructivist approach to grounded theory I seek to broaden the definition of disclosure to account for the range of ways in which disclosure practices take place. I found that disclosure could not be separated from the situational context in which it occurs and that it can only be understood in relation to the circumstances and relationships in which it takes place. In this study, disclosure was an ongoing process, situated somewhere between active, public announcement of an HIV-status and complete secrecy and somewhere between voluntary and involuntary revealing of the disease.
AFRIKAANSE OPSOMMING: Paarl in die Wes-Kaap is geïdentifiseer as een van die 15 nasionale areas waar antiretrovirale medikasie beskikbaar gestel sou word aan mense wat leef met MIV/VIGS. Paarl Hospice het gedurende 2003 ʼn ondersteuningsgroep geїnisieer om aan MIV/VIGS aandag te gee. Sedert Februarie 2004 is Paarl Hospice in die proses om mense te werf uit die omliggende informele behuisingsgebiede vir antiretrovirale behandeling. Met behulp van antropologiese insigte en deelnemende waarneming kon ek nagaan hoe verskillende maniere van MIV/VIGS-verwante bekendmaking ontvou in plekke, ruimtes en gebeurtenisse wat verband hou met die ondersteuningsgroep. MIV/VIGSverwante bekendmaking is ondersoek te midde van inhiberende en fasiliterende faktore wat mense verhoed of aanhelp om Paarl Hospice te besoek. Ek het bevind dat die definisie van bekendmaking in die meeste navorsing gebrekkig is. Beskikbare navorsing het bekendmaking volgens ‘n bo-na-onder-wyse benader as die openbare bekendmaking van ‘n MIV-status na afloop van diagnose alleenlik. Met behulp van ‘n konstruktiewe benadering van die begronde teorie het ek gepoog om die definisie van bekendmaking uit te bou om sodoende die verskeidenheid maniere waarop bekendmaking plaasvind te akkommodeer. Ek het vasgestel dat bekendmaking onlosmaakbaar deel is van die situasionele konteks waarin dit plaasvind en dat dit slegs begryp kan word in verband tot die verhoudings en omstandighede waarin dit plaasvind. In hierdie studie was bekendmaking ʼn voortdurende proses, gesitueer tussen aktiewe openbare bekendmaking en volledige geheimhouding van ʼn MIVstatus, asook tussen volkome vrywillige en onvrywillige bekendmaking van ʼn MIVstatus.
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Balnave, Nikola Robyn. "Industrial Welfarism in Australia 1890-1965." Thesis, The University of Sydney, 2002. http://hdl.handle.net/2123/572.
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This thesis examines industrial welfarism in Australia from 1890 to 1965. This period witnessed the gradual spread of the welfarism movement throughout Australian industry as employers sought ways to increase productivity and control in the face of external challenges. Once reaching its peak in the immediate post-War period, the welfarism movement was gradually subsumed as part of the increasing formalisation of personnel management. Waves of interest in welfare provision coincided with periods of labour shortage and/or labour militancy in Australia, indicating its dual role in the management of labour. Firstly, by offering benefits and services beyond that made necessary by the law or industrial awards, welfarism was designed to create a pool of good quality workers for management to draw from. Secondly, managers sought to enhance their control over these workers and their productive effort, using welfarism as a technique to build worker consent to managerial authority. This could be achieved through subtle methods aimed at boosting loyalty and morale, or through more direct programs designed to increase worker dependency on the company. In both ways, individual and collective worker resistance could be minimised, thereby reinforcing managerial prerogative. Despite its adoption by a variety of companies, a number of economic, political and institutional factors limited the extent of industrial welfarism in Australia. These include the small-scale of most enterprises prior to the Second World War, state involvement in the area of industrial relations and welfare provision, and the strength of organised labour. While the welfarism movement did not reach the heights experienced overseas, it nonetheless provided an important contribution to the development of formal labour management in Australia.
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Balnave, Nikola Robyn. "Industrial Welfarism in Australia 1890-1965." University of Sydney. Work and Organisational Studies, 2002. http://hdl.handle.net/2123/572.
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This thesis examines industrial welfarism in Australia from 1890 to 1965. This period witnessed the gradual spread of the welfarism movement throughout Australian industry as employers sought ways to increase productivity and control in the face of external challenges. Once reaching its peak in the immediate post-War period, the welfarism movement was gradually subsumed as part of the increasing formalisation of personnel management. Waves of interest in welfare provision coincided with periods of labour shortage and/or labour militancy in Australia, indicating its dual role in the management of labour. Firstly, by offering benefits and services beyond that made necessary by the law or industrial awards, welfarism was designed to create a pool of good quality workers for management to draw from. Secondly, managers sought to enhance their control over these workers and their productive effort, using welfarism as a technique to build worker consent to managerial authority. This could be achieved through subtle methods aimed at boosting loyalty and morale, or through more direct programs designed to increase worker dependency on the company. In both ways, individual and collective worker resistance could be minimised, thereby reinforcing managerial prerogative. Despite its adoption by a variety of companies, a number of economic, political and institutional factors limited the extent of industrial welfarism in Australia. These include the small-scale of most enterprises prior to the Second World War, state involvement in the area of industrial relations and welfare provision, and the strength of organised labour. While the welfarism movement did not reach the heights experienced overseas, it nonetheless provided an important contribution to the development of formal labour management in Australia.
Books on the topic "In-house medical care"
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New Mexico Health Policy Commission. House Joint Memorial 18: Uncompensated care in New Mexico health care facilities. Santa Fe, N.M: The Commission, 1998.
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Is there a doctor in the house?: Market signals and tomorrow's supply of doctors. Stanford, Calif: Stanford General Books, 2008.
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United States. Congress. House. Committee on the Budget. Growth in Medicaid spending: Hearing before the Committee on the Budget, House of Representatives, One Hundred Fourth Congress, first session, hearing held in Washington, DC, April 4, 1995. Washington: U.S. G.P.O., 1995.
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Harbert, John Charles. Doctor in the house: Your best guide to effective medical self-care. Totowa, N.J: Humana Press, 1994.
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Environment, United States Congress House Committee on Energy and Commerce Subcommittee on Health and the. Medicaid managed care in California: Hearing before the Subcommittee on Health and the Environment of the Committee on Energy and Commerce, House of Representatives, One Hundred Third Congress, first session, April 20, 1993. Washington: U.S. G.P.O., 1994.
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Pennsylvania. General Assembly. Legislative Budget and Finance Committee. Medical assistance payments to hospitals: A report in response to House Resolution 586. Harrisburg, Pa: Pennsylvania Legislative Budget and Finance Committee, 2001.
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Getting better value in health care: Hearing before the Committee on the Budget, House of Representatives, One Hundred Tenth Congress, second session, hearing held in Washington, DC, July 16, 2008. Washington: U.S. G.P.O., 2008.
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Fulfilling the mission of health and retirement security: Hearing before the Committee on the Budget, House of Representatives, One Hundred Twelfth Congress, first session, hearing held in Washington, DC, March 17, 2011. Washington: U.S. G.P.O., 2011.
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United States. Congress. House. Select Committee on Aging. Subcommittee on Health and Long-Term Care. Crisis in health care: The Missouri experience : hearing before the Subcommittee on Health and Long-Term Care of the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, first session, March 29, 1985, Jefferson City, MD. Washington: U.S. G.P.O., 1985.
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United States. Congress. House. Committee on Ways and Means. Subcommittee on Health. Experience in controlling costs and improving quality in employer-based plans: Hearing before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, One Hundred Fourth Congress, first session, May 16, 1995. Washington: U.S. G.P.O., 1995.
Find full textBook chapters on the topic "In-house medical care"
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(Mary) Tai, Hsueh-Yung, and Shwu-Huey Wu. "Infrastructure of the Medical Information System." In Digital Health Care in Taiwan, 111–28. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-05160-9_6.
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AbstractThis chapter explains how Taiwan has utilized its strong ICT industry to construct the National Health Insurance (NHI) medical information system, as well as the solid information security management and data protection mechanism behind it. The NHI medical information system was constructed to enable providers to make claims through a digital platform and ensure automated claim review. Then, it introduced the revolutionary centralization of medical records to the “National Health Insurance MediCloud System (NHI MediCloud System)”, which collects 12 categories of medical information. It allows medical providers to query patients’ medical records and share medical images in real time, which significantly improves efficiency and prevents unnecessary examinations or tests. Moreover, an application programming interface connection has also been launched so that medical institutions can use the in-house information system for data innovation and value-added applications. It could be used to remind physicians of drug duplication or interaction activity to protect patients’ safety.The last part of the chapter is about how Taiwan has integrated data across different government agencies to notify the providers when patients are at a high risk of COVID-19 infection, prevent the spread of COVID-19, and safeguard the health of all citizens.
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Liese, Bruce S., Belinda A. Vail, and Kimberly A. Seaton. "Substance use problems in primary care medical settings: Is there a psychologist in the house?" In Health psychology through the life span: Practice and research opportunities., 177–94. Washington: American Psychological Association, 1996. http://dx.doi.org/10.1037/10220-012.
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Davis, Karen. "Primary Care and the Medical Home." In Is There a Doctor in the House?, 100–103. Stanford University Press, 2008. http://dx.doi.org/10.1515/9781503627048-011.
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Schroeder, Steven. "The Medical Home and Other Ways to Save Primary Care." In Is There a Doctor in the House?, 168–71. Stanford University Press, 2008. http://dx.doi.org/10.1515/9781503627048-031.
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Martin, Liam. "No Narcotics." In Halfway House, 155–76. NYU Press, 2021. http://dx.doi.org/10.18574/nyu/9781479800681.003.0007.
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This chapter opens with a dramatic turning point: a return of the epidural abscess that had almost killed Joe around four years earlier, which requires a second major spinal surgery. Joe’s surgery and aftercare is covered by state-funded health insurance, but ethnographic thick description is used to show that powerful social exclusions remain in his micro interactions with doctors and front-line staff. A key theme of the chapter is the disconnect between conditions inside the thriving high-technology medical sector providing his care and the basic social conditions in which he usually lives as a disabled ex-convict relying on poverty-level Social Security income. And as a resident at a halfway house based on a model of coercive drug abstinence, Joe confronts difficult decisions entering a medical system often narrowly focused on drug-based solutions—particularly for the kind of chronic pain he is experiencing.
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Michel-Backofen, Achim, Thomas Pellizzari, Jochen Zohner, Romina Blasini, and Kurt Marquardt. "Building a Comprehensive Clinical Data Repository Using FHIR, LOINC and SNOMED." In Studies in Health Technology and Informatics. IOS Press, 2022. http://dx.doi.org/10.3233/shti220524.
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In 2018 the University Hospital of Giessen (UHG) moved its hospital information system from an in-house solution to commercial software. The introduction of MEONA and Synedra-AIM allowed for the successful migration of clinical documents. The large pool of structured clinical data has been addressed in a second step and is now consolidated in a HAPI-FHIR server and mapped to LOINC and SNOMED for semantic interoperability in multicenter research projects, especially the German Medical Informatics Initiative (MII) and the Medical Informatics in Research and Care in University Medicine (MIRACUM) consortium.
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Davis, Adam J. "A Charitable Revolution in an Age of Commerce." In The Medieval Economy of Salvation, 1–32. Cornell University Press, 2019. http://dx.doi.org/10.7591/cornell/9781501742101.003.0001.
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This introductory chapter provides an overview of medieval hospitals. During the twelfth and thirteenth centuries, hundreds of hospitals and leper houses were founded all over Europe to care for the poor, sick, and vulnerable, and these new charitable institutions received broad support from townspeople, merchants, aristocrats, and ecclesiastics. That these “houses of mercy” were often located in the heart of urban centers, at major points of circulation, and near areas of economic exploitation reflected the degree to which they were easily accessible, highly visible, and thoroughly enmeshed in the local society and economy. As an institution, the medieval hospital was not conceived primarily in medical terms but rather functioned in a variety of ways, including as a religious house, a hostel, a shelter, a retirement home, or a temporary place for physical rehabilitation and convalescence. This book's study of the emergence of hospitals in Champagne casts new light on the nature of religious charity during Europe's first great age of commerce. It demonstrates that far from eroding the power of the gift, the new commercial economy infused charitable giving and service with new social and religious meaning and a heightened expectation of reward.
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Copie, Adrian, Bogdan Manațe, Victor Ion Munteanu, and Teodor-Florin Fortiș. "An Internet of Things Governance Architecture with Applications in Healthcare." In The Internet of Things, 112–36. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-1832-7.ch006.
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The astonishing expansion of Internet of Things has opened a lot of opportunities for related domains to employ strategies that were successfully used for the “things” governance. Furthermore, because of the technology blending in the most common household devices and wearable items, it becomes very easy for the computers to sense the surrounding environment and to collect information about the inhabitants, therefore transforming the intelligent house in a Home Care System (HCS). For medical conditions like dementia and its associated diseases, it is very convenient to monitor the patients in their living space because the patient will benefit from their home comfort. In addition, the costs for in hospital monitoring will decrease. This chapter proposes an Internet of Things Governance Architecture that can be used to sustain and monitor a complex e-health system, with application especially for patients with dementia and its associated diseases.
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Copie, Adrian, Bogdan Manațe, Victor Ion Munteanu, and Teodor-Florin Fortiș. "An Internet of Things Governance Architecture with Applications in Healthcare." In Advanced Technological Solutions for E-Health and Dementia Patient Monitoring, 322–44. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-7481-3.ch013.
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The astonishing expansion of Internet of Things has opened a lot of opportunities for related domains to employ strategies that were successfully used for the “things” governance. Furthermore, because of the technology blending in the most common household devices and wearable items, it becomes very easy for the computers to sense the surrounding environment and to collect information about the inhabitants, therefore transforming the intelligent house in a Home Care System (HCS). For medical conditions like dementia and its associated diseases, it is very convenient to monitor the patients in their living space because the patient will benefit from their home comfort. In addition, the costs for in hospital monitoring will decrease. This chapter proposes an Internet of Things Governance Architecture that can be used to sustain and monitor a complex e-health system, with application especially for patients with dementia and its associated diseases.
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Fuks, Abraham. "The Lens of Language." In The Language of Medicine, 3–16. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190944834.003.0001.
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Words are the ties that bind patient and physician in the clinical relationship in which medical care is enacted. The first chapter, “The Lens of Language,” shows how language mediates both the communicative and relational aspects of the practice of medicine. It compares the descriptive mode of language used to transmit straightforward factual information with figurative language. The latter uses metaphors and allusions with multiple meanings that require interpretation and enable the creation of new ideas and thoughts. Figurative language is suited to communication of nuances and emotions and is dependent on context to provide meaning. Clinical stories told by patients are rich with words that are linked to past experiences and reveal to an attentive physician the important concerns of the patient, such as the shock of illness and the fear of disease. The chapter explores the idea that language constitutes what can be called the “house of being.”
Conference papers on the topic "In-house medical care"
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Postolache, Octavian, Pedro Silva Girao, Rui Neves Madeira, and Gabriela Postolache. "Microwave FMCW Doppler radar implementation for in-house pervasive health care system." In 2010 IEEE International Workshop on Medical Measurements and Applications (MeMeA 2010). IEEE, 2010. http://dx.doi.org/10.1109/memea.2010.5480207.
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Spyropoulos, Basile, Aris Tzavaras, Petros Afentoulidis, and Maria Botsivaly. "Supporting medical house-call by expanding bedside in-vitro point of care test-range and attaining respiratory sounds' visualization." In 2013 IEEE Point-of-Care Healthcare Technologies (PHT). IEEE, 2013. http://dx.doi.org/10.1109/pht.2013.6461309.
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Manea, Florin, Emilian Ghicioi, Laurentiu Munteanu, and Bogdan Adrian Simon-Marinica. "FLUID-STRUCTURE INTERACTION IN GASEOUS EXPLOSION SIMULATIONS." In 22nd SGEM International Multidisciplinary Scientific GeoConference 2022. STEF92 Technology, 2022. http://dx.doi.org/10.5593/sgem2022/1.1/s06.072.
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According to ANSYS - developer of the Multiphysics platform for computer simulations - the FSI (Fluid-Structure Interaction) model can be used in all cases where a fluid encounters a solid structure, for example, wind gusts rotating a turbine, air washing the surface of a moving car etc. This method finds applications especially in the aeronautical and automotive industries, but also in medical research, such computer simulations track the influences of blood pressure and blood flow velocity in the veins. This paper deals with an extension of applying this method in a lesser field, namely in investigating gas explosion events through computer simulations. For this, in the virtual domain, a geometry similar to a house was built, in which an explosive atmosphere generated by an accidental natural gas leak was simulated. Following the source of initiation, the process of rapid combustion of combustible gas takes place, the dynamic effects produced by the pressures generated by the expansion of the gases being calculated and quantified by the FSI model. The results obtained by applying this method in the simulations help in the decision-making process to adopt the most effective measures to prevent explosion-type events of air-fuel mixtures, being useful in the development of explosion risk assessment studies, for identifying the worst-case scenario.
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Sukoco, Amin, Harsono Salimo, and Yulia Lanti Retno Dewi. "Biological and Socio-Demographic Factors Associated with Neonatal Mortality: Evidence from Karanganyar District, Central Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.110.
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ABSTRACT Background: The highest risk of childhood death occurs during the neonatal period. Risks of poor outcomes during pregnancy and childbirth are exacerbated by poverty, low status of women, lack of education, poor nutrition, heavy workloads, and violence. This study aimed to examine biological and socio-demographic factors associated with neonatal mortality. Subjects and Method: A case control study was conducted in Karanganyar, Central Java, Indonesia. Study population was infant neonates. A sample of 200 mothers and their neonates, including 50 dead neonates and 150 alive infants was selected by fixed disease sampling. The dependent variable was infant mortality. The independent variables were maternal mid-upper arm circumference (MUAC), maternal age, maternal occupation, family income, and number birth delivery. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of neonatal death increased with mother working outside the house (b= 0.95; 95% CI= 0.10 to 1.80; p= 0.028). The risk of neonatal death decreased with maternal MUAC ≥23.5 cm (b= -1.21; 95% CI= -2.03 to -0.38; p= 0.004), maternal age 20-35 years (b= -1.06; 95% CI= -1.83 to -0.29; p= 0.007), family income ≥Rp 1,833,000 (b= -1.37; 95% CI= -2.20 to -0.54; p= 0.001), and number of birth delivery 2 to 4 (b= -0.67; 95% CI= -1.39 to 0.05; p= 0.067). Conclusion: The risk of neonatal death increases with mother working outside the house. The risk of neonatal death decreases with maternal MUAC ≥23.5 cm, maternal age 20-35 years, high family income, and number of birth delivery 2 to 4. Keywords: neonatal death, biological factors, socio-demographic factors Correspondence: Amin Sukoco. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: soekotjo78@gmail.com. Mobile: +6281329387610. DOI: https://doi.org/10.26911/the7thicph.03.110
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Saputri, Dyah Ayu, Yulia Lanti Retno Dewi, and Bhisma Murti. "Biological, Social, and Economic Risk Factors of Child Tuberculosis in Surakarta Central Java: A Multiple Logistic Regression." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.01.45.
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ABSTRACT Background: Tuberculosis (TB) disease in children under 15 years (pediatric TB) is a public health problem of special significance because it is a marker for recent transmission of TB. This study aimed to analyze biological, social, and economic risk factors of child TB. Subjects and Method: A case control study was carried out at 25 villages in Surakarta, from August to September 2019. A sample of 200 chilren aged 0-18 years was selected by fixed disease sampling. The dependent variable was TB. The independent variables were birthweight, BCG immunization, exclusive breastfeeding, nutritional status, family income, smoke exposure, family history of TB. Data on TB cases were obtained from medical record. The other variables were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of TB increased with poor house sanitation (OR= 4.50; 95% CI= 1.18 to 17.12; p= 0.027), smoke exposure (OR= 4.13; 95% CI= 1.05 to 16.22; p= 0.042), and had history of TB (OR= 5.54; 95% CI= 1.49 to 20.61; p= 0.011). The risk of TB decreased with normal birthweight ≥2,500 g (OR= 0.18; 95% CI= 0.05 to 0.57; p= 0.003), BCG immunization (OR= 0.18; 95% CI= 0.06 to 0.58 p= 0.004), exclusive breastfeeding (OR= 0.11; 95% CI= 0.02 to 0.55; p= 0.006), good nutritional status (OR= 0.10; 95% CI= 0.02 to 0.48; p= 0.004), and family income ≥Rp1,802,700 (OR= 0.09; 95% CI= 0.02 to 0.36; p= 0.001). Conclusion: The risk of TB increases with poor house sanitation, smoke exposure, and had history of TB. The risk of TB decreases with normal birthweight ≥2,500 g, BCG immunization, exclusive breastfeeding, good nutritional status, and high family income. Keywords: Tuberkulosis, biological, sosial dan ekonomi. Correspondence: Dyah Ayu Saputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ayusaputridyah7@gmail.com. Mobile: 081353236388. DOI: https://doi.org/10.26911/the7thicph.01.45
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De Feo, Emanuela. "Vernacular architecture of the Amalfi coast: a medieval domus in Villa Rufolo in Ravello (Italy)." In HERITAGE2022 International Conference on Vernacular Heritage: Culture, People and Sustainability. Valencia: Universitat Politècnica de València, 2022. http://dx.doi.org/10.4995/heritage2022.2022.15171.
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The oldest medieval domus in Ravello date back to the twelfth century, as an evolution of the original house with barrel vaults, a primitive stone construction with walls of dry masonry of limestone and almost always connected to an olive grove or a vineyard, widespread on the Campania coasts between the island of Capri, the coast of Sorrento and that of Amalfi. Vertical and horizontal aggregations of this module have constituted, over time, the evolution of the building typology, while retaining some of the pre-existing architectural elements and the peculiar construction characteristics, including the strong link of this architecture with the particular orography of the territory. The private building complexes are the result of this ongoing process, consisting of various rooms connected to each other and arranged on several levels, in which the members of a single family lived with their servants. The entire structure was surrounded by walls and defended by towers. The interiors consisted of rooms heated by fireplaces, kitchens, furnaces, Arab baths, cisterns, wells, cellars, warehouses, stables, rooms for winemaking, gardens and cultivated terraces. The paper analyzes the history and construction features of one of the few medieval domus still existing and which has not undergone substantial transformations, also because it was brought to light only in the last decade of the twentieth century, currently located in the boundaries of Villa Rufolo in Ravello. Its original conformation is hypothesized, thanks also to a description made of it in the archive documents. The paper also reports the work carried out on the case study in order to undertake a cataloguing of a heritage in continuous discovery.
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Asnifatima, Andi, Siti Khodijah Parinduri, and Ahsin Aligori. "Environmental and Behavior Factors on the Incidences of Toxoplasmosis among Married Women." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.25.
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ABSTRACT Background: Toxoplasmosis is a condition in which a person is infected with Toxoplasma gondii. Humanitarian transmission is closely linked to the environment in which they live and the conduct that allows the entry into the body of Oocyst Toxoplasma gondii. Toxoplasmosis in married women is very dangerous because it can cause conditions of infertility, repeated spontaneous abortion, stillbirth, and congenital abnormalities. This study aimed to analyze the association between environmental and behavior on toxoplasmosis incidences among married women. Subjects and Method: This was a case-control study carried out at the Alternative Medical Clinic, Aquatreat Therapy Indonesia Foundation in Bogor City during 2019. Total of 160 women were enrolled in this study and divided into 2 groups: 80 in case group and 80 in control group. The dependent variable was toxoplasmosis behavior. The independent variables were environmental and behavior factors. Data were collected from clinical laboratory results and questionnaire and analyzed using a multiple logistic regression. Results: In environmental factors, presence of pets at home (OR= 3.73; 95%CI= 1.83 to 7.61; p<0.001), presence of wild cats or neighboring cats that are often seen around the house (OR= 2.63; 95%CI= 1.24 to 5.58; p= 0.012), and risky environment (OR= 9.60; 95%CI= 3.74 to 24.61; p<0.001) were significantly associated with toxoplasmosis among married women. In behavior factors, consumption of raw vegetables/vegetables (OR= 4.53; 95%CI= 1.23 to 16.73; p= 0.023), consumption of smoked meat/ steak/ undercooked (OR= 3.32; 95%CI= 0.12 to 0.77; p<0.001), food buying habits at roadside stalls (OR= 8.64; 95%CI= 0.03 to 0.50; p<0.001), and washing hands before eating (OR= 0.29; 95%CI= 1.80 to 25.50; p= 0.006) were significantly associated with toxoplasmosis among married women. Conclusion: Environmental and behavior factors are positively associate with toxoplasmosis among married women. Keywords: determinant, environment, behavior, toxoplasmosis, married woman Correspondence: Andi Asnifatima. Study Program of Public Health, Faculty of Health Sciences, Universitas Ibn Khaldun, Bogor, West Java. Email: asni@uika-bogor.ac.id. Hp: +6281355879086. DOI: https://doi.org/10.26911/the7thicph.03.25
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Jonshagen, Klas, Nikolett Sipo¨cz, and Magnus Genrup. "Optimal Combined Cycle for CO2 Capture With EGR." In ASME Turbo Expo 2010: Power for Land, Sea, and Air. ASMEDC, 2010. http://dx.doi.org/10.1115/gt2010-23420.
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Most state-of-the-art natural gas fired combined cycle (NGCC) plants are triple-pressure reheat cycles with efficiencies close to 60 percent. However, with carbon capture and storage, the efficiency will be penalized by almost 10 percent units. To limit the energy consumption for a carbon capture NGCC plant, exhaust gas recirculation (EGR) is necessary. Utilizing EGR increases the CO2 content in the gas turbine exhaust while it reduces the flue gas flow to be treated in the capture plant. Nevertheless, due to EGR, the gas turbine will experience a different media with different properties compared to the design case. This study looks into how the turbo machinery reacts to EGR. The work also discusses the potential of further improvements by utilizing pressurized water rather than extraction steam as the heat source for the CO2 stripper. The results show that the required low-pressure level should be elevated to a point close to the intermediate-pressure to achieve optimum efficiency; hence one pressure level can be omitted. The main tool used for this study is an in-house off-design model based on fully dimensionless groups programmed in the commercially-available heat and mass balance program IPSEpro. The model is based on a GE 109FB machine with a triple-pressure reheat steam cycle.
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Jedidi, Anis, Faiez Gargouri, Fahmi Bellalouna, and Mika Luimula. "VR-App for a Virtual Perception of Memory Impairment in Alzheimer’s Patients." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002088.
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Augmented, Virtual and Mixed Reality Technology (AR / VR / MR) - also known as xR technology - is one of the key technologies of digital transformation. Thanks to the existing powerful immersive hardware systems, complex technical and natural systems can be digitally represented in a realistic virtual environment. This enables users to completely immerse in the virtual environment and to observe and interact with the systems and objects contained therein without major restrictions, or to augment real products and systems with digital data in runtime. This creates new opportunities to present the behaviour and functionalities of complex systems in a tangible and understandable way. Therefore, the xR technology can revolutionize learning and training methods, especially in the qualification of specialists and experts. This paper will introduce the international project “International Cooperation on VR/AR Projects” (IC xR-P). The target of “IC xR-P” is the implementation of a practice-oriented xR training applications in the areas of medical training, rescue and Knowledge transfer in schools and universities and their testing and evaluation with selected experts. “IC xR-P” is an international cooperation between the University of Applied Sciences Karlsruhe from Germany, University of Applied Sciences Turku from Finland and the Higher Institute of Computer Science and Multimedia Sfax from Tunisia. Among the learning projects in the ICxRP, we focus in this paper on the implementation of VR training apps for medical training in this paper, we centred on the Perception of Memory Impairment in Alzheimer’s Patients. Patients with early Alzheimer’s disease may have spatial and time-oriented disorders. The objective is to use immersion in a virtual environment. This allows the user to experience a multisensory experience during which the user can feel and interact naturally and intuitively in real time via sensory interfaces. VR offers different levels of interaction, from the minimum level where the subject remains passive, looking at the environment, to more interactive levels where the subject is active, controlling its movement to the first person in the virtual environment via various interaction tools immersive.Within this project a VR-Training App will be designed and implemented, which fulfill the following functions with different virtual games facilitating the communication of the patient with the virtual environment. This application can develop the creating immersion and feeling of presence in patients. Also, we propose Family/Entourage Show service, it’s a memory stimulation exercise by integrating the family photos. We propose in addition a VR creation of patients’ usual living environment (home, hallway, bedroom…). We improve the valuing specific objects and places in the house to facilitate the orientation and the exploration of the environment. Finally, we propose à musical Training service: it offers a question-answer game that aims to stimulate the patient’s memory. From here, player can choose which exercise they want to play or focused on. We propose the orientation exercise, the memory exercise with the card-game, the recognizing game, and the exercise of leisure activities. These last exercises will also stimulate their memory by singing along to some songs, guessing animals, and making a tasty hamburger following the right steps. For most of the game, there will always be an evaluation of the player’s performance at the end. It will either displays on the television screen or a screen will pop out to show the results.
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Nezhadmasoum, Sanaz, and Nevter Zafer Comert. "Historic-geographical and Typo-morphological assessment of Lefke town, North Cyprus." In 24th ISUF 2017 - City and Territory in the Globalization Age. Valencia: Universitat Politècnica València, 2017. http://dx.doi.org/10.4995/isuf2017.2017.6254.
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Historic-geographical and Typo-morphological assessment of Lefke town, North Cyprus Sanaz Nezhadmasoum¹, Nevter Zafer Comert² Department of Architecture. Eastern Mediterranean University. Famagusta. North Cyprus.Via Mersin 10. Turkey E-mail: sanaz.nezhadmasoum@gmail.com, nzafer@gmail.com Keywords: Historic-geographic approach, Typo-morphology, Urban form, Lefke town Conference topics and scale: Urban morphological methods and techniques Morphological analysis in cities have been employed to conduct the research on the urban form and fabric of the place, that helps to determine the conservation plans or strategies of towns that reveal clues to their own history (Whithand,2001). Such analysis methods are a process that reviews the evolution and evaluation of towns throughout history. This paper focuses on, Conzen’s and Caniggia’s ideas, MRG Conzen’s historic-geographical approaches (1968) on planning level and Caniggia’s typo-morphological process (2001) on architectural level. Those methodologies help to understand the transformation procedure of different regions of city throughout the years and recovering how the city elements and urban hierarchy are interrelated. Additionally, the focus of this paper is to study the town’s morphological transformations, regarding its spatial, geographical and historical combinations. Within this context, Geographical and historical surveys done on the whole town of Lefke, in north-west Cyprus, and a detailed explanation on the typo-morphological analyses of some particular regions will be given in this article. One of the significant character that makes the town unique is its historical background which lay down with an organic urban pattern from Ottoman period. Lefke town was first formed with a medieval character, and through centuries of functional and physical transformations, has been highly influenced by British extensions, which were either prearranged modifications affected by socio- natural, economic, and political situations, or instinctive and spontaneous changes. All these historical factors, along with its geographical features, make Lefke an interesting case to be studied with an urban typo-morphological approach. References Caniggia G, Maffei G., 2001, Interpreing Basic building Architectural composition and building typology Alinea editrice, Firenze, Italy Cömert, N. Z., & Hoskara, S. O. (2013) ‘A typo-morphological study: the CMC industrial mass housing district, lefke, northern cyprus’, Open House International, 38(2), 16-30. Conzen, M. R. G. (1968) ‘The use of town plans in the study of urban history’, in Dyos, H. J. (ed.) The study of urban history (Edward Arnold, London) 113-30. Larkham, P. J. (2006) ‘The study of urban form in Great Britain’, Urban Morphology, 10(2), 117. Moudon, A. V. (1997) ‘Urban morphology as an emerging interdisciplinary field’, Urban morphology, 1(1), 3-10. Whitehand, J. W. (2001) ‘British urban morphology: the Conzenion tradition’, Urban Morphology, 5(2), 103-109.
Reports on the topic "In-house medical care"
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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.
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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.