Academic literature on the topic 'Medical personnel and patient Victoria'

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Journal articles on the topic "Medical personnel and patient Victoria"

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Monaghan, Timothy, Jo-Anne Manski-Nankervis, and Rachel Canaway. "Big data or big risk: general practitioner, practice nurse and practice manager attitudes to providing de-identified patient health data from electronic medical records to researchers." Australian Journal of Primary Health 26, no. 6 (2020): 466. http://dx.doi.org/10.1071/py20153.

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Research utilising de-identified patient health information extracted from electronic medical records (EMRs) from general practices has steadily grown in recent years in response to calls to increase use of health data for research and other secondary purposes in Australia. Little is known about the views of key primary care personnel on this issue, which are important, as they may influence whether practices agree to provide EMR data for research. This exploratory qualitative study investigated the attitudes and beliefs of general practitioners (GPs), practice managers (PMs) and practice nurses (PNs) around sharing de-identified EMR patient health information with researchers. Semi-structured interviews were conducted with 11 participants (6 GPs, 3 PMs and 2 PNs) recruited via purposive sampling from general practices in Victoria, Australia. Transcripts were coded and thematically analysed. Participants were generally enthusiastic about research utilising de-identified health information extracted from EMRs for altruistic reasons, including: positive effects on primary care research, clinical practice and population health outcomes. Concerns raised included patient privacy and data breaches, third-party use of extracted data and patient consent. These findings can provide guidance to researchers and policymakers in designing and implementing projects involving de-identified health information extracted from EMRs.
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Yoong, Jaclyn, Aleece MacPhail, Gael Trytel, Prashanti Yalini Rajendram, Margaret Winbolt, and Joseph E. Ibrahim. "Completion of Limitation of Medical Treatment forms by junior doctors for patients with dementia: clinical, medicolegal and education perspectives." Australian Health Review 41, no. 5 (2017): 519. http://dx.doi.org/10.1071/ah16116.

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Objective Limitation of Medical Treatment (LMT) forms are an essential element of end-of-life care. Decision making around LMT is complex and often involves patients with dementia. Despite the complexity, junior doctors frequently play a central role in completing LMT forms. The present study sought perspectives from a range of stakeholders (hospital clinicians, medical education personnel, legal and advocacy staff) about junior doctors’ roles in completing LMT forms in general and for patients with dementia. Methods Qualitative data were gathered in semi-structured interviews (SSI) and theoretical concepts were explored in roundtable discussion (RD). Participants were recruited through purposive and convenience sampling drawing on healthcare and legal personnel employed in the public hospital and aged care systems, selected from major metropolitan hospitals, healthcare and legal professional bodies and advocacy organisations in Victoria, Australia. The contents of the SSIs and RD were subject to thematic analysis using a framework approach. Data were indexed according to the topics established in the study aim; categories were systematically scrutinised, from which key themes were distilled. Results Stakeholders reported that completing LMT forms was difficult for junior doctors because of a lack of medical and legal knowledge, as well as clinical inexperience and inadequate training. Healthcare organisations (HCOs) either lacked policies about the role of junior doctors or had practices that were discordant with policy. In this process, there were substantial gaps pertaining to patients with dementia. Recommendations made by the study participants included the provision of supervised clinical exposure and additional training for junior doctors, strengthening HCO policies and explicit consideration of the needs of patients with dementia. Conclusions LMT forms should be designed for clarity and consistency across HCOs. Enhancing patient care requires appropriate and sensitive completion of LMT. Relevant HCO policy and clinical practice changes are discussed herein, and recommendations are made for junior doctors in this arena, specifically in the context of patients with dementia. What is known about the topic? Junior doctors continue to play a central role in LMT orders, a highly complex decision-making task that they are poorly prepared to complete. LMT decision making in Australia’s aging population and for people with dementia is especially challenging. What does this paper add? A broad range of stakeholders, including hospital clinicians, medical education personnel and legal and advocacy staff, identified ongoing substantial gaps in education and training of junior doctors (despite what is already known in the literature). Furthermore, LMT decision making for patients with dementia is not explicitly considered in policy of practice. What are the implications for practitioners? Current policy and practice are not at the desired level to deliver appropriate end-of-life care with regard to LMT orders, especially for patients with dementia. Greater involvement of executives and senior clinicians is required to improve both practice at the bed side and the training and support of junior doctors, as well as creating more robust policy.
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Terashima, Kuzuhiko, Seiichi Takenoshita, Jun Miura, Ryosuke Tasaki, Michiteru Kitazaki, Ryo Saegusa, Takanori Miyoshi, et al. "Medical Round Robot – Terapio –." Journal of Robotics and Mechatronics 26, no. 1 (February 20, 2014): 112–14. http://dx.doi.org/10.20965/jrm.2014.p0112.

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We have developed an innovative medical-personnel rounds-assistance robot called Terapio for use in hospital support, mainly in medical materials delivery and personnel rounds data recording. Terapio’s omnidirectional mobility and personnel tracking control during doctors’ rounds realize the smooth transfer of medical supplies from the nurses’ station to a patient’ bedside, for example. Vital information collected during medical personnel rounds is automatically recorded by a CCD camera and a voice recorder. This important information is then stored through the use of a touch panel.
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Gregory Dawes, Brenda S. "Delegation of patient care responsibilities to unlicensed assistive personnel." AORN Journal 65, no. 1 (January 1997): 138–40. http://dx.doi.org/10.1016/s0001-2092(06)63036-6.

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Vaillant, T., A. Loubiere, A. Lienard, P. Roy, N. Delacroix, M. Keirle, and B. Edouard. "Traitement personnel du patient : une procédure ne suffit pas." Le Pharmacien Hospitalier et Clinicien 49, no. 2 (June 2014): e168-e169. http://dx.doi.org/10.1016/j.phclin.2014.04.335.

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Poulsen, Joo Hanne, Rikke Mie Rishøj, Hanne Fischer, Trine Kart, Lotte Stig Nørgaard, Christian Sevel, Peter Dieckmann, and Marianne Hald Clemmensen. "Drug change: ‘a hassle like no other’. An in-depth investigation using the Danish patient safety database and focus group interviews with Danish hospital personnel." Therapeutic Advances in Drug Safety 10 (January 2019): 204209861985999. http://dx.doi.org/10.1177/2042098619859995.

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Background: Drug change (DC) is a common challenge in Danish hospitals. It affects the work of hospital personnel and has potentially serious patient safety consequences. Focus on medication safety is becoming increasingly important in the prevention of adverse events. The aim of this study is to identify and describe patient safety challenges related to DCs, and to explore potential facilitators to improve patient safety in the medication process in Danish hospital setting. Method: Two qualitative methods were combined. Data were obtained from the Danish Patient Safety Database (DPSD) containing incidents reports of adverse events related to DCs. Additionally, five semi-structured focus group interviews with hospital personnel (doctors, nurses, pharmacists and pharmacy technicians) from the five regions of Denmark were held. Results: The DPSD search identified 88 incidents related to DCs due to tender or drug shortage. The incidents were linked to prescribing errors, incorrect dose being dispensed/administered, and delayed/omitted treatment. Four themes from the interviews emerged: (1) challenges related to the drug itself; (2) situational challenges; (3) challenges related to the organization/IT systems/personnel; (4) facilitators/measures to ensure patient safety. Conclusion: DC is as a complex challenge, especially related to drug shortage. The results allow for a deeper understanding of the challenges and possible facilitators of DCs on the individual and organizational level. Pharmacy personnel were identified to play a key role in ensuring patient safety of DCs in hospitals. Indeed, this emphasizes that pharmacy personnel should be engaged in developing patient safety strategies and support hospital personnel around drug changes.
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Efstathopoulos, Efstathios P., Stamatis S. Makrygiannis, Sofia Kottou, Evangelia Karvouni, Eleftherios Giazitzoglou, Socrates Korovesis, Efthalia Tzanalaridou, Panagiota D. Raptou, and Demosthenes G. Katritsis. "Medical personnel and patient dosimetry during coronary angiography and intervention." Physics in Medicine and Biology 48, no. 18 (September 4, 2003): 3059–68. http://dx.doi.org/10.1088/0031-9155/48/18/307.

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Gaddis, Gary M., and William A. Watson. "Naloxone-Associated Patient Violence: An Overlooked Toxicity?" Annals of Pharmacotherapy 26, no. 2 (February 1992): 196–98. http://dx.doi.org/10.1177/106002809202600211.

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OBJECTIVE: To report two cases of a previously unreported adverse effect, violent patient behavior, after the reversal of sedation by intravenous naloxone. DESIGN: Case report. PATIENTS/INTERVENTIONS: Responses of two individuals who had reversal of sedation by intravenous naloxone are compared. RESULTS: Placement of patient restraints before the administration of intravenous naloxone to obtunded or unconscious patients can make an important contribution to the safety of patients, healthcare personnel, and public safety personnel, as illustrated by the violent reaction of one unrestrained patient after naloxone administration. CONCLUSIONS: Patient restraint should be considered before naloxone administration to protect the patient and healthcare workers. In the prehospital setting, limiting the use of naloxone to patients with decreased mental status and respiratory depression would decrease the likelihood of naloxone-induced violent behavior.
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Spradley, Elizabeth, and R. Tyler Spradley. "Simulating medical isolation: Communicatively managing patient and medical team safety." Proceedings of the International Crisis and Risk Communication Conference 3 (March 11, 2020): 45–48. http://dx.doi.org/10.30658/icrcc.2020.11.

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Reducing hospital acquired or associated infections (HAIs) is a national public health priority. HAIs pose risks to patients, visitors, and medical personnel. To better understand how to communicatively manage safety in medical isolation, data was collected with nursing students simulating medical isolation in a high-fidelity simulation with a medical mannequin with C. difficile. Observations of nursing students and faculty revealed four distinct communication practices: social support, patient education, humor, and storytelling. Conclusions include recommendations to intentionally design these communication practices into high-fidelity medial isolation simulations and scale up these communication practices in routines of safety.
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Nikonov, E. L., Yu Ya Boychenko, O. A. Chumakova, and V. N. Korablev. "MEDICAL CADRES DECIDE EVERYTHING." Public health of the Far East Peer-reviewed scientific and practical journal 94, no. 4 (December 23, 2022): 4–12. http://dx.doi.org/10.33454/1728-1261-2022-4-4-12.

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he article is devoted to assessing the situation to ensure healthcare of the Khabarovsk Krai with medical personnel. The authors analyzed the dynamics of the number of doctors and nurses of medical organizations subordinate to the Ministry of Health of the Khabarovsk Krai, from 2010 to 2021, as well as the staffing of healthcare institutions, the age breakdown of the personnel, and employment. Separately covered the problems of the provision of the out-patient clinics by district doctors, the implementation of the Zemsky doctor / Zemsky Feldsher program, the admission of students at the Far Eastern Medical University for employer-sponsored education, and the provision of housing for medical workers. The final part of the article is devoted to the main areas of solving the problem of eliminating the shortage of medical personnel
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Dissertations / Theses on the topic "Medical personnel and patient Victoria"

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Griffiths, Debra. "Agreeing on a way forward: management of patient refusal of treatment decisions in Victorian hospitals." Thesis, full-text, 2008. https://vuir.vu.edu.au/2036/.

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The purpose of this study is to investigate and develop a substantive theory, of the processes adopted by nurses and medical practitioners when patients with serious illness refuse medical treatment. The study seeks to identify the main constraints confronting nurses and medical practitioners and to explain the key factors that moderate the processes of dealing with refusal decisions. Using a grounded theory method, a sample of 18 nurses and 6 medical practitioners from two public hospitals in Melbourne were interviewed. In addition, observations and documentary evidence were utilised. The basic social psychological problem shared by nurses and medical practitioners is conceptualized as Competing Perspectives: Encountering Refusal of Treatment, which reflects the diverse perceptions and beliefs that confront participants when patients decide to forgo therapy. In utilizing the grounded theory method of analysis, it is recognised that participants deal with this problem through a basic social psychological process conceptualized as Endeavouring to Understand Refusal: Agreeing on a Way Forward. This core variable represents the manner in which participants, to varying extents, deal with the situations they face and it incorporates the various influences which moderate their activities. Endeavouring to Understand Refusal: Agreeing on a Way Forward comprises a series of three transitions. The first involves a struggle for participants to come to terms with, or even recognize that patients are rejecting treatment. The second transition illustrates the varied responses of participants as they interact with patients, relatives and each other, in order to clarify and validate decisions made during episodes of care. The third transition reflects the degree to which patients and family members are incorporated into treatment decisions, and highlights a shift in emphasis, from a focus on the disease state, to the patient as a person with individualistic thoughts and wishes. The remaining social processes evident in the study consist of four categories. The first, Seeking Clarification, embodies exploration undertaken by participants and their recognition that treatment is actually being refused. The second category, Responding to Patients and Families, demonstrates the level of expertise of participants communicating, and their ability to encourage reciprocity in the professional-patient relationship. The third category, Advocating, highlights the extent and manner in which patient and family wishes are promoted to members of the treating team. The fourth category, Influencing, reveals the ability of participants to utilize a degree of authority or power in order to shape particular outcomes. The findings also indicate that over arching the core variable and categories are various contextual determinants that moderate the way nurses and medical practitioners deal with patient refusal of treatment. These determinants are categorized into three main influences: The Context of Work, describes the of the environment and organisational factors pertinent to public hospitals; Beliefs and Behaviours, illustrates the perceptions of, and values held, by four key groups involved in decisions, namely, nurses, medical practitioners, patients, and family members; and Legal and Ethical Frameworks, examines the existing principles that support or guide professional practice in situations where patients with serious illness refuse medical treatment.
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Griffiths, Debra. "Agreeing on a way forward management of patient refusal of treatment decisions in Victorian hospitals /." full-text, 2008. http://eprints.vu.edu.au/2036/1/griffiths_debra_thesis.pdf.

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The purpose of this study is to investigate and develop a substantive theory, of the processes adopted by nurses and medical practitioners when patients with serious illness refuse medical treatment. The study seeks to identify the main constraints confronting nurses and medical practitioners and to explain the key factors that moderate the processes of dealing with refusal decisions. Using a grounded theory method, a sample of 18 nurses and 6 medical practitioners from two public hospitals in Melbourne were interviewed. In addition, observations and documentary evidence were utilised. The basic social psychological problem shared by nurses and medical practitioners is conceptualized as Competing Perspectives: Encountering Refusal of Treatment, which reflects the diverse perceptions and beliefs that confront participants when patients decide to forgo therapy. In utilizing the grounded theory method of analysis, it is recognised that participants deal with this problem through a basic social psychological process conceptualized as Endeavouring to Understand Refusal: Agreeing on a Way Forward. This core variable represents the manner in which participants, to varying extents, deal with the situations they face and it incorporates the various influences which moderate their activities. Endeavouring to Understand Refusal: Agreeing on a Way Forward comprises a series of three transitions. The first involves a struggle for participants to come to terms with, or even recognize that patients are rejecting treatment. The second transition illustrates the varied responses of participants as they interact with patients, relatives and each other, in order to clarify and validate decisions made during episodes of care. The third transition reflects the degree to which patients and family members are incorporated into treatment decisions, and highlights a shift in emphasis, from a focus on the disease state, to the patient as a person with individualistic thoughts and wishes. The remaining social processes evident in the study consist of four categories. The first, Seeking Clarification, embodies exploration undertaken by participants and their recognition that treatment is actually being refused. The second category, Responding to Patients and Families, demonstrates the level of expertise of participants communicating, and their ability to encourage reciprocity in the professional-patient relationship. The third category, Advocating, highlights the extent and manner in which patient and family wishes are promoted to members of the treating team. The fourth category, Influencing, reveals the ability of participants to utilize a degree of authority or power in order to shape particular outcomes. The findings also indicate that over arching the core variable and categories are various contextual determinants that moderate the way nurses and medical practitioners deal with patient refusal of treatment. These determinants are categorized into three main influences: The Context of Work, describes the of the environment and organisational factors pertinent to public hospitals; Beliefs and Behaviours, illustrates the perceptions of, and values held, by four key groups involved in decisions, namely, nurses, medical practitioners, patients, and family members; and Legal and Ethical Frameworks, examines the existing principles that support or guide professional practice in situations where patients with serious illness refuse medical treatment.
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Wentzell, Natasha. "Improving the measurement of patient safety : development of a new patient safety climate survey /." Halifax, N.S. : Saint Mary's University, 2008.

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Stuart, Rhonda Lee 1963. "Nosocomial tuberculous infection : assessing the risk among health care workers." Monash University, Dept. of Epidemiology and Preventive Medicine, 2000. http://arrow.monash.edu.au/hdl/1959.1/9004.

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Holman, Grady Talley Thomas Robert Evans. "Patient handling restrictions & conditions." Auburn, Ala., 2007. http://repo.lib.auburn.edu/2007%20Fall%20Dissertations/Holman_Grady_7.pdf.

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Ding, Chunyan. "Medical negligence law in transitional China a patient in need of a cure /." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B43913696.

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Nimmo, Graham R. "Materialities of clinical handover in intensive care : challenges of enactment and education." Thesis, University of Stirling, 2014. http://hdl.handle.net/1893/21540.

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The research is situated in a busy intensive care unit in a tertiary referral centre university hospital in Scotland. To date no research appears to have been done with a focus on handover in intensive care, across the professions involved, examining how handover is enacted. This study makes an original contribution to the practical and pedagogical aspects of handover in intensive care both in terms of the methodology used and also in terms of its findings. In order to study handover a mixed methods approach has been adopted and fieldwork has been done in the ethnographic mode. Data has been audio recorded and transcribed and analysed to explore the clinical handovers of patients by doctors and nurses in this intensive care unit. Texts of both handover, and the artefacts involved, are reviewed. Material from journals, books, lectures and websites, including those for health care professionals, patients and relatives, and those in industry are explicated. This study explores the role of material artefacts and texts, such as the intensive care-based electronic patient record, the whiteboards in the doctors’ office, and in the ward, in the enactment of handover. Through analysis of the data I explore some of the entanglements and ontologies of handover and the multiple things of healthcare: patients, information, equipment, activities, texts, ideas, diseases, staff, diagnoses, illnesses, floating texts, responsibility, a plan, a family. The doing of handover is framed theoretically through the empirical philosophy of Mol’s identification of multiple ontologies in clinical practice (Mol, 2002). Each chapter is prefaced by a poem, each of which has relevant socio-material elements embedded in it. The significance of the findings of the research for both patient care and clinical education and learning is surfaced.
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Wong, Lai-cheung. "A study of hospice care : [factors affecting] communication between the health care professionals and the patients /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13409475.

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Rutledge, Thomas. "Psychological response styles and cardiovascular health : confound or independent risk factor?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0002/NQ34622.pdf.

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Poznanski, Carol A. "An analysis of nursing personnel staffing patterns and patient falls on two medical units /." Staten Island, N.Y. : [s.n.], 1987. http://library.wagner.edu/theses/nursing/1987/thesis_nur_1987_pozna_analy.pdf.

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Books on the topic "Medical personnel and patient Victoria"

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The limits of medical paternalism. London: Routledge, 1991.

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1941-, Budd Susan, and Sharma Ursula 1941-, eds. The Healing bond: The patient-practitioner relationship and therapeutic responsibility. London: Routledge, 1994.

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B, Purtilo Ruth, ed. Health professional and patient interaction. 4th ed. Philadelphia: Saunders, 1990.

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Marie, Haddad Amy, ed. Health professional and patient interaction. 7th ed. St. Louis, Mo: Saunders, 2007.

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Marie, Haddad Amy, ed. Health professional and patient interaction. 5th ed. Philadelphia: W.B. Saunders, 1996.

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Brearley, Sally. Patient participation: The literature. Harrow: Scutari, 1990.

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Zhongguo shi yi huan guan xi: Zhongguoshi yihuan guanxi. Beijing Shi: Hong qi chu ban she, 2011.

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De la clinique à l'éthique: Réflexions sur la pratique du soin. Paris: L'Harmattan, 1999.

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Quernheim, German. Arbeitgeber Patient: Kundenorientierung in Gesundheitsberufen. Berlin: Springer, 2010.

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Damon, Susan K. Patient care guidelines for the EMT. Englewood Cliffs, N.J: Prentice-Hall, 1989.

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Book chapters on the topic "Medical personnel and patient Victoria"

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Kozanoglu, Ilknur, and Songul Tepebasi. "Training Programme." In Quality Management and Accreditation in Hematopoietic Stem Cell Transplantation and Cellular Therapy, 157–64. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64492-5_17.

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AbstractCell therapy is a complex field, with a plethora of therapeutic procedures that widely differ among and within countries. An effective and efficient quality management (QM) system is essential to ensure the safety of patients, donors, and medical personnel, and to ensure that all aspects of the cell therapy process from product select to infusion are safe. Risk minimisation requires all personnel involved in cell therapy to be familiar with the procedures as well as cooperate with personnel from other disciplines. Staff training plays a key role in the implementation of cell therapy and in QM. New cell therapy applications are constantly being developed. Appropriate training of personnel will improve both the effectiveness of cell therapy and patient survival.
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Gross, Michael L. "Patient Rights and Practitioner Duties." In Military Medical Ethics in Contemporary Armed Conflict, edited by Michael L. Gross, 35–55. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190694944.003.0003.

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In military medicine, the goals of war transform patient rights and practitioner duties. Attention to conserving mission readiness and maintaining one’s fitness for duty limits soldiers’ rights to refuse standard medical care, initiate DNR (Do Not Resuscitate) orders, maintain privacy, and demand confidentiality. At the same time, however, military medical practitioners are expected to maintain impartiality and neutrality. In wartime, both are problematic. The imperative of military necessity may override impartiality while medical staff members tending compatriot warfighters are not neutral. Special, associative duties of care, moreover, may demand preferential treatment for compatriots at the expense of the medical needs of others. Citing dual loyalty, some observers call on military medical personnel to choose between their medical and military obligations. Dual loyalty, however, is a false dichotomy that obscures the moral tension between collective and individual interests coloring all aspects of political and military ethics.
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Ossowski, Roman, and Paweł Izdebski. "Ethical Aspects of Talking to a Patient." In Advances in Medical Education, Research, and Ethics, 203–35. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9658-7.ch009.

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A very important role in the diagnosing process is played by the conversation with a patient, which should always have a diagnostic-therapeutic character. The subject of interest of this paper are the relations between medical personnel and patients. The chapter aimed to explain the application of main ethical theories in conversation with patients as a diagnostic-therapeutic instrument. As an example, a case study illustrates basic ethical principles of such a conversation. It as an instrument of diagnosis and therapy retained its value despite introducing numerous methods of diagnosis based on the findings of modern physics or electronics. In our view, the conversation should always aim at the benefit of the patient and the results of treatment as well as sustaining patient's subjectivity and hope for achieving a higher quality of life.
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Sygit, Bogusław, and Damian Wąsik. "Patients' Rights and Medical Personnel Duties in the Field of Hospital Care." In Advances in Medical Education, Research, and Ethics, 282–97. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9658-7.ch012.

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The aim of this chapter is to describe selected universal rights of the patient. The authors specify the seven types of patient rights: the right to appropriate organization of treatment on equal terms, the right to respect patient's dignity and privacy, the right to full and comprehensible information on the state of health, the right of access to medical documentation, the right to self-determination - to agree to provide health care services, the right to respect for private and family life and religion and the right to seek compensation and other benefits in the event of damage to the result of medical malpractice. This classification is the basis to discuss the specifics of each of them with reference to specific examples of their implementation or violations. The chapter specifically addresses the issues such as the obligation to inform the patient of the medical procedure, the legal conditions for the effectiveness of consent to treatment and the principle of access to medical documentation. Presentation of patients' rights is made from the perspective of fulfilling the duties of medical personnel working in hospitals. The authors make extensive use of current case law of the European Court of Human Rights. The undeniable advantage of the publication is to present selected theses of Polish court rulings issued in cases of violation of patient rights.
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Peršolja, Melita. "Congruence of Nurse Staffing and Activities with Patient Needs." In Medical Education for the 21st Century [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.96589.

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This study aimed to discover the correlation between patient satisfaction with nursing care activities and staffing patterns. The research was conducted at the medical ward of a secondary care regional hospital in Slovenia over one month. Data was collected with regard to the following: (1) patients cared for daily and number of hours/patients day at the ward level, (2) patient needs (using a classification system), (3) nurse activities as observed at 10-minute intervals, and (4) the Patient Perception of Hospital Experience with Nursing tool. A total of 218 patients were involved, and their satisfaction with nursing care was found to be high. Patient satisfaction was negatively correlated with the number of patients cared for at the unit daily, but positively with the number of care hours per patient day, the proportion of registered nurses in the nursing team, the realized percentage of the registered nurse personnel requirements, and with some direct care activities. The correlation also revealed three process items (undivided attention, explanation, and things are done without asking) being the special strengths of nursing care activities. The results show that nurse-staffing and process patterns affect patient experience. It is thus recommended to increase the amount of nursing care offered by registered nurses, while nurses’ competences can affect the process of care, and thus patient satisfaction.
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Freeman, Candice, and Jill Erin Stefaniak. "Performance Improvement in Healthcare." In Cases on Instructional Design and Performance Outcomes in Medical Education, 210–21. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-5092-2.ch010.

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Healthcare leadership and department management personnel are tasked with the responsibility of ensuring safe, high-quality patient care delivered by competent and proficient staff. This responsibility often comes in the form of identification of discrepant and erroneous practices that result in subsequent employee disciplinary action process improvement discussions and implementation. This case study presents an example of a sentinel event and how Gilbert's Behavior Engineering Model (BEM) was utilized in the context of a Just Culture to ensure both processes and personnel were adequately supported to meet expected task outcomes.
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Soczywko, Julita, and Dorota Rutkowska. "The Patient/Provider Relationship in Emergency Medicine." In Advances in Healthcare Information Systems and Administration, 74–105. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-3946-9.ch005.

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Emergency medicine is a rapidly developing medical specialty which focuses on the diagnostic process, initial stabilization, and the treatment of patients suffering from acute illnesses or injuries. Emergency care can be provided in prehospital settings by emergency medical services, as well as in emergency departments. The primary providers of emergency care are: emergency medicine physicians, emergency nurses, and paramedics. Emergency medical personnel are required to be prepared to take decisive action at any time of day or night. It is essential for them to possess basic knowledge relating to psychology and an ability to utilize interpersonal communication skills. A critical role of medical workers in emergency settings is to provide a patient with emotional support coupled with medical assistance. Interpersonal communication skills depend on the personal abilities of an individual, however, these skills can be also enhanced through training and work experience.
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Winch, Ashley T., Kathryn Sunderman, and Deborah C. Beidel. "Working With Medical Personnel in the Aftermath of a Mass Shooting." In Advances in Psychology, Mental Health, and Behavioral Studies, 282–94. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-7998-8813-0.ch014.

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The rising number of mass casualty incidents in the United States has exposed hospital personnel to more traumatic events on the job than ever before, with research citing a lack of mental health support following such events. It is often assumed that the advanced training of medical professionals serves as a protective factor against PTSD and other mental health disorders resulting from occupational trauma. However, this notion is false, and if left untreated, these mental health issues may extend beyond personal distress and negatively impact patient care. Furthermore, not all hospital personnel who are directly exposed to mass casualty incidents have advanced medical training, and many of these individuals have had no experience with these types of traumas. This chapter outlines planning and implementation measures that hospitals can take prior to a mass casualty incident occurring, followed by steps, strategies, and supports that can be deployed once a hospital has become a treating facility for victims of a mass casualty incident.
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Gross, Michael L. "Moral Reasoning in Military Medical Ethics." In Military Medical Ethics in Contemporary Armed Conflict, edited by Michael L. Gross, 56–70. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190694944.003.0004.

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Applied ethics must resolve moral dilemmas, because, at the end of the day, medical personnel and military commanders must act. Reaching a defensible ethical decision requires moral agents to define the military and medical mission clearly and answer the following questions. Is the proposed operation or policy an effective and necessary means to attain the mission’s goals? Are the costs proportionate, keeping in mind that costs include military, medical, and moral costs? Finally, is the deliberative forum appropriate? Military medical ethics entails private (doctor-patient) and public discourse. Public discourse or deliberation engages the political community and its institutions. It requires widespread participation, well-reasoned arguments, reasonable pluralism, and, ultimately, responsive public policy.
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Jean Sweitzer, Bobbie. "Preoperative Patient Evaluation for Anesthesia Care Outside of the Operating Room." In Anesthesia Outside of the Operating Room, 8–19. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780195396676.003.0002.

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Preoperative evaluation and optimization of medical status of patients are important components of anesthesia practice. Increasing numbers of patients with serious comorbidities undergo procedures that require anesthesia services outside of the operating room (OOOR). Often the location alters the challenges of caring for these patients. Surgical, anesthesia, or nursing personnel who can assist with airway and resuscitation management may not be available; equipment and medications may be limited. Many OOOR locations will not have the usual support of an intensive care unit (ICU), skilled postanesthesia recovery personnel, respiratory therapy, or ready access to an inpatient bed, blood banking, interventional cardiology, or diagnostic services. Many of the patients are elderly, ill, and even unlikely candidates for conventional surgery (e.g., transmucosal resection of gastric tumors, transjugular intrahepatic portosystemic shunts). Yet patients and/or providers may be reluctant to expend time and energy in extensive preoperative evaluation before a seemingly minor procedure. This chapter will outline the basics of preprocedure preparation of patients scheduled to receive anesthesia in OOOR settings.
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Conference papers on the topic "Medical personnel and patient Victoria"

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Fleshman, M. A., I. J. Argueta, C. A. Austin, H. H. Lee, E. J. Moyer, and G. J. Gerling. "Facilitating the collection and dissemination of patient care information for emergency medical personnel." In 2016 Systems and Information Engineering Design Symposium (SIEDS). IEEE, 2016. http://dx.doi.org/10.1109/sieds.2016.7489306.

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Ng, Si Yen, and Chi-Lun Lin. "A Realistic Phantom for Ultrasound-Guided Central Venous Cannulation." In 2020 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/dmd2020-9007.

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Abstract Ultrasound-guided central venous cannulation (CVC) has become standard to care. Ultrasound imaging allows the CVC procedure to be completed much safer than a standard blind landmark approach. To enhance medical personnel’s skill in performing challenging ultrasound-guided CVC, an adult size CVC phantom that simulated the human head to the chest, with a detachable CVC operational part, was proposed in this study to provide medical personnel with realistic needle insertion haptic feedback and ultrasound imaging. The detachable CVC operational part could be customized to simulate different patient conditions, such as adult patient (with normal standard size of vascular), the elderly (with collapsed vascular), children (with smaller diameter of vascular), vascular fibrosis patient (with hardening of vascular) and obese patient (with thick fat tissue). In the current stage of prototype development, a CVC operational part with simulated blood vessels and clavicle embedded inside the fat- and muscle-mimicking tissue was produced. Both the fat- and muscle-mimicking tissue pose mechanical and acoustic properties similar to real tissues. The target vein for CVC procedure could be recognized from the ultrasound imaging of the CVC operational part.
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Eklics, Kata, Eszter Kárpáti, Robin Valerie Cathey, Andrew J. Lee, and Ágnes Koppán. "Interdisciplinary Medical Communication Training at the University of Pécs." In Fifth International Conference on Higher Education Advances. Valencia: Universitat Politècnica València, 2019. http://dx.doi.org/10.4995/head19.2019.9443.

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Medical communication training is being challenged to meet the demands of a more internationalized world. As a result, interdisciplinary simulation-based education is designed to advance clinical skill development, specifically in doctor-patient interactions. The Standardized Patient Program has been applied in American Medical Schools since the 1960s, implementing patient profiles based on authentic cases. At the University of Pécs, Medical School in Hungary, this model is being adapted to facilitate improving patient-interviewing, problem-solving, and medical reporting skills. The interdisciplinary program operates in Hungarian, German and English languages, utilizing actors to perform as simulated patients under the close observation of medical specialists and linguists. This innovative course is designed to train students to successfully collect patient histories while navigating medical, linguistic, emotional, and socio-cultural complexities of patients. Experts in medicine and language assess student performance, offering feedback and providing individualized training that students might improve their professional and communicative competencies. This paper examines how this interdisciplinary course provides valuable opportunities for more efficient patient-oriented communication practices. Through responding to medical emergencies, miscommunications, and conflicts in a safe environment, medical students prepare to deal with a diverse patient context, that more qualified and empathetic health personnel may be employed throughout clinics worldwide. Keywords: interdisciplinary simulation-based education, doctor-patient interaction, MediSkillsLab, medical history taking, language for specific purposes competencies
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Lanzoni, Daniel, Andrea Vitali, Daniele Regazzoni, and Caterina Rizzi. "Medical Assessment Test of Extrapersonal Neglect Using Virtual Reality: A Preliminary Study." In ASME 2020 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/detc2020-22416.

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Abstract The research work presents a preliminary study to create a virtual reality platform for the medical assessment of spatial extrapersonal neglect, a syndrome affecting human awareness of a hemi-space that may be caused by cerebral lesions. Nowadays, the extrapersonal neglect is assessed by using real objects positioned in the space around the patient, with a poor capability of repetition and data gathering. Therefore, the aim of this research work is the introduction of a virtual reality solution based on consumer technology for the assessment of the extrapersonal neglect. By starting from the needs of the involved medical personnel, an online serious-game platform has been developed, which permits to perform a test and a real-time evaluation by means of objective data tracked by exploited technologies, i.e. an HTC Vive Pro head mounted display and ad-hoc IT solutions. The test is based on a virtual environment composed by a table on which twenty objects have been placed, ten on the right side and ten on the left side. The whole 3D virtual environment has been developed using low-cost and free development tools, such as Unity and Blender. The interaction with the virtual environment is based on voice recognition technology, therefore the patient interact with the application by pronouncing the name of each object aloud. The VR application has been developed according to an online gaming software architecture, which permits to share the 3D scene by exploiting a Wi-Fi hotspot network. Furthermore, the on-line gaming software architecture allows sending and receiving data between the doctor’s laptop and the VR system used by the patient on another laptop. The therapist can see through his/her personal computer a real time faithful replica of the test performed by the patient in order to have a fast feedback on patient’s field of view orientation during the evaluation of 3D objects. A preliminary test has been carried out to evaluate the ease of use for medical personnel of the developed VR platform. The big amount of recorded data and the possibility to manage the selection of objects when the voice commands are not correctly interpreted has been greatly appreciated. The review of the performed test represents for doctors the possibility of objectively reconstructing the improvements of patients during the whole period of the rehabilitation process. Medical feedback highlighted how the developed prototype can already be tested involving patients and thus, a procedure for enrolling a group of patients has been planned. Finally, future tests have been planned to compare the developed solution with the Caterine Bergero Scale to define a future standardization.
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Byre, Rafael Ocatvianus. "The Influence of Completeness of Facilities, Quality of Service and Competence of Medical Personnel on Patient Satisfaction at the Koeloda Community Health Center, Golewa District, Ngada Regency." In The 3rd International Conference on Banking, Accounting, Management and Economics (ICOBAME 2020). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/aebmr.k.210311.005.

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R., Senthil J., Santa A., Pavan KB, Rakesh P., Pravanika G., Pravanika G., Narander Ch, and Krishna MMVT. "An Analysis of Acute Adverse Drug Reactions Occurring in Day Care Chemotherapy Setting in a Tertiary Care Cancer Centre." In Annual Conference of Indian Society of Medical and Paediatric Oncology (ISMPO). Thieme Medical and Scientific Publishers Pvt. Ltd., 2021. http://dx.doi.org/10.1055/s-0041-1735376.

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Abstract Introduction Acute adverse drug reactions (ADRs) in day care chemotherapy are not uncommon and easily manageable many a time. However, sometimes they may lead to untoward events. It is of paramount importance to document and analyze such events in contemporary medical oncology practice for the best utilization and planning of available personnel and resources. Objectives This study was aimed to analyze the acute ADRs occurring in day care cancer chemotherapy setting. Materials and Methods All acute ADRs reported in day care cancer chemotherapy setting, during the administration of chemotherapy, at Basavatarakam Indo American Cancer Hospital, Hyderabad, Telangana, India, were included in the study from June 15, 2020 to September 30, 2020. The ADRs were classified in to anaphylactic, allergic, and gastrointestinal (nausea/vomiting/heart burns/chest tightness). All ADRs were graded according to CTCAE version 5.0. Suspected drugs, time to reaction, and corrective measures were analyzed. Results During the study period, a total of 8,600 sessions of day care chemotherapy were administered. ADRs were noticed in 83 cases (~1%). Among the reported ADRs, anaphylactic reactions were noted in 20 patients (24%); allergic reactions of grades 1 and 2 were noted in 41 patients (49%). Gastrointestinal ADRs were noted in 30 patients (36%). Adverse reactions are mostly seen in oxaliplatin (22.8%), rituximab (14.4%), paclitaxel (15.6%), carboplatin (13.2%), and docetaxel (7.2%). In grade-I (10%) and grade-II (63%) resections, supportive treatment was provided and chemotherapy was continued. Grade-III ADRs were noted in 21 patients (25%) out of whom, 3 patients required short-term intensive care, chemotherapy was withheld until the next cycle in one patient, and chemotherapy regimen was changed in 3 patients. No patient died of ADR. Conclusion Serious ADRs are rare in contemporary medical oncology practice during day care chemotherapy administration. Most acute ADRs were easily managed.
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Fechtel, Hannah, Ruba Sajdeya, Yan Wang, Gabriel Spandau, Amie Goodin, Almut Winterstein, and Robert Cook. "Medical Marijuana & Me (M3): Designing Measures of Medical Marijuana Dose in an Observational Study." In 2022 Annual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2022. http://dx.doi.org/10.26828/cannabis.2022.02.000.25.

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Measuring marijuana exposure represents one of the biggest challenges in marijuana-related outcomes research. The challenge mainly emerges from the significant variability in medical marijuana (MMJ) use characteristics on both the product level, including inter-product and intra-product composition variability and possibility of using multiple consumption modes, and the patient level, including variations in use patterns, frequency and intensity of use, and routes of administration. While MMJ-related observational research still mainly relies on self-reported MMJ exposure, there remains a lack of validated and reliable exposure measures and a lack of standardized dose units, necessitating the development of such measures. In the Medical Marijuana & Me (M3) study, a new combined cohort and cross-sectional study aiming to assess a multitude of MMJ-related outcomes among MMJ patients in Florida, we developed a set of new comprehensive measures to quantify MMJ use by assessing the specific modes of consumption, doses, frequency, and patterns of MMJ use. After reviewing the literature for existing MMJ measures, a multidisciplinary team of MMJ certifying physicians, pharmacists, researchers, MMJ patients, and dispensary personnel designed and developed a questionnaire covering a wide range of MMJ products, including flower, vape cartridges, concentrates for smoking, topical products, tinctures, oral concentrates, edible products, and others. MMJ dose and use are assessed via a nine-item MMJ use measure for each MMJ product participants use that gauges modes and routes of administration, frequency of use (per day, per week, per month), amount of consumed products, tetrahydrocannabinol and cannabidiol concentrations and ratios, and potency. For specific consumption modes (e.g., smoking and vaping), additional questions (e.g., number of inhalation seconds) were included to ensure a comprehensive approach of exposure measurement. Visual prompts such as product example photos were also included to enhance participant engagement and ease. We pilot-tested the questionnaires on twenty current MMJ patients in Florida, who provided feedback to improve the measures’ relatability and enhance accuracy in capturing their MMJ exposure. Some of the key challenges we encountered were measuring the “amount” of solid and liquid concentrates, and difficulty in determining dose of vape cartridges due to inconsistencies in THC concentration between nearly identical cartridges. The nine-item MMJ use questionnaire developed for M3 offers a framework for MMJ exposure quantification in current and future observational MMJ-outcomes research. Analyses resulting from M3 data will add to the sparse literature on MMJ dose measures and assist in validating measures similar to the measure developed for M3.
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Regazzoni, Daniele, Andrea Vitali, and Caterina Rizzi. "Towards a Broad Use of Gamification Based on Hand Tracking in Post Stroke Patients." In ASME 2019 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/detc2019-97926.

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Abstract In the last years, the advent of innovative technologies for tracking human motions is increasing the interest of physicians and physiotherapist, who would like to introduce new instruments for a more objective assessment of the rehabilitation processes. At present, many motion tracking systems have been developed and their ease of use and low-cost may represent the key aspects for which these systems could be really adopted both in rehabilitation centers and in rehabilitation programs at home. Several research studies confirmed the importance of continuing rehabilitation programs at home with the aim to maintain patients’ health condition at a suitable level for daily life activities. Physicians and physiotherapists need methods and tools, which can be simply adaptable for each type of patients’ category and type of rehabilitation according to the assessed pathology. For achieving this need, the technology has to be suitable for both the patient side and medical personnel side. The most suitable technology for the patients are motion tracking devices which can be used through traditional IT, such as laptops, smartphones and tablets. Also for medical personnel the ease of use is very important, physicians would like to check the patient’s rehab exercises according to their medical knowledge by exploiting daily life technology. This research work investigates on which are the best user-friendly programming tools and low-cost technology for 3D hand and finger tracking for the development of a serious game for rehabilitation exercises. The tasks are designed according to physiotherapists’ recommendations, in order to be customizable for any single user. The following sections will describe the method, the tools adopted, and the application developed.
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Platt, Stephen R., Jeff A. Hawks, Mark E. Rentschler, Lee Redden, Shane Farritor, and Dmitry Oleynikov. "Modular Wireless Wheeled In Vivo Surgical Robots." In ASME 2008 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/detc2008-49157.

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Minimally invasive abdominal surgery (laparoscopy) results in superior patient outcomes as measured by less painful recovery and an earlier return to functional health compared to conventional open surgery. However, the difficulty of manipulating traditional laparoscopic tools from outside the patient’s body generally limits these benefits to patients undergoing procedures with relatively low complexity. The use of miniature in vivo robots that fit entirely inside the peritoneal cavity represents a novel approach to laparoscopic surgery. Our previous work has demonstrated that mobile and fixedbased in vivo robots can successfully operate within the abdominal cavity and provide surgical vision and task assistance. All of these robots used tethers for power and data transmission. This paper describes recent work focused on developing a modular wireless mobile platform that can be used for in vivo sensing and manipulation applications. The robot base can accommodate a variety of payloads. Details of the designs and results of ex vivo and in vivo tests of robots with biopsy grasper and physiological sensor payloads are presented. These types of self-contained surgical devices are much more transportable and much lower in cost than current robotic surgical assistants. These attributes could ultimately allow such devices to be carried and deployed by non-medical personnel at the site of an injury. A remotely located surgeon could then use these robots to provide critical first response medical intervention irrespective of the location of the patient.
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Sharma, Manoj, and Alpana Sharma. "Truth of evidence collection, follow up and patient retrieval systems for gynaecological cancer patients: An Indian survey." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685351.

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Introduction: The Evidence Based Medicine in oncological sciences is founded on many factors. Pathetic state of patient retrieval system and follow up are some of the inherent problems faced in developing countries. The absence of follow up seems to affect the patient survival, intervention in case of predictive recurrence, and it also fails to fortifies authenticity of research and survival data. Paper outlines histrionics, evolved/recommended methodologies, nationwide survey with regards to authenticity of Evidence Based Practices in Oncological research. It opens the facts sheet of awareness, practice of follow-up and obstacles faced in India institutions. Relevant for obstetricians adopting Gynec Oncology. Aims and Objective: (1) To Evaluate the Evidence based practice of Gynec Oncology, (2) To evaluate the effectiveness of follow up methodologies, (3) Compliance of institutions and oncologist with regards to follow-up of Gynec cancer patients. Materials and Methods: The follow up methodology propagated; 1–6 address system (IARC 3 Address System), 2-Postcarding, 3-SMS/Telephony, 4-Door to door patient retrieval, 5-Family Physician referrals/feedback, 6-Software Alert on follow up defaulters in the Hospital Based Cancer Registry. etc. A stock taking was started 10 years back with repeated circulars on dates of “The National Cancer Calendar” (one date every months) that were sent to some 10,000 E-mail address of personnel/institutions connected with oncological sciences. Over five years 150 postgraduate examinees and 50 faculty in various institutions were interviewed on their 1 - Practicing Evidence Based Gynec Oncology and 2 - Understanding of Follow up/patient retrieval system practices in Gynec cancers. As an inspector of a major medical accreditation institution 50 institutions were inspected and existence of their follow up methodologies were evaluated. 100 post graduate dissertations reviewed, were studied with regards to status of follow up in the study carried out or the existence of follow-up system in the institution. Undergraduate students and their text books were searched if they are educated about follow up and necessity of patient retrieval system and its significance in Medical sciences. Faculty/Specialist of Obs and Gyn departments were interviewed for the same. Observations and Results: Response to circulars on follow up in cancer patients was cold shouldered, 95 percent of examinee PG students did not know how to follow up the cancer patients, out which as many as 90 percent of their institutions did not have any follow up system in order. 99 percent of dissertation did not show any effort from the side of candidate for patient retrieval system in order to fortify the research data. Only 20 percent institutions had infrastructure and significant effort (including door to door retrieval) on following up the patients that are treated there. Non of the undergraduate text books had guidelines or teaching in follow up so were total blankness of concept of follow up with undergraduate students. The awareness of Evidence based practice of Gynec oncology in most of the faculty of Obs and Gyne Departments was abysmal and “Not Necessary or Not possible” issue. Conclusion: Death and prolongation of survival both in curable and not so curable gynec cancers is directly related to Patient retrieval through follow up that generates evidence on Indian patients. In order to improve the survival and timely therapeutic intervention, follow up has to be strengthen at under graduate and post graduate medical teaching. This also applies for the authenticity of oncological research data that is produced in large numbers in developing countries. This is especially significant in the large poor socio economic gynec cancer patient population with poor literacy levels and far off homes from cancer treatment centres.
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