Result 1 - 10 of total 44
Western journal of medicine and surgery
2024 Volume 6, Issue 5, Page(s) 447
| Language | English |
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| Publishing date | 2024-01-11 |
| Publishing country | United States |
| Document type | Journal Article |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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Frontiers in research metrics and analytics
2022 Volume 7, Page(s) 977684
Abstract: The technology driven post-scarcity society is upon us. Ubiquitous technologies are eradicating scarcity in many industries. These macroscopic system trends are causing our economy to transition from relative scarcity to relative abundance. For many ... ...
| Abstract | The technology driven post-scarcity society is upon us. Ubiquitous technologies are eradicating scarcity in many industries. These macroscopic system trends are causing our economy to transition from relative scarcity to relative abundance. For many people in the world however, in both developed, developing, and underdeveloped countries, the notion of an Age of Abundance will sound utterly bizarre. There is a tension between abundance and equality. Good governance considers in what manner the state conducts public policy, manages public resources and promotes overall prosperity. This chapter connects good governance to the end of scarcity and integrates equality into abundance. The chapter critically examines the normative justifications of our scarcity based legal institutions, such as property and intellectual property (IP) systems, in light of 10 exponential, Fourth Industrial Revolution (4IR) technologies, and the post-scarcity economy. Starting point is that absolute and relative abundance are not utopian. Technology will erase scarcity in more and more economic areas in the foreseeable future, but not everywhere or for everybody. The chapter views relative scarcity and relative abundance as temporal socio-economic categories at two opposite sides of a continuum. The chapter unifies good governance with equality and abundance, by introducing a post-Rawlsian Equal Relative Abundance (ERA) principle of distributive justice. This includes defining a set of material and immaterial primary goods, warranting adequate, sufficient levels of relative abundance (which depend on technological evolution), and equitable results per region or group. Crucially, ERA integrates desert-based principles to the degree that some may deserve a higher level of material goods because of inequality in contributions, i.e., their hard work, talent, luck or entrepreneurial spirit, only to the extent that their unequal rewards do also function to improve the position of the least advantaged. A society governed by the ERA principle should in theory be able to solve the poverty trap on a global level. As lifting people from poverty in Europe is a different thing than achieving ERA in the US, applying equal relative abundance techniques in Asia and Africa each have their own specific challenges and dimensions. |
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| Language | English |
| Publishing date | 2022-12-01 |
| Publishing country | Switzerland |
| Document type | Journal Article |
| ISSN | 2504-0537 |
| ISSN (online) | 2504-0537 |
| DOI | 10.3389/frma.2022.977684 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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Archives of orthopaedic and trauma surgery
2024 Volume 144, Issue 4, Page(s) 1565–1573
Abstract: Background: It is estimated that one-third of patients presenting with unilateral joint pain have contralateral osteoarthritis (OA) at first presentation. Most studies have primarily examined White patient cohorts. The purpose of this study was to ... ...
| Abstract | Background: It is estimated that one-third of patients presenting with unilateral joint pain have contralateral osteoarthritis (OA) at first presentation. Most studies have primarily examined White patient cohorts. The purpose of this study was to determine the prevalence of contralateral joint OA for patients presenting for unilateral total knee (TKA), unicompartmental knee (UKA) or total hip arthroplasty (THA) among Asian, Native Hawaiian/Pacific Islander and White patients. Methods: Bilateral radiographic reports at initial presentation of 2,312 subjects who underwent unilateral arthroplasties (332 UKAs, 933 TKAs and 1,047 THAs) were reviewed. The presence of contralateral OA was recorded and compared by racial group and type of arthroplasty performed. Parametric statistical analyses were performed to determine differences between groups. Multivariable analyses were completed for each arthroplasty group to determine the influence on the presence of contralateral OA, presented as odds ratios and 95% confidence intervals. Results: Contralateral joint OA was present in 86.7%, 90.4% and 70.4% of UKA, TKA and THA patients, respectively. Concurrent hip OA was present in 41.6% and 59.5% of UKA and TKA patients. No racial differences in the prevalence of contralateral knee OA were found for knee arthroplasty patients. White patients (74.6%) had a greater prevalence of contralateral hip OA compared to Asians (66.5%, p = 0.037) amongst THA recipients. Increased age and body mass index were significantly associated with the presence of contralateral knee OA. Increased age, being male and being White were significant contributors for the presence of contralateral hip OA. Conclusion: The prevalence of contralateral joint OA and concurrent hip OA is high in all three racial groups. Due to the extensive prevalence of contralateral and concurrent knee and hip OA, bilateral radiographic evaluation should be considered for all patients presenting with unilateral hip or knee pain due to OA. |
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| MeSH term(s) | Humans ; Male ; Female ; Arthroplasty, Replacement, Hip ; Arthroplasty, Replacement, Knee ; Osteoarthritis, Hip/diagnostic imaging ; Osteoarthritis, Hip/epidemiology ; Osteoarthritis, Hip/surgery ; Native Hawaiian or Other Pacific Islander ; Prevalence ; Knee Joint/surgery ; Osteoarthritis, Knee/diagnostic imaging ; Osteoarthritis, Knee/epidemiology ; Osteoarthritis, Knee/surgery ; White People |
| Language | English |
| Publishing date | 2024-02-22 |
| Publishing country | Germany |
| Document type | Journal Article |
| ZDB-ID | 80407-1 |
| ISSN | 1434-3916 ; 0003-9330 ; 0344-8444 |
| ISSN (online) | 1434-3916 |
| ISSN | 0003-9330 ; 0344-8444 |
| DOI | 10.1007/s00402-024-05252-2 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Uk I Zs.58: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
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International journal of disaster risk reduction : IJDRR
2023 Volume 88, Page(s) 103608
Abstract: Adolescents in secondary schools have limited susceptibility to the SARS-COV-2 virus, but paradoxically are considered to be carrying the highest psychosocial burden during this pandemic. The aim of our European multi-country qualitative research was to ... ...
| Abstract | Adolescents in secondary schools have limited susceptibility to the SARS-COV-2 virus, but paradoxically are considered to be carrying the highest psychosocial burden during this pandemic. The aim of our European multi-country qualitative research was to investigate the COVID-19 crisis response in secondary schools and the role of national, regional, and local stakeholders in contributing to a participatory governance approach. We carried out 11 months of qualitative fieldwork, which included 90 respondents from the Netherlands, Ireland, and Finland for in-depth interviews and/or group discussions. Participant observation was conducted in four secondary schools to explore the interplay of day-to-day formal and informal practices of crisis governance. Our findings contribute to a better understanding of what efforts were made to facilitate participatory governance and where a bottom-up approach would have served useful in successfully implementing the COVID-19 mitigation strategies. Moreover, we show how these mitigation strategies have led to unintended consequences, such as students' difficulties with isolation and associated mental health problems, and the struggles of socialization when returning to a physical school environment. Our findings highlight the importance of the school environment in the socio-emotional developments of adolescents. We introduce the TAPIC-R model to analyze good governance, advancing the existing TAPIC model with an emphasis on the role of resilience in shaping participatory governance. We argue this is urgently needed during crises to strengthen engagement of the community, including vulnerable groups and achieve positive outcomes within and across policy structures and action domains. |
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| Language | English |
| Publishing date | 2023-03-10 |
| Publishing country | England |
| Document type | Journal Article |
| ZDB-ID | 2695877-6 |
| ISSN | 2212-4209 |
| ISSN | 2212-4209 |
| DOI | 10.1016/j.ijdrr.2023.103608 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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PEC innovation
2023 Volume 2, Page(s) 100165
Abstract: Objective: In 2016, the encapsulated follicular variant of papillary thyroid carcinoma (EFVPTC) was reclassified as noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP). This reclassification removed the word "carcinoma" ... ...
| Abstract | Objective: In 2016, the encapsulated follicular variant of papillary thyroid carcinoma (EFVPTC) was reclassified as noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP). This reclassification removed the word "carcinoma" and the definition of cancer from the diagnosis. While the nomenclature change was expected to psychologically impact patients, that question has not been systematically explored. Using qualitative methods, we aimed to explore the psychological impact of reclassification on thyroid cancer patients and their preferences for receiving reclassification information. Methods: Semi-structured interviews with nine non-EFVPTC thyroid cancer survivors were conducted. Participants were presented with a hypothetical reclassification scenario, and interview transcripts were analyzed using a thematic content analytic approach. Results: Participants expressed a range of psychological reactions to reclassification information, primarily negative, including anger, mistrust, and uncertainty, but also relief. All participants expressed difficulty understanding the concept of reclassification. Communication preferences favored conversation with an established medical provider over written materials, such as a letter. Discussion and conclusion: Communication must align with patient preferences. Being mindful of potential negative psychological reactions when providing information on cancer reclassification is vital. Innovation: This study examines reactions to cancer reclassification information and preferences for how this information should be communicated. |
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| Language | English |
| Publishing date | 2023-05-10 |
| Publishing country | Netherlands |
| Document type | Journal Article |
| ISSN | 2772-6282 |
| ISSN (online) | 2772-6282 |
| DOI | 10.1016/j.pecinn.2023.100165 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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2022 Volume 206, Page(s) 195–205
Abstract: Cancer patients often want information from "peers" with the same diagnosis or treatment. To increase access to this valuable resource, we developed a website to deliver written peer support to cancer patients undergoing stem cell transplant. Because ... ...
| Abstract | Cancer patients often want information from "peers" with the same diagnosis or treatment. To increase access to this valuable resource, we developed a website to deliver written peer support to cancer patients undergoing stem cell transplant. Because little evidence describes how to optimize benefits or reduce potential harms of written peer support, we gathered multiple forms of stakeholder feedback to inform the website's ethical approach, personalization, design, function, and content: a Community Advisory Board; a longitudinal study of patients' written peer support needs and motivations; focus groups; semi-structured interviews; and usability testing. Findings provide a rich foundation for website development. |
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| Language | English |
| Publishing date | 2022-09-21 |
| Publishing country | Netherlands |
| Document type | Journal Article |
| ZDB-ID | 2557358-5 |
| ISSN | 1877-0509 |
| ISSN | 1877-0509 |
| DOI | 10.1016/j.procs.2022.09.098 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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2018 Volume 45, Issue 4, Page(s) 727–735
Abstract: Objectives: Goal of this study was to investigate whether a gravity stress radiograph is beneficial in determining instability in Supination-External rotation (SER)-type ankle fractures without a medial fracture.: Methods: 39 Patients with a SER-type ...
| Abstract | Objectives: Goal of this study was to investigate whether a gravity stress radiograph is beneficial in determining instability in Supination-External rotation (SER)-type ankle fractures without a medial fracture. Methods: 39 Patients with a SER-type ankle fracture without a medial or posterior fracture and medial clear space (MCS) < 6 mm at regular mortise view were included. A gravity stress radiograph and Magnetic Resonance imaging (MRI)-scan were made. The MCS measurements of the regular and gravity stress radiographs were compared with the MRI findings (set as reference standard) to determine the sensitivity, specificity, and positive (PPV) and negative (NPV) predictive values as indication for a complete deltoid ligament rupture. Results: Mean MCS at regular mortise views was 3.11 (range 1.73-5.93) mm, compared to 4.54 (range 2.33-10.40) mm at gravity stress radiographs. With MCS ≥ 4 mm as threshold for predicting a complete rupture at regular ankle mortise views the sensitivity was 66.7, specificity 91.7, PPV 40.0 and NPV 97.0. Gravity stress radiographs with MCS ≥ 6 mm as threshold led to a sensitivity of 100, specificity 91.7, PPV 50.0 and NPV 100. Conclusion: Gravity stress radiographs have more discriminative ability for diagnosing SER-type fractures with or without a complete deltoid ligament tear than regular ankle mortise views. |
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| MeSH term(s) | Adolescent ; Adult ; Aged ; Analysis of Variance ; Ankle Fractures/diagnosis ; Humans ; Joint Instability/diagnosis ; Ligaments, Articular/injuries ; Magnetic Resonance Imaging ; Middle Aged ; ROC Curve ; Radiography ; Rotation ; Rupture/diagnosis ; Stress, Physiological/physiology ; Supination/physiology ; Young Adult |
| Language | English |
| Publishing date | 2018-02-13 |
| Publishing country | Germany |
| Document type | Comparative Study ; Evaluation Study ; Journal Article |
| ZDB-ID | 2275480-5 |
| ISSN | 1863-9941 ; 1863-9933 |
| ISSN (online) | 1863-9941 |
| ISSN | 1863-9933 |
| DOI | 10.1007/s00068-018-0923-x |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Zs.A 1221: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
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| Zs.MO 607: Show issues |
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American journal of respiratory and critical care medicine
2017 Volume 196, Issue 11, Page(s) 1473–1475
| MeSH term(s) | Critical Illness ; Humans ; Hydrocortisone ; Oxygen ; Pulmonary Embolism ; Sepsis ; Syncope |
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| Chemical Substances | Oxygen (S88TT14065) ; Hydrocortisone (WI4X0X7BPJ) |
| Language | English |
| Publishing date | 2017-10-17 |
| Publishing country | United States |
| Document type | Journal Article ; Comment |
| ZDB-ID | 1180953-x |
| ISSN | 1535-4970 ; 0003-0805 ; 1073-449X |
| ISSN (online) | 1535-4970 |
| ISSN | 0003-0805 ; 1073-449X |
| DOI | 10.1164/rccm.201701-0245RR |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Uh II Zs.80: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
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2018 Volume 55, Issue 1, Page(s) 44–53
Abstract: A central goal for reintroduced populations of threatened wood bison ( Bison bison athabascae) is to maintain them free of diseases of concern, particularly bovine tuberculosis (caused by Mycobacterium bovis) and brucellosis (caused by Brucella abortus). ...
| Abstract | A central goal for reintroduced populations of threatened wood bison ( Bison bison athabascae) is to maintain them free of diseases of concern, particularly bovine tuberculosis (caused by Mycobacterium bovis) and brucellosis (caused by Brucella abortus). A wood bison population in southwestern Yukon, Canada was reintroduced into the wild in 1988, but no health assessment has been done since then. To provide an initial assessment of the health status and, hence, the conservation value of this population, we serologically tested 31 wood bison (approximately 3% of the population) for pathogens of interest and obtained histopathology results for select tissues. We found no evidence of exposure to M. bovis or Brucella spp., but antibodies were present to bovine parainfluenza virus 3, bovine coronavirus, Leptospira interrogans, and Neospora caninum, with seroprevalences of 87, 7, 61, and 7% of the tested animals, respectively. Reintroduced wood bison in southwestern Yukon may be of high value for wood bison recovery because it is a large and geographically isolated population with no bacteriologic, histopathologic, or serologic evidence of exposure to Brucella spp. or M. bovis. |
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| MeSH term(s) | Animals ; Bison/blood ; Communicable Diseases/blood ; Communicable Diseases/epidemiology ; Communicable Diseases/veterinary ; Conservation of Natural Resources ; Female ; Male ; Population Surveillance ; Seroepidemiologic Studies ; Serologic Tests/veterinary ; Yukon Territory/epidemiology |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2018-06-28 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 410709-3 |
| ISSN | 1943-3700 ; 0090-3558 |
| ISSN (online) | 1943-3700 |
| ISSN | 0090-3558 |
| DOI | 10.7589/2017-09-235 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Zs.B 1441: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
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Journal of medical Internet research
2020 Volume 22, Issue 9, Page(s) e18787
Abstract: Background: Society is facing a global shortage of 17 million health care workers, along with increasing health care demands from a growing number of older adults. Social robots are being considered as solutions to part of this problem.: Objective: ... ...
| Abstract | Background: Society is facing a global shortage of 17 million health care workers, along with increasing health care demands from a growing number of older adults. Social robots are being considered as solutions to part of this problem. Objective: Our objective is to evaluate the quality of care perceived by patients and caregivers for an integrated care pathway in an outpatient clinic using a social robot for patient-reported outcome measure (PROM) interviews versus the currently used professional interviews. Methods: A multicenter, two-parallel-group, nonblinded, randomized controlled trial was used to test for noninferiority of the quality of care delivered through robot-assisted care. The randomization was performed using a computer-generated table. The setting consisted of two outpatient clinics, and the study took place from July to December 2019. Of 419 patients who visited the participating outpatient clinics, 110 older patients met the criteria for recruitment. Inclusion criteria were the ability to speak and read Dutch and being assisted by a participating health care professional. Exclusion criteria were serious hearing or vision problems, serious cognitive problems, and paranoia or similar psychiatric problems. The intervention consisted of a social robot conducting a 36-item PROM. As the main outcome measure, the customized Consumer Quality Index (CQI) was used, as reported by patients and caregivers for the outpatient pathway of care. Results: In total, 75 intermediately frail older patients were included in the study, randomly assigned to the intervention and control groups, and processed: 36 female (48%) and 39 male (52%); mean age 77.4 years (SD 7.3), range 60-91 years. There was no significant difference in the total patient CQI scores between the patients included in the robot-assisted care pathway (mean 9.27, SD 0.65, n=37) and those in the control group (mean 9.00, SD 0.70, n=38): P=.08, 95% CI -0.04 to 0.58. There was no significant difference in the total CQI scores between caregivers in the intervention group (mean 9.21, SD 0.76, n=30) and those in the control group (mean 9.09, SD 0.60, n=35): P=.47, 95% CI -0.21 to 0.46. No harm or unintended effects occurred. Conclusions: Geriatric patients and their informal caregivers valued robot-assisted and nonrobot-assisted care pathways equally. Trial registration: ClinicalTrials.gov NCT03857789; https://clinicaltrials.gov/ct2/show/NCT03857789. |
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| MeSH term(s) | Aged ; Aged, 80 and over ; Caregivers/psychology ; Delivery of Health Care, Integrated/methods ; Female ; Humans ; Interview, Psychological/methods ; Male ; Middle Aged ; Patient Reported Outcome Measures ; Quality of Health Care/standards ; Robotics/methods |
| Language | English |
| Publishing date | 2020-09-09 |
| Publishing country | Canada |
| Document type | Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 2028830-X |
| ISSN | 1438-8871 ; 1439-4456 |
| ISSN (online) | 1438-8871 |
| ISSN | 1439-4456 |
| DOI | 10.2196/18787 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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