Notes

Continuous all round treatment moment in a negative way has an effect on the final results regarding stereotactic system radiotherapy regarding early-stage non-small-cell lung cancer: A propensity score-weighted, single-center investigation.
This scoping review aims to identify the causes and consequences of physician burnout resulting from using Electronic Health Records (EHRs), as reported by current literature. We identified studies by searching PubMed, Wiley Online Library, and Google Scholar. Study selection and data extraction were conducted by three reviewers independently. Extracted data was then synthesized narratively. Out of 500 references retrieved, 30 studies met all eligibility criteria. We identified six main causes that lead to physician burnout related to the use of EHRs EHRs' documentation and related tasks, EHRs' poor design, workload, overtime work, inbox alerts, and alert fatigue. We also identified the following consequences of physician burnout low-quality care, behavioral issues, mental health complications, substance abuse, career dissatisfaction, costly turnover, and a decline in patient safety and satisfaction.Pediatric oncology interventions involve many challenges, such as multiple hospitalizations, invasive procedures, and adverse physical and psychological treatment side effects. Treatment burden, including administration of general anesthesia, contributes to high levels of psychological distress among pediatric patients and their families. Virtual reality (VR) is a distraction method, which offers an extremely realistic and interactive virtual environment and helps reduce pain and distress by means of a head-mounted display and headphones. VR is based on two crucial dimensions immersion and presence, which results in the complete suspension of disbelief that the experience is artificial and allows a greater degree of presence and reaction to the stimulations. The VR technology has become a common practice in scientific and clinical research due to its affordability and ease of use. In pediatric settings, the most widely researched clinical application of VR has focused on the effectiveness of VR distraction therapy in the attenuation of acute pain, anxiety, and distress during invasive medical procedures. It has also been hypothesized to be a nonpharmacological form of analgesia that positively influences the body's intricate pain modulation system during painful medical procedures. In this review, we showed the potential benefits of VR technology during radiotherapy and intrathecal procedures on pediatric oncology patients and its involvement in enhancing their quality of life during and after the treatment. Therefore, a collaboration between researchers, clinicians, and programmers is crucial for the inclusion of VR technology in more clinical procedures, which would consequently enhance the patient's quality of life.In December 2019, Wuhan, China, reported an outbreak of nSARS-CoV2 that caused viral pneumonia, COVID-19. Li Wenliang, a Chinese ophthalmologist, first communicated on Chinese social media about the existence and spread of the unknown viral pneumonia in Wuhan, China. By the end of March 2020, the virus had spread worldwide. However, non-scientific information related to the viral outbreak, disease, and mortality spread even faster on social media. This study performed literature searches among different databases, i.e., PubMed, PubMed Central, and Web of Science, to understand the pitfall of social media during the COVID-19 pandemic and the impact of non-scientific information on public health. Social media not only shared information regarding the outbreak of nSARS-CoV2 and COVID-19 disease but also misinformation regarding epidemiology, government policies, prevention, cure, and vaccination. Thus, strict regulation is required to control the spread of misleading information.Evaluation of Emergency Medical Services Management Information System (EMSIS) makes it possible to assess the extent to which the objectives of supporting of healthcare delivery services. This paper presents an overview of the regulatory process in prehospital EMS electronic data registration and provides a minimum data set for the purpose of developing such a care system on a national scale. It further offers an evaluation framework for such systems.Urban planners, architects and civil engineers are integrating Nature-Based Solutions (NBS) to address contemporary environmental, social, health and economic challenges. Many studies claim that NBS are poised to improve citizens' well-being in urban areas. NBS can also benefit Public Health, as they can contribute to optimising environmental parameters (such as urban heat island effects, floods, etc.), as well as to the reduction of diseases, as for example cardiovascular ones and the overall mortality rate. In addition, the usage of mobile health (mHealth) solutions has been broadly applied to support citizens' well-being as they can offer monitoring of their physical and physiological status and promote a healthier lifestyle. The aim of this paper is to present the specifications, the design and the development of a mobile app for monitoring citizens' well-being in areas where NBS have been applied. The users' physical activity and vital signs are recorded by wearable devices and the users' locations are recorded by the proposed mobile application. All collected data are transferred to the cloud platform where data management mechanisms aggregate data from different sources for combined analysis. The mobile application is currently available for Android and iOS devices and it is compatible with most smart devices and wearables. Kinase Inhibitor Library datasheet The "euPOLIS by BioAssist" application can be used as a health and other data collection tool to investigate citizen's well-being improvement in areas with NBS.Partner Notification processes focus on the notification of sexual partners to prevent the transmission of Sexually Transmitted Infections (STIs). The INTEGRATE Joint Action provides an integrated platform called RiskRadar, for combination prevention activities targeting STIs, including an anonymous, free and voluntary Partner Notification service. The presented service information flow ensures privacy, security and GDPR compliance which were identified as vital with similar tools. The service is available via web and mobile interfaces using a unique random code provided from authorised healthcare professionals to support privacy.Daily, people are being exposed to an enormous amount of Covid-19 information, but not all of it is reliable. This phenomenon seriously affects the public health policy effectiveness, because there is a lot of misleading or inaccurate information, which is spreading rapidly and makes it more difficult to restrict the pandemic. Healthcare informatics has emerged as a diverse and important new field. Healthcare informatics applications are becoming more and more popular and are providing easy access to new sources of knowledge. This way, the quality of patient care will improve and productivity will increase. However, people should also learn how to navigate this infodemic properly.Non-communicable diseases (NCDs) become one of serious health issues globally including Thailand. The Wellness Center was introduced by the Ministry of Public Health (MOPH) in public hospitals since 2018 for both healthy people and people who at risk for NCDs. It incorporates risk evaluation, health assessment, health behaviors changing, health promotion and prevention, and health record system to follow participant's health status. This study aimed to evaluate the Wellness Centers in three public hospitals in Thailand using RE-AIM framework. Findings indicated that the Wellness Centers successful reached its target groups. Although sample size was small, the findings provided a positive outcome. Besides, the average weight and Body Mass Index (BMI) had reduced significantly after participants attending both services of Wellness Centers. However, there were some challenges from this program such as financial sustainability, performance indicator, and data system.In this paper we describe a review of the literature and the development of an initial maturity model for the research literature in the area of technology-induced errors and health technology safety. The capability maturity model provides a way forward for organizations to formalize their health technology safety processes and also compare their efforts in this area to other organizations to support organizational learning. The application of maturity models to technology-induced error is described.Especially in biomedical research, individual-level data must be protected due to the sensitivity of the data that is associated with patients. The broad goal of scientific data re-use is to allow many researchers to derive new hypotheses and insights from the data while preserving privacy. Data usage control (DUC) as an attribute-based access mechanism promises to overcome the limitations of traditional access control models achieving that goal. Park and Sandhu provided the usage control (UCON) model as an instance of DUC, which defines policies that evaluate certain attributes. Here, we present an UCON-based architecture, which is augmented with risk-based anonymization as provided by the R package sdcMicro and an extensible Access Control Markup Language (XACML) environment with a core policy decision point as implemented by authzforce.The aim of this study was to calculate the average operational cost per sub-type of stroke patient and to investigate cost drivers (e.g. ALoS, NIHSS score, age) correlated to cost.
Direct medical costs (diagnostic imaging and clinical laboratory exams, overheads/bed cost, pharmaceuticals, ringers and other non-durables and inpatient rehabilitation) per patient were calculated from the providers' (hospitals') perspective. Resource use data derived from the "SUN4P" web-based registry and unit costs were retrieved from publically available sources and were assigned to resource use.

The sample comprised 6,282 inpatient days of 750 patients (mean age 75.5±13.3 years) admitted from July 2019 to July 2021, in nine public hospitals. Mean length of stay was 8.4±7.6 days and mean total operational cost was calculated to €1,239.4 (from which 45% and 35% related to diagnostic exams and overheads/bed cost respectively). Mean cost related to hemorrhagic stroke patients that were discharged alive was calculated significantly higher compared to mean cost related to ischemic stroke patients who didn't undertake thrombolysis and were also discharged alive from the hospital (€2,155.2 vs. €945.2, p<0.001). Linear regression analysis revealed that length of stay was significantly correlated with cost (coefficient beta=232, 95% CI confidence interval = 220-243, p<0.001).

These findings are in accordance with current evidence and should be thoroughly assessed to rationalize inpatient reimbursement rates in order to achieve improved value of care.
These findings are in accordance with current evidence and should be thoroughly assessed to rationalize inpatient reimbursement rates in order to achieve improved value of care.The objective of this scoping review is to develop a model to understand the factors that influence clinical downtimes or clinical activities in a healthcare organization. To report on the results of searches preformed using seven bibliographic databases, using the logical search criteria of (downtime AND (EMR OR Electronic Medical Record OR EHR OR Electronic Health Record). After a title, abstract and full-text review 26 articles remained. The articles were coded and analyzed for themes. Downtime planning activities mitigate the effects of disasters on patient safety outcomes and clinical delays. A model was developed representing the relationships between disasters, the moderating variable of downtime planning activities and patient safety as well as clinical outcomes. Disasters can have significant impact on patients and health professionals. Downtime planning activities can be enacted when a disaster occurs to moderate the effects of the downtime on patients and clinical activities and can improve safety.
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