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Lentz, Margaret R. "Follow-up study of medical assistant graduates at Western Technical College." Online version, 2009. http://www.uwstout.edu/lib/thesis/2009/2009lentzm.pdf.
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Hooker, Roderick Stanton. "Cost-Benefit Analysis of Physician Assistants." PDXScholar, 1999. https://pdxscholar.library.pdx.edu/open_access_etds/4029.
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This study examined if physician assistants (PAs) are cost-beneficial to employers. In an era of cost accountability, questions arise about whether a visit to a PA for an episode of care differs from a visit to a physician, and if PAs erode their cost-effectiveness by the manner in which they manage patients.
Four common acute medical conditions seen by PAs and physicians within a large health maintenance organization were identified to study. An episode approach was undertaken to identify all laboratory, imaging, medication and provider costs for these diagnoses. Over 12,700 medical office visits were analyzed and assigned to each type of provider and medical department. Patient variables included age, gender, and health status. A multivariate analysis identified significant cost differences in each cohort of patients.
In every condition managed by PAs, the total cost of the visit was less than that of a physician in the same department. This was significant for episodes of shoulder tendinitis, otitis media, and urinary tract infections. In no instance were PAs statistically different from physicians in use of laboratory and imaging costs. In each instance the total cost of the episode was less when treated by a PA. Sometimes PAs ordered fewer laboratory tests than physicians. There were no differences in the rate of return visits for a diagnosis between physicians and PAs. Patient differences were held constant for age, gender, and health status.
This study affirms that PAs are not only cost-effective from a labor standpoint but are also cost-beneficial to those who employ them. In most cases, they order resources for diagnosis and treatment in a manner similar to physicians for an episode of care, but the cost of an episode of an illness is more economical overall when the P A delivers the care. This study validates the federal policy of support for primary care P A education and suggests that PA employment should be expanded in many sectors of the health care system. These findings and the results of this cost-benefit model are evidence of its validity in predicting health care costs.
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Dickey, Geraldine Parker-Oliver Debra. "Perspectives of certified nurse assistants on sexual orientation." Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6776.
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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb 11, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. Debbie Parker Oliver Vita. Includes bibliographical references.
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Orcutt, Venetia L. Henson Robin K. "The supply and demand of physician assistants in the United States a trend analysis /." [Denton, Tex.] : University of North Texas, 2007. http://digital.library.unt.edu/permalink/meta-dc-3633.
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Norris, Tamala. "Workplace Violence Among Nurses and Nursing Assistants in Texas." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5510.
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Workplace violence (WPV) is ranked as one of the leading causes of occupational injury in the United States and is common in health settings. Nurses have the highest rate of violent victimization reported in the U.S., thus presenting a significant issue for healthcare leaders. Various researchers focus on prevalence rates of WPV among nurses discussing types of violence, location, and the setting where the WPV occurred. Less information exists regarding time taken off work and factors associated with WPV among nurses versus nursing assistants (NAs). This information is important due to the impact on safe work environments for nursing employees. The research questions for the study examined the prevalence of WPV and time taken off work among nurses compared to NAs. The study employed a retrospective secondary analysis of data collected by the Bureau of Labor Statistics, from 2011 to 2014, of nurses and NAs in the State of Texas. Multivariate analysis, partial correlation statistical test, and partition of the sum of squares (ANOVA) determined that NAs experienced more incidents of WPV and spent more time away from work due to injuries than nurses. The study was limited because the data did not provide clear indications of environmental factors that led to the injuries, nor did data related to the culture of the working environments and injuries exist. A recommendation for future research is evaluation of the impact of WPV on productivity, patient safety, and quality of care when nurses continue to work or return to work after experiencing WPV. Results of the study reveal the differences in injuries between the two groups and factors impacting the injuries. This information is important for social change as healthcare leaders evaluate opportunities to create a safe working environment for their staff and provide additional resources for nurses to prevent WPV incidents.
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SCHUCKMAN, CHRISTY M. "The Use of Personal Digital Assistants Across Four Medical Center Colleges at the University of Cincinnati." University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1141091676.
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Souza, Allison Marlene. "Introducing the Health Coach Method of Motivational Interviewing to Medical Assistants to Improve the Patient Care Approach." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3414.
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The emerging health care culture of accountability for patient outcomes compounds problems for already overwhelmed clinicians struggling to fit everything entailed in complicated office visits into 15-minute appointments. Unprocessed frustrations tempt clinicians to use ineffective and outdated methods for trying to get their patients to comply or adhere to their care plans, undermining effective health care management. The intention of this project was to evaluate whether educating medical assistants in the health coaching method of motivational interviewing can improve the patient care approach while simultaneously assisting clinicians struggling with insufficient time. Several individual scheduling conflicts limited the target population into two primary care medical assistants and two auxiliary primary care office staff who voluntarily chose to learn the new approach. Guided by the adult learning theory, an educational lecture project was designed to capture the spirit of motivational interviewing through basic descriptions and strategies that will assist learners to focus on person-centered conversation skills, helping to balance both the needs of the patient and clinician. Following the education, participants filled out an anonymous post-lecture evaluation questionnaire to provide immediate feedback about learner understanding. Responses indicated the project met its stated objectives, and results showed the versatility of the motivational interviewing method which can be learned and effectively applied by health care workers from a wide range of professional backgrounds. Motivational interviewing is an innovative approach that utilizes therapeutic communication to promote behavior changes that lead to improved health of our communities and country.
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Kirunda, Kakaire Ayub. "Using Personal Digital Assistants to Improve Healthcare Delivery in Uganda." Thesis, Malmö högskola, Fakulteten för kultur och samhälle (KS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-23073.
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Effective Health Systems make service provision easy for health workers, especially if they have access to the latest guidelines in a dynamic profession where new technologies are ever emerging. However, available data indicates that the health system in Uganda is constrained and still using old technologies despite the availability of newer technologies. As a result, this study sought to investigate the adoptability, cost effectiveness, and sustainability with regard to Personal Digital Assistants. The study, which was cross sectional in nature, was carried out in Mbale District in Eastern Uganda between 2008 and 2010. In depth interviews were conducted with health workers and key informants. Also, published and unpublished literature about theUganda Health Information Network was reviewed.The findings revealed that the use of Personal Digital Assistants also known as handheld computers can go a long way towards improving healthcare delivery in countryside health facilities. To health workers in remote places, the PDAs are a source of the latest clinical care guidelines for several diseases including HIV and AIDS as well as malaria. Health information systems have been improved and data collection and reporting have been eased by this technology. However, while evidence of viability of this technology exists, it still has challenges like power and delays in software updates among others.
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Adams, Derek Westwood. "The rise and fall of the apothecaries' assistants, 1815-1923." Thesis, University of Hertfordshire, 2011. http://hdl.handle.net/2299/5554.
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The central theme of this work is the elucidation of the circumstances that led to the decline of the apothecaries’ assistants. The Apothecaries Act (1815) formerly recognised them as dispensers of medicine and provided an appropriate examination and qualification. Initially, starting in 1850, men were the only candidates for the examination and it was not until 1887 that the first woman qualified. From that time the occupation became increasingly popular among young women, as it provided them with respectable employment dispensing medicines in institutions and doctors’ surgeries. This situation prevailed until The National Insurance Act (1911) transferred almost all the dispensing to the chemists and druggists. This dissertation examines the aspirations of the Pharmaceutical Society, the Society of Apothecaries, the government and the assistants themselves, all of whom were intimately involved in the changes brought about by the Act. While much has been written about medical history in the nineteenth century, little interest has been shown in the apothecaries’ assistants who were the main dispensers of medicines for a period of about 70 years. This thesis advances our understanding on this subject. Additionally, as most of the assistants were women from middle class families, it opens a window on the social and cultural changes that these young women and their families were experiencing in the second half of the nineteenth century.
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Kenney-Moore, Patricia. ""Like Drinking Water Out of a Fire Hydrant" Medical Education as Transformation: A Naturalistic Inquiry Into the Physician Assistant Student Experience." PDXScholar, 2016. http://pdxscholar.library.pdx.edu/open_access_etds/2711.
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Physician assistants are medical professionals educated in an allopathic medical education model in the United States. In order to successfully matriculate, educate and graduate safe and effective health care providers in a 2-year time frame, the 4-year M.D. curriculum has been abbreviated and condensed leading to an intense, full-time cohort educational experience that taxes physician assistant students to their limits. The demanding workload can lead to fluctuations in mood and morale along with increased levels of psychological distress. This dissertation explores this under examined student experience by first introducing the physician assistant profession and the process by which it educates its members. The cohort patterns of mood and morale observed by faculty during the educational process are described using the conceptual and theoretical models of transformative learning, transition, change and cross-cultural adaptation as explanations for the observed experience. A retrospective naturalistic research paradigm utilizing focus groups elucidated the student perspective of the cohort medical education experience over the course of the didactic curriculum, and study results highlight a three-stage experience consistent with stages-of-change theories from multiple disciplines. In addition, a prominent pattern of emotional subthemes provide a window into the psychological significance of this transformative experience. A better understanding of the effects of this academically rigorous and psychologically challenging medical education process on physician assistant students clarifies opportunities for amelioration of student challenges while simultaneously enhancing the ultimate goal of developing safe and effective health care providers.
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Collett, DeShana Ann. "THE INFLUENCE OF RACE AND SOCIOECONOMIC STATUS ON ROUTINE SCREENING PRACTICES OF PHYSICIAN ASSISTANTS." UKnowledge, 2013. http://uknowledge.uky.edu/epe_etds/13.
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Health disparities in minorities and those of low socioeconomic status persist despite efforts to eliminate potential causes. Differences in the delivery of services can result in different healthcare outcomes and therefore, a health disparity. Some of this difference in care may attribute to discrimination resulting from clinical biases and stereotyping which may provide a possible source for the persistence of health disparities. Health disparities may occur because the delivery of services at some level is inadequate. Disparities resulting from the quality and quantity of care delivered by a practitioner result in differentiated delivery of healthcare, thus unequal health outcomes. The purpose of this study is to evaluate and identify potential disparities in routine screening practices of physician assistants.A randomized sample of practicing physician assistants in Kentucky were analyzed (N= 112) to determine if the race or socioeconomic status of a patient influenced their likelihood of offering different routine screening recommendations and screening test recommendations. Clinical vignettes were created with only the race and socioeconomic status of the patient modified, resulting in four separate vignettes. Through the use of a survey instrument, participants were randomly assigned to one of four written clinical vignettes. Statistical analysis using a MANOVA revealed that the race of a patient had a statistically significant multivariate effect on differences in screening recommendations and race and socioeconomic status had significant multivariate effects on screening test recommendations.Study results suggest that race and socioeconomic status continues to be a significant factor in the prevalence of healthcare disparities. More importantly, this study reveals that Physician Assistants may provide differentiated care based on a patient’s race. Limitations and future directions for this study may be used to examine PA educational curriculums for the inclusion of health disparities and possible continuing medical education opportunities for practicing PAs.
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Orcutt, Venetia L. "The Supply and Demand of Physician Assistants in the United States: A Trend Analysis." Thesis, University of North Texas, 2007. https://digital.library.unt.edu/ark:/67531/metadc3633/.
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The supply of non-physician clinicians (NPCs), such as physician assistant (PAs), could significantly influence demand requirements in medical workforce projections. This study predicts supply of and demand for PAs from 2006 to 2020. The PA supply model utilized the number of certified PAs, the educational capacity (at 10% and 25% expansion) with assumed attrition rates, and retirement assumptions. Gross domestic product (GDP) chained in 2000 dollar and US population were utilized in a transfer function trend analyses with the number of PAs as the dependent variable for the PA demand model. Historical analyses revealed strong correlations between GDP and US population with the number of PAs. The number of currently certified PAs represents approximately 75% of the projected demand. At 10% growth, the supply and demand equilibrium for PAs will be reached in 2012. A 25% increase in new entrants causes equilibrium to be met one year earlier. Robust application trends in PA education enrollment (2.2 applicants per seat for PAs is the same as for allopathic medical school applicants) support predicted increases. However, other implications for the PA educational institutions include recruitment and retention of qualified faculty, clinical site maintenance and diversity of matriculates. Further research on factors affecting the supply and demand for PAs is needed in the areas of retirement age rates, gender, and lifestyle influences. Specialization trends and visit intensity levels are potential variables.
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Savičiūtė, Rasa. "Medicinos personalo (gydytojų radiologų ir radiologijos laborantų), informuotumo apie gaunamą pacientų apšvitą ir radiacinę saugą tyrimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2010. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2008~D_20101125_185247-37918.
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Darbo tikslas - nustatyti ir įvertinti asmens svaikatos priežiūros įstaigų medicinos personalo (gydytojų radiologų ir radiologijos laborantų) informuotumą apie pacientų gaunamą apšvitą ir radiacinę saugą Vilniaus mieste. Tyrimo objektas – gydytojai radiologai ir radiologijos laborantai. Tyrimo metu buvo apklausti 140 respondentų iš 15 asmens sveikatos priežiūros įstaigų. Viso buvo apklausta 35 gydytojai radiologai (iš jų 15 vyrų ir 20 moterų) ir 105 radiologijos laborantai (iš jų 4 vyrai ir 101 moteris), o tai atitinkamai sudarė 25,0% ir 75,0%. Apklaustųjų amžius svyruoja nuo 23 iki 71 metų (vidurkis 47,43). Tyrimo tikslui ir uždaviniams pasiekti panaudotas aprašomasis tyrimo tipas bei anketinės apklausos metodas. Statistinė duomenų analizė atlikta naudojant SPSS 13 programos versiją. Pateikiamas rodiklių pasiskirstymas absoliučiais skaičiais ir procentais, apskaičiuotas chi kvadratas (Chi-kv.). Sirtumas statistiškai reikšmingas kai pasikliovimo lygmuo p<0,05. Atlikta mokslinių straipsnių, sveikatos sistemos teisinės ir normatyvinės medžiagos ir t.t., analizė. Gautos šios išvados: įvertinus bendrą žinių lygį tarp apklaustų respondentų, galima teigti, kad gydytojai radiologai ir radiologijos laborantai pakankamai gerai žino radiacinės saugos principus bei apšvitos keliamą pavojų. Tačiau atliktas tyrimas taip pat parodė, kad jiems vis dar trūksta žinių kai kuriais specifiniais klausimais, pavyzdžiui tokiais kaip tipinės efektinės dozės gaunamos atliekant įvairias procedūras... [toliau žr. visą tekstą]Main task – to estimate and evaluate medical personnel’s of health care (doctors of radiology and radiology assistants) informativeness about receivable irradiance towards patients and radiational safety in city of Vilnius. Object of research - doctors of radiology and radiology assistants. During this research 140 respondents were questioned from 15 health care institutions. Overall 35 radiologists were questioned (15 men and 20 women), 105 radiology assistants (4 men and 101 women) and that’s accordingly 20, 0% and 75, 0%. Age variance of the respondents is from 23 up to 71 years old (average of 47.43 years old). Descriptive research type and survey was used in order to achieve the goals of this research. Statistical data analysis was performed by using SPSS program, version 13. The given distribution of index is in natural numbers and in percentage, Chi-square is counted (Chi-sq). Statistically the difference is meaningful when the level of probability is p<0,05. The analysis of science articles, law normative materials, health care systems, etc. was accomplished. The conclusion: after the evaluation of knowledge of the respondents it is clear that, doctors of radiology and radiology assistants have enough knowledge about radiational safety and dangers of irradiance. The research also revealed that they do not have enough knowledge concerning the specific topics, for example the doses that are received during variable procedures, the dependence of the dose, the observation... [to full text]
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Woolsey, Lisa J. "Impact of professional preparation on physician assistant attitude and expressed intent to work with geriatric patients." [Bloomington, Ind.] : Indiana University, 2005. http://www.oregonpdf.org.
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Wallace, Rick L. "PDA Training of Faculty Physicians." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/8683.
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The PDA is an important technology in clinical medicine. Although PDAs are widely utilized by medical students and residents, older teaching faculty have not readily adopted them. The medical library can position itself as a leader in training patrons to use these devices. The East Tennessee State University (ETSU) Quillen College of Medicine Library (QCOML) staff trained older, experienced teaching faculty to use PDAs loaded with ePocrates and InfoRetriever databases. The training was rated highly and several faculty members became PDA users. The library is now considered the place to go on campus for PDA help.
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D'Epiro, Jo Hanna F. "1.0 Clinicians in a 3.0 World: An Examination of the Adoption of Technologyby Older Healthcare Workers for Professional Learning." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1542630929115933.
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Randolph, Micheal L. "The Need for Soft Skills in a Medical Assistant Program." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2754.
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There is a perceived soft skills problem within the medical assistant program (MAP) at a 2-year technical college in the Midwestern United States. Soft skills refer to relational skills such as practicing self-management, communicating with various groups, adapting to change, negotiating, and resolving conflict. The purposes of this intrinsic case study were to (a) understand the perspectives of faculty, staff, and leadership regarding students' soft skills ability within the study MAP and (b) identify important soft skills needed in the workplace. An integrative conceptual framework that drew upon vocational and organizational theories was used as a theoretical framework for the study. Fourteen participants, comprised of program faculty, program leadership, and staff members from local healthcare clinics, participated in open-ended interviews. Documents were also collected, including the college mission, class syllabi, and attendance records. The interview transcripts and documents were analyzed through Creswell's 6-step process of data preparation/organization, data sorting, developing description codes, narration/visual representation of findings, reflective interpretation of results, and finding validation strategies. Findings confirmed a perceived need for soft skills instruction in communication skills, professionalism, work ethic, interpersonal skills, and good judgement. Positive social change could occur from the organization improving students' workplace success through a deeper understanding of these needed soft skills. Further, MAP students at the study site would be better positioned to provide an increased quality of patient care.
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Mortimer, Ian James Forrester. "Medical assistance to the dying in provincial England, c1570-1720." Thesis, University of Exeter, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.400892.
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Miller, Jonathan Blair. "On-patient medical information encoding : image guided fistula cannulation assistant for hemodialysis." Thesis, Massachusetts Institute of Technology, 2019. https://hdl.handle.net/1721.1/121794.
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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, System Design and Management Program, 2019Cataloged from PDF version of thesis.
Includes bibliographical references (pages 75-77).
This thesis documents the process of invention and design of on-patient encoding of medical information. The work is demonstrated through the development of a prototype medical device system that addresses clinically observed issues associated with dialysis treatment for patients afflicted with kidney failure. Implemented as a temporary tattoo, the medical system is intended to be widely deployable in a variety of settings for a myriad of populations, including developed and emerging medical communities, in-clinic or at-home, and across a spectrum of human skin tones. Addressing hemodialysis challenges is important because, if one's kidneys fail, the ideal option is to receive a transplant, though for many patients (millions globally), the short-term and often long-term solution must be hemodialysis. Through this treatment, a patient regularly has large needles inserted into his or her arm through which the blood is pumped into an artificial kidney machine.
This must be done several times each week for four to eight hours at a time, often in a clinic though ideally (albeit uncommonly) at patients' homes. Presented is the development process of problem identification, concept generation, testing, and prototyping of image guidance systems for hemodialysis needle insertion. This serves to curb fear so patients and caregivers experience improved key performance indicators including: -- Less Pain - Fewer needle 'mis-sticks' -- Quicker Learning - Shortened treatment training time -- Simpler Treatment - Reduced dependence on one or more caregivers when cannulating -- Improved Access to Care - Designed for a broad range of patients. The project involves infrared illumination of hemoglobin, undistortion and mapping of vein images, and special ink chemistry based on temporary tattoos. The results of this project are intended to lay the engineering, business, and design groundwork for a Class 11 product and service suite consisting of: --
A vein mapper: a device consisting of an infrared vein illuminator (hardware) and real-time optical enhancement (software). -- An indelible dye: a mixture that stains immediately, resists clinical washing, and persists for days -- A cannulation key: a process by which an inkjet printer is used to produce a vein map guide that is then transferred onto a patient's arm.
by Jonathan Blair Miller.
S.M. in Engineering and Management
S.M.inEngineeringandManagement Massachusetts Institute of Technology, System Design and Management Program
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Martin, Rachel Susan. "Physician Assistants Filling the Healthcare Gap in Medically Underserved Areas." Thesis, The University of Arizona, 2013. http://hdl.handle.net/10150/297695.
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Both the downtown and South Tucson areas have high rates of poverty, unemployment and lack of health insurance. Each of these contributes to a category known as a medically underserved area, and is directly related to behavioral health issues. These issues include but are not limited to anxiety, bipolar disorder, substance abuse, depression, eating disorders, personality disorders, schizophrenia, trauma, obsessive-compulsive disorder and post-traumatic stress disorder. My investigations into this topic have led me to understand that because of the increased amount of care‐seeking patients and shortage of physicians; further healthcare providers are needed to fill the gap. PAs are filling it, particularly because they have the unique ability of working in different fields of medicine without extra schooling. They also have the ability to fill positions in the three different categories in which I organized the patients in South Tucson and downtown Tucson. The categories include wellness and prevention, acute care and chronic health issues. The testimonies and information I received from healthcare providers, patients and public officials are all the patchwork of different people, places and programs that help patients overcome or cope with issues. PAs make up a large part of the thread stitching these patches together.
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Wilson, Ramey L. "Building partner capacity and strengthening security through medical security force assistance." Monterey, California: Naval Postgraduate School, 2013. http://hdl.handle.net/10945/34763.
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Approved for public release; distribution is unlimitedThis thesis examines the role of building partner medical capacity to strengthen foreign security forces as part of Stability Operations. It employs quantitative analysis and Game Theory. With the direct benefits of a strong and effective security force medical system established, the indirect benefits of a strong security force medical system to a nation-state, to a region, and to the United States are discussed. Joint doctrine that supports efforts to build partner medical capacity is also reviewed. Finally, a framework is proposed for strengthening partner security force medical systems through the use of advisors, exercises and training, and a rotational presence. Medical development for foreign security forces should be a priority of any effort to strengthen a foreign state partner.
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Andrade, Gonçalo Fernandes Pereira. "Os processos de recrutamento e seleção de auxiliares de ação médica e de enfermeiros no Grupo Lusíadas Saúde." Master's thesis, Instituto Superior de Economia e Gestão, 2017. http://hdl.handle.net/10400.5/14322.
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Mestrado em Gestão de Recursos HumanosFoi realizado um estágio curricular de três meses entre vinte e dois de fevereiro a vinte e dois de maio de 2017, que decorreu em Lisboa, na Direção de Recursos Humanos da organização Lusíadas Saúde. O estagiário desempenhou funções principalmente na área do Recrutamento e Seleção, tendo observado algumas etapas do Processo de Recrutamento, como é o caso da publicação de anúncios e participado em várias etapas do Processo de Seleção, como por exemplo, nos testes psicológicos. Com este estudo pretende-se entender, como é que se estruturaram e se desenvolveram os Processos de Recrutamento e Seleção dos auxiliares de ação de médica e dos enfermeiros, ou seja, como é que os novos candidatos eram atraídos e selecionados. Neste estudo encontra-se descrito um método quantitativo, como é o caso, do questionário relativo à avaliação dos Processos de Recrutamento e Seleção de auxiliares de ação médica e de enfermeiros, respondido por estes profissionais dentro do Hospital Lusíadas Lisboa. Concluiu-se então, que a partir desta avaliação, as etapas foram bastante eficazes e eficientes na Seleção dos candidatos essenciais para desempenhar as funções da organização. Assim o Grupo Lusíadas Saúde ganhou novos colaboradores.
A three-month curricular internship was undertaken between February 22 and May 22 of 2017. This internship took place in Lisbon, at the Human Resources Direction of the organization Lusíadas Saúde, headquarter of the Lusíadas Saúde Group. The trainee functions were mainly performed in the Recruitment and Selection area, where he observed, some stages of the Recruitment Process, such as the publication of job advertisements and the participation in several stages of the Selection Process, such as psychological tests. This study intends to analyse, how the Recruitment and Selection Processes of medical assistants and nurses were structed and developed, that is, how the new candidates were attracted and selected. This study also describes a quantitative method, more specifically a questionnaire, related to the evaluation of the Recruitment and Selection Processes of medical assistants and nurses within the Lusíadas Lisboa Hospital. From this evaluation, it was concluded that the stages of these two Processes were very effective and efficient in the attraction and selection of the candidates. Therefore the Lusíadas Saúde Group has won new workers.
info:eu-repo/semantics/publishedVersion
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Provenzano, Heugel Lisa Michelle. "WARM : Wearable Assistant with Remote Monitoring." [Tampa, Fla] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0001904.
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Real, Vázquez Francis. "Use of Decision Tables to Model Assistance Knowledge to Train Medical Residents." Doctoral thesis, Universitat Rovira i Virgili, 2016. http://hdl.handle.net/10803/365559.
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En aquesta tesi es presenta un model de coneixement clínic basat en taules de decisió que permet representar les
fases de diagnòstic, tractament i pronòstic de diferents malalties.
Les taules de decisió que s'obtenen per a cada fase del model han estat utilitzades per representar malalties reals a
partir de guies de pràctica clínica. En el cas del diagnòstic s'han representat les vuit causes secundàries més comuns
de la hipertensió arterial. En el cas del tractament i pronòstic s'han representat set diferents xocs en emergències.
Les taules de decisió que hem obtingut per a cadascuna de les malalties s'han utilitzat com a base per crear dues
eines d'entrenament mèdic, dirigides a residents. Totes dues eines s'han provat a l'Hospital Clínic de Barcelona amb
diferents grups de residents.
Després de les proves s'ha conclòs que les taules de decisió són adequades per a la representació del coneixement
mèdic en totes tres fases. A més, les eines d'aprenentatge han estat efectives a l'hora d'ensenyar els procediments
mèdics, especialment als residents amb menys experiència prèvia.En esta tesis se presenta un modelo de conocimiento clínico basado en tablas de decisión que permite representar las fases de diagnostico, tratamiento y pronostico de distintas enfermedades. Las tablas de decisión que se obtienen para cada fase del modelo han sido utilizadas para representar enfermedades reales a partir de guías de práctica clínica. En el caso del diagnóstico se han representado las ocho causas secundarias más comunes de la hipertensión arterial. En el caso del tratamiento y pronóstico se han representado siete diferentes shocks en emergencias. Las tablas de decisión que hemos obtenido para cada una de las enfermedades se han usado como base para crear dos herramientas de entrenamiento médico, dirigido a residentes. Ambas herramientas se han probado en el Hospital Clínic de Barcelona con distintos grupos de residentes. Tras las pruebas se ha concluido que las tablas de decisión son adecuadas para la representación del conocimiento medico en las tres fases. Además, las herramientas de aprendizaje han sido efectivas a la hora de enseñar los procedimientos médicos, en especial a los residentes con menos experiencia previa.
In this thesis a clinical knowledge model based on decision tables is presented. This model allows us to represent the stages of diagnosis, treatment, and prognosis of different diseases. The decision tables obtained for each phase of the model have been used to represent real diseases from clinical practice guidelines. In the case of diagnosis, we represented eight of the most common secondary causes of hypertension. For the treatment and prognosis we represented seven different emergency shocks. The decision tables obtained for each disease have been used as the basis for two medical training tools aimed to residents. Both tools have been tested in the Hospital Clínic de Barcelona with different groups of residents. After testing, it was concluded that decision tables are suitable for the representation of medical knowledge in all three phases. In addition, the learning tools have been effective in teaching medical procedures, especially for untrained residents.
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Shreffler, Mary Jean. "Residents' views on access to care in frontier communities with medical assistance facilities /." Thesis, Connect to this title online; UW restricted, 1996. http://hdl.handle.net/1773/7225.
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Brandt, Jason K. "Effects of humanitarian aid : a Cuban case study." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2002. http://library.nps.navy.mil/uhtbin/hyperion-image/02sep%5FBrandt.pdf.
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Thesis (M.A. in National Security Affairs)--Naval Postgraduate School, September 2002.Thesis advisor(s): Jeanne Giraldo, Jeff Knopf. Includes bibliographical references (p. 71-77). Also available online.
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Lê, Ngoc Toan. "Assistance medicale aux boat-people vietnamiens 1975-1992 : aspects humains, aspects techniques." Université Louis Pasteur (Strasbourg) (1971-2008), 1993. http://www.theses.fr/1993STR1M037.
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Carrière-Doisin, A. "Formation d'assistants medicaux en thailande : une experience humanitaire dans un camp de refugies laotiens." Nice, 1994. http://www.theses.fr/1994NICE6508.
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Spratling, Regena. "The Experiences of Medically Fragile Adolescents Who Require Respiratory Assistance." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/nursing_diss/13.
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The population of medically fragile adolescents has grown in recent decades because of the sequelae of prematurity, injuries, and chronic or terminal illnesses. Medically fragile adolescents who require respiratory assistance are part of this unique population with challenges in their daily lives, yet as nurses, we know little about their experiences and the best approaches to use in caring for them. The purpose of this study was to explore the experiences of medically fragile adolescents who require respiratory assistance.
Interpretive phenomenology was used to describe and interpret the experience of 11 medically fragile adolescents who required respiratory assistance. The adolescents ranged in age from 13 to 18 years of age and required respiratory assistances of tracheostomies, ventilator support, and Bi-level positive airway pressure (BiPap). Audiotaped semi-structured interviews were conducted with the adolescents. Data analysis was completed using the steps delineated by Diekelmann and Allen (1989). Six themes and one pattern were identified from the interviews with the adolescents. The major themes were “Get to know me”, “Allow me to be myself”, “Being there for me”, “No matter what, technology helps”, “I am an independent person”, and “The only one I know of”.
This study explored medically fragile adolescents who required a specific technology, respiratory assistance, within a distinct developmental stage. These adolescents have a clear view of who they are as a person. They want nurses to view them as a person, not just a patient. The adolescents felt that friends were there for them when they needed support. This was in contrast to those that they did not consider friends who were judgmental. Technology had meanings that encompassed enhanced daily living and existing as a part of their day, not their whole day. The adolescents viewed themselves as an independent person and were actively engaging in activities and strategies to achieve their goals of independence. This study contributes to nursing knowledge by helping nurses to understand what these adolescents experience in their daily lives and aiding nurses in providing better care for these adolescents. Recommendations for nursing practice, education, and research were identified in this study.
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Soutoul, Jean-Henri. "La non-assistance de l'article 63 alinea 2 du code penal et le corps medical." Poitiers, 1990. http://www.theses.fr/1990POIT3005.
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A partir du survol de la jurisprudence concernant la non-assistance ou le refus de porter secours du medecin a personne en peril depuis 1948, l'auteur etudie tout particulierement les bases de l'incrimination concernant ce delit reproche au corps medical. Il decrit les effets defavorables pour ce dernier de presomptions multiples ayant pour fondement le texte tres court de cet article penal permettant une application extensive de la loi. Grace a l'etude de 181 dossiers correspondant a 107 inculpations de medecins, de sages-femmes ou de personnel de soins pour omission delictueuse de porter secours, sont etudies les fluctuations de la jurisprudence pendant 40 annees (1948-1989) et le role fortement stabilisateur de la chambre criminelle de la cour de cassation. Restrictions dans l'application de l'article 63 alinea 2 du code penal liees a des justifications d'ordre personnel ou collectif de non-assistance du medecin sont aussi analysees. Dans une deuxieme partie, l'eclairage du droit compare de la non-assistance en medecine dans les divers systemes juridiques mondiaux, et l'analyse de reformes legislatives mais aussi de transformations des institutions sanitaires francaises facilitant l'aide medicale urgente, permettent a l'auteur d'envisager des perspectives d'avenir pour reduire les risques de poursuites judiciaires des personnels medicaux et de soinsThe jurisprudence concerning failure to render assistance to a person in danger since 1948 is reviewed by the author who studies specially the basis of incrimination of this criminal offense in medicine. The unfavorable effect with a great number of cases in medical practice is mainly due to the shortness and lack of precision of this penal law, allowing an extensive application. Studying 181 cases with 107 charges for failure to render assistance against doctors, midwifes and health care workers. The author underlines the situation of jurisprudence in a 40 year period (1948-1989). He points out the balance that is given by the court of criminal appeal. The limitations in the application of this penal law for personal or collective reasons are analysed. In the second part, laws different countries for failur to render assistance in medicine are compared. Analysis of the possible improvement of this legislation and of medical emergency organization allows the author to propose the possible ways to reduce in a near future the number of pursuits for this ground
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Chauhan, Raghuraj Jitendra. "Towards Naturalistic Exoskeleton Glove Control for Rehabilitation and Assistance." Thesis, Virginia Tech, 2020. http://hdl.handle.net/10919/104113.
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This thesis presents both a control scheme for naturalistic control of an exoskeleton glove and a glove design. Exoskeleton development has been focused primarily on design, improving soft actuator and cable-driven systems, with only limited focus on intelligent control. There is a need for control that is not limited to position or force reference signals and is user-driven. By implementing a motion amplification controller to increase weak movements of an impaired individual, a finger joint trajectory can be observed and used to predict their grasping intention. The motion amplification functions off of a virtual dynamical system that safely enforces the range of motion of the finger joints and ensures stability. Three grasp prediction algorithms are developed with improved levels of accuracy: regression, trajectory, and deep learning based. These algorithms were tested on published finger joint trajectories. The fusion of the amplification and prediction could be used to achieve naturalistic, user-guided control of an exoskeleton glove. The key to accomplishing this is series elastic actuators to move the finger joints, thereby allowing the wearer to deflect against the glove and inform the controller of their intention. These actuators are used to move the fingers in a nine degree of freedom exoskeleton that is capable of achieving all the grasps used most frequently in daily life. The controllers and exoskeleton presented here are the basis for improved exoskeleton glove control that can be used to assist or rehabilitate impaired individuals.Master of Science
Millions of Americans report difficulty holding small or even lightweight objects. In many of these cases, their difficulty stems from a condition such as a stroke or arthritis, requiring either rehabilitation or assistance. For both treatments, exoskeleton gloves are a potential solution; however, widespread deployment of exoskeletons in the treatment of hand conditions requires significant advancement. Towards that end, the research community has devoted itself to improving the design of exoskeletons. Systems that use soft actuation or are driven by artificial tendons have merit in that they are comfortable to the wearer, but lack the rigidity required for monitoring the state of the hand and controlling it. Electromyography sensors are also a commonly explored technology for determining motion intention; however, only primitive conclusions can be drawn when using these sensors on the muscles that control the human hand. This thesis proposes a system that does not rely on soft actuation but rather a deflectable exoskeleton that can be used in rehabilitation or assistance. By using series elastic actuators to move the exoskeleton, the wearer of the glove can exert their influence over the machine. Additionally, more intelligent control is needed in the exoskeleton. The approach taken here is twofold. First, a motion amplification controller increases the finger movements of the wearer. Second, the amplified motion is processed using machine learning algorithms to predict what type of grasp the user is attempting. The controller would then be able to fuse the two, the amplification and prediction, to control the glove naturalistically.
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ENDARA, ARIEL ESCOBAR. "CUBIMED: A FRAMEWORK FOR THE CREATION OF UBIQUITOUS MEDICAL ASSISTANCE APPLICATIONS BASED ON COLLABORATIVE SOFTWARE AGENTS." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2015. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=26104@1.
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PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIROCOORDENAÇÃO DE APERFEIÇOAMENTO DO PESSOAL DE ENSINO SUPERIOR
PROGRAMA DE EXCELENCIA ACADEMICA
A área da saúde precisa lidar com diversos problemas relacionados a questões de infraestrutura, falta de pessoal qualificado e grande número de pacientes. Como solução para problemas desta natureza surgiu o u-Healthcare, uma aplicação dos conceitos de Computação Ubíqua (UbiComp) na área da assistência médica. u-Healthcare permite a supervisão da saúde a qualquer tempo e a qualquer lugar, a partir de dispositivos eletrônicos conectados à internet. Entretanto, a ampliação da supervisão da saúde para o entorno ubíquo não pode ser feita com protocolos e procedimentos clínicos atualmente utilizados, já que essa abordagem aumentaria drasticamente o consumo de tempo e recursos. Por esse motivo, a construção de aplicações para fornecimento de serviços se saúde pode apoiar-se em áreas de pesquisa de Sistemas Multi-Agente (SMA) e Trabalho Cooperativo Auxiliado por Computador (TCAC). Nesse sentido, SMA é utilizado para automatização de processos, através do uso das propriedades dos agentes de software. Em contrapartida, TCAC permite estabelecer um modelo de cooperação entre os participantes de uma determinada aplicação. Com base nestes aspectos, neste trabalho propõese a modelagem e desenvolvimento de um framework que auxilie a construção de aplicações voltadas para u-Healthcare, baseadas em conceitos de SMA e TCAC. Para ilustrar a utilização do framework, são apresentados dois cenários de uso. O primeiro cenário corresponde a um sistema de monitoramento fetal, que realiza a detecção precoce de anormalidades no feto. O segundo cenário, por sua vez, consiste em um assistente de administração de medicamentos, que permite ajudar ao médico no controle de medicamentos que usam seus pacientes.
The health area needs to deal with various problems related to issues of infrastructure, lack of qualified personnel and a large number of patients. As a solution to problems of this nature, u-Healthcare was created as an application of the concepts of Ubiquitous Computing (UbiComp) in the area of health care. u- Healthcare allows health monitoring at any time and place from electronic devices connected to the Internet. However, the expansion of health monitoring for an ubiquitous environment cannot be performed with protocols and procedures currently used, since this approach would drastically increase the consumption of time and resources. For that reason, the development of tools to provide health services can be supported in research areas such as Multi-Agent System (MAS) and Computer Supported Cooperative Work (CSCW). In that sense, MAS can be used to automate processes through the properties of software agents. On the other hand CSCW gives the possibility of establishing a model of cooperation among the participants on the application. Based on these aspects, this work proposes the modeling and development of a framework capable of providing support and help on the construction of dedicated u- Healthcare applications which should be based on the concepts of MAS and CSCW. To illustrate the use of the framework, there are presented two scenarios of use. The first scenario corresponds to a fetal monitoring system, which allows early detection of fetal abnormalities. The second scenario consists of a drug administration assistant, which allows the doctor to control drug use by his patients.
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Kaakati, Hanna. "Upplevelse av delaktighet i vardagsaktiviteter hos föräldrar till barn med funktionsnedsättning som har stöd av personlig assistans : En kvalitativ studie." Thesis, Linköpings universitet, Institutionen för hälsa, medicin och vård, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-173168.
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Att vara förälder till barn med funktionsnedsättning kräver mycket tid och engagemang, vilket kan påverka föräldrarnas möjlighet till delaktighet i aktivitet. Delaktighet i aktivitet är en premiss för att uppnå en meningsfull vardag och hälsa. Syftet med studien är att undersöka upplevelse av delaktighet i vardagsaktiviteter hos föräldrar som har hemmaboende barn med funktionsnedsättning, vilka har eller har haft stöd i form av personlig assistans. För att undersöka föräldrarnas upplevelse av delaktighet i vardagsaktiviteter användes en kvalitativ metod, genom semistrukturerade intervjuer med sju deltagare. Fyra huvudkategorier med varierande antal underkategorier framkom, vilka belyser olika aspekter som föräldrarna beskriver påverkar deras delaktighet i vardagsaktiviteter: omvårdnad dominerar vardagen, upplevelse av bristande kontroll i vardagen, strategier möjliggör vardagen och stöd i vardagen. Framtida forskning föreslås inom specifika aktivitetsområden.
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Ingraham, Leonoor Swets. "Impact of the Medical Library Assistance Act of 1965 on Health Sciences Libraries in the Pacific Northwest: an Interorganizational Approach." PDXScholar, 1996. http://books.google.com/books?id=x9LgAAAAMAAJ.
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Israelson-Skogsberg, Åsa. "Sju personliga assistenters erfarenheter av att arbeta i hemmet där en person är beroende av ventilator." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-16522.
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Idag kan sjukvården rädda livet på allt fler människor. Dessa personer kommer till slut hem och kan många gånger ha avancerade vårdbehov. Om personen har behov av ventilatorbehandling i hemmet är det personliga assistenter som arbetar hemma hos vårdtagaren/personen. Det finns få svenska studier som fokuserar på arbetssituationen för de personliga assistenterna. Dessa har ett mycket stort ansvar i kombination med att de samtidigt har lägst utbildning. Genom att få ökad kunskap om personliga assistenters erfarenheter kan vården av ventilatorberoende personer i hemmet utvecklas och kvalitetssäkras. Syftet med studien är att beskriva personliga assistenters erfarenheter av att arbeta i hemmet där en person är beroende av ventilator. Sju personliga assistenter har intervjuats, data har analyserats med kvalitativ innehållsanalys.Resultatet presenteras som fyra kategorier och elva underkategorier. De personliga assistenternas erfarenhet är att deras arbete är ansvarsfullt, engagerande samt kräver ett professionellt förhållningssätt. Av betydelse är att organisationen kring vårdtagaren är tydlig, det är viktigt för att assistenterna ska kunna känna sig trygga när de arbetar. Vidare visar resultatet att personliga assistenter önskar utbildning och handledning i sitt arbete. Resultatet av studien kan användas för att diskutera personliga assistenters arbetssituation, behov av tydlig organisation, handledning och utbildning. Det bör vara ett gemensamt ansvar för den specialiserade vården på sjukhuset samt kommunernas hemsjukvård att bygga upp en organisation som kan möta assistenternas behov gentemot den ventilatorberoende personen.
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Holm, Moa, and Pernilla Larsson. "Oral Care Assistance at Geriatric Homes in the County of Västerbotten, Sweden : A Questionnaire Interview." Thesis, Umeå universitet, Institutionen för odontologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-142488.
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The elderly population in Sweden is growing and as a result of that, society is facing different types of challenges. Oral hygiene is important for preventing oral disease but also for the general health (GH). A goal for the Swedish dental society is that every inhabitant should have an equal right to dental-care and oral health (OH) under the same conditions. This is not only a challenge for dental staff but also for medical and healthcare personnel. Our hypothesis is that nursing staff do not possess the education needed regarding oral hygiene, especially not in relation to GH. The opinions regarding support for nursing staff differ between nursing staff and managers. This study was conducted through questionnaire interviews with managers and nursing staff at geriatric homes in three municipalities in the county of Västerbotten. Questions were asked about education and routines, performance of oral care, and OH linked to GH. Response frequencies were compared between municipalities, professions, and response options. A significant lower part (p <0.001) of nursing staff found that non-existing oral care could cause suffering in the form of general disease than in the form of oral disease. The opinion differs between managers and staff in questions about established routines (p <0.05). This study indicates that knowledge about relationships between oral and general health might be inadequate and that education is both wanted and needed among nursing staff. More extensive studies, and studies about how dental professions could support nursing staff in a better way is desirable.
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Auth, Patrick Clifford Reisman Fredricka K. "Assessing the use of creative problem solving skills and generic influences on learning in clinical reasoning by physician assistant students /." Philadelphia, Pa. : Drexel University, 2005. http://dspace.library.drexel.edu/handle/1860/609.
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Niemann, Uli Verfasser], Myra [Gutachter] [Spiliopoulou, and Bernhard [Gutachter] Preim. "Intelligent assistance for expert-driven subpopulation discovery in high-dimensional timestamped medical data / Uli Niemann ; Gutachter: Myra Spiliopoulou, Bernhard Preim." Magdeburg : Universitätsbibliothek Otto-von-Guericke-Universität, 2021. http://d-nb.info/1237813964/34.
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Spitznogle, Robin C. "An analysis of science- and technology-related health assistance provided to lesser developed nations from 1985 to 1995." Morgantown, W. Va. : [West Virginia University Libraries], 1999. http://etd.wvu.edu/templates/showETD.cfm?recnum=891.
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Thesis (M.A.)--West Virginia University, 1999.Title from document title page. Document formatted into pages; contains ix, 133 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 88-94).
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Stellmach, Darryl. "Coordination in crisis : the practice of medical humanitarian emergency." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:c81d8b4a-4e73-4bbb-b66f-7c84885ab9b8.
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This thesis in anthropology investigates how emergency is socially constituted as a named and actionable entity. Specifically, it asks how human values and techno-scientific practices contribute to the constitution of emergency in the context of medical humanitarian intervention. The study considers emergency from an ethnographic perspective, as a group of international medical humanitarian practitioners from the aid group Médecins San Frontières (MSF) come to understand and respond to the 2013 outbreak of armed conflict in South Sudan and the potential for mass starvation among certain groups within that country. Through the method of participant observation, it examines how emergency is understood or constituted at three different conceptual levels: at the level of the individual clinical encounter, the level of population statistics, and the level of political representations of crisis. By extension, it inquires as to how professional formation and moral categories determine appropriate response. The study reveals how values, ethics and conceptions of "the good" are embodied in-yet imperfectly translated through-numerical measures and institutional structures. This reveals a key paradox of medical humanitarianism: that rational, technocratic institutions simultaneously enable and debilitate the goals and means of humanitarian action. This study is based on 11 months of fieldwork (Oct 2013-Sept 2014) with the Amsterdam operational section of MSF. The fieldwork was multi-sited; it included participant observation of MSF activities in Amsterdam (The Netherlands), Juba, Leer and Bentiu (South Sudan).
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Chan, Karen K. "A brief intervention for screened problem drinking in an employee assistance program /." Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/8990.
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Körle, Fredrik, and Maria Permer. "Personliga assistenters erfarenheter av att vara professionellt stöd till personer med hemventilatorbehandling." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-16664.
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Allt mer behandling och vård av patienter flyttas ut från sjukhusen till patienters hem. Hemventilatorbehandling (HMV) har utvecklats och idag får cirka 22/100 000 invånare hemventilatorbehandling i Sverige. Personer som har HMV har rätt till personlig assistans. Trots att vissa personliga assistenter idag utför tämligen kvalificerade arbetsuppgifter krävs ingen formell utbildning. Distriktssköterskan har en central funktion som samordnare och samverkanspartner med personliga assistenter då allt sjukare personer vårdas i hemmet. Studiens syfte är att belysa personliga assistenters erfarenhet av att vårda personer med HMV samt studera om personliga assistenter till HMV-användare har behov av ett yrkesmässigt stöd i denna situation. Studien har utgått från en kvalitativ ansats och den kvalitativa forskningsintervjun. Resultatet har analyserats med induktiv innehållsanalys. Åtta intervjuer har gjorts med personliga assistenter till HMV-användare. Resultatet visar fyra kategorier: Att ta ansvar för någon annans liv, Kunskap ger trygghet, Stöd för att orka, Att arbeta i någons hem är en balansgång. Intervjupersonerna ansåg att de fått utförlig och tillräcklig utbildning vad gäller ventilatorns funktion, hantering och andningsfysiologi men de känner sig osäkra på andra områden, som att arbeta i någon annans hem, där det inte finns något krav på särskild utbildning. Handledning med diskussioner om ansvar och etik är nödvändigt. Resultatet visar att intervjupersonerna inte uttrycker något behov av stöd från distriktssköterskan. En anledning kan vara att HMV-användaren har etablerat en god kontakt med specialistsjukvården. En av studiens slutsatser är att intervjupersonerna inte kände någon oro inför att vårda en person med hemventilator. Däremot finns det en osäkerhet om arbetets innehåll och den personliga relationen till HMV-användaren och närstående.Program: Specialistsjuksköterskeutbildning med inriktning mot distriktssköterska
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Vyskočilová, Irena. "Problematika poskytování služeb v mezinárodním prostředí (aplikace na konkrétním příkladu)." Master's thesis, Vysoká škola ekonomická v Praze, 2012. http://www.nusl.cz/ntk/nusl-165316.
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This thesis deals with international provided medical assistance services. The goal is to present problems connected to internationally provided assistance services and to offer possible solutions. For this work was drawn up a questionnaire, which was focused on the approach of clients to travelling, to insurance of medical expenses and to assistance companies.
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FRITSCH, JEAN-POL. "Sante de l'enfant en centre de vacances : formation de l'assistant sanitaire." Reims, 1992. http://www.theses.fr/1992REIMM029.
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GUERMASSI, SAMIR. "La prise en charge des problemes medicaux dans les services de chirurgie dans les hopitaux generaux : role et place de l'assistant de medecine generale." Lyon 1, 1993. http://www.theses.fr/1993LYO1M047.
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Schnell, Michaël. "Using Case-Based Reasoning and Argumentation to Assist Medical Coding." Electronic Thesis or Diss., Université de Lorraine, 2020. http://www.theses.fr/2020LORR0168.
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Le but du Registre National du Cancer (RNC) du Luxembourg est de collecter des données sur le cancer et la qualité des traitements au Luxembourg. Afin d’obtenir des données de haute qualité et comparables avec celles d’autres registres ou pays, le RNC suit les règles et standards internationaux de codification comme la Classification International des Maladies pour l’Oncologie (COM-O). Ces standards sont complexes et considérables, compliquant fortement le processus de collecte des données. Les encodeurs en charge de la collecte des données sont souvent confrontés à des situations dans lesquelles des données sont manquantes ou contradictoires, les empêchant d’appliquer les règles fournies. Pour les aider dans leur tâche, les exports de codification du RNC répondent aux questions de codage des encodeurs. Cependant, ces réponses requièrent beaucoup de temps des experts. Le but de ce projet est de réduire le temps d’expert nécessaire et de faciliter le travail des encodeurs. D’un point de vue scientifique, cette thèse s’intéresse au problème de synthèse d’informations à partir d’un ensemble de données provenant de différentes sources avec des contraintes et recommandations à respecter. Le raisonnement à partir de cas est utilisé pour résoudre ce problème car cette méthodologie ressemble à cette employée par les experts. La méthode de résolution conçue utilise des arguments fournis par les experts de codification dans le cadre de questions posées précédemment par les encodeurs. Ce document décrit comment ces arguments servent à identifier des questions similaires et à expliquer la réponse aux encodeurs et aux experts. Une évaluation préliminaire a été réalisée pour évaluer la performance de la méthode et identifier des pistes d’améliorations. Dans un premier temps, le travail produit porte sur les registres du cancers et la codification médicale, cependant l’approche est généralisable à d’autres domainesThe aim of the National Cancer Registry (NCR) in Luxembourg is to collect data about cancer and the quality of cancer treatment. To obtain high quality data that can be compared with other registries or countries, the NCR follows international coding standards and rules, such as the International Classification of Diseases for Oncology (ICD-O). These standards are extensive and complex, which complicates the data collection process. The operators, i.e. the people in charge of this process, are often confronted with situations where data is missing or contradictory, preventing the application of the provided guidelines. To assist in their effort, the coding experts of the NCR answer coding questions asked by operators. This assistance.is time consuming for experts. To help reduce this burden on experts and to facilitate the operators’ task, this project aims at implementing a coding assistant that would answer coding questions. From a scientific point of view, this thesis tackles the problem of extracting the information from a set of data sources under a given set of rules and guidelines. Case-based reasoning has been chosen as the method for solving this problem given its similarity with the reasoning process of the coding experts. The method designed to solve this problem relies on arguments provided by coding experts in the context of previously solved problems. This document presents how these arguments are used to identify similar problems and to explain the computed solution to both operators and coding experts. A preliminary evaluation has assessed the designed method and has highlighted key areas to improve. While this work focused on cancer registries and medical coding, this method could be generalized to other domains
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KARAR, Mohamed Esmail Abdel Razek Hassan. "Development of a Surgical Assistance System for Guiding Transcatheter Aortic Valve Implantation." Doctoral thesis, Universitätsbibliothek Leipzig, 2012. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-83426.
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Development of image-guided interventional systems is growing up rapidly in the recent years. These new systems become an essential part of the modern minimally invasive surgical procedures, especially for the cardiac surgery. Transcatheter aortic valve implantation (TAVI) is a recently developed surgical technique to treat severe aortic valve stenosis in elderly and high-risk patients. The placement of stented aortic valve prosthesis is crucial and typically performed under live 2D fluoroscopy guidance. To assist the placement of the prosthesis during the surgical procedure, a new fluoroscopy-based TAVI assistance system has been developed. The developed assistance system integrates a 3D geometrical aortic mesh model and anatomical valve landmarks with live 2D fluoroscopic images. The 3D aortic mesh model and landmarks are reconstructed from interventional angiographic and fluoroscopic C-arm CT system, and a target area of valve implantation is automatically estimated using these aortic mesh models. Based on template-based tracking approach, the overlay of visualized 3D aortic mesh model, landmarks and target area of implantation onto fluoroscopic images is updated by approximating the aortic root motion from a pigtail catheter motion without contrast agent. A rigid intensity-based registration method is also used to track continuously the aortic root motion in the presence of contrast agent. Moreover, the aortic valve prosthesis is tracked in fluoroscopic images to guide the surgeon to perform the appropriate placement of prosthesis into the estimated target area of implantation. An interactive graphical user interface for the surgeon is developed to initialize the system algorithms, control the visualization view of the guidance results, and correct manually overlay errors if needed. Retrospective experiments were carried out on several patient datasets from the clinical routine of the TAVI in a hybrid operating room. The maximum displacement errors were small for both the dynamic overlay of aortic mesh models and tracking the prosthesis, and within the clinically accepted ranges. High success rates of the developed assistance system were obtained for all tested patient datasets. The results show that the developed surgical assistance system provides a helpful tool for the surgeon by automatically defining the desired placement position of the prosthesis during the surgical procedure of the TAVIDie Entwicklung bildgeführter interventioneller Systeme wächst rasant in den letzten Jahren. Diese neuen Systeme werden zunehmend ein wesentlicher Bestandteil der technischen Ausstattung bei modernen minimal-invasiven chirurgischen Eingriffen. Diese Entwicklung gilt besonders für die Herzchirurgie. Transkatheter Aortenklappen-Implantation (TAKI) ist eine neue entwickelte Operationstechnik zur Behandlung der schweren Aortenklappen-Stenose bei alten und Hochrisiko-Patienten. Die Platzierung der Aortenklappenprothese ist entscheidend und wird in der Regel unter live-2D-fluoroskopischen Bildgebung durchgeführt. Zur Unterstützung der Platzierung der Prothese während des chirurgischen Eingriffs wurde in dieser Arbeit ein neues Fluoroskopie-basiertes TAKI Assistenzsystem entwickelt. Das entwickelte Assistenzsystem überlagert eine 3D-Geometrie des Aorten-Netzmodells und anatomischen Landmarken auf live-2D-fluoroskopische Bilder. Das 3D-Aorten-Netzmodell und die Landmarken werden auf Basis der interventionellen Angiographie und Fluoroskopie mittels eines C-Arm-CT-Systems rekonstruiert. Unter Verwendung dieser Aorten-Netzmodelle wird das Zielgebiet der Klappen-Implantation automatisch geschätzt. Mit Hilfe eines auf Template Matching basierenden Tracking-Ansatzes wird die Überlagerung des visualisierten 3D-Aorten-Netzmodells, der berechneten Landmarken und der Zielbereich der Implantation auf fluoroskopischen Bildern korrekt überlagert. Eine kompensation der Aortenwurzelbewegung erfolgt durch Bewegungsverfolgung eines Pigtail-Katheters in Bildsequenzen ohne Kontrastmittel. Eine starrere Intensitätsbasierte Registrierungsmethode wurde verwendet, um kontinuierlich die Aortenwurzelbewegung in Bildsequenzen mit Kontrastmittelgabe zu detektieren. Die Aortenklappenprothese wird in die fluoroskopischen Bilder eingeblendet und dient dem Chirurg als Leitfaden für die richtige Platzierung der realen Prothese. Eine interaktive Benutzerschnittstelle für den Chirurg wurde zur Initialisierung der Systemsalgorithmen, zur Steuerung der Visualisierung und für manuelle Korrektur eventueller Überlagerungsfehler entwickelt. Retrospektive Experimente wurden an mehreren Patienten-Datensätze aus der klinischen Routine der TAKI in einem Hybrid-OP durchgeführt. Hohe Erfolgsraten des entwickelten Assistenzsystems wurden für alle getesteten Patienten-Datensätze erzielt. Die Ergebnisse zeigen, dass das entwickelte chirurgische Assistenzsystem ein hilfreiches Werkzeug für den Chirurg bei der Platzierung Position der Prothese während des chirurgischen Eingriffs der TAKI bietet
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Wallace, Rick L. "PDAs." Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etsu-works/8787.
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Wallace, Rick L. "PDAs." Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etsu-works/8777.
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Wallace, Rick L. "PDAs." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/8768.
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