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Clinical Management Issues最新文献

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Personnel management under the conditions of staff shortage 人员短缺条件下的人事管理
IF 0.3 Pub Date : 2022-01-01 DOI: 10.22394/2304-3369-2022-1-73-86
V. Mortikov
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引用次数: 1
Assessing the development of the regional health care systems in Russia 评估俄罗斯地区卫生保健系统的发展
IF 0.3 Pub Date : 2022-01-01 DOI: 10.22394/2304-3369-2022-5-34-46
Yu. S. Pinkovetskaia
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引用次数: 0
Russian political elite mobility: specifics, forms and stages 俄罗斯政治精英的流动性:特点、形式和阶段
IF 0.3 Pub Date : 2022-01-01 DOI: 10.22394/2304-3369-2022-5-5-18
D. V. Pokatov
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引用次数: 0
Introduction of gadgets in the monitoring system of population health indicators: sociological research 在人口健康指标监测系统中引入小工具:社会学研究
IF 0.3 Pub Date : 2022-01-01 DOI: 10.22394/2304-3369-2022-3-33-45
I. Bogdan, O. Volkova, I.S. Iglitsyna, D. Chistyakova
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引用次数: 0
On the complementary effect of investments 论投资的互补效应
IF 0.3 Pub Date : 2022-01-01 DOI: 10.22394/2304-3369-2022-1-21-33
S. Vlasov
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引用次数: 0
A model of improving SME municipal support efficiency 提高中小企业市政支持效率的模型
IF 0.3 Pub Date : 2022-01-01 DOI: 10.22394/2304-3369-2022-5-47-64
A. Mokronosov, E. Zaytseva
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引用次数: 1
The problem of constructiveness of the youth political participation in the modern Russian conditions 现代俄罗斯条件下青年政治参与的建设性问题
IF 0.3 Pub Date : 2022-01-01 DOI: 10.22394/2304-3369-2022-6-22-34
Yana V. Didkovskaya, D. Trynov, S. Masorov
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引用次数: 0
Potential of a company’s ecosystem digitalization 公司生态系统数字化的潜力
IF 0.3 Pub Date : 2022-01-01 DOI: 10.22394/2304-3369-2022-1-34-46
E. Popov, V. Simonova
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引用次数: 3
Telemedicine: Current Status and Future Perspectives 远程医疗:现状与未来展望
IF 0.3 Pub Date : 2021-07-30 DOI: 10.7175/cmi.v15i1.1511
Andrea Tinnirello
41 Using a widely available technology (a computer with a webcam and dedicated platforms that can ensure patients’ data safety), a virtual consultation can be established between patient and clinicians in total safety. Besides the evident convenience for patients (who can overcome the travel and parking issues and are not required to find an accompanying person), telemedicine offers some peculiar advantages, such as: y getting a more informal assessment of mental status thanks to the opportunity to observe patients in their home environment; y gather other social information, e.g.: y living environment; y interactions with family and caregivers; y patients’ lives at home [11]. The most significant question is whether telemedicine is comparable (“as good as”) to in person consultation in terms of outcomes and quality. In some non-inferiority studies, tele-psychiatric outcomes were deemed as not inferior to in person care in terms of diagnosis and treatment, decreasing length of hospital stays, improving medication adherence, and reducing symptoms in conditions such as posttraumatic stress disorder on an evidenced based level [2]. Unfortunately, this comparison has not been made in other specialties. Despite its attractivity, this tool has some obvious limitations: Telemedicine and telehealth are often considered synonyms, but while telemedicine refers particularly to clinical patient care, telehealth includes all the educational, administrative, and other non-clinical healthcare activities. Although the roots of telemedicine date quite far back, the modern era of telemedicine started in 1968: in that date, the Massachusetts General Hospital (MGH) became the first hospital-based multispecialty telemedicine practice offering remote clinical examinations to travelers and airport workers at Logan International Airport [1]. Historically, telemedicine has been applied in several medical specialties such as psychiatry, cardiology, pediatrics, gynecology, geriatrics, with general patient satisfaction [2-9]. With the evolving technology, more specific applications of telemedicine have been developed, e.g., tele-dermatoscopes (pecific general patient cameras mounted on webcams or smartphones and controlled by app) have been used to monitor skin lesions [10]. During the COVID-19 pandemic, telemedicine has been increasingly used to bypass the severe restrictions for outpatients’ visits and access to hospitals. As often happens, an urgent need (in this case the necessity to guarantee follow up for patients suffering from chronic conditions who cannot postpone their visits) became the driving force to rapidly develop and implement telemedicine and telehealth systems. Editorial
使用一种广泛可用的技术(带有网络摄像头的计算机和可以确保患者数据安全的专用平台),可以在患者和临床医生之间完全安全地建立虚拟会诊。除了对病人明显的便利(他们可以克服旅行和停车的问题,而且不需要找一个陪伴的人),远程医疗还提供了一些特殊的优势,例如:由于有机会在病人的家庭环境中观察病人,可以对他们的精神状态进行更非正式的评估;收集其他社会信息,例如:生活环境;与家人和照顾者的互动;Y病人在家生活b[11]。最重要的问题是,就结果和质量而言,远程医疗是否与面对面咨询相当(“一样好”)。在一些非劣等性研究中,远程精神病学结果被认为在诊断和治疗、缩短住院时间、改善药物依从性和减轻创伤后应激障碍等症状方面不逊于亲自护理。不幸的是,在其他专业中还没有这样的比较。尽管它很有吸引力,但这个工具有一些明显的局限性:远程医疗和远程医疗通常被认为是同义词,但是远程医疗特别指临床患者护理,远程医疗包括所有教育、管理和其他非临床医疗保健活动。尽管远程医疗的起源可以追溯到很久以前,但远程医疗的现代时代始于1968年:在那一天,马萨诸塞州总医院(MGH)成为第一家以医院为基础的多专业远程医疗实践,为洛根国际机场的旅客和机场工作人员提供远程临床检查。历史上,远程医疗已在精神病学、心脏病学、儿科、妇科、老年医学等多个医学专业得到应用,患者满意度普遍[2-9]。随着技术的发展,远程医疗的更多具体应用已经被开发出来,例如,远程皮肤镜(安装在网络摄像头或智能手机上的特定普通患者摄像头,由应用程序控制)已被用于监测皮肤病变bbb。在2019冠状病毒病大流行期间,远程医疗越来越多地用于绕过对门诊就诊和进入医院的严格限制。正如经常发生的那样,迫切需要(在这种情况下,必须保证对无法推迟就诊的慢性病患者进行随访)成为迅速发展和实施远程医疗和远程卫生系统的动力。编辑
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引用次数: 0
[A rare case of sepsis from Citrobacter koseri in adults] [一例罕见的成人科氏柠檬酸杆菌败血症]
IF 0.3 Pub Date : 2021-06-30 DOI: 10.7175/cmi.v15i1.1501
M. Pistoia, Mariella Ciola, Girolamo Sala, F. Foieni, A. Agostinelli, B. Valvo, Lorenzo Bellintani, P. Ghiringhelli
We describe the case of a 53-year-old man, recently diagnosed with decompensated type II diabetes mellitus, admitted to our Department for fever, asthenia, and detection of multiple lung abscesses and pulmonary embolism at chest tomography.His clinical history revealed just a recent orthopedic surgery of osteosynthesis on the left wrist with normal clinical and instrumental post-surgical evolution. Empirical antibiotic therapy with piperacillin/tazobactam and clindamycin was initiated. During hospital stay, swelling and functional impotence in the right knee occurred. They were investigated by arthrocentesis and magnetic resonance, and diagnosed as septic arthritis.Blood culture performed at admission tested positive for Citrobacter koseri on several samples where meropenem was added according to antibiogram. On the other hand, the cultures of bronchoaspirate, pulmonary fine needle aspiration, and arthrocentesis were negative.Antibiotic therapy was administered up to two weeks after discharge and radiological and physical features progressively improved.
我们描述了一名53岁的男子的病例,他最近被诊断为失代偿型II型糖尿病,因发烧、乏力和胸部断层扫描发现多发性肺脓肿和肺栓塞而入院。他的临床病史显示,最近进行了左手腕骨合成的骨科手术,术后临床和器械进展正常。开始了哌拉西林/他唑巴坦和克林霉素的经验性抗生素治疗。住院期间,右膝出现肿胀和功能性阳痿。通过关节穿刺和磁共振检查,诊断为感染性关节炎。入院时进行的血液培养在几个添加了美罗培南的样本上检测出科赛里柠檬酸杆菌呈阳性。另一方面,支气管抽吸、肺部细针抽吸和关节穿刺的培养均为阴性。出院后两周内给予抗生素治疗,放射学和身体特征逐渐改善。
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引用次数: 0
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Clinical Management Issues
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