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
Clinical Management Issues 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
Clinical Management Issues 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
Clinical Management Issues 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
Clinical Management Issues 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
Clinical Management Issues 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
Clinical Management Issues 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
Clinical Management Issues 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
Clinical Management Issues 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
Clinical Management Issues Pub Date : 2021-07-30 DOI: 10.7175/cmi.v15i1.1511
Andrea Tinnirello
{"title":"Telemedicine: Current Status and Future Perspectives","authors":"Andrea Tinnirello","doi":"10.7175/cmi.v15i1.1511","DOIUrl":"https://doi.org/10.7175/cmi.v15i1.1511","url":null,"abstract":"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","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43166137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
Clinical Management Issues 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
{"title":"[A rare case of sepsis from Citrobacter koseri in adults]","authors":"M. Pistoia, Mariella Ciola, Girolamo Sala, F. Foieni, A. Agostinelli, B. Valvo, Lorenzo Bellintani, P. Ghiringhelli","doi":"10.7175/cmi.v15i1.1501","DOIUrl":"https://doi.org/10.7175/cmi.v15i1.1501","url":null,"abstract":"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.","PeriodicalId":40270,"journal":{"name":"Clinical Management Issues","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49457801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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