J. Sigurdsson, M. Bulc, S. Eskelinen, A. Rochfort, A. Gaver, A. Stavdal
{"title":"8 Policy and practice in the european countries regarding overdiagnosis and quaternary prevention","authors":"J. Sigurdsson, M. Bulc, S. Eskelinen, A. Rochfort, A. Gaver, A. Stavdal","doi":"10.1136/BMJEBM-2018-111070.8","DOIUrl":"https://doi.org/10.1136/BMJEBM-2018-111070.8","url":null,"abstract":"Objectices To get an overview on the policy and practice regarding overdiagnosis and related medical excess in our European countries. Secondly to analyse facilitating factors, barriers and possible actions taken on this matter such as avoidance of mitigation of harm from excessive or unnecessary health interventions. Background It is generally agreed that problems related to ‘too much medicine’, overdiagnosis and overtreatment are on the rise. Unwarranted medical activity leads to unnecessary waste of resources, more inequalities in healthcare and, at worst, direct harm to patients and healthy citizens. Examples include bacteria resistance from antibiotic overuse, over irradiation from excessive X-rays (over-investigation), complications from unnecessary procedures (overtreatment), mortality rise caused by polypharmacy and overtreatment at the intensive care units among terminal care patients. Therefore, health care stakeholders and others have taken initiatives to revert this evolution. Recently, the Nordic Countries and WONCA Europe, The World Organization of National Colleges and Academic bodies of family doctors in the European Region have agreed upon general position papers on this threat. Methods and learning issues Presentations on an evaluation of overdiagnosis and overtreatment in different European countries, followed by critical case reports from selected countries. Questions to be discussed: Is ‘too much medicine’ an important part of doctors’ salaries? Does governmental initiatives to minimize overdiagnosis and overtreatment threaten the quality of health care? Participants are invited to reflect on their own situation and challenged to indicate which actions can or cannot be taken.","PeriodicalId":93355,"journal":{"name":"Proceedings of the ... ICPP Workshops on. International Conference on Parallel Processing Workshops","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84078580","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}
{"title":"7 Good doctoring: ‘core writings’ as an antidote to medical overactivity?","authors":"S. Hjörleifsson, I. Heath, L. Getz","doi":"10.1136/BMJEBM-2018-111070.7","DOIUrl":"https://doi.org/10.1136/BMJEBM-2018-111070.7","url":null,"abstract":"Background Rather than considering the state of medicine as a result of impersonal ‘scientific progress’, we must see ourselves as members of a reflective, responsible community in charge of continuously developing and re-thinking the field. And to counteract too much medicine, medical professionals need a fine blend of factual knowledge, critical reasoning skills, human sensitivity and courage. A daunting challenge for future doctors will be to navigate an ocean of possibilities in terms of monitoring, testing, diagnoses and interventions. We believe competent adherence to a ‘less is more’ strategy can safeguard genuine medical needs and protect patients from excessive burdens of treatment, in a socially accountable manner (overall cost containment). However, this will not materialise simply from epidemiological analysis of harm accruing from medical overactivity. Good doctoring springs out of a complex maturation process which involves the breakdown of medical silo-thinking in favour of a generalist perspective where doctors interact with patients as whole persons in a wider context, zoom in on medical essentials, and deal compassionately and wisely with the fundamental uncertainties of human existence. How can good, temperate doctoring be promoted? One answer might lie in stimulating, collective encounters with selected ‘core writings’ from the generalist medical literature. By core writings, we mean texts authored by professional role models who, from specific and recognizable perspectives, have identified viable principles of moderation and courage in solidarity with medicine’s moral mandate. Aim To explore the idea that well-tutored encounters with core generalist writings can help curb medical overactivity in an era of unprecedented belief in the powers of technology and overwhelming availability of medical (dis)information. Outcomes Raised awareness and moral purpose among participants to resist overuse in their different capacities as practitioners, policymakers, researchers, educators, etc. Format Brief plenary presentations focusing on how we currently use core generalist texts in Scandinavian general practice (family medicine) to nurture wisdom, moderation and courage. We will include examples from our own library that demonstrate what we believe characterises a core text and why we think it can have a significant, pedagogical impact. The main part of the workshop then involves discussions where participants share reflections, constructive critique and new ideas. Examples of core generalist texts to curb medical overactivity include the writings of McCormick, Marmot, Tudor Hart, Greenhalgh, Gotzsche, Malterud, Welch, Kirkengen and Gawande. However, our menu is still in the making, and new ideas are welcome. Please join in!","PeriodicalId":93355,"journal":{"name":"Proceedings of the ... ICPP Workshops on. International Conference on Parallel Processing Workshops","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91124592","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}
{"title":"Message from the Chairs","authors":"S. Olariu, I. Stojmenovic","doi":"10.1109/ICPP.2000.10014","DOIUrl":"https://doi.org/10.1109/ICPP.2000.10014","url":null,"abstract":"","PeriodicalId":93355,"journal":{"name":"Proceedings of the ... ICPP Workshops on. International Conference on Parallel Processing Workshops","volume":"101 1","pages":"501-506"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78733998","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}
{"title":"In-Place Irregular Computation for Message-Passing Chip-Multiprocessors","authors":"Youhui Zhang, Youyang Zhang, Yanhua Li, Xiang Fei, Weimin Zheng","doi":"10.1109/ICPPW.2017.23","DOIUrl":"https://doi.org/10.1109/ICPPW.2017.23","url":null,"abstract":"","PeriodicalId":93355,"journal":{"name":"Proceedings of the ... ICPP Workshops on. International Conference on Parallel Processing Workshops","volume":"16 1","pages":"69-76"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88013717","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}
{"title":"10th International Conference, PPAM 2013, Warsaw, Poland, September 8-11, 2013, Revised Selected Papers, Part I","authors":"I. Bethune, M. Goetz","doi":"10.1007/978-3-642-55224-3_11","DOIUrl":"https://doi.org/10.1007/978-3-642-55224-3_11","url":null,"abstract":"","PeriodicalId":93355,"journal":{"name":"Proceedings of the ... ICPP Workshops on. International Conference on Parallel Processing Workshops","volume":"255 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91324070","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}
D. Kowalski, P. Sens, Antonio Fernandez Anta, G. Pierre
{"title":"Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics): Introduction","authors":"D. Kowalski, P. Sens, Antonio Fernandez Anta, G. Pierre","doi":"10.1007/978-3-642-23400-2_51","DOIUrl":"https://doi.org/10.1007/978-3-642-23400-2_51","url":null,"abstract":"","PeriodicalId":93355,"journal":{"name":"Proceedings of the ... ICPP Workshops on. International Conference on Parallel Processing Workshops","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77278227","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}
Martin Saternus, Torben Weis, Sebastian Holzapfel, Arno Wacker
{"title":"Gears4Net","authors":"Martin Saternus, Torben Weis, Sebastian Holzapfel, Arno Wacker","doi":"10.1109/ICPPW.2009.28","DOIUrl":"https://doi.org/10.1109/ICPPW.2009.28","url":null,"abstract":"","PeriodicalId":93355,"journal":{"name":"Proceedings of the ... ICPP Workshops on. International Conference on Parallel Processing Workshops","volume":"11 1","pages":"113-120"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84276714","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}
{"title":"ParalleX","authors":"Hartmut Kaiser, M. Brodowicz, T. Sterling","doi":"10.1109/ICPPW.2009.14","DOIUrl":"https://doi.org/10.1109/ICPPW.2009.14","url":null,"abstract":"","PeriodicalId":93355,"journal":{"name":"Proceedings of the ... ICPP Workshops on. International Conference on Parallel Processing Workshops","volume":"77 1","pages":"394-401"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/ICPPW.2009.14","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72528090","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}
{"title":"Mutual Effect of Instruction Layout Optimization and Instruction Memory Hierarchy","authors":"Yuying Wang, Xingshe Zhou","doi":"10.1109/ICPPW.2007.57","DOIUrl":"https://doi.org/10.1109/ICPPW.2007.57","url":null,"abstract":"","PeriodicalId":93355,"journal":{"name":"Proceedings of the ... ICPP Workshops on. International Conference on Parallel Processing Workshops","volume":"20 1","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73991392","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}
{"title":"Wireless Dynamic Token Protocol for MANET","authors":"Xianpu Sun, Yanling Zhang, Jiandong Li","doi":"10.1109/ICPPW.2007.82","DOIUrl":"https://doi.org/10.1109/ICPPW.2007.82","url":null,"abstract":"","PeriodicalId":93355,"journal":{"name":"Proceedings of the ... ICPP Workshops on. International Conference on Parallel Processing Workshops","volume":"3 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75029796","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}