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1.
N C Med J ; 81(6): 364-369, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33139465

RESUMO

This issue of the North Carolina Medical Journal focuses on the 10-year anniversary of the Patient Protection and Affordable Care Act (ACA), signed into law on March 23, 2010. Since its inception, the ACA has been highly controversial. Yet, it has contributed to positive improvements in our health care system. The ACA expanded health insurance coverage to more of the uninsured, made investments in prevention and in improving quality of care, and started our journey toward value-based care. This issue brief touches on how the law has been implemented in North Carolina, along with an assessment of the successes and failures of the law. It is followed by more detailed commentaries on specific aspects of the law and its implementation in our state. While much has been accomplished in the last 10 years, more is needed to achieve our goals of an affordable, equitable, and accessible health care system-one that promotes positive health outcomes while reducing unnecessary costs.


Assuntos
Patient Protection and Affordable Care Act , Aniversários e Eventos Especiais , Humanos , North Carolina , Estados Unidos
2.
N C Med J ; 81(6): 377-380, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33139469

RESUMO

The passage of the Affordable Care Act had a great impact on the landscape of public health programming and clinical preventive care in North Carolina. Large funding measures have supported community-based prevention efforts and led to policy, systems, and environmental changes to support a healthier population.


Assuntos
Patient Protection and Affordable Care Act , Saúde Pública , Aniversários e Eventos Especiais , Humanos , North Carolina , Estados Unidos
3.
N C Med J ; 81(6): 394-397, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33139474

RESUMO

The Affordable Care Act made direct and indirect investments in community health centers. Ten years later, more North Carolinians benefit from a stronger primary care safety net that provides a broader scope of comprehensive services, but missed policymaking opportunities leave work to be done to achieve a healthier, more equitable state.


Assuntos
Centros Comunitários de Saúde , Patient Protection and Affordable Care Act , Aniversários e Eventos Especiais , Humanos , North Carolina , Formulação de Políticas , Atenção Primária à Saúde , Estados Unidos
4.
Artigo em Russo | MEDLINE | ID: mdl-33161681

RESUMO

Nikolai Olegovich Milanov, the academician of the Russian Academy of Medical Sciences, leading Russian surgeon, Merited Scientist of the Russian Federation, is one of the pioneers of development of reconstructive microsurgery in our country. He made immense contribution to development of modern plastic and reconstructive microsurgery. He is the author of unique developments that inputted significantly into successive achievements in treatment of traumatic and iatrogenic tissue defects and congenital pathology. The priority areas of his research were replantation of fingers, hands and larger segments of limbs in adults and lower extremities in children, abjuncted because of wheeled traumas, auto-transplantation of revasculized tissue complexes in post-traumatic, congenital and acquired pathologies in adults and children, in oncologic diseases, in extensive tracheal defects, reconstructive microsurgery of blood and lymph vessels and peripheral nerves, reconstructive microsurgery in male and female infertility. He introduced to clinical practice great number of new surgical interventions based on micro-surgical auto-transplantation of various tissue complexes. He achieved brilliant successes in scientific and practical activities during 39 years of work. He was the first in the world who underwent a successful re-implantation of lower limb, amputated at the level of upper third of leg by train wheel in 2.5-year-old child. He also was the first surgeon who performed unique operation of simultaneous replantation of two limbs, amputated at the level of middle third of leg in 7-year-old child. N. O. Milanov used the micro-surgical technique of applying direct lymphatic venous anastomoses in lymphatic edema. He developed innovative methods of multiple transplantation of toes to hand and transplantation of omentum, for example, to close defects of the scalp in basal cell carcinoma. This brilliant surgeon can be called the founder of clinical auto-transplantology. He actively participated in resolving problem of "prefabrication" of various tissue complexes with desired properties for their subsequent auto-transplantation. Under the direction of N. O. Milanov, the new scientific school was formed that included such well-known surgeons as R. T. Adamyan, A. I. Nerobeev, I. V. Reshetov and many others.


Assuntos
Procedimentos Cirúrgicos Reconstrutivos , Cirurgia Plástica , Aniversários e Eventos Especiais , Masculino , Microcirurgia , Federação Russa
6.
Rev Gaucha Enferm ; 42(spe): e20200120, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33084790

RESUMO

OBJECTIVE: To discuss the Nursing Now Campaign and the role of Nursing in times of pandemic by COVID-19. METHOD: This is a theoretical reflection based on the scientific literature. RESULTS: The pandemic highlights the importance of Nursing care for the maintenance of life and the right to health, and the Nursing Now Campaign is in line with the call for appreciation of nursing professionals currently working at the forefront of the fight against COVID-19. Despite the limitations of structural resources that lead to exposure to illness, nursing professionals maintain their role of caring. CONCLUSION: It is necessary for Nursing to recognize its own value, add to its continuous learning capacity, and be aware of the social changes that occur. The study contributes to rethinking strategies for valuing Nursing.


Assuntos
Betacoronavirus , Infecções por Coronavirus/enfermagem , Promoção da Saúde , Papel do Profissional de Enfermagem , Pneumonia Viral/enfermagem , Aniversários e Eventos Especiais , Brasil , Infecções por Coronavirus/epidemiologia , Humanos , Pandemias , Pneumonia Viral/epidemiologia
7.
Soins ; 65(846): 45-47, 2020 Jun.
Artigo em Francês | MEDLINE | ID: mdl-33012420

RESUMO

Education in nursing science began in Canadian universities in 1919. Thanks to inter-university groups, it has never stopped evolving, making it possible to delimit and define different nursing knowledge. All stakeholders work together to meet the complex socio-political issues that affect the profession.


Assuntos
Pesquisa em Enfermagem/educação , Universidades , Aniversários e Eventos Especiais , Canadá , Humanos
8.
Arkh Patol ; 82(5): 79-83, 2020.
Artigo em Russo | MEDLINE | ID: mdl-33054037

RESUMO

The paper describes the life of A.I. Polunin (1820-1888), the first professor of an independent department of pathological anatomy in Russia, which was founded at Imperial Moscow University in 1849. It analyzes his doctoral dissertation on cholera and also gives the reviews of his key works. It is noted that the activities of A.I. Polunin as a scientist were greatly influenced by the humoral theory of pathology by Karl von Rokitansky (1804-1878), the doctrine of blood «crases¼, and by the works of representatives of the Viennese School of physicians who upheld the clinical and anatomical approach in medicine. At the same time, Professor A.I. Polunin is noted to be the first to familiarize Russian physicians with the theory of cellular pathology by R. Virchow (1821-1902).


Assuntos
Aniversários e Eventos Especiais , História do Século XIX , História do Século XX , Moscou , Federação Russa
9.
Arkh Patol ; 82(5): 84-88, 2020.
Artigo em Russo | MEDLINE | ID: mdl-33054038

RESUMO

November 4, 2020 marked the 100th anniversary of the birth of one of the leading pathologists of Russia, Honored Scientist of Russia, Corresponding Member of the Russian Academy of Medical Sciences, President of the Russian Association of Pathologists, Honorary Doctor of St. Petersburg Academy of Postgraduate Education Oleg Khmelnitsky - a man of bright, multifaceted, effective in his work, who had numerous pupils and followers.


Assuntos
Aniversários e Eventos Especiais , Patologistas , História do Século XX , Humanos , Federação Russa
11.
Rech Soins Infirm ; (141): 49-59, 2020 06.
Artigo em Francês | MEDLINE | ID: mdl-32988189

RESUMO

A team of multi-specialized professionals meet annually on World Stroke Day, working to prevent and raise awareness of this condition. These professionals contribute to health education despite their lack of official training. Does the process used in the organization and implementation of the day enable the professionals involved to develop their educational skills ?The objectives of this research were to identify and categorize the educational skills developed during the process of organizing and implementing World Stroke Day, as well as to identify the elements of the process contributing to the development of these skills.In this descriptive qualitative study, the data were collected through a focus group with professionals involved in the day, and then subjected to a content analysis. This day enables professionals to develop their educational skills and gives them the opportunity to share what they have learned with others. The organization set up as part of this day is an opportunity to improve professionals' relationship to knowledge and their feeling of belonging. Interprofessionality and the learning context enable an educational attitude to be developed. Further research would help us to understand the transferability conditions of the process.


Assuntos
Educação em Saúde , Pessoal de Saúde/educação , Acidente Vascular Cerebral , Aniversários e Eventos Especiais , Grupos Focais , Pessoal de Saúde/psicologia , Humanos , Aprendizagem
13.
Vestn Otorinolaringol ; 85(4): 101-105, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32885647

RESUMO

The 75-year history of the creation and organization of the Department of Otorhinolaryngology in the Chelyabinsk Medical Institute (now the South Ural State Medical University) is described in the article. The fascinating path of the formation of the department is setted out consistently from the first days of its creation. The achievements of the department staff are represented at all stages of its organization.


Assuntos
Aniversários e Eventos Especiais , Otolaringologia/educação , Academias e Institutos , História do Século XX , Humanos , Universidades
15.
Sci Total Environ ; 745: 141025, 2020 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-32738691

RESUMO

Nitrous acid (HONO) is an important precursor of hydroxyl radical (OH) in the atmosphere. It is also toxic to human health. In this work, HONO concentrations were measured in Shijiazhuang using a Monitor for AeRosols and Gases in ambient Air (MARGA) from December 15, 2019 to March 15, 2020, which covered the heavy air pollution season, the Chinese New Year (CNY) vocation and the Corona Virus Disease-19 (COVID-19) lockdown period. During & after CNY overlapping COVID-19 lockdown, the air quality was significantly improved because of both the emission reduction and the increase in diffusion ability of air masses. The mean HONO concentration was 2.43 ± 1.08 ppbv before CNY, while it decreased to 1.53 ± 1.16 ppbv during CNY and 0.97 ± 0.76 ppbv after CNY. The lockdown during & after CNY reduced ~31% of ambient HONO along with ~62% of NO and ~36% of NO2 compared with those before CNY after the improvement of diffusion ability had been taken into consideration. Heterogeneous reaction of NO2 on ground surface dominated the nocturnal HONO sources, followed by heterogeneous reaction on aerosol surface, vehicle emission, reaction between NO and OH and emission from soil on pollution days throughout the observation. Except for elevated soil emission, other nighttime HONO sources and sinks decreased significantly during & after CNY. The relative importance of heterogeneous reaction of NO2 on surfaces further increased because of both the decrease in vehicle emission and the increase in the heterogeneous conversion kinetics from NO2 to HONO during & after CNY.


Assuntos
Poluição do Ar , Infecções por Coronavirus , Ácido Nitroso , Pandemias , Pneumonia Viral , Poluição do Ar/análise , Aniversários e Eventos Especiais , Atmosfera , Betacoronavirus , Radical Hidroxila
16.
Artigo em Russo | MEDLINE | ID: mdl-32827386

RESUMO

On the eve of the 75th anniversary of the Victory in the Great Patriotic War, one should recall the great neurosurgeon, scientist, organizer of military medical science, founder of prominent scientific school, academician N. N. Burdenko. His first experience as direct participant in warfare occurred in 1904 when he was medical student. He went through four wars being permanently at the front line. He carried out extremely complicated surgery operations, improved medical care and organized evacuation of the wounded. During the Great Patriotic War 1941 -1945, he, being the chief surgeon of the Red Army, headed all activities of organization of surgical care, came out to the troops, trained military surgeons to emergency interventions, developed teaching of wound, developed methods of surgical treatment of blood vessels, traumatic shock, introduced application of antibiotics (penicillin and gramicidin), developed methods of surgical treatment of oncologic diseases of central and vegetative nervous system, improved technique of surgical interventions on spinal cord roots as well as on cerebellum, bulbectomy operations, etc. The academician N. N. Burdenko as Stalin Prize laureate, became one of founders and the first President of the USSR Academy of Medical Sciences. The contribution of academician N. N. Burdenko in the cause of victory in The Great Patriotic War is priceless.


Assuntos
Medicina Militar , Militares , Aniversários e Eventos Especiais , História do Século XX , Humanos , Masculino , I Guerra Mundial , II Guerra Mundial
17.
J Bus Contin Emer Plan ; 14(1): 37-45, 2020 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-32847652

RESUMO

Using the example of a large exercise programme developed by the government of Canada in preparation for several large special events in 2010, this article provides an argument as well as recommended practical strategies for incorporating a realistic simulated public response to an emergency event, to be utilised by both government organisations and the private sector.


Assuntos
Aniversários e Eventos Especiais , Planejamento em Desastres , Canadá , Humanos , Setor Privado
18.
Artigo em Inglês | MEDLINE | ID: mdl-32858973

RESUMO

A substantial amount of attention has been devoted towards the potential sport legacy of the Olympic Games. In spite of the increasing academic interest in this topic, there is a knowledge gap as far as sport legacy is concerned by types of different sports. The authors bridge this gap by analysing the evolution of 43 different Olympic/Paralympic sport modalities in the two-year period after the London 2012 Olympics. By using data from the Active People Survey with a sample of 165,000 people annually, and considering some demographic variables and the effect of the economic environment, the paper aims to test the existence of a sport legacy. We have applied time series analysis and ARIMA models for controlling for economic influence and seasonal adjustment and for making comparisons among participation rates. The results show, for the total of the sports analysed, that there were 336,000 individuals who increased their frequency of participation, while there was no significant increase in the number of new participants in these sports. When we develop the analysis for types of sports, London 2012 is positively associated not only with the frequency of participation in some types of sport but also with an increase in the number of new sport participants. Gender and age differences are also detected. The results show the differences of sport legacy by type of sports. Moreover, this research has elucidated an important unrecognised aspect of the effect of the Olympic Games and perhaps major events: that they can become a major policy tool for reversing sporting inequalities.


Assuntos
Aniversários e Eventos Especiais , Participação da Comunidade , Esportes/psicologia , Adolescente , Adulto , Idoso , Feminino , Comportamentos Relacionados com a Saúde , Promoção da Saúde , Humanos , Londres , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , Inquéritos e Questionários , Reino Unido
20.
Vestn Otorinolaringol ; 85(3): 100-103, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32628393

RESUMO

The article presents biographical information about Professor M.F. Tsytovich, reflecting his scientific and practical contribution to the formation and development of domestic otorhinolaryngology, to the training of scientific and pedagogical personnel, as well as characterizing his social activities in the first half of the twentieth century.


Assuntos
Aniversários e Eventos Especiais , Otolaringologia , História do Século XIX , História do Século XX
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