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Abstract

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Clinical Governance: An International Journal, vol. 16 no. 3
Type: Research Article
ISSN: 1477-7274

Abstract

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Clinical Governance: An International Journal, vol. 13 no. 1
Type: Research Article
ISSN: 1477-7274

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Article
Publication date: 1 March 1997

Peter Bliss, Peter A. Trott and Peter R. Blake

Objectives: The cost‐effectiveness of routine cervical cytology during follow‐up after treatment for carcinoma of cervix is examined. Subjects: All patients having routine…

Abstract

Objectives: The cost‐effectiveness of routine cervical cytology during follow‐up after treatment for carcinoma of cervix is examined. Subjects: All patients having routine follow‐up smears during the financial year 1993–1994. A total of 212 patients generated 311 smears, 96 had an intact cervix and 116 had surgical removal as part of their treatment. Ninety‐one patients with intact cervices and 109 without were evaluable. Results: Nine recurrences were detected, in every case this was expected, based on clinical findings. In two of these the smear was reported as normal. Two hundred and thirty smears were from entirely asymptomatic patients. Conclusions: Limiting cervical smears to those who are symptomatic, or where an abnormality is found on examination, would save approximately £3500 per year. This cost needs to be set beside the possibility of detecting an asymptomatic recurrence at an early stage; as reported by others. This suggests that the impact of this strategy is limited. A randomized trial with prospective economic assessment would be the only way to evaluate the cost‐effectiveness of routine cervical smears in the follow‐up of patients treated for cancer of cervix.

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Journal of Clinical Effectiveness, vol. 2 no. 3
Type: Research Article
ISSN: 1361-5874

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Article
Publication date: 4 July 2016

Wouter Keijser, Jacco Smits, Lisanne Penterman and Celeste Wilderom

This paper aims to systematically review the literature on roles of physicians in virtual teams (VTs) delivering healthcare for effective “physician e-leadership” (PeL…

Abstract

Purpose

This paper aims to systematically review the literature on roles of physicians in virtual teams (VTs) delivering healthcare for effective “physician e-leadership” (PeL) and implementation of e-health.

Design/methodology/approach

The analyzed studies were retrieved with explicit keywords and criteria, including snowball sampling. They were synthesized with existing theoretical models on VT research, healthcare team competencies and medical leadership.

Findings

Six domains for further PeL inquiry are delineated: resources, task processes, socio-emotional processes, leadership in VTs, virtual physician-patient relationship and change management. We show that, to date, PeL studies on socio-technical dynamics and their consequences on e-health are found underrepresented in the health literature; i.e. no single empirical, theoretic or conceptual study with a focus on PeL in virtual healthcare work was identified.

Research limitations/implications

E-health practices could benefit from organization-behavioral type of research for discerning effective physicians’ roles and inter-professional relations and their (so far) seemingly modest but potent impact on e-health developments.

Practical implications

Although best practices in e-health care have already been identified, this paper shows that physicians’ roles in e-health initiatives have not yet received any in-depth study. This raises questions such as are physicians not yet sufficiently involved in e-health? If so, what (dis)advantages may this have for current e-health investments and how can they best become involved in (leading) e-health applications’ design and implementation in the field?

Originality/value

If effective medical leadership is being deployed, e-health effectiveness may be enhanced; this new proposition needs urgent empirical scrutiny.

Details

Leadership in Health Services, vol. 29 no. 3
Type: Research Article
ISSN: 1751-1879

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Article
Publication date: 16 September 2013

Dimitris Alimisis and Emmanouil Zoulias

– The aim of this research is the development of a problem-based curriculum for robotic surgical training and its evaluation.

Abstract

Purpose

The aim of this research is the development of a problem-based curriculum for robotic surgical training and its evaluation.

Design/methodology/approach

First, the aim and objectives of the curriculum are defined and the background learning theories that guide our work are introduced. The methodology for designing the simulator-based training is presented and finally the output of this work is reported, that is the SAFROS training paradigm, resulted as a balanced synthesis of behavioural and constructivist learning theories.

Findings

The evaluation of basic skills tasks of the curriculum revealed a high acceptance among the trainees.

Research limitations/implications

Within this paper, a first implementation and evaluation of the basic skills tasks is described. Further cooperation between pedagogues and software engineers is required in order to put in practice the whole curriculum. Then, further training experiments with surgeons are necessary to check the validity of the whole curriculum. The authors also need to establish proficiency criteria that can come from the achievements of expert surgeons using the simulator and the robot and use them as final goals to be achieved by trainees in future courses. In the field of subjective evaluation, a possible future extension might be a bigger number of questions. Moreover, the innovative method of text mining in its application to opinion mining decisions can be further applied.

Originality/value

In this paper, an innovative approach for the development of a simulator-based curriculum for robotic surgical training is presented and first evaluation results based on ratings from trainees are also presented. The value of this paper is relevant to medical trainers and curriculum designers.

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Interactive Technology and Smart Education, vol. 10 no. 3
Type: Research Article
ISSN: 1741-5659

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Article
Publication date: 1 January 2021

Max Regus

This study aims to perform a systematic review of the dialectics and telematics strategy for regulating religion during the COVID-19 pandemic. The study also analyzes some…

Abstract

Purpose

This study aims to perform a systematic review of the dialectics and telematics strategy for regulating religion during the COVID-19 pandemic. The study also analyzes some important issues related to religions, state, and society.

Design/methodology/approach

A critical literature review was performed to complete this study, using media, institutional, national, and international reports, as well as recent and previous studies during the COVID-19 pandemic.

Findings

Religion was one of the social entities that had a crucial effect on the COVID-19 pandemic. The new system in the form of social distancing affects its performance. Furthermore, the response of religion in Indonesia is unique when its status is considered as the largest Islamic country in the world. Therefore, this study attempts to analyze and demonstrate the dynamics of relationships between actors, religion, and state in the process and strategy of religious regulation.

Research limitations/implications

This study was carried out using a single methodological approach.

Practical implications

This study provides input to both religion and the state (government) in building a synergy of constructive responses to the effects of the COVID-19 pandemic.

Social implications

It provides input to society in understanding the critical intersection between religion, state, and society.

Originality/value

This may be the first academic study that analyzes the problems of the process of regulating religion in the context of COVID-19.

Details

International Journal of Sociology and Social Policy, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0144-333X

Keywords

Content available
Article
Publication date: 24 August 2020

Mazen Hassan

This paper aims to examine why the alliance formed between non-Islamist forces and state actors to oust Mohamed Morsi from power in 2013 broke down quickly.

Abstract

Purpose

This paper aims to examine why the alliance formed between non-Islamist forces and state actors to oust Mohamed Morsi from power in 2013 broke down quickly.

Design/methodology/approach

This paper makes use of original data set derived from three waves of surveys fielded in 2011, 2014 and 2015 that ask questions about public threat perception. Around 10 elite interviews were also conducted to further test the study’s hypothesis.

Findings

On the one hand, non-Islamists, civic forces challenged the status and interests of state actors in a way that made state actors view them with heightened distrust. On the other, many civic forces, in face of high threat perception, prioritized law during and order after Morsi’s removal, driven – at least partly – by shifts in public attitudes.

Originality/value

Many views look at transitions in the Arab world from the angle of how Islamists interact with traditional power holders. Such an approach, however, could be reductionist in many ways because it disregards civic forces. This is a point this paper seeks to address.

Details

Journal of Humanities and Applied Social Sciences, vol. 3 no. 2
Type: Research Article
ISSN:

Keywords

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