Search results

The dermatology service on the islands of Orkney, with a population of approximately 22,500, was taken over by National Health Service (NHS) Tayside in August 2018. This paper aims to provide an overview of the planning and review of a highly efficient and effective dermatology service for a rural island population.

The service includes visiting dermatology consultants, enhanced electronic referral vetting, skin surgery services, a General Practice (GP) with extended role (GPwER) in dermatology, specialist virtual clinics, urgent advice for inpatients at the local district general hospital and remote systemic therapy monitoring. A new phototherapy service has been set up in an island GP practice.

Local GPs and consultant dermatologists find the enhanced vetting service useable, efficient and educational. Between August 2018 and November 2022, there have been 1,749 referrals. Of these referrals, 60% were seen in clinic or a GPwER surgery, with 40% managed remotely by providing advice back to the referring GP. The number of consultations performed by the GPwER has grown over the past 3 years, and in the last year, it accounted for more than 50% of patient appointments. The waiting time has been significantly reduced using this model.

This remote service uses an integrated approach of teledermatology (TD) whilst offering continual in-person services using local capabilities including a GPwER and island general surgeons. New treatment facilities are provided to the island population. Continual educational feedback to the primary care referrer is provided, and it enhances relationships that greatly aid the high-quality dermatology service provided.

Speeding technology to market, and to the right market, is increasingly held out as the hallmark of well run technology‐based organisations. This paper details an inexpensive methodology to evaluate the economic viability of technologies that have potential applicability in a broad range of market segments.

The purpose of this paper is to implement Six Sigma approach to decrease the length of stay (LOS) of neonatal jaundice patients in an Indian government rural hospital situated in northern hill region.

Six Sigma’s Define–Measure–Analyse–Improve–Control procedure is applied in order to decrease the LOS of neonatal jaundice patients. The mean and standard deviation have been computed as 34.53 and 20.01 h, respectively. The cause and effect diagram is used in the “Analyse” phase of the Six Sigma. The regression analysis and GEMBA observation techniques are used to validate the causes identified through cause and effect diagram.

The waiting time for registration, waiting time for tests, waiting time for phototherapy and time for discharge implementation are the main factors that are responsible for longer LOS. Based on the identified root causes, some recommendations are suggested to the hospital administration and staff members in order to reduce the LOS.

The present research is limited to provide recommendations to the hospital administration to reduce LOS and it entirely depends upon the implementation of the administration. However, target of administration is to reduce the LOS up to 24 h.

Six Sigma model will reduce bottlenecks in LOS and enhance service quality of hospital. The developed regression model will help the doctors and staff members to assess and control the LOS by controlling and minimising the independent variables.

The project will directly provide benefits to society, as LOS will decrease and patients’ satisfaction will automatically increase.

Six Sigma is a developed methodology, but its application in paediatric department is very limited. This is the first ever study of applying Six Sigma for neonatal jaundice patients in India.

The purpose of this paper is to evaluate the use of a phototherapeutic technique called “Talking Pictures” within the forensic setting. This approach involves the use of a set of photographs to facilitate clients’ disclosure, self-growth and promote the development of positive self-narratives. The use of art therapies and the construction of adaptive identity narratives have been proven to support desistance and increase resocialization in the prison population.

A 42-year-old Italian male offender was met for six therapy sessions and invited to talk about his past, present and future through the use of photographs. Session transcripts were analysed using the software for linguistic analysis T-LAB.

Results show a progression in the language used during the sessions: in the beginning the client uses a denotative language with many concrete nouns and no emotional words, in subsequent sessions his speech begins to assume more symbolic connotations and emotional words are used to describe past traumas as well as to find new meanings to present events. Moreover, the fixity of the client’s self-image is contrasted with the emergence of new sides to his personality encompassing agency and self-worth.

The study is based on a single case, therefore results cannot be generalised to the prison population; moreover, the absence of any follow-up and standardized measurements of the client’s progression should be addressed by future research by both involving larger samples and including follow-up and quantitative measures of the study results.

The paper provides details on an innovative technique that might be used to explore the offenders’ goods and values and to develop truly redemptive rehabilitation programmes.

This paper adds to the scant literature on phototherapy in prisons and connects it with a reflection on desistance indicating that phototherapeutic interventions might be used to promote positive self-narratives, thus increasing desistance.

GE Healthcare was on a continuous lookout for investing into new and innovative super value products for the Bottom of the Pyramid markets in India. After launching its first successful super value ECG machine Mac 400, GE had recently launched its twenty-fifth super value product a PET CT machine. Serving the BOP markets has its own unique challenges that may be different for each product that is placed in the market. However, GE has so far successfully sailed through all the challenges and developed a steep learning curve about BOP markets. However, it is now facing the challenge of ensuring sustainability of product pipeline. The company is also keen to exploit the opportunities for reverse innovation that super value products have provided. The company also wants to assess the disruptive impact of these products in domestic medical device markets as well as markets outside India.

The purpose of this paper is to measure the craniofacial dimensions of 41 full‐term neonates nursed in the Special Care Baby Unit of Queen Mary Hospital in Hong Kong, so as to develop a good‐fitting and secure eye‐patch protector for protecting neonatal eyes from the strong light in phototherapy.

In total, 14 craniofacial dimensions were measured using a new, safe and non‐intrusive method with a close‐range photogrammetric system and two dimensions of head circumference and facial arc were measured using manual method with a disposable paper tape in the hospital environment. Birth information of gestation, age, gender, present weight and present length has been recorded. A descriptive statistics was produced based on the measured data. Correlations between each pair of dimensions were investigated and factor analysis was conducted for application on an eye‐patch protector development.

Head circumference was identified as the most desirable key dimension of a sizing system for an eye‐patch protector. Two head circumferences with the sizes of 310‐349 mm and 350‐389 mm, respectively, could effectively cover all full‐term neonates. Design guidelines were generated according to the measurement of the craniofacial dimensions.

This paper presents the craniofacial dimensions of head, eye, nose and ear parts of full‐term neonates.