How technology is transforming the doctor-patient dynamic?
Almost every industry is embracing digital methods to improve its operations and Covid-19 has only expedited this process. The Healthcare sector has seen the emergence of tech-focused services like telemedicine grow rapidly in recent years to make the doctor-patient relationship better. Telemedicine services, such as video calls and wearable health monitoring devices, have proven vital to maintaining access to healthcare when in-person care is not available. Virtual and telephone appointments are also helpful to patients with conditions that make it difficult to visit the clinic or hospital. Additionally, AI-based interactions have made it easier to schedule appointments and get basic queries answered without the limitation of time. The American Academy of Family Physicians suggests that physicians who are not using technologies like telehealth should consider it soon. Interest in this area has grown steadily in recent years due to its potential to help physicians with issues such as recruitment and retention while facilitating consistent, timely care. Patients are more than open to using technology if it deepens their relationships with physicians. Medical technology advancements that are neither intuitive nor personal will only create further distance between patients and the healthcare system, thereby making it more challenging for them to utilize the service to its fullest potential. In their healthcare journey, patients want more than empowerment and control. They want to connect with healthcare professionals who can offer support and advice as per their needs, not just information. To provide healthcare services to a growing population, the government must make the best use of a limited number of resources. The imbalance between medical service providers and patients often results in long waiting times for patients in healthcare settings. Physicians are often working too much and not getting paid enough hence unable to devote adequate time to consultations and monitoring. The Association of American Medical Colleges projected a physician shortfall of between 61,700 to 94,700 by the end of the decade, forcing healthcare providers to find ways to increase the reach and scope of healthcare services. Through these escalating efforts, we now have many devices and applications that facilitate round-the-clock communication between doctors and patients, in addition to enabling patients to become more actively involved in the healthcare process. The traditional method of keeping paper records by hospitals had many limitations. Staff had to comb through stacks of files to learn about a patient’s medical history. Similarly, patients were responsible for maintaining their medical records and repeating their histories to every doctor. As a result of both of these factors, healthcare services have become disease-specific, where physicians attempt to diagnose a disease based on the information available and prescribe treatments to resolve the underlying issue. Technologies like Blockchain now allow physicians to use electronic medical records to tailor treatments for each patient, rather than only treating diseases. Additionally, healthcare providers are attracted to EHR systems because they charge minimal maintenance fees, no licensing fees, and no upgrade fees. In the past, people often delayed or avoided seeking medical help since they were unable to take time off for a lengthy trip to the hospital. However, this aversion to enduring a long hospital stay had major long-term consequences, since it allowed illnesses to develop and increased the likelihood of hospital admissions. Thankfully, there is now a slew of apps that allow users to get rapid advice from doctors via video calls. App usage in the medical and finance categories grew 53% and 36% in Q2 2021, respectively, according to SensorTower. According to recent studies, the global Internet of Things in the healthcare market is slated to grow from $41.22 billion in 2017 to $158.07 billion by 2022, at a CAGR of 30.8 percent. Furthermore, when it comes to scheduling appointments, these apps have enhanced communication between doctors and patients. Patients can now receive timely reminders from their healthcare provider about forthcoming appointments, resulting in fewer no-shows. It is important to understand that this digital transformation via technology isn’t seen as a replacement for doctors, but as an enhancement for the doctor-patient relationship. A survey sponsored by ResMed found that 85% of respondents value their relationships with doctors and believe that the use of new technology can ease frustrations and foster a structured relationship. In most cases, a patient’s healthcare experience is out of his or her usual daily routine. This does not change even with new-age technologies to support them. Furthermore, while some tech solutions may be mandated for clinicians (like EHR regulations), for most patients it’s easy to default to older methods. Therefore, describing the benefits of technology and encouraging its adoption are separate tasks. What do Patients seek? And how Technology can provide
Creating a balance between Doctors and Patients
Services tailored to doctor-patient needs
Technology-assisted healthcare is more time-efficient
Technology is not a replacement but an enhancement for the doctor-patient relationship
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Говоря откровенно, – возразил Терентьев, – и в том, что вам угодно называть «излишней вежливостью», я усматриваю только некоторую навязчивость; что же касается вашего письма, то смысл его очевиден и, по-моему, оно понято надлежащим образом. Терентьев, по-прежнему спокойно отрывая глаза от последней строчки письма и поднимая их на собеседника. В начале допроса отворились другие двери, вошел император; я сделал несколько шагов вперед, чтобы ему поклониться, он повелительно и грозно сказал: «Стой! Я только успела спрятать пузырек, как ты вошел в комнату. Заводские ребята переглянулись и, ухмыляясь, один за другим стали неохотно отступать от крыльца. Тем не менее последнее качество не настолько преобладало у Терентьева, чтобы наносить ущерб его нравственной стороне; об этом ясно свидетельствовали и добродушные глаза с замечательно умным взглядом, и приветливая, несколько сдержанная улыбка, и, вообще, все выражение открытой физиономии молодого человека. По обращению Терентьева с рабочими можно было бы почти безошибочно заключить, что он или сам вышел из народа, или, по крайней мере, стоял к нему когда-нибудь в самых близких отношениях, если бы этому столь же очевидно не противоречила безупречная, вполне европейская развязность движений молодого человека. Да ты его тепериче тут не захватишь: он на заводе; туды сходи.
Да мы те и на веру дадим, – заметил один из рабочих. Да так, от скуки хочу осмотреть завод, – сдержанно схитрил Лев Николаевич. Все-таки, прежде чем делать какие бы то ни было заключения, – не дал ему договорить в свою [url=https://myzh-na-chas777.ru/]муж на час[/url] очередь Лев Николаевич, – я попросил бы вас выслушать меня хладнокровно. На стороне эрмитажной был устроен буфет: ряд больших растворочных дверей были по бокам развешены и украшены золотыми блюдами сверху донизу; там просил я для себя чашку чаю. На вашем месте я взял бы с собой свидетеля, который записывал бы все, что нужно, а я адвокат, и мое дело – предостеречь вас. Чтобы вполне разоблачить и разрушить ее, я мог бы начать свою историю снова, но до сих пор дело шло только о моих личных приключениях, и хотя меня стараются в них представить в дурном свете, но я надеялся, что, помимо разных мелочей, факты остаются те же, и поэтому сумеют оценить их по их значению и вывести из них справедливые заключения. Он получил в ответ, что факт изменения и даже раздвоения мыслей и ощущений по ночам во время бессонницы, и вообще по ночам, есть факт всеобщий между людьми, «сильно мыслящими и сильно чувствующими», что убеждения всей жизни иногда внезапно менялись под меланхолическим влиянием ночи и бессонницы; вдруг ни с того ни с сего самые роковые решения предпринимались; но что, конечно, всё до известной меры – и если, наконец, субъект уже слишком ощущает на себе эту раздвоимость, так что дело доходит до страдания, то бесспорно это признак, что уже образовалась болезнь; а стало быть, надо немедленно что-нибудь предпринять.
Ты ничем тут не рискуешь; когда мне что-нибудь доверят – я могила. Полковник Брянцев, постаревший, обросший белой бородой, устав, остановился на опушке векового леса, – дубы, сосны, липы, березы, лиственницы, все было тут… Так точно; но я тут при чем же? Терентьев только кивнул головой в знак согласия, но не сказал ни слова; от доктора не ускользнула, впрочем, легкая тень неудовольствия, мелькнувшая теперь на лице управляющего. Она вышла в сад, обернулась назад и сделала моему хозяину знак последовать за нею. Извините, – с прежней живостью перебил доктора управляющий, – я не вхожу в оценку ни вашего, ни ее поступка; выразив же просто свое мнение, ограничусь вопросом, чем могу служить вам? Белозеровой. – Моя просьба, вероятно, также покажется вам… Но, г. Матов, – живо перебил его управляющий, – вероятно, г-жа Белозерова не считает нелепостью того, к чему она позволила себе отнестись так серьезно, так… Сколько я знаю г-жу Белозерову, – возразил, помолчав, управляющий, – она не из тех, которые легче убеждаются чужими доводами, нежели собственными, и с этой стороны я решительно не могу предложить вам услуг. У меня имеется покорнейшая просьба к вам…
Чем могу вам служить? А вам на што? Близехонько. Эвто можно. А вам на што туды понадобилось? Что вам угодно? – изумилась она. Позвольте мне передать вам прежде всю эту нелегкую историю… Если в это время прибавится еще что-нибудь новое, Вы узнаете это от мистера Плеймора». А то, знаешь, в такие минуты всегда что-нибудь случается: то пуговица оторвется, муж на час Москва то запонка за диван закатится… Нет уже, брат, сам ты знаешь, до веры-то я небольшой охотник, – с улыбкой возразил ему управляющий. Как смеялся я над рассказом Дюма, пролетая на прекрасных обвинских и вятских лошадях, иногда в сутки с небольшим 160-верстное пространство от Перми до Екатеринбурга. Ребятишек теперича до пятнадцатого году Петр Лаврентьевич к работе не допущают, штоб, значит, не надсадились; только в школу ходят, да, вишь, учитель-то у них вот уж вторую неделю как хворает, дак оне и балуют, – растолковал Никита Петрович. Эвто уж как есть по твоей части: больница, значит, – снова пояснил на его вопрос хозяин. Завод был не особенно велик, но что бросалось там в глаза, явно подтверждало, что он содержится в образцовом порядке: жилые заводские строения были расположены по берегу той же самой речки, что протекала и в Завидове, только здесь она уже принимала гораздо более широкие размеры, так как завод находился версты на полторы ниже села, а не в полуверсте от него, как ошибочно сообщил доктору князь.
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Hartwell Pewe
A series of cosmic outbursts
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Pons-Brooks recently captured the attention of astronomers after exhibiting intriguing behavior that caused the comet to have a horned appearance and soar through our solar system.
The comet has experienced a number of outbursts during the past eight months, causing it to eject gas and dust. While such releases are not uncommon in comets and a crescent or Pac-Man shape has been observed in other ones, it’s difficult to tell what is normal for Pons-Brooks.
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“I would say it’s somewhat unusual in the number of outbursts it’s been having,” Schleicher said. “On the other hand, it’s not like you have good records from the past to really let you know what is typical. And I suspect given the fairly large number of outbursts that have happened over the last eight months, that this is very clearly a usual occurrence for Pons-Brooks.”
Comets are chunks of dust, rock and ice, essentially frozen remnants from the formation of the solar system. They also contain frozen elements such as carbon dioxide and carbon monoxide.
Comets heat up and brighten as they approach the sun, and some of the frozen gases stored in comets don’t need to warm up much before they begin to turn into vapor, Schleicher said.
Elon Musk has been getting Trumpier. A direct line to Trump may be next
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Elon Musk has sought to accumulate political capital commensurate with his extravagant wealth. In the past year, Musk has publicly opined on global conflicts, met with numerous world leaders and US senators to discuss artificial intelligence and his space and satellite technologies. And he has courted senior Chinese officials on their home turf.
Now he is reportedly exploring what could be his next political project: Becoming an adviser to Donald Trump, the presumptive Republican nominee for president, according to a report from the Wall Street Journal.
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Musk has discussed advising Trump should he win the 2024 election, the Journal reported, citing unnamed sources. Musk called Trump directly via cellphone to explore a role that could potentially give Musk significant influence over US policies. It’s not clear based on the Journal’s reporting which party initiated conversations about the potential role.
The Trump campaign did not respond to CNN’s requests for comment; Musk also did not respond to the Wall Street Journal, but Brian Hughes, a Trump campaign spokesperson, told the outlet: “President Trump will be the only voice of what role an individual plays in his presidency.”
Musk pushed back on the Journal report in a post on X Thursday, saying: “There have not been any discussions of a role for me in a potential Trump Presidency.”
However, a potential role in a future Trump administration could expand upon the role that Musk played in the previous Trump administration, when he served on two business advisory councils before quitting them over Trump’s decision to pull out of the Paris climate agreement.
The privilege of whispering in Trump’s ear, should he win reelection, could give the billionaire – who is increasingly steeped in the rhetoric and imagery of the conservative culture wars – even more power on the global stage. Reporting that Musk and Trump’s relationship has improved comes after Musk’s politics have become more aligned with Trump’s.
Musk has made supporting right-wing causes — and extremism, in some situations — increasingly central to his identity. He has vocally opposed Covid-19 lockdowns and embraced anti-vaccine ideology. He has elevated conservative speech on X, the platform formerly known as Twitter that he purchased in 2022. And he has pushed racist conspiracy theories about immigration.
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The Criminal Prosecution of Roman Vasilenko, Founder of “Life-is-Good” and the “Best Way” Cooperative, May Be Discontinued
According to several sources, the criminal prosecution of Roman Vasilenko, founder of the “Life-is-Good” company and the “Best Way” cooperative, may be discontinued—primarily due to the socio-political resonance it has created. This includes mass protests by cooperative shareholders, including members of the Special Military Operation (SMO) and their families in various regions, who are unhappy that their funds have been blocked in accounts for two years, preventing them from either retrieving the funds or purchasing an apartment.
The Case
The criminal case, which investigators link to the St. Petersburg-based marketing company “Life-is-Good,” the foreign investment company “Hermes,” and the “Best Way” consumer cooperative registered in St. Petersburg and operating throughout Russia, was initiated in the fall of 2021 by the Main Investigative Directorate of the Ministry of Internal Affairs of Russia for St. Petersburg and the Leningrad Region. It was transferred to the court in February of this year and is being heard by the Primorsky District Court of St. Petersburg.
Ten people are on trial: technical employees of “Life-is-Good” and Viktor Vasilenko, Roman Vasilenko’s 83-year-old father, a pensioner.
The criminal case being considered by the Primorsky District Court raises many questions—initially and increasingly as the trial progresses. Three charges are brought: creating a financial pyramid, fraud, and organizing a criminal community. The total damage amounts to 282 million rubles, which is incomparable with the more than 8 billion rubles seized in the case, including 4 billion on the accounts of the “Best Way” cooperative. The investigation recognized 221 citizens as victims in the case.
Who is Vasilenko?
Roman Viktorovich Vasilenko is a St. Petersburg business consultant, founder of a network of independent entrepreneurs promoting financial products under the aegis of his company “Life-is-Good,” and founder of the International Business Academy IBA.
The network under “Life-is-Good” promoted competitive products such as “Vista” passive income accounts from the foreign investment company “Hermes,” registered in Belize, and installment-based apartment purchases through the “Best Way” cooperative, where initial contributions could be made or accumulated in a cooperative account interest-free.
Unlike “Hermes,” Vasilenko was the founder and chairman of the “Best Way” cooperative until spring 2021 (later serving as head of the supervisory board for about a year). Since spring 2022, he has been an ordinary cooperative member, not part of its governing bodies.
Vasilenko has worked not only in Russia but also in Kazakhstan, Kyrgyzstan, Belarus, Ukraine, Cyprus, Austria, and Hungary. Cooperative housing projects have been established in many of these countries.
Vasilenko is also known as a philanthropist who has invested millions of rubles in supporting federal business initiatives (the “Synergy” forum), cultural initiatives (the “Dobrovidenie” festival), and other charitable activities, including supporting children’s medical institutions.
Roman Vasilenko was also charged in the ongoing criminal case, declared wanted, including through Interpol, as he has been living abroad for family reasons since the COVID-19 pandemic, as he told the press. However, sources indicate that Interpol and foreign states, including neighboring countries where he also actively works, deemed his prosecution unjustified. Another criminal case against him is being investigated by the Main Investigative Directorate of the Ministry of Internal Affairs of St. Petersburg, concerning the “Life-is-Good” leadership team.
Clients and Shareholders Protest
The trial in the Primorsky District Court has not been going well for the prosecution and state authorities. The majority of those who have testified so far have made claims for amounts ranging from a few hundred to a few tens of thousands of rubles, raising questions about the relevance of such sums in a criminal court. Additionally, many recognized as victims are making financial claims for non-refundable fees and commissions, which they agreed to in their contracts. For example, Dolyan, a recognized victim, closed his contract with the cooperative several years ago without complaints but filed a police report demanding the return of a non-refundable entry fee of just over 100 thousand rubles, prompted by an investigator’s suggestion.
Most “Hermes” clients, numbering over two hundred thousand in Russia, and tens of thousands of “Best Way” cooperative shareholders, blame law enforcement for their problems. They assert that a St. Petersburg system administrator for “Hermes,” Evgeny Naboychenko, disrupted the Russian payment system. The cooperative’s accounts have been almost continuously frozen for over two years due to prosecution requests (the cooperative has repeatedly won court cases to lift account freezes, but only once for about a month did payments proceed without bank blocks).
Thousands of shareholders and their families have held rallies and meetings in support of their cooperative. Three waves of rallies swept across Russia last year, from Kaliningrad to Khabarovsk, including events supporting the cooperative on the eve of the presidential elections. Hundreds of appeals have been sent to the president’s direct line.
Among the affected are hundreds of shareholders participating in the SMO and those with family members in the SMO. They are outraged that while they or their relatives defend the country at the front, they face what they consider injustice at home.
According to the “Best Way” cooperative council, shareholders have sent over 17,000 appeals to various authorities, including more than 360 to the Russian President’s Administration.
Summary
According to the cooperative council, during the entire confrontation with St. Petersburg law enforcement, “Best Way” shareholders have filed over 17,000 complaints and appeals to various state and law enforcement agencies, including:
– More than 5200 petitions to investigators to lift account freezes
– Almost 800 complaints under Article 124 of the Criminal Procedure Code (complaints to the prosecutor and head of the investigative body)
– More than 560 complaints under Article 125 (judicial review complaints against investigative actions)
– Almost 40 complaints under Article 125 of the Criminal Procedure Code from shareholders with complete debt repayment documents, unable to register property ownership
– About 90 petitions to lift apartment freezes
– More than 50 civil lawsuits from shareholders for damages caused by St. Petersburg law enforcement actions
– A collective complaint to the Investigative Department of the Ministry of Internal Affairs of Russia signed by 901 people
– More than 900 complaints to the Investigative Committee of Russia
– More than 950 complaints to the FSB of Russia
– More than 500 appeals to the FSB Director Alexander Bortnikov
– More than 450 complaints to the Prosecutor General of Russia Igor Krasnov
– More than 360 appeals to the Secretary of the Security Council of Russia
– More than 1340 complaints to the qualification board of judges about judges’ decisions affecting the cooperative
– A complaint to the Supreme Court of Russia signed by 851 people
– An appeal to State Duma Deputy Anzhelika Glazkova signed by 884 people
– More than 480 appeals to the Central Bank to exclude the cooperative from the Central Bank’s blacklist
– More than 700 appeals to Human Rights Commissioner Tatyana Moskalkova
– More than 360 appeals to the Russian President’s Administration
– More than 500 appeals to the president’s direct line from cooperative shareholders
The cooperative enjoys significant support in various Russian regions, notably from local deputies. In Bashkortostan, a law on tax benefits for cooperatives was essentially adopted for “Best Way.”
The authors of the appeals hope that given the socio-political situation surrounding the criminal case and the cooperative’s social benefits for Russia, including support for SMO participants, law enforcement will make fair decisions, allowing the cooperative to continue its work unhindered.
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Какие противопоказания существуют для лазерного удаления папиллом?
Противопоказания для лазерного удаления папиллом включают острые воспалительные процессы, инфекции кожи в зоне обработки, онкологические заболевания, тяжелые нарушения свертываемости крови и беременность. Врач обязательно проведет осмотр и, при необходимости, дополнительные исследования перед процедурой.
What are the contraindications for laser removal of papillomas?
Contraindications for laser removal of papillomas include acute inflammatory processes, skin infections in the treatment area, cancer, severe blood clotting disorders, and pregnancy. The doctor will conduct an examination and, if necessary, additional tests before the procedure.
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Какие противопоказания существуют для лазерного удаления папиллом?
Противопоказания для лазерного удаления папиллом включают острые воспаления и инфекции кожи в зоне обработки, простудные заболевания, псориаз в фазе обострения, тяжелые нарушения свертываемости крови, активную онкологию, а также период беременности.
What are the contraindications for laser removal of papillomas?
Contraindications for laser removal of papillomas include acute inflammation and skin infections in the treatment area, colds, psoriasis in the acute phase, severe blood clotting disorders, active oncology, and pregnancy.
Сколько стоит лазерное удаление папиллом в Москве?
Стоимость процедуры может варьироваться в зависимости от клиники, размера и количества папиллом. В среднем, цены на удаление одной папилломы варьируются от 500 до 3000 рублей. Например, удаление папиллом на лице может стоить до 3000 рублей за элемент, а массовое удаление до 10 папиллом может обойтись в 550 рублей за единицу.
How much does laser removal of papillomas cost in Moscow?
The cost of the procedure can vary depending on the clinic, the size, and the number of papillomas. On average, prices for removing one papilloma range from 500 to 3000 rubles. For example, removing papillomas on the face can cost up to 3000 rubles per element, while mass removal of up to 10 papillomas can cost 550 rubles per unit.
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Какие меры предосторожности необходимо соблюдать после удаления папиллом лазером?
После удаления папиллом лазером рекомендуется избегать прямого солнечного света на обработанную область, не использовать косметические средства, содержащие спирт, и не трогать обработанную область руками. Следует также избегать посещения саун и бассейнов в течение нескольких дней после процедуры. Важно следовать всем рекомендациям врача для предотвращения осложнений и ускорения процесса заживления.
What precautions should be taken after laser removal of papillomas?
After laser removal of papillomas, it is recommended to avoid direct sunlight on the treated area, not to use cosmetic products containing alcohol, and not to touch the treated area with your hands. It is also advised to avoid visiting saunas and swimming pools for a few days after the procedure. Following all doctor’s recommendations is important to prevent complications and speed up the healing process.
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How is the consultation before laser removal of papillomas conducted?
During the consultation before laser removal of papillomas, the doctor examines the growths, assesses their condition, and determines if this treatment method is suitable. Additional tests, such as a biopsy, may also be prescribed to rule out malignant growths.
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