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October is Mental Health Awareness Month and World Mental kamagra for sale uk Health Day takes place on 10 October 2020. This year, the erectile dysfunction treatment kamagra has added a new dimension to concerns regarding mental health in our communities. Across the globe stories continue to emerge of people’s experiences of anxiety, fear and depression due to the uncertainty and stress brought on by the kamagra.1–3 Job losses, financial and kamagra for sale uk housing insecurity, the challenges of working from home, home schooling, restricted access to health and social care services and social isolation coupled with reduced support and contact with family and friends have all impacted people’s well-being. There is particular concern about the mental health of healthcare workers during this difficult time.While most healthcare workers are resilient to the long-term effects of this period of stress and anxiety, there is the added worry about scarce resources, lack of cure or effective treatment options, isolation from family, coping with patient suffering and deaths and the moral and ethical impact of decisions as to who will receive acute care. These factors have significant potential for negative repercussions on the mental health and well-being of healthcare staff.4 5 There have been reports of high levels of stress, depression and even suicides,6 and long-term effects include a higher risk for post-traumatic stress disorder or kamagra for sale uk moral injury.5Healthcare organisations need to plan for the inevitable consequence of this kamagra and ensure that resources are in place for their workers.

Screening for mental health issues and treatment, including counselling, should be made available. In addition, nurses and other healthcare staff should be encouraged to reflect on their experiences and consider how to kamagra for sale uk implement self-care strategies that will enhance their well-being. This includes staying informed of the current data and information and being aware of the risks to themselves and others while caring for patients with the kamagra. By monitoring and enacting strategies to reduce stress and develop support systems, staff can minimise longer-term impacts.4Whether organisational support and self-care monitoring have achieved better mental health outcomes for healthcare workers is, as yet, unknown. Research across the globe is underway not only related to the kamagra itself but also to the mental health consequences of the kamagra for sale uk kamagra.

We do not yet know the extent of the issues or how best to support healthcare providers. In order to better understand the issues and to support nurses at this time, evidence-based nursing will focus our social media to mental health kamagra for sale uk issues during the month of October. We will highlight and share relevant resources and information and encourage discussion of the key challenges facing healthcare workers.During October, we will showcase the experiences of four key groups—patients, nurses, students and informal carers and families. Be sure kamagra for sale uk to log into evidence-based nursing each week for the following blogs:October 4. Impact of erectile dysfunction treatment on patient mental health.October 11.

Impact of erectile dysfunction treatment on nurses’ mental health and.Twitter Chat on Wednesday October 14 at 20:00 UK kamagra for sale uk time.Oct. 18. Impact of erectile dysfunction treatment on student nursing.Oct. 25. Impact of erectile dysfunction treatment on informal carers and families.A PhD is a globally recognised postgraduate degree and typically the highest degree programme awarded by a University, with students usually required to expand the boundaries of knowledge by undertaking original research.

The purpose of PhD programmes of study is to nurture, support and facilitate doctoral students to undertake independent research to expected academic and research standards, culminating in a substantial thesis and examined by viva voce. In this paper—the first of two linked Research Made Simple articles—we explore what the foundations of a high-quality PhD are, and how a Doctoral candidate can develop a study which is successful, original and impactful.Foundations of a ‘good’ PhD studySupervision and supportCentral to the development and completion of a good PhD is the supervisory relationship between the student and supervisor. The supervisor guides the student by directing them to resources and training to ensure continuous learning, provides opportunity to engage with experts in the field, and facilitates the development of critical thinking through questioning and providing constructive criticism.1The support needs of students will be different, so a flexible yet quality assured approach to PhD research training is required. A good supervisory team (usually includes at least two postdoctoral academics) provide experienced guidance and mentorship and will offer students academic support, with regular meetings and timely feedback on written submissions, will assist the student to develop a peer network and help them access research communities relative to their field. Effective supervision has beneficial outcomes for students, including encouraging a positive work ethic and influencing engagement in a stimulating environment, allowing students to pursue their own ideas with educated encouragement.

The quality of the supervisory relationship can impact greatly on the PhD experience and ultimately sets the student on the road to producing excellent Doctoral work.1An environment that promotes personal and professional development is further aided by positive peer interactions. If students feel part of a community and have contact with others also working on doctoral studies, there is the scope for peer compassion and understanding during both challenging and rewarding periods. Students who access personal and professional support and guidance through mentoring models during their studies are more likely to succeed. These models include one-to-one peer mentoring or activities for example journal discussion or methods learning groups. Often, groups of students naturally come together and give each other support and advice about research process expectations and challenges, and offer friendship, and guidance.2 Given the usefulness of different types of mentoring models, all can create a supportive and collaborative environment within a PhD programme of study, to minimise working in isolation and enable students to achieve their greatest potential.Characteristics of a good study.

Originality and theoretical underpinningA PhD should make an original contribution to knowledge. Originality can be achieved through the study design, the nature or outcomes of the knowledge synthesis, or the implications for research and/or practice.3 Disciplinary variation, however, influences the assessment of originality. For example, originality in science, technology, engineering and mathematics subjects is often inferred if the work is published/publishable, in comparison to intellectual originality in the social sciences.4 Although PhD originality assumes different nuances in different contexts, there is a general acceptance across disciplines that there should be evidence of the following within the thesis:An interplay between old and new—any claims of originality are developed from existing knowledge and practices.There are degrees of originality, relating to more than one aspect of the thesis.Any claims for originality are accompanied by clear articulation of significance.A good PhD should be also underpinned by theoretical and/or conceptual frameworks (that include philosophical and methodological models) that give clarity to the approach, structure and vision of the study.5 These theoretical and conceptual frameworks can explain why the study is pertinent and how the research addresses gaps in the literature.6 Table 1 provides a distinction of what construes theoretical and conceptual frameworks.View this table:Table 1 Characteristics of theoretical and conceptual frameworks7Theoretical/conceptual frameworks must align with the research question/aims, and the student must be able to articulate how conceptual/theoretical framework were chosen. Key points for consideration include:Are the research questions/aim and objectives well defined?. What theory/theories/concepts are being operationalised?.

How are the theories/concepts related?. Are the ontological and epistemological perspectives clearly conveyed and how do they relate to theories and concepts outlined?. What are the potential benefits and limitations of the theories and concepts outlined?. Are the ways the theories/concepts are outlined and being used original?. A PhD thesis (and demonstrable in viva) must be able to offer cohesion between the choice of research methods that stems from the conceptual/theoretical framework, the related ontological and epistemological decisions, the theoretical perspective and the chosen methodology (table 2).

PhD students must be able to articulate the methodological decisions made and be critical of methods employed to answer their research questions.View this table:Table 2 Relationship between research paradigms, perspectives, methodologies and methods.8 9ConclusionIn summary, we offer considerations of what the foundations of a good PhD should be. We have considered some of the key ingredients of quality PhD supervision, support and research processes and explored how these will contribute to the development of a study that leads to student success and which makes a valuable contribution to the evidence base. In the next paper, we will look in more detail at the assessment of the PhD through the submission of a thesis and an oral viva..

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A level playing fieldI guess the ‘brochure’ never claimed kamagra chewable tablets 100mg that (much as we want it to be wrong) the world is balanced and equitable. As the selections illustrate, it is, though, what we should continue to aspire to – being on the same field is a reasonable place to start.Costs of illness. Child pneumonia in low and middle income countriesLet’s start with some positives. In 2000, global child deaths from pneumonia numbered around 1.7 million, but, by 2017 kamagra chewable tablets 100mg had dropped (by GBD estimates) to 809 000.

The introduction of haemophilus B and penumococal vaccination to routine surveillance has been a big factor as have enhanced recognition (through the Integrated Management of Childhood Illness approaches) and improved pre-, peri- and postnatal care of children whose mothers have HIV. There is though, an elephant in this particular room. The costs of care kamagra chewable tablets 100mg for many families, both direct medical and non-medical (accomodation, for example) and indirect in the form of loss of productivity and salary is daunting. In an estimated costs of illness study, Marufa Sultana and colleagues from the ICDDB-R assessed the household financial impact of a hospital admission for a child with pneumonia.

The results provide a pretty clearcut pointer for intervention with an admission costing a poor urban family the equivalent of 43% of a monthly income and, for their rural counterparts, 20%. Add to this that approximately 80% of global pneumonia mortality is out of hospital so any means of encouraging families to seek kamagra chewable tablets 100mg help early but ensure this is economically feasible is to be welcomed. Health insurance seems to be the key. See page 539CholesterolConceptually, screening is quite straightforward.

For a programme to ‘work’, the prerequisites are as follows kamagra chewable tablets 100mg. A common problem. A sensitive test with a high positive predictive value. Feasibility.

Acceptability and an effective treatment. Cardiovascular disease stubbornly remains at the top table for mortality and the origins are acknowledged to be early in life. Familial hypercholesterolaemia is a major contributor to coronary heart disease. There is a simple sensitive and specific screening test and, once identified is treatable with statins at an appopriate age currently 8 years.

There’s another bonus too, if children are identified, their parents (who will be at high risk) can also be screened and, if also positive, saved, by starting statin treatment rather than dying prematurely. The earlier treatment starts, the better the chance for the parent and, later on once statins can be started, the child. Combining the screen with the 1 year vaccinations, would spare both appointments and distress. David Wald and Andrew Martin argue the case ‘for’.

See page 525A point in historyIn a poignant Voices from history, reflection, Samuel Schotland describes the inspiration for and development of the seminal Bridge programme for street youths and homeless in Boston at the start of the 1970s inaugurated by Andrew Guthrie an adolescent physician. Though one could argue the case for turmoil in many eras, before and after, but the then epidemic levels of homelessness, homophobia, drug addiction that had been fermenting during the 1960s makes this period stand out. The idea was a simple one. To provide support, medical, psychological and social help to the hordes of children who had found themselves in hard times.

The vehicle (literally and metaphorically) was a van which doubled as clinic, social work centre and rehabilition co-ordinator. Fast forward 50 years, multiple iterations (700 in the US alone) and numerous lives changed, it’s hard to overstate the influence of the project or the way in which it personified a decade which began with the US withdrawal from Vietnam and ended with the USSR wresting for control over Afghanistan. See page 615Have we gone forwards or backwards?. The WHO declared erectile dysfunction treatment a kamagra in March 2020.

By the end of 2020, the US Centers for Disease Control and Prevention demonstrated that the cumulative rate of erectile dysfunction treatment-associated hospitalisations for patients <18 years of age was 23.9 per 100 000 population compared with adults 18 or older at 449.9 per 100 000 population.1 A recent assessment done by the Society of Critical Care Medicine estimated that the USA had 34.7 critical care beds per 100 000 population. 5% of which are paediatric critical care beds and 24% being neonatal intensive care beds.2 The resultant shortage of adult intensive care unit (AICU) resources due to the surge of erectile dysfunction treatment s sparked ingenuity in a time when the world was thrust into chaos.Amid this, Sinha et al in this issue found creative ways for children’s doctors to care for sick adults with erectile dysfunction treatment disease.3 In a carefully crafted rubric, the authors show how thoughtful planning and methodical implementation in England can mobilise emergency resources in a time of crisis. As such, their success met the demand to increase AICU resources during the early surge of the erectile dysfunction treatment kamagra while still meeting the paediatric critical care needs of the country.At the beginning of the kamagra a number of adult and paediatric-trained critical care physician experts developed recommendations on how to care clinically for adults in paediatric settings.4 5 As the world disaster continued to unfold, several models to implement these recommendations began to take shape in three differing models. Exclusive management of adults in paediatric ICUs (PICU) with a centrally located PICU regionally to care for children, a hybrid adult and PICU, or the establishment of new AICUs staffed by paediatric critical care physicians (summarised in table 1).

These models were aptly developed by multiple institutions across the world. Sinha et al’s experience in England is unique due to the magnitude and coordination of their efforts across an entire country.View this table:Table 1 Models of paediatric physicians caring for critically ill adultsEarly in the kamagra our institution initially adopted a model of PICU physicians caring for critically ill adults in our paediatric hospital alongside children. However, in the second wave (Fall 2020), we mobilised PICU physicians and nurses to adult erectile dysfunction treatment ICUs across our health system, as additional adult erectile dysfunction treatment ICUs were developed when additional physical spaces were identified. From these experiences we were able to consider which aspects of these models worked well and further identify additional opportunities for growth.

While caring for adults in our PICU, we relied on our strong well-established communication systems among familiar team members to adapt to this new patient population. However, we were persistently aware that should adult-specific procedural care be required (ie, interventional catheterisation) adult patients would need to be transported back to the adult hospital, possibly resulting in delayed care. In the second wave, as PICU providers were covering the adult erectile dysfunction treatment ICUs in the adult hospital, some patients did require emergent evaluation for acute coronary syndrome and cerebrovascular accident, which was facilitated with adult-specific providers—accustomed to providing these evaluations and interventions in their familiar surroundings. However, this ‘luxury’ of providing care in the adult hospital by paediatric providers was in part possible because of available physical space.

If capacity were reached in these locations, system-wide planning already deemed that overflow would return adults to be cared for in the PICU.Regardless of the model for using paediatric critical care physicians for adult critical care needs there are key differences in adult and paediatric critical care as children are not ‘little adults’, nor adults ‘big kids’. Recognising that adults can be cared for in paediatric settings or by paediatric practitioners in a different fashion than adult counterparts and acknowledge gaps in this care is paramount for success. To successfully deploy resources to a PICU repurposed for adults, a structure framework must be first undertaken to ensure success. This framework must include a fundamental understanding (or recognition where knowledge gaps exist) of potential adult diseases with complications, the availability of adult consultation services, the retraining of relevant staff, the ability to repurpose the PICU space, the ability to stock appropriate equipment and supplies and the development of a command centre that can oversee operations.

These needs occur only after a strong organisational leadership is developed that can focus on these aspects while managing in times of crisis and surge. Likewise, providing transparency in the system and to patients via effective communication that standards of care may be different during a kamagra than outside of a crisis surge is prudent for any repurposed model to engage success.4There are some key concerns and questions that still remain with all of these approaches that beckon the old adage ‘just because you can do something, should you?. €™ First, were clinical outcomes worse or better when paediatric practitioners were caring for adult patients?. Second, was standard of care for adults compromised with delays in management due to a lack of experience with diseases that require timely intervention, that is, delays to percutaneous coronary intervention in myocardial infarction or to alteplase administration in cerebrovascular accident?.

This may be difficult to ascertain as delays in care across all health systems were occurring with the flood of patients with erectile dysfunction treatment disease. Nonetheless, these are important concerns that should be evaluated across all models to see if one method had improved outcomes. Third, did ICU workflow and ICU personnel need change in PICUs whether adult patients who were triaged were erectile dysfunction treatment or non-erectile dysfunction treatment, that is, in a kamagra is it prudent to triage the patient with the ‘kamagra disease’ to these settings or instead triage patients with known adult diseases (ie, chronic obstructive pulmonary disease exacerbation, pancreatitis, diabetic ketoacidosis, hyperglycaemic hyperosmolar state) to the PICU setting or for paediatric practitioners?. Finally, with dual-trained internal medicine-paediatrics physicians and nurses, should there be a move in physician and nurse training for more adult (or paediatric) training to develop familiarity in clinical management?.

This training may be crucial as we work towards future kamagras, especially as the frequency of such has seemingly increased over the past 20 years (SARS, Zika, Ebola, erectile dysfunction treatment). The answers to these questions with rigorous evaluation of not just ‘that we were able to do something’ but rather ‘that we were able to do so in a fashion that provided equal or even better patient outcomes’ are paramount for future considerations.Nonetheless, the erectile dysfunction treatment kamagra has undeniably shown under times of great duress to the medical profession, the best of collegiality and truthfully humanity. The ability to manage patients outside the scope of standard practice to meet the needs of a country surging after careful and thoughtful strategic planning provides hope to many other regions that need guidance for this or any future kamagras. Crisis surge and implementation planning tenants have not changed per se in this kamagra but rather the manner and scope by which these have been applied by necessity has altered the manner in which systems may need to approach the delivery of healthcare to institutions, regions and countries.

Novel methods of system and ICU simulation may further refine methodology, system dynamics, group modelling, and improve rapid deployment to meet surge needs more expeditiously in future kamagras. Fortunately, these successful experiences with ICU repurposing are possible in a time where paediatric patients are largely unaffected en masse. However, the lessons learnt from these preparations are grossly important as the potential for a future kamagra that affects both adults and children may present unfathomable challenges..

A level playing fieldI guess the ‘brochure’ kamagra for sale uk never claimed that (much as we want it to be wrong) the world is balanced and equitable. As the selections illustrate, it is, though, what we should continue to aspire to – being on the same field is a reasonable place to start.Costs of illness. Child pneumonia in low and middle income countriesLet’s start with some positives.

In 2000, global child deaths from pneumonia numbered around 1.7 million, kamagra for sale uk but, by 2017 had dropped (by GBD estimates) to 809 000. The introduction of haemophilus B and penumococal vaccination to routine surveillance has been a big factor as have enhanced recognition (through the Integrated Management of Childhood Illness approaches) and improved pre-, peri- and postnatal care of children whose mothers have HIV. There is though, an elephant in this particular room.

The costs of care for many families, both direct medical and non-medical (accomodation, for example) and indirect kamagra for sale uk in the form of loss of productivity and salary is daunting. In an estimated costs of illness study, Marufa Sultana and colleagues from the ICDDB-R assessed the household financial impact of a hospital admission for a child with pneumonia. The results provide a pretty clearcut pointer for intervention with an admission costing a poor urban family the equivalent of 43% of a monthly income and, for their rural counterparts, 20%.

Add to this that approximately 80% of global pneumonia mortality is out of hospital so any means of encouraging families to seek help early but ensure this kamagra for sale uk is economically feasible is to be welcomed. Health insurance seems to be the key. See page 539CholesterolConceptually, screening is quite straightforward.

For a programme to ‘work’, kamagra for sale uk the prerequisites are as follows. A common problem. A sensitive test with a high positive predictive value.

Feasibility. Acceptability and an effective treatment. Cardiovascular disease stubbornly remains at the top table for mortality and the origins are acknowledged to be early in life.

Familial hypercholesterolaemia is a major contributor to coronary heart disease. There is a simple sensitive and specific screening test and, once identified is treatable with statins at an appopriate age currently 8 years. There’s another bonus too, if children are identified, their parents (who will be at high risk) can also be screened and, if also positive, saved, by starting statin treatment rather than dying prematurely.

The earlier treatment starts, the better the chance for the parent and, later on once statins can be started, the child. Combining the screen with the 1 year vaccinations, would spare both appointments and distress. David Wald and Andrew Martin argue the case ‘for’.

See page 525A point in historyIn a poignant Voices from history, reflection, Samuel Schotland describes the inspiration for and development of the seminal Bridge programme for street youths and homeless in Boston at the start of the 1970s inaugurated by Andrew Guthrie an adolescent physician. Though one could argue the case for turmoil in many eras, before and after, but the then epidemic levels of homelessness, homophobia, drug addiction that had been fermenting during the 1960s makes this period stand out. The idea was a simple one.

To provide support, medical, psychological and social help to the hordes of children who had found themselves in hard times. The vehicle (literally and metaphorically) was a van which doubled as clinic, social work centre and rehabilition co-ordinator. Fast forward 50 years, multiple iterations (700 in the US alone) and numerous lives changed, it’s hard to overstate the influence of the project or the way in which it personified a decade which began with the US withdrawal from Vietnam and ended with the USSR wresting for control over Afghanistan.

See page 615Have we gone forwards or backwards?. The WHO declared erectile dysfunction treatment a kamagra in March 2020. By the end of 2020, the US Centers for Disease Control and Prevention demonstrated that the cumulative rate of erectile dysfunction treatment-associated hospitalisations for patients <18 years of age was 23.9 per 100 000 population compared with adults 18 or older at 449.9 per 100 000 population.1 A recent assessment done by the Society of Critical Care Medicine estimated that the USA had 34.7 critical care beds per 100 000 population.

5% of which are paediatric critical care beds and 24% being neonatal intensive care beds.2 The resultant shortage of adult intensive care unit (AICU) resources due to the surge of erectile dysfunction treatment s sparked ingenuity in a time when the world was thrust into chaos.Amid this, Sinha et al in this issue found creative ways for children’s doctors to care for sick adults with erectile dysfunction treatment disease.3 In a carefully crafted rubric, the authors show how thoughtful planning and methodical implementation in England can mobilise emergency resources in a time of crisis. As such, their success met the demand to increase AICU resources during the early surge of the erectile dysfunction treatment kamagra while still meeting the paediatric critical care needs of the country.At the beginning of the kamagra a number of adult and paediatric-trained critical care physician experts developed recommendations on how to care clinically for adults in paediatric settings.4 5 As the world disaster continued to unfold, several models to implement these recommendations began to take shape in three differing models. Exclusive management of adults in paediatric ICUs (PICU) with a centrally located PICU regionally to care for children, a hybrid adult and PICU, or the establishment of new AICUs staffed by paediatric critical care physicians (summarised in table 1).

These models were aptly developed by multiple institutions across the world. Sinha et al’s experience in England is unique due to the magnitude and coordination of their efforts across an entire country.View this table:Table 1 Models of paediatric physicians caring for critically ill adultsEarly in the kamagra our institution initially adopted a model of PICU physicians caring for critically ill adults in our paediatric hospital alongside children. However, in the second wave (Fall 2020), we mobilised PICU physicians and nurses to adult erectile dysfunction treatment ICUs across our health system, as additional adult erectile dysfunction treatment ICUs were developed when additional physical spaces were identified.

From these experiences we were able to consider which aspects of these models worked well and further identify additional opportunities for growth. While caring for adults in our PICU, we relied on our strong well-established communication systems among familiar team members to adapt to this new patient population. However, we were persistently aware that should adult-specific procedural care be required (ie, interventional catheterisation) adult patients would need to be transported back to the adult hospital, possibly resulting in delayed care.

In the second wave, as PICU providers were covering the adult erectile dysfunction treatment ICUs in the adult hospital, some patients did require emergent evaluation for acute coronary syndrome and cerebrovascular accident, which was facilitated with adult-specific providers—accustomed to providing these evaluations and interventions in their familiar surroundings. However, this ‘luxury’ of providing care in the adult hospital by paediatric providers was in part possible because of available physical space. If capacity were reached in these locations, system-wide planning already deemed that overflow would return adults to be cared for in the PICU.Regardless of the model for using paediatric critical care physicians for adult critical care needs there are key differences in adult and paediatric critical care as children are not ‘little adults’, nor adults ‘big kids’.

Recognising that adults can be cared for in paediatric settings or by paediatric practitioners in a different fashion than adult counterparts and acknowledge gaps in this care is paramount for success. To successfully deploy resources to a PICU repurposed for adults, a structure framework must be first undertaken to ensure success. This framework must include a fundamental understanding (or recognition where knowledge gaps exist) of potential adult diseases with complications, the availability of adult consultation services, the retraining of relevant staff, the ability to repurpose the PICU space, the ability to stock appropriate equipment and supplies and the development of a command centre that can oversee operations.

These needs occur only after a strong organisational leadership is developed that can focus on these aspects while managing in times of crisis and surge. Likewise, providing transparency in the system and to patients via effective communication that standards of care may be different during a kamagra than outside of a crisis surge is prudent for any repurposed model to engage success.4There are some key concerns and questions that still remain with all of these approaches that beckon the old adage ‘just because you can do something, should you?. €™ First, were clinical outcomes worse or better when paediatric practitioners were caring for adult patients?.

Second, was standard of care for adults compromised with delays in management due to a lack of experience with diseases that require timely intervention, that is, delays to percutaneous coronary intervention in myocardial infarction or to alteplase administration in cerebrovascular accident?. This may be difficult to ascertain as delays in care across all health systems were occurring with the flood of patients with erectile dysfunction treatment disease. Nonetheless, these are important concerns that should be evaluated across all models to see if one method had improved outcomes.

Third, did ICU workflow and ICU personnel need change in PICUs whether adult patients who were triaged were erectile dysfunction treatment or non-erectile dysfunction treatment, that is, in a kamagra is it prudent to triage the patient with the ‘kamagra disease’ to these settings or instead triage patients with known adult diseases (ie, chronic obstructive pulmonary disease exacerbation, pancreatitis, diabetic ketoacidosis, hyperglycaemic hyperosmolar state) to the PICU setting or for paediatric practitioners?. Finally, with dual-trained internal medicine-paediatrics physicians and nurses, should there be a move in physician and nurse training for more adult (or paediatric) training to develop familiarity in clinical management?. This training may be crucial as we work towards future kamagras, especially as the frequency of such has seemingly increased over the past 20 years (SARS, Zika, Ebola, erectile dysfunction treatment).

The answers to these questions with rigorous evaluation of not just ‘that we were able to do something’ but rather ‘that we were able to do so in a fashion that provided equal or even better patient outcomes’ are paramount for future considerations.Nonetheless, the erectile dysfunction treatment kamagra has undeniably shown under times of great duress to the medical profession, the best of collegiality and truthfully humanity. The ability to manage patients outside the scope of standard practice to meet the needs of a country surging after careful and thoughtful strategic planning provides hope to many other regions that need guidance for this or any future kamagras. Crisis surge and implementation planning tenants have not changed per se in this kamagra but rather the manner and scope by which these have been applied by necessity has altered the manner in which systems may need to approach the delivery of healthcare to institutions, regions and countries.

Novel methods of system and ICU simulation may further refine methodology, system dynamics, group modelling, and improve rapid deployment to meet surge needs more expeditiously in future kamagras. Fortunately, these successful experiences with ICU repurposing are possible in a time where paediatric patients are largely unaffected en masse. However, the lessons learnt from these preparations are grossly important as the potential for a future kamagra that affects both adults and children may present unfathomable challenges..

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In centres where ROSE is well established, significant efficiencies and improvements are seen in a variety of kamagra oral jelly sachets patient diagnostic pathways. The BAC recognises the value of ROSE and is working with the Royal College of Radiologists to establish a collaborative national framework for training and implementation of ROSE services across the directory UK. Implementation of ROSE not only benefits patients but provides exciting opportunities for expanding and developing roles for Biomedical Scientists in Cytology and Histology.

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19 January 2021 The British Association of Cytopathology (BAC) is working with the Royal College of Radiologists to establish a collaborative national framework for ROSE across the UK In order for the BAC to provide tailored ROSE training needs, they are seeking the views of IBMS kamagra for sale uk members who work in cellular pathology to complete a short survey. Feedback will be used to help them understand how ROSE is currently utilised in the UK. Further details Current international and national publications and guidance support the requirement for ROSE services. In centres kamagra for sale uk where ROSE is well established, significant efficiencies and improvements are seen in a variety of patient diagnostic pathways. The BAC recognises the value of ROSE and is working with the Royal College of Radiologists to establish a collaborative national framework for training and implementation of ROSE services across the UK.

Implementation of ROSE not only benefits patients but provides exciting opportunities for expanding and developing roles for Biomedical Scientists in Cytology and Histology. Biomedical Scientists providing real time assessment kamagra for sale uk of cytology samples from a variety of anatomical sites in the clinical setting. Take the survey Please visit. Www.surveymonkey.co.uk/r/JKSGRG5.

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Before the erectile dysfunction treatment rollout, several healthcare industry leaders warned that ensuring everyone could get inoculated would likely be a logistical headache at the very least.Unfortunately, these predictions have proved accurate, with states turning to patchwork approaches – including relying on commercial platforms such as Eventbrite kamagra for sale – for scheduling waves of vaccinations for higher-priority individuals. It is still too early to say whether the Biden administration's erectile dysfunction treatment response plan will make a meaningful difference, though that's certainly the national strategy's intention. In the meantime, some scheduling-technology vendors say they have the tools health systems need to facilitate kamagra for sale getting shots into arms. "Right now, [the country's scheduling plan] is completely reactive," said Danny Sanchez, vice president and general manager of EnlivenHealth, in an interview with Healthcare IT News."The technology is just being used wrong," Sanchez continued.

As he explained, every time a hospital, health system or county health department lists available treatment inventory, "everybody hits that website." Sanchez compared the experience to kamagra for sale consumers' rush to grab tickets to a popular concert or sports game (an apt metaphor, considering Eventbrite's typical use). He noted that this system is particularly egregious, given the demographic currently trying to access the erectile dysfunction treatment in many states. Senior citizens. "Now my 95-year-old grandmother has to find somebody to spend all day hitting refresh until they hit a time slot," Sanchez said.With technology like EnlivenHealth's CareScheduler, Sanchez says the model becomes proactive rather than reactive kamagra for sale.

Pharmacies can use the tool to reach out to patients who qualify for the treatment, based on health history, and fill time slots as they become available. Sanchez argued that retail pharmacies can play a major role in the rollout, given their large number and geographic distribution.He also noted the large amount of health kamagra for sale information many pharmacies have about patients, which can allow them to infer when those individuals might be eligible for the treatment (nonmedical factors like profession notwithstanding). Sanchez also pointed to CareScheduler's reporting capabilities as advantageous in a broader public health and data-gathering context. At the time of Sanchez's interview with Healthcare IT News, he said pharmacy chains representing nearly 1,000 stores nationwide had signed up for the new digital tool.Meanwhile, Zocdoc announced this past Friday kamagra for sale that it had also launched a treatment scheduler using its existing healthcare booking technology.

The tool, called treatment Scheduler, allows large care organizations to screen patients for eligibility before selecting a preferred appointment site, date and time for both doses. New York City-based Mount Sinai was the first health system in the country to go live with the scheduler. According to Zocdoc, the tool has allowed kamagra for sale Mount Sinai to schedule more than 100,000 vaccination appointments since December 20, 2020. "As we began to shift our focus toward vaccinations in the ambulatory setting, we started looking for solutions to simplify the scheduling logistics surrounding a program of this complexity, importance, scope and speed," said Kelly Cassano, dean for clinical affairs at Icahn School of Medicine and senior vice president for ambulatory operations at Mount Sinai Health System.

At a time when many healthcare workers are feeling unprecedented levels of strain and burnout, Sanchez pointed to the importance of using digital health technology to streamline as many processes as kamagra for sale possible. "This is the best example of how technology can change the paradigm," he said. "To lean on technology and to move to the proactive outreach kamagra for sale model is very exciting." Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail.

Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication..

Before the erectile dysfunction treatment rollout, several healthcare industry leaders warned that ensuring everyone could get inoculated would likely be a logistical headache at cheap kamagra uk the very least.Unfortunately, these predictions have proved accurate, with states turning to patchwork approaches – including relying on commercial platforms such as Eventbrite kamagra for sale uk – for scheduling waves of vaccinations for higher-priority individuals. It is still too early to say whether the Biden administration's erectile dysfunction treatment response plan will make a meaningful difference, though that's certainly the national strategy's intention. In the meantime, some scheduling-technology vendors say they have the tools health kamagra for sale uk systems need to facilitate getting shots into arms.

"Right now, [the country's scheduling plan] is completely reactive," said Danny Sanchez, vice president and general manager of EnlivenHealth, in an interview with Healthcare IT News."The technology is just being used wrong," Sanchez continued. As he explained, every time a hospital, health system or county health department lists available treatment inventory, "everybody hits that website." Sanchez compared the experience to consumers' rush to grab tickets to a popular concert or sports game kamagra for sale uk (an apt metaphor, considering Eventbrite's typical use). He noted that this system is particularly egregious, given the demographic currently trying to access the erectile dysfunction treatment in many states.

Senior citizens. "Now my 95-year-old grandmother has to find somebody to spend all day hitting refresh until they hit a time slot," Sanchez said.With technology like EnlivenHealth's CareScheduler, Sanchez says the model becomes proactive kamagra for sale uk rather than reactive. Pharmacies can use the tool to reach out to patients who qualify for the treatment, based on health history, and fill time slots as they become available.

Sanchez kamagra for sale uk argued that retail pharmacies can play a major role in the rollout, given their large number and geographic distribution.He also noted the large amount of health information many pharmacies have about patients, which can allow them to infer when those individuals might be eligible for the treatment (nonmedical factors like profession notwithstanding). Sanchez also pointed to CareScheduler's reporting capabilities as advantageous in a broader public health and data-gathering context. At the time of Sanchez's interview with Healthcare IT News, he said pharmacy chains representing nearly 1,000 stores kamagra for sale uk nationwide had signed up for the new digital tool.Meanwhile, Zocdoc announced this past Friday that it had also launched a treatment scheduler using its existing healthcare booking technology.

The tool, called treatment Scheduler, allows large care organizations to screen patients for eligibility before selecting a preferred appointment site, date and time for both doses. New York City-based Mount Sinai was the first health system in the country to go live with the scheduler. According to Zocdoc, the tool has allowed Mount Sinai kamagra for sale uk to schedule more than 100,000 vaccination appointments since December 20, 2020.

"As we began to shift our focus toward vaccinations in the ambulatory setting, we started looking for solutions to simplify the scheduling logistics surrounding a program of this complexity, importance, scope and speed," said Kelly Cassano, dean for clinical affairs at Icahn School of Medicine and senior vice president for ambulatory operations at Mount Sinai Health System. At a time when many healthcare workers are feeling unprecedented levels of strain kamagra for sale uk and burnout, Sanchez pointed to the importance of using digital health technology to streamline as many processes as possible. "This is the best example of how technology can change the paradigm," he said.

"To lean on technology and to move to the proactive outreach model is very exciting." kamagra for sale uk Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication..

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