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In the aftermath of the Rwandan civil war, Australia's defence forces deployed a medical force to support the United Nations Assistance Mission. In this article, Wayne Ramsey, Commander of the Australian contingent, Lindsay R Bridgford, Officer Commanding Bravo Section, Robert J Lusby, Lt.-Colonel (Surgeon), Australian Medical Support Force Hospital, and John H Pearn, Colonel, and Director of Intensive Care in the Australian Medical Support Force Hospital, describe the Australian effort in the rebuilding of a shattered people and, in particular, of Kigali Central Hospital, the country's major medical facility.
The objective of the proposed research is to answer the question of how to provide verification and redactability to medical documents at a manageable computation cost to all parties involved. The approach for this solution examines the use of Merkle Hash Trees to provide the redaction and verification characteristics required. Using the Merkle Hash Tree, various Continuity of Care Documents will have their various elements extracted for storage in the signature scheme. An analysis of the approach and the various characteristics that made this approach a likely candidate for success are provided within. A description of a framework implementation and a sample application are provided to demonstrate potential uses of the system. Finally, results seen from various experiments with the framework are included to provide concrete evidence o...
Health care is a rapidly developing field in which new technologies are introduced continuously. Not all new technologies have the same impact however: most represent only small changes in existing technologies, whereas only a few - like organ transplants - really are revolutionary new developments. Some of these new technologies eventually lead to an improved health status or to an increased survival probability. But, unfortunately, over the years the introduction and application of new technologies has also led to a steady expansion of the budget necessary to maintain the ever increasing level of health care in most Western countries. Therefore, concern about costs nowadays plays an increasing role in many decisions surrounding the use and implementation of medical interventions.'·2 Whereas in the past technologies were introduced li...
abstractHealth care is a rapidly developing field in which new technologies are introduced continuously. Not all new technologies have the same impact however: most represent only small changes in existing technologies, whereas only a few - like organ transplants - really are revolutionary new developments. Some of these new technologies eventually lead to an improved health status or to an increased survival probability. But, unfortunately, over the years the introduction and application of new technologies has also led to a steady expansion of the budget necessary to maintain the ever increasing level of health care in most Western countries. Therefore, concern about costs nowadays plays an increasing role in many decisions surrounding the use and implementation of medical interventions.'·2 Whereas in the past technologies were intro...
Acceptance of the concept of medical futility facilitates a paradigm shift from curative to palliative medicine, accommodating a more humane approach and avoiding unnecessary suffering in the course of the dying process. This should not be looked upon as abandoning the patient but rather as providing the patient and family with an opportunity to come to terms with the dying process. It also does not entail withdrawal or passivity on the part of the health care professional. In addition to medical skills, the treating physician is responsible for guiding this process by demonstrating sensitivity and compassion, respecting the values of patients, their families and the medical staff. The need for training to equip medical staff to take responsibility as empathetic participants in end-of-life decision-making is underscored.
This report examines the influence of legal perceptions on medical decision-making, focusing on care concerned with life-sustaining technologies for elderly.
The building complex erected for training in the area of medicine is described in relation to the thinking which forms the background for these physical facilities. Provision is made for training of students in medicine, nursing and the paramedical services of physiotherapy and occupational therapy. The Faculty of Dentistry of the University of Stellenbosch is also on the site. Facilities exist for training of a wide spectrum of medical technologists and technicians, and nursing colleges have been established for the training of both White and Coloured nurses. There are supporting services such as workshops, a laundry and animal facilites. A creche for the children of working mothers, both White and Coloured, has been established, and a post office have also been built on the site. The Tygerberg Hospital provides a comprehensive servic...
This report focuses on the Veterans Health Administration (VHA). The VHA is primarily a direct service provider of primary care, specialized care, and related medical and social support services to veterans through the nation's largest integrated health care system.
This report focuses on the Veterans Health Administration (VHA). The VHA is primarily a direct service provider of primary care, specialized care, and related medical and social support services to veterans through the nation's largest integrated health care system.
This report focuses on the Veterans Health Administration (VHA). The VHA is primarily a direct service provider of primary care, specialized care, and related medical and social support services to veterans through the nation's largest integrated health care system.
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