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A multitude of studies have investigated the opportunities and limitations of telemedicine pre- and post-COVID-19 pandemic. However, most of the research has focused on telemedicine's constraints in the context of international, regional, and developed nations, with few studies examining the specific challenges that may affect telemedicine's progress in developing countries where the pandemic may have exacerbated existing technological and geographical difficulties. This study takes the Philippines as a case study due to its archipelagic location, use of English as an official language, and other factors that influence its adaptability to international telemedicine. We assessed the barriers and challenges to the advancement of telemedicine from four viewpoints: policy, organization, individual, and collaboration between organizations. Therefore, the significance of this study is twofold: (a) to concentrate on international telemedicine education by contrasting domestic and international practices, and (b) to newly reveal connections between each component, as prior research highlighted barriers and difficulties but did not clarify relationships among different elements. We surveyed and interviewed 38 physicians, technicians, coordinators, and staff involved in telemedicine education in the Philippines. The study found that (1) public support yields favourable results, (2) a strong correlation exists between domestic and international telemedicine, (3) communication and technical obstacles are interconnected, (4) unity and cooperation in intra-hospital collaboration are critical, and (5) comprehending the "significance of work" has a positive impact. This study underscores the intersectionality of several barriers to telemedicine development. It also recommends providing greater support for telemedicine education in developing nations and promoting collaboration between developing and developed nations. Copyright © 2023 by SCITEPRESS - Science and Technology Publications, Lda. Under CC license (CC BY-NC-ND 4.0)
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Objective: The Covid-19 pandemic has had a tremendous impact on college education. We examined how students felt about their nursing practice classes in the face of restrictions. Design(s): Quantitative research. Material(s) and Method(s): A survey was conducted on the class evaluations of students who took exercise classes in 2019 and 2021. Result(s): There was no difference in student evaluations of the class between FY 2019 and FY 2021, with little impact from COVID-19. Discussion(s): Students' evaluations showed that they were satisfied with and learned from face-to-face classes, in which they could experience and learn together with other students or faculty and with the classes that were limited due to the COVID-19 disaster, suggesting that classes during the pandemic had the same value as conventional classes. Conclusion(s): Face-to-face classes, where students can experience and learn together with other students and faculty, were considered unaffected by the COVID-19 pandemic. Copyright © 2022 Japan University of Health Sciences & Japan International Cultural Exchange Foundation.
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In the global pandemic of COVID-19, community pharmacists play key roles in implementing personal protective measures to control their own risk as well as the patient's risk of being infected with COVID-19. This study was designed to explore the COVID-19 knowledge and precautionary measures of the pharmacists and patients in community pharmacies. A cross-sectional survey was conducted on the pharmacists and patients in community pharmacies. Community pharmacists (N = 597) and patients (N = 779) from 162 community pharmacies were the subjects of the analysis. Though the pharmacists and patients had good COVID knowledge, the mean Knowledge score (K score) among the pharmacists (7.71 .. 1.43) was statistically higher than that of patients (7.35 .. 1.64, p < 0.01). Regarding the precautionary measures, the mean precautionary measure score (P score) of the pharmacists (8.17..1.86) was statistically higher than that of the patients (7.91 .. 2.04, p < 0.05). Considering COVID knowledge of patients of different age groups (age: 39 and 40), no statistically significant differences were observed. Whereas regarding the precautionary measures, between these two age groups, several statistically significant differences were observed in the mean P score ( 40: 8.09 .. 1.99, 39: 7.29 .. 2.07, p < 0.001) and in the implementing rates in some of the practices, avoiding crowded places, avoiding touching eyes/nose/mouth, etc. (p = 0.043, p < 0.001, respectively). The community pharmacists were found to have better knowledge and implemented better precautionary measures for the prevention of COVID-19 than the patients. The young generation patients should be educated on the essential protective measures for reducing the risk of becoming infected with COVID-19.
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Introduction: With ongoing development of technology, and especially amid the current COVID-19 pandemic, there is rapidly increasing need for remote communications, including in the field of medical education. This study aimed to evaluate our telemedicine activities between Japan and Indonesia.
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Cancer patients with COVID-19 may be at increased risk of aggravation and death, and infectious risk of SARS-CoV-2 should be avoided as possible. It is a challenge to provide cancer therapy under circumstances where COVID-19 is rapidly spreading worldwide. Pharmacotherapy plays a central role for the treatment of advanced cancer. When a patient during anticancer therapy develops pneumonia, we need to cite, as differential diagnosis, anti-cancer drug induced lung injury as well as various pulmonary diseases such as viral pneumonia, bacterial pneumonia, pneumocystis pneumonia, and fungal pneumonia. In the current epidemic, COVID-19 pneumonia must also be kept in mind as well. Frequent symptoms of COVID-19 are fever, malaise, cough and dyspnea. Although bilateral multiple ground glass opacities with some consolidation of reticular shadow located at peripheral of lung are reported characteristics of COVID-19 imaging findings, it is difficult to diagnose COVID-19 pneumonia just by CT findings. It is also difficult to distinguish it from drug-induced lung injury in patients receiving cancer treatment. In addition to the imaging findings, we need to comprehensively distinguish various differential diagnoses in cancer patients who develops pneumonia in the COVID-19 pandemic, considering clinical symptoms, behavioral history and other clinical tests. Here, we describe clinical features and imaging findings of COVID-19 pneumonia and the points to be noted in cancer treatment in the era of COVID-19.