Healthcare change across the globe is being driven by a need to curb the exponential cost increases within the industry. A heightened awareness of human factors research and the potential for evidence-based practice has gained much attention as a source of potential improvement. A new focus on quality and outcomes is driving the market in most countries. An example is the reduced payment for services and notable government influence through ''value-based purchasing'' causing dramatic changes in the U.S. healthcare delivery systems. Defining, capturing, and reporting clinical outcomes are a challenge for most organizations. Transitioning clinical data into electronic capture for accurate retrospective analysis is becoming a requirement and holds great promise for future clinical improvements. Decision-making in healthcare is becoming open for debate, as consumers, payers, and regulatory authorities all vie for control and influence. Prospects to redefine health care delivery processes and change the way people think about, access, and receive health services vary internationally. But opportunities are there for those who are prepared and understand healthcare financing, incentives for change, power, and influence.

Oxidative stress means a state there is imbalance between the oxidizing action and the reducing action due to reactive oxygen species (ROS) in a living body, resulting in the oxidizing action becoming dominant. Oxidative stress arises as the balance between production and removal is disrupted through excessive production of ROS and impairment of the antioxidant system. Oxidative stress has been reported to be involved in the onset and progress of various diseases. Characteristics of Type 2 diabetes are insulin secretion failure and insulin resistance, but it seems that oxidative stress is greatly involved in insulin secretion failure. In the insulin secretioninducing β cells of Langerhans islets in the pancreas, the amount of superoxide dismutase (SOD), which is representative of the ROS elimination system, is small and resistance to oxidative stress is considered to be weak. Regarding cancer, it is well known that chronic inflammatory conditions increase the risk of carcinogenesis. Cells such as neutrophils and macrophages are activated in the inflammation area leading to increase in production of active oxygen and nitric oxide. These free radicals cause DNA mutation and cell proliferation thereby promoting cancer development. When chronic inflammation is present, cancer develops more easily. Electronic water, which was developed to generate electron in water, was consumed for three weeks, after meals, between meals and before sleeping 6 times a day, and according to the test subjects’ possible time periods. The amount of drinking water was 750-1000 mL, and BAP and d-ROMs checks for all cases were carried out at 4:30 pm. The results of cancer patients and diabetes patients were seen as attached. As a result, the d-ROMs value in the degree of oxidative stress has reduced, and the BAP value, which is an indicator of plasma antioxidant capacity, has improved significantly.

This figure is the part of hospitals emergencies in France (i.e. 3 million people every year) that are due to the fact that patients could not organized their medical homecares, mainly nurses homecares, generally after a hospitalization. Why because there is a real lack of visibility and information regarding who and how a patient could contact a medical homecare professional, such as nurses, to organize its homecares and return at home. In the current shift of the healthcare sector from a hospital centric system to a scheme organized around patients’ home, by reducing average duration of stay at hospitals, increasing ambulatory surgeries, the demand for specific nursing homecares will drastically increase in the future. At libheros, founded by Florence Herry, former nurse, we develop specific and dedicated online solutions for patients, nurses (libheros pro) and hospitals (libheros coordination) to improve the organization and coordination of medical homecares, with a strong objective to value nurses’ important role in the healthcare system. We will start by presenting what are the feedback from patients, nurses and hospitals professionals regarding today issue, based on the numerous interviews we conducted and then explain how, with innovative online solutions we deliver strong benefit to them and facilitate their respective day-to-day life, as well as improving the national healthcare system.

Effective communication with parents is a cornerstone of management in pediatric intensive care. It enables a relationship of trust with concerned families. Some caregivers, while aware of the importance of communication, sometimes feel helpless when confronted with difficult situations. With this in mind, our service set up training courses aiming to improve communication between health care teams and families by exposing caregivers to complex situations thereby allowing them gain experience in communication. Simulation training was chosen for its advantages of concrete, practical application and a safe learning environment. These training sessions were composed of two complementary parts: the first interactive and theoretical part enabled individuals acquire a basic knowledge in communication, the second part empowered practical application through simulation sessions. In each simulation, professional actors of Le Rire Medecin played the role of parents while learners played the role of caregiver. At the end of simulation, actors provided general feedback to learners which in turn allowed them to explore their own practices. The presence of a psychologist allowed articulation of feelings in a secure environment. This synergistic method enabled caregivers to self improve significantly. Pre and post-tests were completed by the learners, highlighting the impact of this method as well as allowing them to evaluate the quality of training. By focusing on an individual’s interpersonal skills, simulation training allows improvement in professional practices. It is perceived as very useful by participants, allowing them to increase their professional capabilities and ensure the establishment of trust-based care relationships with families.