Nyaya Health Ultrasound Program: Implications for Teleradiology in Resource-Denied Areas

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Duncan Maru

April 24, 2009 Telemedicine Conference Bryn Mawr College, Philadelphia, PA

Health & Medicine Business

April 24, 2009 Telemedicine Symposium, Bryn Mawr College Nyaya Health's Ultrasound Program in Rural Nepal Implications for Teleradiology in Resource-Denied Areas Duncan Maru, PHD

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Mission 1: Facilitate resource distribution to resource-denied areas

Mission 3: Apply evidence-based medicine principles and data monitoring

Mission 4: Involve the central government in pro-poor health infrastructure

Mission 5: Achieve transparency and collaboration in global health delivery

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In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.

Circulatory Shock, types and stages, compensatory mechanisms

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