"13 statements that I agree to commit to in order to maintain exceptional care of patients, families and friends, and healthy peer relationships signed by most of the department staff.
"
Microstructure, SEM and TEM images of Steels and Al alloys from the work of Dr. R. Narayanasamy
Retired Professor (HAG), Department of Production Engineering, NIT - TRICHY, Tamil Nadu, India
Actual Cooling curve, Homogeneous and Heterogeneous Nucleation, Critical radius of nucleation
Reference: Material Science and Engineering, William Callister
Microstructure, SEM and TEM images of Steels and Al alloys from the work of Dr. R. Narayanasamy
Retired Professor (HAG), Department of Production Engineering, NIT - TRICHY, Tamil Nadu, India
Actual Cooling curve, Homogeneous and Heterogeneous Nucleation, Critical radius of nucleation
Reference: Material Science and Engineering, William Callister
Unit 3 introduction to fluid mechanics as per AKTU KME101TVivek Singh Chauhan
strictly following syllabus of KME 101T of AKTU for first yr 2021
fluid properties, bernoulli's equation with proof and numericals , pumps, turbine , hydraulic lift, continuity equation
All "ways of knowing" take place during a birthing. Using Quality Improvement tools such as PDSA, NKE+ provides family centered communication and better teamwork to meet the patient and family goals.
Transition of Patient from Hospital to Home/Next Level of CareKaiser Permanente
A unique opportunity is available when caring for our patients and families experiencing end of life decisions. Authentic presence, listening, and problem solving empower our patients along their journey.
Empowering Patients and Families to Preserve Dignity and Quality of Life thro...Kaiser Permanente
A unique opportunity is available when caring for our patients and families experiencing end of life decisions. Authentic presence, listening, and problem solving empower our patients along their journey.
The Evolution of Caring Science throughout the Transdisciplinary TeamKaiser Permanente
Caring Science is a framework for healthcare disciplines to focus on the patients needs through the continuum of care. Communication, teamwork, & colloboration are essential strategies for a seamless experience for our patients.
Unit 3 introduction to fluid mechanics as per AKTU KME101TVivek Singh Chauhan
strictly following syllabus of KME 101T of AKTU for first yr 2021
fluid properties, bernoulli's equation with proof and numericals , pumps, turbine , hydraulic lift, continuity equation
All "ways of knowing" take place during a birthing. Using Quality Improvement tools such as PDSA, NKE+ provides family centered communication and better teamwork to meet the patient and family goals.
Transition of Patient from Hospital to Home/Next Level of CareKaiser Permanente
A unique opportunity is available when caring for our patients and families experiencing end of life decisions. Authentic presence, listening, and problem solving empower our patients along their journey.
Empowering Patients and Families to Preserve Dignity and Quality of Life thro...Kaiser Permanente
A unique opportunity is available when caring for our patients and families experiencing end of life decisions. Authentic presence, listening, and problem solving empower our patients along their journey.
The Evolution of Caring Science throughout the Transdisciplinary TeamKaiser Permanente
Caring Science is a framework for healthcare disciplines to focus on the patients needs through the continuum of care. Communication, teamwork, & colloboration are essential strategies for a seamless experience for our patients.
For exceptional care in any setting, care of self, care of our patients and families, and care of the team are necessary ingredients.This outpatient example explains the steps.
Use of the Watson Caritas Patient Scoring tool to assess patient perspective on compassionate care, respect for personal beliefs, and caring-healing environment.
Focus on how small actions have a large impact on patient care. For example: helping to facilitate sleep hours with use of lowering the lights, quiet voices at night and warm blankets to tuck in.
Sharing Caritas Through Art - Healing with BraceletsKaiser Permanente
Beaded bracelets made by members of a Caring Council are given to co-workers, patients and family members with simple messages of encouragement and gratitude.
Visual expression of how caregivers within KP San Francisco’s Periop department live and care about patients with the knowledge and forethought use of the Caring Science Theory as a daily practice.
NICU Staff created a parents guide to educate families with newborns who experience withdrawal symptoms caused by the effects of maternal drug use from a Caring Science perspective.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
13 Commitments to my Team
1. Kaiser Permanente, Northern California
Caritas in Action
How Caring Science informs and inspires KP caregivers and affirms our commitment to provide our
patients and their families exceptional care
Caritas Consortium 2014
13 Commitments to my Team
Honoring Health, Healing &
Wholeness
2. 13 Commitments to my Team
Intent to Contribute Statement:
13 statements that I agree to commit to in order to maintain exceptional care of patients, families and
friends, and healthy peer relationships signed by most of the department staff. The nurse manager of the
CVICU unit led this effort that resulted in 33 staff members willingly signing the commitment statement.
13 Commitments to my Team
As your Teammate, and with our Shared Goal of Excellent Patient Care, I Commit to the following:
1. I will do the best I can to assure the patients in this department are treated and cared for as if each
were my family.
2. I recognize we may have our differences but while we are here working together, we are a team that
relies on cohesiveness not only to provide excellent care, but for our healthy working relationships.
3. I will accept responsibility for establishing and maintaining healthy interpersonal relationships with
you and every other member of this team. You will not be able to tell who my friends are by how I
help others.
4. I will talk to you promptly and directly if issues surface. If we are unable to resolve the issue, I will
escalate with the intent to resolve with you.
5. I will always work to establish and maintain a relationship of trust with you and every member of this
team. My relationship with each of you will be equally respectful, regardless of job title or level of
education.
Page 2
3. 13 Commitments to my Team
13 Commitments – Continued:
6. I will not engage in the “3 B’s” (Bickering, Back-Biting, and Blaming). I will practice the “3 C’s” (Caring,
Committing, and Collaborating) in my relationship with you and ask you to do the same with me.
7. I will not complain about another team member and ask you not to as well. If I hear you doing so, I will ask
you to stop or to talk to that person with the intent to resolve.
8. I will be committed to finding solutions to problems, rather than complaining about them or blaming
someone for them, and ask you to do the same.
9. I will do my best to recognize your contributions to excellence and thank you for your high quality of work.
10. I will look at myself first when opportunities to improve our team are given.
11. I will perform in all areas of the hospital with the same respect and commitment to professionalism that I
perform in my own area.
12. When I am in the department and have downtime outside of patient care, I will look for opportunities to
improve efficiencies of the department without the need to be told to do so.
13. I recognize that my actions reflect the culture of my department and my behaviors impact those around
me. I will give the best of me, because this is what my patients and my team deserve.
By signing this document, I am asking you as a team to hold me accountable to these 13 commitments.
Page 3
4. Inspired Contributor(s) :
Daniel Moffit
------
Service Area: Santa Clara
Medical Center: SCL
Affiliation: PCS
------
Year Shared: 2014
Venue: Caritas Consortium
Format: Poster
ID #: E08
Keyword TAGs:
Identifier
Consortium2014-June, Santa
Clara, Poster, Patient Care
Services
Caritas Leadership, Self, Team
Descriptor
Authentic Relationship. Caritas
Consciousness
Page 4
13 Commitments to my Team
Good morning, I am delighted and honored to be here today to recognize and reflect on how Caring Science is enabling us to transform the caring-healing culture within Northern California Kaiser Permanente.
And finally, the time we’ve been waiting for…
The joyful moment when we are able to Harvest the Bounty of all the thoughtful attention, dedication, good intentions and caring energy we have poured into tending the garden
The exuberant recognition that harnessing our capacity to Flourish has enabled us to Realize our Fullest Potential