The ethics of performance monitoring-private sector perspectiveDavid Quek
Increasingly medical practice is coming under intense scrutiny as to what is appropriate and affordable care, including serious considerations of patient safety issues and protection. Medical professionalism must be consciously adhered to as we try and find the best health care for our patients at the best value and outcomes for our patients themselves, and also for society at large. In view of escalating health care costs, physician autonomy to practice as he or she likes or deems fit has now come under siege with more and more performance monitoring, not just for appropriateness, but also for outcomes, necessity and cost-effectiveness. Physician' vested interests must be tempered with evidence-based benefits or at least be associated with no increase in harm or incur affordability issues. Fraudulent physician malfeasance are now being uncovered via whistle-blowers, or through greater more meticulous audit of various validated performance measures, and those physicians found to have flouted these due to pecuniary self-interests, overuse of tests or procedures have been found guilty and sanctioned with heavy fines, return of reimbursements as well as imprisonment, and erasure from medical registries and the removal of license to practice.
Universal Health Care: Cote D'Ivoire. Africa is not ready for universal private health care. Health workforce is inadequate. Hospitals are lacking resources and crumbling.
Staff training is not up to standard. Opening the door to more people will only increase cost and deteriorate the quality of care further.
The Philippine Board of Ophthalmology embarks on a difficult task of mandating teaching of ethics and professionalism for residency Training Programs in Ophthalmology in the country. This is the first lecture in that conference defining both ethics and medical professionalism.
The ethics of performance monitoring-private sector perspectiveDavid Quek
Increasingly medical practice is coming under intense scrutiny as to what is appropriate and affordable care, including serious considerations of patient safety issues and protection. Medical professionalism must be consciously adhered to as we try and find the best health care for our patients at the best value and outcomes for our patients themselves, and also for society at large. In view of escalating health care costs, physician autonomy to practice as he or she likes or deems fit has now come under siege with more and more performance monitoring, not just for appropriateness, but also for outcomes, necessity and cost-effectiveness. Physician' vested interests must be tempered with evidence-based benefits or at least be associated with no increase in harm or incur affordability issues. Fraudulent physician malfeasance are now being uncovered via whistle-blowers, or through greater more meticulous audit of various validated performance measures, and those physicians found to have flouted these due to pecuniary self-interests, overuse of tests or procedures have been found guilty and sanctioned with heavy fines, return of reimbursements as well as imprisonment, and erasure from medical registries and the removal of license to practice.
Universal Health Care: Cote D'Ivoire. Africa is not ready for universal private health care. Health workforce is inadequate. Hospitals are lacking resources and crumbling.
Staff training is not up to standard. Opening the door to more people will only increase cost and deteriorate the quality of care further.
The Philippine Board of Ophthalmology embarks on a difficult task of mandating teaching of ethics and professionalism for residency Training Programs in Ophthalmology in the country. This is the first lecture in that conference defining both ethics and medical professionalism.
An Empirical Study on Patient Delight and the Impact of Human and Non-Human F...IOSR Journals
Health, one of the Fundamental Human Rights has been accepted in the Indian Constitution. Today the healthcare industry has emerged as one of the most challenging sectors as well as one of the largest service sector industries in India. Patient perceived service quality become the prominent aspect to choose between hospitals. The purpose of this paper is to evaluate patient perceived service quality in Indian hospitals. Further the impact of the dimensions on patient satisfaction and patient delight is examined. A questionnaire was administered to the in-patients and multiple regression analysis has been used to examine the impact of the dimensions on patient satisfaction and patient delight. Findings emphasize eight distinct dimensions of patient perceived service quality and the impact on patient satisfaction and patient delight. A positive and significant relationship with patient satisfaction and patient delight has been found, except two dimensions. The results of this study are limited, as they are based on Indian hospitals. The contribution of this research paper, incorporate patient delight in health care sector. In addition, this paper highlights the importance of emotional attachment for patient satisfaction and patient delight in health care.
True professionals and doctrine of informed consent Ruby Med Plus
Abstract
The clinical practices around informed consent in healthcare settings have undergone a revolution for the better over recent decades. However the way doctor obtains informed consent still remains problematic. A number of factors have contributed to the continued dominance of the traditional dentist-patient imbalance of power, but, demands for more patient autonomy are increasing. The reasons for this ambiguity are varied. The complexity of communication in clinical encounter, the role of autonomy and the changing nature of the doctor-patient relationship, have also contributed to this uncertainty which still remains in many clinical settings. The uncertainty is partly due to the conceptual dullness of important core concepts.
From surviving to thriving: cancer’s next challengePwC Russia
Рак-диагноз, который никто не хочет услышать. Приуроченный к Всемирному дню борьбы с раком отчет PwC рассказывает об историях тех, кто пережил этот страшный период жизни и не сдался.
This presentation was given for the staff of King Fahad Medical City in Riyadh, 11-14 May, 2016 Its content included: Professionalism: Approaches and Dimensions of professionalism Doctor’s Professional Relationships and Duties Saudi Code of Ethics for Medical Practitioners Conflict of Interests (COI)
DISCLAIMER: This presentation is based on the Professionalism and Ethics Handbook for Residents Citation: Hussein GM, Kasule OH, Al-Kaabba AF. Professionalism and Ethics Handbook for Residents. Ware J, Kattan T, editors. Riyadh, Saudi Arabia 2015
blue eye brown eyesblue eye brown eyesblue eye brown eyesblue eye brown eyes valora maheria unniblue eye brown eyesblue eye brown eyesblue eye brown eyesblue eye brown eyes valora maheria unni somesh black hair golden albino
Our first annual conference in Manchester brought together doctors, medical students and patient groups to consider and debate the challenges affecting medical professionalism in the 21st century.
This workshop explored different themes around professionalism. It featured a panel consisting of Professor Mike Pringle, President RCGP; Nigel Acheson, Regional Medical Director (South NHS England); Professor Wendy Reid, Medical Director Health Education England; Maureen Edmondson, Chair of the Patient and Client Council for Northern Ireland and Niall Dickson, Chief Executive and Registrar of the GMC,
An Empirical Study on Patient Delight and the Impact of Human and Non-Human F...IOSR Journals
Health, one of the Fundamental Human Rights has been accepted in the Indian Constitution. Today the healthcare industry has emerged as one of the most challenging sectors as well as one of the largest service sector industries in India. Patient perceived service quality become the prominent aspect to choose between hospitals. The purpose of this paper is to evaluate patient perceived service quality in Indian hospitals. Further the impact of the dimensions on patient satisfaction and patient delight is examined. A questionnaire was administered to the in-patients and multiple regression analysis has been used to examine the impact of the dimensions on patient satisfaction and patient delight. Findings emphasize eight distinct dimensions of patient perceived service quality and the impact on patient satisfaction and patient delight. A positive and significant relationship with patient satisfaction and patient delight has been found, except two dimensions. The results of this study are limited, as they are based on Indian hospitals. The contribution of this research paper, incorporate patient delight in health care sector. In addition, this paper highlights the importance of emotional attachment for patient satisfaction and patient delight in health care.
True professionals and doctrine of informed consent Ruby Med Plus
Abstract
The clinical practices around informed consent in healthcare settings have undergone a revolution for the better over recent decades. However the way doctor obtains informed consent still remains problematic. A number of factors have contributed to the continued dominance of the traditional dentist-patient imbalance of power, but, demands for more patient autonomy are increasing. The reasons for this ambiguity are varied. The complexity of communication in clinical encounter, the role of autonomy and the changing nature of the doctor-patient relationship, have also contributed to this uncertainty which still remains in many clinical settings. The uncertainty is partly due to the conceptual dullness of important core concepts.
From surviving to thriving: cancer’s next challengePwC Russia
Рак-диагноз, который никто не хочет услышать. Приуроченный к Всемирному дню борьбы с раком отчет PwC рассказывает об историях тех, кто пережил этот страшный период жизни и не сдался.
This presentation was given for the staff of King Fahad Medical City in Riyadh, 11-14 May, 2016 Its content included: Professionalism: Approaches and Dimensions of professionalism Doctor’s Professional Relationships and Duties Saudi Code of Ethics for Medical Practitioners Conflict of Interests (COI)
DISCLAIMER: This presentation is based on the Professionalism and Ethics Handbook for Residents Citation: Hussein GM, Kasule OH, Al-Kaabba AF. Professionalism and Ethics Handbook for Residents. Ware J, Kattan T, editors. Riyadh, Saudi Arabia 2015
blue eye brown eyesblue eye brown eyesblue eye brown eyesblue eye brown eyes valora maheria unniblue eye brown eyesblue eye brown eyesblue eye brown eyesblue eye brown eyes valora maheria unni somesh black hair golden albino
Our first annual conference in Manchester brought together doctors, medical students and patient groups to consider and debate the challenges affecting medical professionalism in the 21st century.
This workshop explored different themes around professionalism. It featured a panel consisting of Professor Mike Pringle, President RCGP; Nigel Acheson, Regional Medical Director (South NHS England); Professor Wendy Reid, Medical Director Health Education England; Maureen Edmondson, Chair of the Patient and Client Council for Northern Ireland and Niall Dickson, Chief Executive and Registrar of the GMC,
This presentation will provide you with basic knowledge to take clinical photographs in dentistry, with any digital camera like point and shoot or a DSLR camera..
Sinus lift with dental implants Placement.(with Clinical Photographs) Dr. ...All Good Things
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best & your replies are welcomed!
Digital photography /certified fixed orthodontic courses by Indian dental aca...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
A research about dental photography was done by me ( Laith Tahir Al Radi) when I was a fifth year student as a graduation project for operative department in Baghdad university/ dentistry College and supervised by dr. Noor Salman.
Clinical photography 01 /certified fixed orthodontic courses by Indian dental...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Clinical Digital Photography in OrthodonticsMustafa Haddad
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Clinical Digital Photography in Orthodontics
Presented By Dr. MUSTAFA HADDAD
MSD , MCU 1st Year , 1st Semester
Presented By Dr. MUSTAFA HADDAD
MSD , MCU 1st Year , 1st Semester
Presented By Dr. MUSTAFA HADDAD
MSD , MCU 1st Year , 1st Semester
Presented By Dr. MUSTAFA HADDAD
MSD , MCU 1st Year , 1st Semester
Clinical photography /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Running head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docxtoltonkendal
Running head: NARRATIVE 10- BURN UNIT 1
NARRATIVE 10- BURN UNIT 2
New practice approaches
An experience with new technology and better ways of dealing with burn cases, treatment is quite fast and easy! Unlike the traditional way of airway maintenance, the new way that follows the ATLS guidelines enables the nurse to have a definitive airway maintenance as well as ventilation monitoring.
Extraprofessional collaboration
The burn unit required a great deal of collaboration between different medical practitioners in order to achieve quick recovery and optimum treatment results. With the airway and c-spine protection, monitoring the heart rate and blood pressure would require different physicians to acquire optimum results.
Health care delivery and clinical systems
With the Airway with C-spine Protection, different procedures and systems collaborate together to produce the best treatment results. Assessment of breathing, circulation, disability and exposure worked well with the clinical system each stage was important in contributing to the greater good.
Ethical considerations in health care
When it comes to Airway with C-spine Protection, Improving access to care, Protecting patient privacy and confidentiality are paramount. Building and maintaining strong health care workforce, Marketing practices and Care quality helps the unit achieve quality care.
Population health concerns
In the Airway with C-spine Protection, the section has the mandate of providing quality and convenient care. These help to improve the workability of the hospital system in general.
The role of technology in improving health care outcomes
When accessing the Airway with C-spine Protection, use of technology proved to be important especially when inspecting for singed nasal, facial and eyebrow hairs.
Health policy
Definitely, health policies serve as important ways through which the burn unit could provide quality healthcare. I did notice this when it comes to ensuring that each patient gets the most out of treatment they undergo.
Leadership and economic models
At the burn unit, it is almost blatant that leaders are responsible and are economical in their decision making. This is evident by the efficient allocation of resources.
Health disparities
Different patients come with different conditions. However, it is the function of the nurses to do all they can to ensure that their patients get well.
Running Head: Reflective Narrative 1
Oncology Unit: Reflective Narration
Student’s Name:
Institution- Affiliated:
Health disparities in Cancer
One of the most significant issues I encountered during of the course of the week is the existing disparities in various aspects of cancer such as death rates, higher rates of advanced cancer diagnoses, less frequent use of proven screening test in specific populations is an area in which progress has not been at par. I noted health disparities existed in African American women compared to women from other ethnic ...
Creating adaptable communities summary from Empowering Adaptable Communities ...Innovations2Solutions
Sodexo was honored to be a featured presenter at the 2nd Annual Atlantic Center for Population Health Sciences Empowering Adaptable Communities Summit. The Summit was held on October 21 and 22, 2015, in Morristown, New Jersey, at the College of Saint Elizabeth. The event was devoted to providing new insights, information, inspiration, and personal connections in our united efforts to empower communities to be more adaptable.
The most proficient surgeons to watch 2019insightscare
With our issue “The Most Proficient Surgeons to Watch 2019”, we present you with some of the masters in the field of surgery. These surgeons with their dedication and skills have become the epitomes of success and compassion in their respective fields.
Changing scenario needs an ever changing rational approach to healthcare terms and services.Where "tools"[your knowledge,interpretations,etc] helps you to make the picture better.
With the objective of understanding more about the challenges that NPs face, we, at Godrej Interio, tried to understand the current work environment and work pattern of the nurses in India. To learn more, download our full paper by Godrej Interio.
With the objective of understanding more about the challenges that NPs face, we, at Godrej Interio, tried to understand the current work environment and work pattern of the nurses in India. To learn more, download our full paper by Godrej Interio.
Nurses form the single largest group of health professionals. In all care delivery settings, they have a critical role to improve care, advance health, and provide value. To get more idea, read this PDF.
With our issue “The Most Proficient Surgeons to Watch 2019”, we present you with some of the masters in the field of surgery. These surgeons with their dedication and skills have become the epitomes of success and compassion in their respective fields.
SocializationTo begin the process of socialization, having a cle.docxsamuel699872
Socialization
To begin the process of socialization, having a clear understanding of the definition of nursing is essential. We know what nurses do, but how do we define nursing? Why is defining nursing important? To answer this last question, defining nursing is important for several reasons:To differentiate nursing from other professions.To define our practiceTo provide guidelines for nursing educationTo make nursing visible to the public and policy makers
While there may be multiple definitions of nursing from professional organization and state boards of nursing, similar characteristics can be found in all of them.
The American Nurses Association offers the following definition:
Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations.
Knowing what nursing is, supports your move into the nursing role. Socialization is the process of internalizing knowledge, skills, attitudes and other concepts needed to function in a role. You have been socialized into your current role. However, after graduating with your BSN, there will be another socialization process as you take on the broader role of the nurse with a BSN. Another way of describing the socialization process is Patricia Benner’s (1984) novice to expert stages. Some of you may be familiar with Benner’s work through your facilities clinical ladder. Socialization of the professional nurse involves developing your knowledge and skills and interacting with other nurses who act as mentors. Throughout the education process, students encounter a variety of socializing agents, including faculty, classmates, colleagues and other healthcare professionals, patients, and family, who subsequently contribute to the formation of a professional self-identify (Lai & Lim, 2012, p. 32).
Instructions
You are a licensed practice nurse (LPN) collaborating with a registered nurse (RN) for hospital-wide in-service on healthcare associated infections (HAI). After the in-service, a representative from each hospital department will receive an infographic to post in their respective unit. Your job is to create an infographic on preventing HAIs. The infographic should:
· Be a one-page visual representation of about Healthcare Associated Infections (HAIS)
· Identify common types of HAIs (healthcare associated infections)
· Include data or statistics about HAIs
· Describe prevention strategies for HAIs
Nursing Ethics
The Code of Ethics for Nurses of 2015, given by American Nurses Association (ANA), outlines the ethical basis for the nursing profession. It contains nine provisions, which cover the nurses' responsibilities toward the patients, maintenance of their personal professional growth, and their responsibilities to the profession and community.
Contemporary nur.
SocializationTo begin the process of socialization, having a cle.docxMadonnaJacobsenfp
Socialization
To begin the process of socialization, having a clear understanding of the definition of nursing is essential. We know what nurses do, but how do we define nursing? Why is defining nursing important? To answer this last question, defining nursing is important for several reasons:To differentiate nursing from other professions.To define our practiceTo provide guidelines for nursing educationTo make nursing visible to the public and policy makers
While there may be multiple definitions of nursing from professional organization and state boards of nursing, similar characteristics can be found in all of them.
The American Nurses Association offers the following definition:
Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations.
Knowing what nursing is, supports your move into the nursing role. Socialization is the process of internalizing knowledge, skills, attitudes and other concepts needed to function in a role. You have been socialized into your current role. However, after graduating with your BSN, there will be another socialization process as you take on the broader role of the nurse with a BSN. Another way of describing the socialization process is Patricia Benner’s (1984) novice to expert stages. Some of you may be familiar with Benner’s work through your facilities clinical ladder. Socialization of the professional nurse involves developing your knowledge and skills and interacting with other nurses who act as mentors. Throughout the education process, students encounter a variety of socializing agents, including faculty, classmates, colleagues and other healthcare professionals, patients, and family, who subsequently contribute to the formation of a professional self-identify (Lai & Lim, 2012, p. 32).
Instructions
You are a licensed practice nurse (LPN) collaborating with a registered nurse (RN) for hospital-wide in-service on healthcare associated infections (HAI). After the in-service, a representative from each hospital department will receive an infographic to post in their respective unit. Your job is to create an infographic on preventing HAIs. The infographic should:
· Be a one-page visual representation of about Healthcare Associated Infections (HAIS)
· Identify common types of HAIs (healthcare associated infections)
· Include data or statistics about HAIs
· Describe prevention strategies for HAIs
Nursing Ethics
The Code of Ethics for Nurses of 2015, given by American Nurses Association (ANA), outlines the ethical basis for the nursing profession. It contains nine provisions, which cover the nurses' responsibilities toward the patients, maintenance of their personal professional growth, and their responsibilities to the profession and community.
Contemporary nur.
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More from CLOVE Dental OMNI Hospitals Andhra Hospital (20)
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
4TH PUBLICATION - IOSR- JDMS- Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA. PUBLISHED LITERATURE
1. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 15, Issue 11 Ver. IV (November. 2016), PP 115-117
www.iosrjournals.org
DOI: 10.9790/0853-151104115117 www.iosrjournals.org 115 | Page
Surgeons For A Bettersociety: Development of Community in
Changing World.
Dr. Rahul Tiwari,1
Dr. Vivekanand SK,2
Dr. Asma Shaikh,4
Dr. G. Guru Karthik4
1. PG Trainee, Sibar Institute of Dental Sciences takkellapadu, guntur, andhraPradesh
2. Reader, Sibar Institute of Dental Sciences takkellapadu, guntur, andhraPradesh
3. Intern, Sibar Institute of Dental Sciences takkellapadu, guntur, andhraPradesh
4. PG Trainee, Sibar Institute of Dental Sciences takkellapadu, guntur, andhraPradesh
Abstract: The healthfor all is need for the day in changing world. The manpower required to change is critical
but the professional societies made the contribution towards upliftment of health of the society. The professional
society are important units which play interrelationship among professionals and interconnects society for the
wellbeing. The surgeon’s society is one among many professional societies which are in existence. The motto
behind forming surgical society is many fold. In the present scenario surgeon society as a whole is need for the
country and in turn for the society for the exchange of knowledge, for assistance, social service etc. The article
briefs social responsibility of surgeon’s society, also describes the existence in the world through a very famous
societies like royal college of surgeons. It also briefs present scenario and future need in India and world.
Keywords:Education, Health, Responsibility, Surgeon.
I. Introduction
We hear frequently that the surgeon is a dreadful player, skilled in care of patient, various surgeries,
teaching and research. I consider this is not sufficient for purpose. Community is the most important part to be
served as a professional. Hippocratic Oath, where doctors pledge to "keep patients from harm and injustice."
These words must be taken as motivation to serve and help the community and maintain humanity.
During our training, we attain a special quality of knowledge. Whatever we learn in our training is not
enough but it has a long way to explore. Our knowledge is like a drop of water in the ocean. We can understand
this with some examples.Surgerycomplies a main factor in combination of society and science. Using our
knowledge in clinical practice is extreme important for saving the general condition of human.This expression is
understood by surgeons. Maxillofacialsurgery is beyondour knowledge. Surgeons takes care of patients in every
type of situations and conditions whether it is physical or psychological.Our condition is susceptible to criticism,
persuasion and temptationwhich depends on the trust of individual have us and it is our duty to respect his
attitude. There are some parties which are working to maintain the role of surgeons in our society2
. It’s always
an individual duty to maintain the professional respect.
Changing trends in health system:
There is an extraordinary change in the surgical profession from decades. The increase in quantity of
surgeons, the wish for equality between patient and surgeon gives a clear idea about our professionalism. It was
the old times when patients were unaware of the procedures followed by a surgeon but the recent scenario are
completely different. Patients are aware, they use the various educational services like web to clear their
questions in mind. Patients understand the view of a doctor towards them and accordingly they decided
themselves whether to stay or to shift to a surgeon who is more interested in taking their proper care. Doctors
are the responsible individuals to take decision and face its consequences.
Role of surgeon in society:
Experience of a surgeonplaysmajor role in making good decisions. Surgeon’s decision can’t be
assessed by a normal human being as the way of thinking and ability to take proper action in the right time is the
quality of a surgeon. Most often there is a chance of criticism in the thinking of surgeon and public. At times
where courteous regard for people's feelings is no more,is the crucial time for a surgeon to think how, when,
where, why and what to do. Surgical profession contains behaviors and relationships which fellow surgeon and
patients to maintain the public and gain the trust.Surgeon should have good quality education and knowledge
with leadership qualities for proper goal and carrier orientation in life. The cultural and political environment is
a disadvantage to our profession which many surgeons consider disabling.
Perspective of professionalism towards society:
2. Surgeons For A Bettersociety: Development Of Community In Changing World.
DOI: 10.9790/0853-151104115117 www.iosrjournals.org 116 | Page
The conditions of medical and surgical depends on professionalism. The way we manage individuals
and public is what matters a lot today. Patients have a clear cut idea of the doctors. They not only see your
working efficiency but also your behavioral aspects. The relationship between the patient and doctor is of most
crucial importance in terms of delivering the proper care. Providing a high quality of treatment depends on the
effects of both. The health organizations are very effective in care of society.
Society and professionalism:
The situation as such what was before is not seen now a days in this modern period. The
professionalism sometimes takes a darker way which happens because of lack of proper communication and
understanding between the fellows, the corporate services, the hospital workers and the patient. The
communication gap must be withdrawn for a better service to the society. The reason for making this report is
not only to be read and apply by doctors but also by the public and the managers of hospitals. Including media
and policy making people, all play a big role in advancement of the surgical profession.Understanding and
compatibility between all makes a healthy society. Surgery profession is embedded in every procedure of the
modern world.
Society and surgeons responsibility:
It is the professional responsibility of surgeons to consume his experience and knowledge to serve the
community in a better way. The ethical training should always be practiced. We should give special attention to
understand the attitude of patients who are physically and mentally challenged. Understanding the mind of child
in pediatric cases is also required to deliver good treatment and create positive attitude towards the doctors in
near and future times. Today’s scenario most often runs with money when patient go for treatment in private
clinics and corporate hospitals. Economically maintaining the public health should be followed.Encouraging and
educating the community to the present is necessary. The world is in the state of increasing pollution in every
way. Lots of issues are documentedstarting from greenhouse gases, mercury emissions from power plants and
presence of pesticides in our food.2
Performance of the surgeon should be measured to evaluate the degree of care he is providing. This can
also be helpful in increasing the performance of surgeon. There are very less measures to evaluate the
performance of surgeon till now. Most of the evaluation will be done via websites and the data base available in
it.3
. But there must be an individual measure system for assessment. This happens because of lack of resources
available for development and a certain degree of unwillingness by the members. Strong measures should be
followed and it requires individual leadership. There is a shift in the surgical profession’s historical reluctance to
engage in overt self-regulation.4
Endeavors to enhance mind and lessen costs through expanded straightforwardness and responsibility
in the conveyance of medicinal care have expanded the requirement for educational and adequate execution
measures. A few administrative, oversight, and payer associations have driven in endeavors to create measures,
yet specialist's expert associations have started to assume a more noticeable part. Outside weights might push
these associations toward the improvement of measures; be that as it may, doctors have for the most part
opposed endeavors to characterize the particular way of what they do. Improvement of execution measures by
forte social orders speaks to a move toward more noteworthy cooperation by doctors in societal endeavors to
deal with the medicinal services framework and, possibly, in self-control, however the degree to which doctor
proficient gatherings have responded to this call is obscure. Respondents additionally specified participation
worries over misbehavior implications.5
Scenario of surgeon’s society in world:
Surgeons association in different countries were worked for various social cause. Surgeon professional
societies affect the national health care as they belong to a special position in the society. Physicians practicing
in sensitive areas, but a few such as the American Medical Association and American College of Surgeons have
a more clinically heterogeneous membership.6
Similar performance is to be measured and improved in clinically
sensitive areas, specialty societies are a specificsite for deciding what provides better care. Indeed, the
development of clinical practice guidelines is a normal case of a particular society action planned to enhance
nature of care.7
Rules are deliberate clinical care guides of the arrangement and timing of particular procedures
that either are demonstrated to bring about better patient results or speak to master sentiment about the best
procedure of watch over specific patients. Be that as it may, rules themselves have demonstrated restricted for
evolving rehearse.8
Also, despite more than a decade of society-specific guidelines to improve care it is a failure
that has spurred current efforts to develop performance measures. In India the changing trends and clinical
establishment act made the professional society existence more robust and the advisory committee consist the
members from the surgical societies for drafting till implementation. Its real race for surgeons to represent at
government bodies towards good social cause it is necessary to implement or adopt various mechanism involved
3. Surgeons For A Bettersociety: Development Of Community In Changing World.
DOI: 10.9790/0853-151104115117 www.iosrjournals.org 117 | Page
by other countries in the upliftment of disease process in public through these associations in a standardized
manner.
Regardless of the clear cover of interests between the claim to fame social orders and those intrigued
by measuring execution, social orders have a few critical requirements. To start with, they are constrained in the
degree to which they can seek after exercises not upheld by their participation. Second, the general public
pioneers and enrollment may have constrained skill in the specialized parts of measure improvement. Third,
society assets coordinated at measuring execution contend with more conventional society exercises including
political backing. At long last, claim to fame sheets and state permitting organizations have been the customary
home for therapeutic expert self-control. Regardless, strength sheets and authorizing offices have constrained
power to characterize best practices and as of not long ago have to a great extent restricted their exercises to
controlling exams (claim to fame sheets) and training doctors who have overstepped laws (permitting
organizations).
The pressure between the strengths pushing for more noteworthy expert society inclusion being
developed of measures and those keeping social orders down recommend that the time is on the whole correct to
evaluate where specialists proficient social orders are with respect to this movement. For this study we
concentrated on what these social orders have been doing to create and scatter measures of specialist's clinical
execution. Our objectives were to depict the exercises of the real expert social orders in the territory of
specialist's execution estimation and to decide the significant boundaries and facilitators to specialist's social
orders' advancement of measures.
II. Conclusion
We as a country must be more proactive in advancing our message of watch over the personal
satisfaction of all people groups, paying little respect to race, religion, and most piercingly sexual orientation.
Singular specialists ought not to be meek in affirming their position as the homes of the world's finest
specialists.The efforts of the surgeons to establish itself as the custodian of quality surgery in women and men
fits well with the very successful public campaign. Surgeons not only should serve as experts in the treatment of
particular disease but should and will begin to take an activist and front-line role in improving the surgical care
of people. The structure used by the foreign must be applied in our country too. We must act as a human being
first then a professional.
References
[1]. Dr. John Snow information. Accessed Feb 27, 2004.
[2]. The Role of Reproductive Surgeons and the Society of Reproductive Surgeons by Ricardo Aziz, M.D., M.P.H., M.B.A. Published
in Fertility and Sterility 2002;78:916-7.
[3]. Details of the study methods are available online at http://content.healthaffairs.org/cgi/content/full/26/6/1712/DC1.
[4]. See Medical Professionalism Project, “Medical Professionalism in the New Millennium: A Physicians’ Charter,” Lancet 359, no.
9305 (2002): 520–522.
[5]. E.M. Rogers, Diffusion of Innovations, 4th ed. (New York: Simon and Schuster, 1995).
[6]. B.E. Landon et al., “Physician Clinical Performance Assessment: Prospects and Barriers,” Journal of the American Medical
Association 290, no. 9 (2003): 1183–1189.
[7]. S.M. Asch et al., “Who Is at Greatest Risk for Receiving Poor-Quality Health Care?” New England Journal of Medicine 354, no. 11
(2006): 1147–1156
[8]. M.D. Cabana et al., “Why Don’t Physicians Follow Clinical Practice Guidelines? A Framework for Improvement,” Journal of the
American Medical Association 282, no. 15 (1999): 1458–1465.