This document outlines a systems-oriented approach to caring for neonates using 10 organ systems: 1) fluids and nutrition, 2) glucose, 3) respiratory, 4) cardiovascular, 5) hematology, 6) GI/bilirubin/liver, 7) infectious disease, 8) medications, 9) neurological, and 10) social. Each system is discussed in 1-2 paragraphs covering assessments, common issues, and treatments. The overall approach aims to comprehensively capture all relevant medical information to bring order to neonatal care.
Kate Leggett's Forecast 2015 Keynote: Fragmentation & Consolidation in SalesBase CRM
Last week, the sales category was taken by storm when some of the top thought-leaders in the industry came to Forecast 2015. For those of you who couldn't attend, or want a second look at the amazing content presented, we're posting all of our speaker's keynotes for you.
Here's Kate Leggett's presentation on "Fragmentation & Consolidation in Sales."
Presentation given by Dorothee Rebscher of the Federal Institute for Geosciences and Natural Resources (BGR) on "CO2QUEST WP3 – Effect of impurities in CO2 stream on Storage Reservoir Performance" at the EC FP7 Projects: Leading the way in CCS implementation event, London, 14-15 April 2014
pediatrics emergency, hypoglycemia of infancy.
Glucose level can drop if:
There is too much insulin in the blood (hyperinsulinism). Insulin is a hormone that pulls glucose from the blood.
The baby is not producing enough glucose.
The baby's body is using more glucose than is being produced.
The baby is not able to feed enough to keep glucose level up.
Kate Leggett's Forecast 2015 Keynote: Fragmentation & Consolidation in SalesBase CRM
Last week, the sales category was taken by storm when some of the top thought-leaders in the industry came to Forecast 2015. For those of you who couldn't attend, or want a second look at the amazing content presented, we're posting all of our speaker's keynotes for you.
Here's Kate Leggett's presentation on "Fragmentation & Consolidation in Sales."
Presentation given by Dorothee Rebscher of the Federal Institute for Geosciences and Natural Resources (BGR) on "CO2QUEST WP3 – Effect of impurities in CO2 stream on Storage Reservoir Performance" at the EC FP7 Projects: Leading the way in CCS implementation event, London, 14-15 April 2014
pediatrics emergency, hypoglycemia of infancy.
Glucose level can drop if:
There is too much insulin in the blood (hyperinsulinism). Insulin is a hormone that pulls glucose from the blood.
The baby is not producing enough glucose.
The baby's body is using more glucose than is being produced.
The baby is not able to feed enough to keep glucose level up.
National Aspergillosis Centre Doctor Livingstone Chishimba holds a Q&A sessionGraham Atherton
Livingstone Chishimba specialises in aspergillosis (amongst other things) and works at the National Aspergillosis Centre, Manchester, UK.
This is a regular monthly support meeting held at the NAC for patients living with aspergillosis.
Luc Kupers, Director Science and Communication, Genzyme
Presentation at EIPG – VAPI-UPIP Symposium “Biotech and Advanced Therapies: Challenges and Opportunities” at the Faculty of Medicine and Pharmacy, Campus Jette, Vrije Universiteit van Brussel, Brussels 2013.
What nelson forgot 4 - Super CME for Common Pediatric OPD questionsGaurav Gupta
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Common Office practice questions, answered in just 5-10 minutes per topic ...
4Evidence-Based Practice Project- Paper on D.docxalinainglis
4
Evidence-Based Practice Project- Paper on Diabetes
Evidence-Based practice project- Closed Loop Insulin Delivery System on Type 1 DiabetesThe metabolic and endocrine dysfunction in other words T-cell mediated autoimmune disease is called diabetes mellitus (DM) which contains sky-rocketing influencing in morbidity and mortality of life. This paper is to elaborate the research article based on the treatment of childhood diabetes with the close loop insulin delivery system (CLIDS). Therefore, CLIDS is also known as the artificial pancreas which is being considered under the best therapeutic approaches for the control over the sugar in type 1 diabetes. “Closed loop delivery system is an innovative tool which is made up of synthetic materials, it works as a substitute of the pancreas by recognizing plasma glucose concentration, and computing the needs of insulin requirements and also it provides the exact amount of insulin as needed” (Sasi & Elmalki, 2013).
Research and Clinical Findings:
The research of innovative health care system was researched by many of the popular researchers in the 21"st century. The writer is also very interested in this research article which was by(Thabit et al) which is located in the New England Journal of Medicine in 2015. “Home Use of an Artificial Beta Cell in Type 1 Diabetes” This research paper basically provides information for the patient to improve their quality of life by helping them out with certain practices giving them right information base do the organization and providing them the safety of artificial pancreas for home settings. This study was specifically lead by the where there are 58 participants from two different age groups starting age of 6-18 years and also it includes 25 participants from age group 18 to 33 which involves involved type 1diabetes and the duration of the study was 12 weeks. Conduction of study was done as a closed-loop insulin delivery system versus sensor-augmented pump (SAP) therapy; in adult, CLIDS was used during the day and night and children group used sensor only overnight during the 12 weeks study time period while during the same time frame the sensor-augmented pump therapy used for the control group. However, both study and control group were under continuous monitoring of glucose through the continuous glucose monitoring device (CGMD) By the use of CGMD, glucose level recorded on CGMD ranging 70 to 180 mg per deciliter is considered as the primary endpoint for adult group and 70 to 145 mg per deciliter for children group (Thabit et al., 2015).
The research paper elaborates the effectiveness of artificial pancreas over SAP in both children and grown-up adult for maintaining the blood glucose level. CLIDS tracks the target blood glucose where they compare it to SAP as well. The practice round was done during the day and night with the adults and for children, it was only at the night time. There was not any limited controlled for the right way glucos.
Is IL1R1 required for celastrol’s leptin-sensitization and antiobesity effects?LucyPi1
The article by Xudong Feng et al. [1], published on 4 March 2019 in the journal of Nature Medicine, showed the relationship between natural product celastrol and obesity. The researchers demonstrated celastrol was able to sensitize leptin and displayed antiobesity effects through IL1R1 (Interleukin-1 receptor 1). It was proved that IL1R1 was a gatekeeper for celastrol’s metabolic actions.
A much-quoted aphorism in medicine is “Listen to your patient and they are telling you the diagnosis”. Most often, the history reveals the diagnosis and sometimes, it is all that is required to make the diagnosis. Unfortunately, in this age of modern technology-based medicine, many busy clinicians fail to get a proper history and miss important dots in the history that connect to the diagnosis. This is clinically relevant, as a specific diagnosis completely alters the nature of treatment and thereby improves prognosis.
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Health and Disease Begin in the Colon A preview of Professor Serge Jurasunas' new book, now available on Amazon in eBook and paperback formats. www.sergejurasunas.com
Inquiries: sergejurasunas@hotmail.com
5th International Disaster and Risk Conference IDRC 2014 Integrative Risk Management - The role of science, technology & practice 24-28 August 2014 in Davos, Switzerland
National Aspergillosis Centre Doctor Livingstone Chishimba holds a Q&A sessionGraham Atherton
Livingstone Chishimba specialises in aspergillosis (amongst other things) and works at the National Aspergillosis Centre, Manchester, UK.
This is a regular monthly support meeting held at the NAC for patients living with aspergillosis.
Luc Kupers, Director Science and Communication, Genzyme
Presentation at EIPG – VAPI-UPIP Symposium “Biotech and Advanced Therapies: Challenges and Opportunities” at the Faculty of Medicine and Pharmacy, Campus Jette, Vrije Universiteit van Brussel, Brussels 2013.
What nelson forgot 4 - Super CME for Common Pediatric OPD questionsGaurav Gupta
What nelson forgot 4 - Super CME for Common Pediatric OPD questions, 12th July 2019
Common Office practice questions, answered in just 5-10 minutes per topic ...
4Evidence-Based Practice Project- Paper on D.docxalinainglis
4
Evidence-Based Practice Project- Paper on Diabetes
Evidence-Based practice project- Closed Loop Insulin Delivery System on Type 1 DiabetesThe metabolic and endocrine dysfunction in other words T-cell mediated autoimmune disease is called diabetes mellitus (DM) which contains sky-rocketing influencing in morbidity and mortality of life. This paper is to elaborate the research article based on the treatment of childhood diabetes with the close loop insulin delivery system (CLIDS). Therefore, CLIDS is also known as the artificial pancreas which is being considered under the best therapeutic approaches for the control over the sugar in type 1 diabetes. “Closed loop delivery system is an innovative tool which is made up of synthetic materials, it works as a substitute of the pancreas by recognizing plasma glucose concentration, and computing the needs of insulin requirements and also it provides the exact amount of insulin as needed” (Sasi & Elmalki, 2013).
Research and Clinical Findings:
The research of innovative health care system was researched by many of the popular researchers in the 21"st century. The writer is also very interested in this research article which was by(Thabit et al) which is located in the New England Journal of Medicine in 2015. “Home Use of an Artificial Beta Cell in Type 1 Diabetes” This research paper basically provides information for the patient to improve their quality of life by helping them out with certain practices giving them right information base do the organization and providing them the safety of artificial pancreas for home settings. This study was specifically lead by the where there are 58 participants from two different age groups starting age of 6-18 years and also it includes 25 participants from age group 18 to 33 which involves involved type 1diabetes and the duration of the study was 12 weeks. Conduction of study was done as a closed-loop insulin delivery system versus sensor-augmented pump (SAP) therapy; in adult, CLIDS was used during the day and night and children group used sensor only overnight during the 12 weeks study time period while during the same time frame the sensor-augmented pump therapy used for the control group. However, both study and control group were under continuous monitoring of glucose through the continuous glucose monitoring device (CGMD) By the use of CGMD, glucose level recorded on CGMD ranging 70 to 180 mg per deciliter is considered as the primary endpoint for adult group and 70 to 145 mg per deciliter for children group (Thabit et al., 2015).
The research paper elaborates the effectiveness of artificial pancreas over SAP in both children and grown-up adult for maintaining the blood glucose level. CLIDS tracks the target blood glucose where they compare it to SAP as well. The practice round was done during the day and night with the adults and for children, it was only at the night time. There was not any limited controlled for the right way glucos.
Is IL1R1 required for celastrol’s leptin-sensitization and antiobesity effects?LucyPi1
The article by Xudong Feng et al. [1], published on 4 March 2019 in the journal of Nature Medicine, showed the relationship between natural product celastrol and obesity. The researchers demonstrated celastrol was able to sensitize leptin and displayed antiobesity effects through IL1R1 (Interleukin-1 receptor 1). It was proved that IL1R1 was a gatekeeper for celastrol’s metabolic actions.
A much-quoted aphorism in medicine is “Listen to your patient and they are telling you the diagnosis”. Most often, the history reveals the diagnosis and sometimes, it is all that is required to make the diagnosis. Unfortunately, in this age of modern technology-based medicine, many busy clinicians fail to get a proper history and miss important dots in the history that connect to the diagnosis. This is clinically relevant, as a specific diagnosis completely alters the nature of treatment and thereby improves prognosis.
Preview - Health and Disease Begin in the ColonSheldon Stein
Health and Disease Begin in the Colon A preview of Professor Serge Jurasunas' new book, now available on Amazon in eBook and paperback formats. www.sergejurasunas.com
Inquiries: sergejurasunas@hotmail.com
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A Systems Approach for Neonatal Critical Care " 1 thru 10"
1. “1 THRU 10”
A Systems- Oriented
Approach to the Neonate
Dr. David Mendez
Kidz Medical Services
2. 1 thru 10
DISCLAIMER
No one offered to pay me anything for what I am about to say.
I did, however, borrow, use and steal almost all of the
concepts I am about to talk about.
5. 1 thru 10
History
Systems approach is older than me
Babies can’t tell you what’s wrong
Captures all the information
Brings order to chaos
6. 1 thru 10
1.FLUIDS AND NUTRITION
Primary focus of Neonatal Care
Can change hourly
Responsible for decreasing Mortality
Responsible for decreasing Morbidity
47. 1 thru 10
8.MEDICATIONS
10. SOCIAL
MEDICATIONS THAT THE MOTHER IS TAKING THAT
CAN BE EXCRETED IN THE BREAST MILK
GENERAL AFFECT OF THE PARENTS THAT MAY
RAISE CONCERN
48. 1 thru 10
9. NEUROLOGICAL
SEIZURES AND IVH PRIMARY ISSUES
TONICITY
METABOLIC DISORDERS
EVOLUTIONARY PROCESS vs STATIC
49. 1 thru 10
9. NEUROLOGICAL
STUDIES, STUDIES, STUDIES
HEAD ULTRASOUNDS
EEG, vEEG, CT, MRI
ALMOST ALL STUDIES REQUIRE FOLLOW UP
50. 1 thru 10
9. NEUROLOGICAL
ONE OF THE BEST PREDICTORS FOR NORMAL
NEUROLOGIC DEVELOPMENT IS A NORMAL
NEUROLOGIC NEWBORN EXAM
51. 1 thru 10
9. NEUROLOGICAL
BRAIN COOLING (TOTAL BODY COOLING)
RX FOR HIE - TIME SENSITIVE
APPEARS TO REDUCE MORTALITY
APPEARS TO NOT INCREASE MORBIDTY
52. 1 thru 10
10. SOCIAL
IDENTIFICATION OF PRIMARY CAREGIVERS
WHO COMES TO THE BEDSIDE
COMMUNICATE THE “1 THRU 10”
BEST ROLE IN REDUCING MALPRACTICE
SUITS
53. 1 thru 10
10. SOCIAL
SOCIAL SERVICE OFTEN KEY
GOSSIP IS DEADLY
NICU PSYCHOSIS
MEDICAL ERRORS- inform, address, apologize