The Use Of Error and Uncertainty Methods in the Medical LaboratoryShrineCaete
Error and uncertainty methods are complementary when evaluating measurement data. Error methods compared with uncertainty methods offer simpler, more intuitive and practical procedures for calculating measurement uncertainty and conducting quality assurance in laboratory medicine.
The Use Of Error and Uncertainty Methods in the Medical LaboratoryShrineCaete
Error and uncertainty methods are complementary when evaluating measurement data. Error methods compared with uncertainty methods offer simpler, more intuitive and practical procedures for calculating measurement uncertainty and conducting quality assurance in laboratory medicine.
Molecular Biologist Academic CV for Industry or Private Sector Consideration Sirie Godshalk
Molecular Biologist with over thirteen years of hands-on research experience, impactful writer and presenter, dynamic leader and enthusiastic team player with an eye for great ideas and a passion to move science in new directions seeks challenging opportunities beyond the bench.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
1. Ellen A. Tintner, CLS (ASCP)cm, MBA
EATintner@gmail.com - (954) 907-5792
Licenses and Credentials______________________________________________________________________________
• State of Florida SU46939
Clinical Chemistry Supervisor, Hematology, Immunohematology, Molecular Pathology, Microbiology, Serology
• American Society of Clinical Pathology (ASCP) MLS cm-12830
Work Experience
Compliance and Quality Assurance Coordinator Select Laboratory Partners, Greensboro, NC _01/2014 -11/2015
• Managed CLIA Compliance for contracted testing laboratories
• Assessed needs of Client and communicated to physicians, lab director, facility management, staff and lab
personnel, as well as the SLP team
• Interviewed, and hired technical staff
• Orientation for new staff, periodic competency assessments, review of job descriptions
• Training and Teaching of personnel; laboratory practices, record keeping, data management, departmental
communication, ensuring compliance with CLIA and other regulatory agencies
• Validated new test methods, analyzers, and prepared documents achieving passage of start-up inspections
• Coordinated and supervised QC, corrective actions, QA, Proficiency testing, maintenance,
• Updated labs with new developments in documents, requirements, and electronic records and technology
• Prepared site for OSHA and MSDS safety requirements
• Performed preinspections on labs resulting in 100% on AHCA surveys
• Audited new clients; reviewed and wrote policies and procedures achieving passage of state inspections
• Established inventory and ordering procedures reducing time and costs of to labs
Medical Technologist West Florida Hospital, Pensacola, Fl 05/2013 – 08/2013
• Travel Tech for Club Staffing, AMN healthcare company
• Generalist, Chemistry, Hematology, Coagulation, UA, Specimen Processing
• Meditech
Medical Technologist University of Maryland Medical Center, Baltimore, MD 08/2012 – 02/2013
• Travel Tech for Titan Medical
• Chemistry and Coagulation technologst in state of the art laboratory, for trauma center and routine testing
• QC, trouble shooting, maintenance, assisted with preparation for Joint Commission Survey
• Keeping analyzers online with robotic track
• Cerner Millennium
Laboratory Supervisor Glades Medical Group , Boca Raton, Fl 06/2011- 06/2012
• Supervised and performed lab tests in chemistry, hematology, UA, immunoassay, waived testing, and phlebotomy
Responsible for quality control and maintenance logs and all lab documentation
Rearranged lab processing to generate computerized barcode labeling of all samples, and their use on analyzers
Updated charting process and achieved 100% lab test placement in chart prior to physician’s review
Installed inventory control program keeping lab operational at all times
API surveys brought to 100%, enabling reinstatement of Florida license
Staff training, orientation, competency assessment, scheduling,
Organized and wrote policy and procedure manuals
Medical Technologist Broward General Medical Center, Ft Lauderdale, FL 12/2009 – 11/2010
Performed lab testing chemistry, hematology, Coagulation, UA
QC, maintenance, instrument troubleshooting, problem solving, proficiency testing
Medical Technologist Plantation General Hospital, Plantation, Florida 08/2009 – 09/ 2010
Lab testing, specimen handling, QC, maintenance, specimen processing, chemistry, hematology, UA, Coagulation
Provided excellent customer service to hospital and staff. Per Diem rotation
Meditech
Education__________________________________________________________________________________________
Bachelor of Science Medical Technology 1979
University of Bridgeport, Bridgeport, Connecticut
Medical Technology Internship- 1979
Hartford Hospital, Hartford, Connecticut
Master of Business Administration- 1984
2. Ellen A. Tintner, CLS (ASCP)cm, MBA
EATintner@gmail.com - (954) 907-5792
University of Houston, Houston, Texas