A survey of internists—physicians practicing internal
medicine—whose board certification was up for renewal in December 2002 found that the most
common reasons for participating in recertification or Maintenance of Certification (MOC) were
to maintain professional image and update knowledge. The survey findings report that 59 percent
of general internists and 60 percent of subspecialists participated to maintain their professional
image. Additionally, 51 percent of general internists and 60 percent of subspecialists participated
to update their medical knowledge. http://www.abim.org/moc/
Defining medical errors, types of medical errors, statistics of medical errors in USA and Europian Union WHO 2017, and their effects, the 10 medical errors that have changed medical practice, the 10 medical errors that kill the patient in the hospital
Defining medical errors, types of medical errors, statistics of medical errors in USA and Europian Union WHO 2017, and their effects, the 10 medical errors that have changed medical practice, the 10 medical errors that kill the patient in the hospital
Background: The Food and Drug Administration relies on adverse event reports linked with health risks to remove potentially harmful dietary supplements from the market. Many emergency medicine physicians encounter suspected adverse events related to
dietary supplement use but we do not know what proportion of those adverse events are reported to the Food and Drug Administration. The objective of the study was to determine emergency medicine physicians’ practices regarding adverse event reporting and knowledge of dietary supplements.
Methods: A prospective, cross-sectional study was conducted across five medical centers around the U.S: three military and two civilian. A web-based survey was distributed to emergency medicine attending physicians and emergency medicine residents. The questionnaire was created and administered using Lime Survey software. An administrator at each site communicated study details to emergency medicine physicians and residents via email. The survey was kept open for fi ve months. To preserve participant anonymity,
neither email domains, email addresses, Internet Protocol addresses, nor any other personally identifi able or demographic information were collected.
Safety Event Analysis Teams (SEAT) comprised of believers & opinion builders. The team identified defects from the event reports. Implemented systems changes to reduce the probability of recurring. At least one defect was investigated each month.
The implications of SEAT were, staff came open and reported the incidents. It helped institute a Fair and Just Culture. Investigation examined the processes and not just people. Staff share their experiences with other CUSP units. SEAT helped turn these staff in to champions
Medication Administration Errors at Children's University Hospitals: Nurses P...iosrjce
Medication administration errors(MAE) can threaten patient outcomes and are a dimension of
patient safety directly linked to nursing care. Children are particularly vulnerable to medication errors because
of their unique physiology and developmental needs.
Aims: The present study aims to examine types, stages and causes of medication errors. Barriers of medication
administration errors reporting and its facilitator at pediatric University hospitals from nurses point of view.
Methods: A descriptive study was conducted in Pediatric intensive care units, medical, surgical and urology
ward of children's university hospital at Mansoura University, intensive care units, kidney dialysis at
Abouelrash pediatric hospital and general wards of Elmonaira at Cairo University Hospitals. 80 nurses were
included in the study after fulfilling the criteria of selection. A structured interview questionnaire that consists
of four sections was used.
Results: The highest types of medication errors as reported by studied nurses occurred when the medication is
delivered by the wrong route, the highest stage of medication errors done by nurses was missing of medication
then patient monitoring and administration and the highest cause of medication errors was due to heavy
workload. The results of this study indicated that the strongest perceived barriers to medication administration
errors reporting were fear from consequences of reporting, then managerial factor and then the process of
reporting from the nurse's viewpoint. The nurses agree that identifying benefits of reporting followed agree that
feeling safe about working environment, and agree that good professional relationship with physicians was the
most facilitating factors of reporting medication errors.
Conclusions: It was concluded that medication errors result from interrelated factors, the strongest perceived
barriers to medication administration errors reporting were fear from consequences of reporting, and good
relationship with nurse managers and physicians were the most facilitators of reporting medication errors.
Recommendation: The study recommended that the assessment of medication errors should be done
periodically and in- service training program about medication administrations should be applied
Our main involvement with your clinical research recruitment program concludes with processing the responses to your mailer. As our staff members direct the respondents to your site, you can begin conducting final interviews to complete the clinical trial recruitment process.
This presentation tells us about what are the medication errors and how we differentiate between them as per the National Accreditation Board for Hospital & Healthcare Providers standard for hospitals 5th Edition.
Presentation contains detailing details of medication error.
Some GIFs may not be seen.
In this file, you can ref interview thank you letter materials for construction laborer position such as construction laborer interview thank you letter samples, interview thank you letter tips, construction laborer interview questions, construction laborer resumes, construction laborer cover letter …
Background: The Food and Drug Administration relies on adverse event reports linked with health risks to remove potentially harmful dietary supplements from the market. Many emergency medicine physicians encounter suspected adverse events related to
dietary supplement use but we do not know what proportion of those adverse events are reported to the Food and Drug Administration. The objective of the study was to determine emergency medicine physicians’ practices regarding adverse event reporting and knowledge of dietary supplements.
Methods: A prospective, cross-sectional study was conducted across five medical centers around the U.S: three military and two civilian. A web-based survey was distributed to emergency medicine attending physicians and emergency medicine residents. The questionnaire was created and administered using Lime Survey software. An administrator at each site communicated study details to emergency medicine physicians and residents via email. The survey was kept open for fi ve months. To preserve participant anonymity,
neither email domains, email addresses, Internet Protocol addresses, nor any other personally identifi able or demographic information were collected.
Safety Event Analysis Teams (SEAT) comprised of believers & opinion builders. The team identified defects from the event reports. Implemented systems changes to reduce the probability of recurring. At least one defect was investigated each month.
The implications of SEAT were, staff came open and reported the incidents. It helped institute a Fair and Just Culture. Investigation examined the processes and not just people. Staff share their experiences with other CUSP units. SEAT helped turn these staff in to champions
Medication Administration Errors at Children's University Hospitals: Nurses P...iosrjce
Medication administration errors(MAE) can threaten patient outcomes and are a dimension of
patient safety directly linked to nursing care. Children are particularly vulnerable to medication errors because
of their unique physiology and developmental needs.
Aims: The present study aims to examine types, stages and causes of medication errors. Barriers of medication
administration errors reporting and its facilitator at pediatric University hospitals from nurses point of view.
Methods: A descriptive study was conducted in Pediatric intensive care units, medical, surgical and urology
ward of children's university hospital at Mansoura University, intensive care units, kidney dialysis at
Abouelrash pediatric hospital and general wards of Elmonaira at Cairo University Hospitals. 80 nurses were
included in the study after fulfilling the criteria of selection. A structured interview questionnaire that consists
of four sections was used.
Results: The highest types of medication errors as reported by studied nurses occurred when the medication is
delivered by the wrong route, the highest stage of medication errors done by nurses was missing of medication
then patient monitoring and administration and the highest cause of medication errors was due to heavy
workload. The results of this study indicated that the strongest perceived barriers to medication administration
errors reporting were fear from consequences of reporting, then managerial factor and then the process of
reporting from the nurse's viewpoint. The nurses agree that identifying benefits of reporting followed agree that
feeling safe about working environment, and agree that good professional relationship with physicians was the
most facilitating factors of reporting medication errors.
Conclusions: It was concluded that medication errors result from interrelated factors, the strongest perceived
barriers to medication administration errors reporting were fear from consequences of reporting, and good
relationship with nurse managers and physicians were the most facilitators of reporting medication errors.
Recommendation: The study recommended that the assessment of medication errors should be done
periodically and in- service training program about medication administrations should be applied
Our main involvement with your clinical research recruitment program concludes with processing the responses to your mailer. As our staff members direct the respondents to your site, you can begin conducting final interviews to complete the clinical trial recruitment process.
This presentation tells us about what are the medication errors and how we differentiate between them as per the National Accreditation Board for Hospital & Healthcare Providers standard for hospitals 5th Edition.
Presentation contains detailing details of medication error.
Some GIFs may not be seen.
In this file, you can ref interview thank you letter materials for construction laborer position such as construction laborer interview thank you letter samples, interview thank you letter tips, construction laborer interview questions, construction laborer resumes, construction laborer cover letter …
This presentation has been uploaded for use on Andrew Welch's blog. The purpose of this course is to facilitate an in-depth discussion of items useful to new and seasoned United States Coast Guard Auxiliarists. It draws on extensive resources freely available from the USCG and USCG Auxiliary. It was originally developed by Flotilla 054-25-12 for use with that unit’s new members, but may be freely used by individual units wishing to provide such training.
This report contains the preliminary findings from a research project that aimed to explore:
• What is the current practice around teaching social science research methods to undergraduate medical students in the UK: what is being taught, how are teaching and learning organised within the curriculum, how is content is delivered, to and by whom and how is student learning assessed?
• And, what are the challenges and opportunities around developing this teaching and learning practice and the curriculum and policy contexts that frame it?
What quality measures does the MCO have in placeSolutionManag.pdfformicreation
What quality measures does the MCO have in place?
Solution
Managed care organizations (MCOs) are responsible for ensuring that persons enrolled in their
plans receive quality health care. In addition, MCOs publicly funded through the Medicare and
Medicaid programs are required by State and Federal governments to meet certain quality
standards.
To fulfill their responsibilities, MCOs need ready access to a comprehensive array of evidence-
based clinical information and other clinical performance measures to enable them to evaluate
their providers\' performance and identify areas where improvement is needed. They also need to
know how their members feel about the care they receive and the way they are treated. Finally,
they need to ensure that both their providers and members are aware of the most recent
preventive care recommendations.
Valid, reliable, and cost-effective measurement tools must be available to make such
determinations, but these tools have not always been available. Furthermore, because the science
of performance measurement is relatively new, additional measures need to be developed and
those that have been developed can be improved. Therefore, to ensure that their enrollees in
MCOs receive high-quality care, MCOs need a reliable source to provide the most current and
scientifically sound tools.
In response to this need, the Agency for Healthcare Research and Quality (AHRQ) has funded
research to compile a database of evidence-based clinical guidelines and to develop clinical
performance measures, member satisfaction surveys, and preventive care recommendations that
can help MCOs meet their responsibilities. Additionally, AHRQ funds research and develops
performance measures and guidelines that MCOs, insurers, providers, and consumers can trust.
This report describes these tools and how they have been used and provides information on
where to learn more about them.
Background
Around one-half of insured Americans are enrolled in some form of managed care. However, as
the number of persons enrolled in MCOs increased in the 1990s, health care purchasers,
policymakers, and other stakeholders became concerned about the potential for health care
quality to diminish. In their view, the policies and practices imposed by MCOs to reduce what
MCOs define as unnecessary care might result in patients not receiving needed care. Therefore,
MCOs faced accreditation systems and other requirements to ensure that patients were receiving
the most appropriate care.
More recently, MCOs have had to address other emerging concerns such as: Rapid introduction
of new technologies, Data showing unexplained variations in the provision of care, Severe cost
pressures.
These factors have provided additional motivation to MCOs to develop systematic ways of
preserving and enhancing health care quality and cost-effectiveness.
Evidence-based practice guidelines and performance measures were developed to help ensure
that patients always receive the most appropri.
Recent reports indicate that physicians are stressed and overburdened by several administrative challenges, leaving them with less time for patient care.
ACT500 Research Evaluation TablesArticle 1 Measuring Perfo.docxbobbywlane695641
ACT500: Research Evaluation Tables
Article 1: Measuring Performance
Insert reference in APA formatting, 6th ed. 4th printing
Research Topic
The topic is a broad subject. The topic is not the problem to be solved; that comes later. Example: Balanced Scorecard
Problem or Opportunity
The problem is established with factual data and is found in the introductory portion of the research article or report.
Purpose for the Research
The purpose of the study defines what the researcher wants to find out and is found in the introductory section of the research article. Sometimes the purpose contains a research question/s.
Research Methods
A researcher makes a decision about the broad nature of a research approach: typically quantitative/confirmatory or qualitative/exploratory. Research design strategies are driven by the chosen research approach and the research purpose. Research design strategies include: types of data collected, how the data is collected, and what preparation of data is used, analytical techniques, and presentation of information.
Audience
The groups, associates, profession, and/or individuals that the researcher suggests might benefit from the findings of this study
Research Evaluation
Assess the study’s Research Methods and Analytic Techniques. Are the research methods and analytic techniques applicable to solving practical management questions? Why or why not? You must substantiate your position with credible resources and examples.
Discuss how your organization might or might not use the findings from these studies. Substantiate your opinion with concrete examples.
Article 2: Incremental Analysis
Insert reference in APA formatting, 6th ed. 4th printing
Research Topic
The topic is a broad subject. The topic is not the problem to be solved; that comes later. Example: Cost Behavior
Problem or Opportunity
The problem is established with factual data and is found in the introductory portion of the research article or report.
Purpose for the Research
The purpose of the study defines what the researcher wants to find out and is found in the introductory section of the research article. Sometimes the purpose contains a research question/s.
Research Methods
A researcher makes a decision about the broad nature of a research approach: typically quantitative/confirmatory or qualitative/exploratory. Research design strategies are driven by the chosen research approach and the research purpose. Research design strategies include: types of data collected, how the data is collected, and what preparation of data is used, analytical techniques, and presentation of information.
Audience
The groups, associates, profession, and/or individuals that the researcher suggests might benefit from the findings of this study
Research Evaluation
Assess the study’s Research Methods and Analytic Techniques. Are the methods and analytic techniques applicable to solving practical management questions? Why or why not? You must substantiate your position wit.
The Role of Physician Specialty Board Certification Status in the Quality Mov...abimorg
Jama article- QUALITY OF CARE Continues
to dominate the health
policy agenda. Originally
engendered by the now
multiple reports of the Institute of Medicine
(IOM) on quality of care,1 in particular
on patient safety,2 and given new
impetus by ongoing reports concerning
the variable effectiveness of care
provided by hospitals and physicians,
3,4 the quality movement has expanding
momentum. Perhaps most important,
high-quality medical care has
become a significant objective for US
business, as motivated employers make
the point that value purchasing should
be as much a rule for medical care as it
is for other areas of industry.
Background: The transition from resident physician to independent practitioner is an important period for young physicians.Optimally, they would feel well prepared to independently care for all patients presenting to them for anesthesia, however, this is unlikely Methods: A survey was emailed to all accredited anesthesiology residency program coordinators in April 2018 for further distribution to their CA3 residents. The survey collected data on the resident’s perception of his or her preparedness to manage a variety of anesthesia cases, patients with comorbid conditions, and ethical issues as well as perform various procedures.
Relationship Between Physician Certification and Healthcare Quality and Prese...abimorg
The paper, by authors affiliated with the American Board of Internal Medicine (ABIM), summarizes how
board certification is related to quality, reveals that the public views certification as an essential marker of
physician quality, and describes how certification is becoming more comprehensive. The authors
conclude that board certification should be among the key evidence-based measures used to pursue
physician quality improvement.
http://www.abim.org/
Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes.
With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information.
Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care.
A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.
Though a recent study found repeat colonoscopy is good for certain patients, accurate documentation is still a crucial factor to determine whether it is appropriate.
The practice of internal medicine faces many challenges from a dynamic health care environment
in which advancing biomedical science must be linked with meaningful, coordinated care
delivery. Sound clinical judgment is especially important when care and treatment are being
coordinated between outpatient and inpatient settings, or between internists and subspecialists
in the same setting.
ABIM Cancer Screening PIM™ Practice Improvement Module Measures Catalogue - A...abimorg
Measures (3) This PIM examines the care you provide to your patients by addressing key processes and outcomes of preventive care based on recommendations of the U.S. Preventive Services Task Force, the National Cancer Institute, the American Cancer Society, and the American College of Radiology.
http://www.abim.org/
American Board of Internal Medicine- Measures (2) This PIM examines the care you provide to your patients by addressing key processes and outcomes of chronic kidney disease care based on recommendations of the National Kidney Foundation Kidney Disease Outcome Quality Initiative (NKF KDOQI), and Kidney Disease: Improving Global Outcomes (KDIGO).
http://www.abim.org/
ABIM Care of the Vulnerable Elderly PIM™ Practice Improvement Module Measures...abimorg
American Board of Internal Medicine- Measures (1)- This PIM examines the care you provide to your patients by addressing key processes and outcomes of care for older patients. These are based primarily on guidelines from the American Geriatrics Society.
http://www.abim.org/
ABIM Osteoporosis PIM™ Practice Improvement Module Measures Catalogueabimorg
Measures (8) http://www.abim.org/
This catalogue provides information related to the American Board of Internal Medicine’s Osteoporosis Practice
Improvement Module®. It is written in language that addresses the physician who might choose to complete this module, and it
details the specifics of the module. Included is information regarding:
• Purpose and structuring of the module
• Patient inclusion criteria
• Detailed description of the measures
Education associate - American Board of Internal Medicineabimorg
The Education Associate for Academic Affairs is responsible for coordinating educational product development, serving as the primary liaison for academic and educational societies, performing program evaluation for educational activities, assisting with the coordination of the hospital visit program, coordinate preparation of materials for medical society meetings and assist the Vice President of Academic Affairs. This individual reports to the Director of Academic Affairs and functions with considerable independence. http://www.abim.org/
Director of communication - American Board of Internal Medicineabimorg
The Director of Communications will work closely with ABIM Foundation (the
“Foundation”) staff as the communications partner on a variety of strategic initiatives,
which will be set by the Vice President of Communications and the Executive Vice
President of the Foundation. This position will have a dual reporting relationship to these
two executives, with the primary reporting relationship being to the Vice President of
Communications.
http://www.abim.org/
Director clinical measurement - American Board of Internal Medicineabimorg
The Director of Clinical Measurement works closely with ABIM staff and committees to develop, to maintain and to support the clinical performance measures in ABIM PIMs and related products and programs. ABIM PIMs currently encompass over 600 quality measures and supporting materials, including the chart survey, patient survey, physician report, measure catalogues, and educational information and links. The Director of Clinical Measurement will be responsible for clinical guidance and policy to ensure that ABIM’s measures effectively and appropriately advance the goals of our Certification and MOC programs, as well as external outreach to ensure ABIM’s measures are strategically entered into the public domain and harmonized effectively with those of other measurement organizations. The Director of Clinical Measurement will develop criteria, protocols, procedures, and tools to implement ABIM measures strategy with input from the ABIM Board and staff. The Director of Clinical Measurement will work closely with ABIM’s clinical content and psychometric staff, and physician expert panels to ensure ABIM’s measures strategy is implemented in a uniform manner. The Director of Clinical Measurement reports to the Director, Medical Informatics. http://www.abim.org/
IHI LAUNCHES NATIONAL CAMPAIGN TO REDUCE MEDICAL HARM IN U.S. HOSPITALS, BUIL...abimorg
The Institute for Healthcare Improvement (IHI) announced,
with the support of prominent leaders in American health care, a national campaign to dramatically
reduce incidents of medical harm in U.S. hospitals. The 5 Million Lives Campaign will ask hospitals to
improve more rapidly than before the care they provide in order to protect patients from five million
incidents of medical harm over a 24-month period, ending December 9, 2008. This represents a
continuation of the largest improvement effort undertaken in recent history by the health care industry. http://www.abim.org/
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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.
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
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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.
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
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.
INTERNAL MEDICINE ORGANIZATIONS SURVEY INTERNISTS ON MAINTENANCE OF CERTIFICATION
1. EMBARGOED FOR RELEASE UNTIL 5 P.M., EST, MONDAY, JAN. 2, 2006
CONTACT: Dec. 19-23, Lynda Teer, ACP, 215-351-2655 or 1-800-523-1546, ext. 2655
Dec. 19-30, Veronica Jones, ABIM, 215-606-4120 or 1-800-441-2246, ext. 4120
___________________________________________________________________
INTERNAL MEDICINE ORGANIZATIONS SURVEY INTERNISTS ON
MAINTENANCE OF CERTIFICATION
Internists Say Most Important Reasons to Recertify Are to Improve Professional Image
and Update Knowledge
PHILADELPHIA — (Jan. 3, 2006) A survey of internists—physicians practicing internal
medicine—whose board certification was up for renewal in December 2002 found that the most
common reasons for participating in recertification or Maintenance of Certification (MOC) were
to maintain professional image and update knowledge. The survey findings report that 59 percent
of general internists and 60 percent of subspecialists participated to maintain their professional
image. Additionally, 51 percent of general internists and 60 percent of subspecialists participated
to update their medical knowledge.
The survey results are summarized in an article, “Who is Maintaining Certification in
Internal Medicine -- and Why? A National Survey 10 Years after Initial Certification,” published
in the Jan. 3, 2006, issue of Annals of Internal Medicine and available at
http://www.annals.org/cgi/content/full/144/1/29.
--more--
2. ABIM-ACP Survey/2 of 4
The survey was conducted by the American Board of Internal Medicine and the
American College of Physicians to identify factors that influence participation in MOC and
explore how diplomates (physicians board-certified in internal medicine and its subspecialties)
perceive the value of the program. The impetus for this study was that ABIM estimated that
about 77 percent of internal medicine generalist physicians and 86 percent of internal medicine
subspecialty physicians with time-limited certificates participate in MOC. Specifically, ABIM
estimated that 23 percent of general internists and 40 percent of internal medicine subspecialists
were not renewing their internal medicine certificates, and 14 percent of subspecialists were not
renewing their subspecialty certificates.
Board certification is not mandatory but is required by many employers to gain
privileges to practice. ABIM and ACP sampled a group of 3,500 diplomates with a response rate
of 51 percent. While about half the respondents reported that at least one employer required
board certification, only about one third gave employer requirements as a reason to participate in
the recertification program. Of those who did not participate or chose not to renew their
certificates, the most common reason was that recertification takes too much time.
“ABIM’s MOC program has evolved to address the concerns that many internists have
about participating in a recertification program,” said Christine K. Cassel, MD, ABIM president
and chief executive officer. “We want to make this program effective for our diplomates by
reducing redundancy and encourage participation by communicating how maintaining one’s
certificate can improve the quality of care delivered.”
--more--
3. ABIM-ACP Survey/3 of 4
“ACP believes in lifelong learning and professional accountability through
recertification,” said Steven E. Weinberger, MD, ACP senior vice president for medical
knowledge and education. “The survey shows that internists who recertify do so not only to
improve knowledge but also to improve the quality of patient care.”
While 91 percent of the internists surveyed were still working in internal medicine or its
subspecialties, the proportion was lower among generalists (79 percent) than subspecialists (96
percent). The survey did not ask why these doctors left internal medicine. “We will try to
determine this in our next survey, as well as track the attitudes and impact of the new
enhancements to MOC for our diplomates,” said Rebecca Lipner, PhD, ABIM vice president of
psychometrics.
Several survey questions assessed internists’ attitudes toward MOC. These found that 69
percent of general internists felt that internists working in direct patient care should be certified,
and that peers and patients perceive board-certified physicians to be more competent than non-
certified physicians. Among internal medicine subspecialists, 72 percent felt that allowing their
certification to expire would adversely affect their careers, that internists working in direct
patient care should be certified, and that peers perceive board-certified physicians to be more
competent than non-certified physicians.
ABIM’s MOC program is designed to evaluate both medical knowledge and practice
performance in addition to a secure exam. To ease the burden on physicians, ABIM has
collaborated with groups such as ACP and other medical organizations to offer credit for
modules developed outside of ABIM. Such collaborations reduce the time needed to complete
MOC and allow physicians to gain CME credit through society affiliation. ABIM and ACP will
continue collaborative efforts to provide periodic surveys assessing the impact of continuous
MOC enhancements for diplomates.
4. ABIM-ACP Survey/4 of 4
The American Board of Internal Medicine (ABIM) is an independent, not-for-profit
organization that grants board certification – a marker of physician quality in the United States
and internationally — to internists and subspecialists. Certification is a rigorous, comprehensive
program for evaluating physician knowledge, skills and attitudes to assure both patients and
payers that a physician has achieved competence for practice in a given field. Individual
physician certification results may be found at www.abim.org.
The American College of Physicians is the largest medical-specialty organization and
second-largest physician group in the United States. Membership includes internists, related
subspecialists, and medical students. Internists specialize in the prevention, detection and
treatment of illnesses in adults. ACP, publisher of Annals of Internal Medicine, provides
educational programs and products to help enhance the quality and effectiveness of health care.
# # #
NOTES TO EDITOR:
An embargoed PDF of the article, “Who is Maintaining Certification in Internal Medicine -- and
Why? A National Survey 10 Years after Initial Certification,” can be obtained by calling contact
numbers at the beginning of the news release.
g:releases2005ABIM-ACP survey #5037/12-19-05
