The document provides an overview of clinical ethics support in New Zealand's healthcare system. It finds that compared to similar countries, NZ has less access to formal clinical ethics advice. Several models are discussed, including Clinical Ethics Advisory Groups within District Health Boards. The report recommends establishing a national clinical ethics network to provide support locally. Key actions include developing education resources, setting terms of reference for advisory groups, and clarifying the relationship between clinical ethics and governance. Establishing a national network could help raise standards and improve quality of care across New Zealand.
The document summarizes the recommendations of the Indian Academy of Pediatrics Committee on Immunization (IAPCOI) regarding rotavirus vaccines. Some of the key points discussed are:
1) Rotavirus is a major cause of diarrhea and death in Indian children, though data on disease burden is limited. Vaccine efficacy appears to be lower in India than other countries.
2) There is a need to optimize the administration schedule of rotavirus vaccines in India to improve protective efficacy. Studies suggest higher and more frequent doses may be needed.
3) Both current rotavirus vaccines have a small increased risk of intussusception after the first dose. Limited Indian data from post-marketing surveillance reported some cases
This document discusses the development of a harmonized framework of core competencies for clinical research professionals. It notes that while regulations have increased in complexity, requirements for clinical research professionals remain vague. Several organizations have developed competency frameworks but they focus on specific roles or areas.
The Joint Task Force for Clinical Trial Competency was formed to align these various competency statements into a single, globally-applicable framework. They identified 8 domains of competency and harmonized knowledge, skills, and attitude statements within each domain from different frameworks. The result is a Core Competency Framework intended to shift the focus from regulatory compliance to professional competency and improve clinical research quality and safety.
How Pakistan Can Address the Clinical Trial Patient Recruitment Challenge - ...marcus evans Network
Ahead of the marcus evans Evolution Summit 2024 and the Evolution Europe Summit 2024, read here an interview with Dr Murtaza Hussain discussing why pharma companies should consider Pakistan for conducting clinical trials.
The document provides recommendations from a committee on immunization on rotavirus, Hib, and pneumococcal conjugate vaccines. Some key points:
1) The committee reviewed data on the burden of rotavirus disease in India and efficacy of current rotavirus vaccines. However, data gaps remain regarding disease epidemiology and optimal use of vaccines in India.
2) For rotavirus vaccines, the committee stresses the need for more Indian data and optimizing the administration schedule to improve protective efficacy. Safety data on intussusception following vaccination in India is limited.
3) Regarding Hib and pneumococcal vaccines, the committee calls for more Indian studies on disease prevalence and impact to help guide vaccine recommendations and policy
Attitude And Perception Of Post-Graduate Residents Toward Thesis A Cross-Sec...Steven Wallach
This study assessed the attitudes and perceptions of post-graduate medical residents toward completing a research thesis during their residency training. The study surveyed 125 residents across clinical and pre-clinical specialties. The majority of residents preferred observational studies over interventional studies for their thesis work. Most residents agreed that completing a thesis helped develop important research skills. However, residents also identified barriers like inadequate research facilities, study tools, and support staff. The study concluded that addressing barriers like lack of time, funding, and research infrastructure could help improve residents' attitudes toward completing their required theses.
NATIONAL INITIATIVE FOR ALLIED HEALTH SCIENCES
A STUDY TO AUGMENT THE CAPACITY AND QUALITY OF ALLIED HEALTH PROFESSIONALS IN INDIA
From ‘Paramedics’ to Allied Health Professionals: Landscaping the Journey and Way Forward - 2012
The report commissioned by the MINISTRY OF HEALTH AND FAMILY WELFARE - Government of India
Lack of a family medicine system in Kurdistan Region: Challenges and solutionsAI Publications
This document discusses the lack of a family medicine system in the Kurdistan Region of Iraq, including challenges and potential solutions. It begins by providing background on family medicine and its role in public health. The study aims to understand the challenges of developing family medicine in Erbil through interviews with 16 professionals. Three main themes emerged: 1) the past lacked family medicine and primary care centers provided limited services, 2) the present is in the early stages with one family medicine center, and 3) the future requires addressing challenges like shortages to develop objectives and strategies. The conclusion is that cooperation is needed between the Ministry of Health, universities, and parliament to further develop family medicine in the region.
The document provides an overview of clinical ethics support in New Zealand's healthcare system. It finds that compared to similar countries, NZ has less access to formal clinical ethics advice. Several models are discussed, including Clinical Ethics Advisory Groups within District Health Boards. The report recommends establishing a national clinical ethics network to provide support locally. Key actions include developing education resources, setting terms of reference for advisory groups, and clarifying the relationship between clinical ethics and governance. Establishing a national network could help raise standards and improve quality of care across New Zealand.
The document summarizes the recommendations of the Indian Academy of Pediatrics Committee on Immunization (IAPCOI) regarding rotavirus vaccines. Some of the key points discussed are:
1) Rotavirus is a major cause of diarrhea and death in Indian children, though data on disease burden is limited. Vaccine efficacy appears to be lower in India than other countries.
2) There is a need to optimize the administration schedule of rotavirus vaccines in India to improve protective efficacy. Studies suggest higher and more frequent doses may be needed.
3) Both current rotavirus vaccines have a small increased risk of intussusception after the first dose. Limited Indian data from post-marketing surveillance reported some cases
This document discusses the development of a harmonized framework of core competencies for clinical research professionals. It notes that while regulations have increased in complexity, requirements for clinical research professionals remain vague. Several organizations have developed competency frameworks but they focus on specific roles or areas.
The Joint Task Force for Clinical Trial Competency was formed to align these various competency statements into a single, globally-applicable framework. They identified 8 domains of competency and harmonized knowledge, skills, and attitude statements within each domain from different frameworks. The result is a Core Competency Framework intended to shift the focus from regulatory compliance to professional competency and improve clinical research quality and safety.
How Pakistan Can Address the Clinical Trial Patient Recruitment Challenge - ...marcus evans Network
Ahead of the marcus evans Evolution Summit 2024 and the Evolution Europe Summit 2024, read here an interview with Dr Murtaza Hussain discussing why pharma companies should consider Pakistan for conducting clinical trials.
The document provides recommendations from a committee on immunization on rotavirus, Hib, and pneumococcal conjugate vaccines. Some key points:
1) The committee reviewed data on the burden of rotavirus disease in India and efficacy of current rotavirus vaccines. However, data gaps remain regarding disease epidemiology and optimal use of vaccines in India.
2) For rotavirus vaccines, the committee stresses the need for more Indian data and optimizing the administration schedule to improve protective efficacy. Safety data on intussusception following vaccination in India is limited.
3) Regarding Hib and pneumococcal vaccines, the committee calls for more Indian studies on disease prevalence and impact to help guide vaccine recommendations and policy
Attitude And Perception Of Post-Graduate Residents Toward Thesis A Cross-Sec...Steven Wallach
This study assessed the attitudes and perceptions of post-graduate medical residents toward completing a research thesis during their residency training. The study surveyed 125 residents across clinical and pre-clinical specialties. The majority of residents preferred observational studies over interventional studies for their thesis work. Most residents agreed that completing a thesis helped develop important research skills. However, residents also identified barriers like inadequate research facilities, study tools, and support staff. The study concluded that addressing barriers like lack of time, funding, and research infrastructure could help improve residents' attitudes toward completing their required theses.
NATIONAL INITIATIVE FOR ALLIED HEALTH SCIENCES
A STUDY TO AUGMENT THE CAPACITY AND QUALITY OF ALLIED HEALTH PROFESSIONALS IN INDIA
From ‘Paramedics’ to Allied Health Professionals: Landscaping the Journey and Way Forward - 2012
The report commissioned by the MINISTRY OF HEALTH AND FAMILY WELFARE - Government of India
Lack of a family medicine system in Kurdistan Region: Challenges and solutionsAI Publications
This document discusses the lack of a family medicine system in the Kurdistan Region of Iraq, including challenges and potential solutions. It begins by providing background on family medicine and its role in public health. The study aims to understand the challenges of developing family medicine in Erbil through interviews with 16 professionals. Three main themes emerged: 1) the past lacked family medicine and primary care centers provided limited services, 2) the present is in the early stages with one family medicine center, and 3) the future requires addressing challenges like shortages to develop objectives and strategies. The conclusion is that cooperation is needed between the Ministry of Health, universities, and parliament to further develop family medicine in the region.
This document discusses improving medical research in Pakistan. It notes that while developed nations have a strong research culture, developing countries like those in SAARC have contributed very little to medical research and publications. This research deficit has negative health consequences. However, Pakistan is now seeing growing awareness of the importance of quality biomedical research. The author recommends that medical institutions in Pakistan follow the College of Physicians and Surgeons Pakistan's model of allowing research papers in place of dissertations to streamline research activity and encourage quality research pursuits. Collaborative efforts across medical organizations will help build research infrastructure and produce internationally reputable research.
The Philippine Council for Health Research and Development.docxJamaicaSalvador
The Philippine Council for Health Research and Development (PCHRD)
- is one of the three sectoral councils of the Department of Science and Technology (DOST).
- It is a forward-looking, partnership-based national body responsible for coordinating and monitoring research activities in the country.
- was created on March 17, 1982 through Executive order No. 784. In 1987, Executive Order No. 128 reaffirmed its existence and relevance. This directive reorganized the National Science and Technology Authority into what is now the Department of Science and Technology.
ELECTRONIC MEDICAL RECORD (EMR) SYSTEMS ARE BEING IMPLEMENTED INCREASINGLY WORLDWIDE. SAUDI
ARABIA IS ONE OF DEVELOPING COUNTRIES THAT COMMENCED IMPLEMENTING SUCH SYSTEMS IN 1988. WHILST
EMR UPTAKE HAS BEEN LOW IN SAUDI ARABIA UNTIL NOW, A NUMBER OF HOSPITALS HAVE IMPLEMENTED EMR
SYSTEMS SUCCESSFULLY. THIS PAPER ANALYSES AVAILABLE STUDIES (N=28) IN THE LITERATURE REGARDING EMR
IMPLEMENTATION IN SAUDI ARABIA TO IDENTIFY THE PROGRESS OF EMR IMPLEMENTATION TO DATE AND TO
IDENTIFY THE FACILITATORS AND BARRIERS TO IMPLEMENTATION.
This document is a resume for Dr. Abdul Jamil Choudhry. It outlines his education, positions held, relevant experience, skills, academic honors, and research projects. Some key details include:
- He has over 30 years of experience in epidemiology, public health, teaching, and research in Pakistan and Saudi Arabia.
- Positions held include roles as a consultant epidemiologist, professor, and head of departments in Pakistan and Saudi Arabia.
- Relevant experience includes conducting epidemiological investigations, surveillance, data management and analysis, disease control, teaching, and research coordination.
- He has extensive experience in epidemiology, public health, and teaching at both the undergraduate and postgraduate levels
The document discusses the current state of clinical trials in India. It begins by describing how India was projected to become a global center for clinical research by 2012 due to several favorable factors, including large patient populations and lower costs. However, since 2009 there has been a dramatic 50% drop in successfully conducted international clinical trials in India. A key reason for this is that the quality of trials, investigators, and data in India has been challenged. For clinical trials to be conducted flawlessly, investigators need proper training and expertise, which is lacking in India currently. The regulatory system in India also needs improvement, such as implementing a rigorous review process of new drug applications similar to other countries. Addressing issues around quality and documentation is also important to
This document is a curriculum vitae that provides biographical information about Mohammad Jamil Ahmad Salim. It includes details about his education, certifications, goals, experiences, and courses attended. He has a Bachelor's degree in nursing from Jordan University of Science and Technology and a Master's degree in medical laboratory science from the same university. His experiences include working as a quality consultant, training manager, and nursing supervisor at various healthcare organizations in Jordan. He has numerous certifications in areas like emergency medical training, auditing, and healthcare accreditation.
EPIDEMIC INTELLIGENCE SERVICE PROGRAMME by Dr.Mahboob ali khan Phd Healthcare consultant
The Changing Paradigm of Health.A nation in transition; major improvements in last 50 years but progress uneven .Old and new challenges (epidemiological transition); factors driving ill-health (poverty, inequities) persist; also new opportunities (partnerships, technology) National capacity building & international collaboration are critical for responding to these challenges
Competency Based Curriculum for GH 2013-02-04James F. Kelley
1) The document describes the development of a competency-based curriculum in global health research for a fellowship program involving a mentored research project.
2) It identifies 8 competency domains and 33 total learning objectives trainees must complete through modular asynchronous learning activities and have evaluated in an electronic portfolio.
3) The curriculum was implemented for 19 trainees in an 11-month training program where they design an online portfolio demonstrating competencies through uploaded artifacts reflecting learning objectives.
Describing the new CDCF project for tagging Systematic reviews - synergistic plan with the MASCOT (Multilateral Association for Studying Health Inequalities and Enhancing North-South And South-South Cooperation – is funded by the European Commission under the Seventh Framework Programme for Research and Technological Development (FP7).f7th project
Appraisal of Maternity Management and Family Planning guidelines using AGREE ...Dr.Sandeep Chavan
Despite being clinically sound, Indian guidelines score poorly due to weak documentation about their development process. It is recommended that the guideline development process be improved with systematic documentation for achieving standardization.
Although other departments of the government shall look after market completion, polices etc. BMRC is going beyond jurisdiction to create an oligopoly situation of three brands of vaccine and depriving the nation from an own successful research. Bangladesh could be proud of global standard research by a local company.
Identifying information retrieval research for systematic reviews and other e...Patrice Chalon
Background:
To date, Cochrane has focused primarily on publishing systematic reviews of the effectiveness of healthcare interventions and subsequently reviews of diagnostic test accuracy. How to identify studies in these areas is well-described in The Cochrane Handbooks. Cochrane is considering extending its remit to evidence syntheses in other areas, such as economic evaluations, prognosis and qualitative research. Study identification has not yet received as much attention in these areas within Cochrane. Additionally, under MECIR (Methodological Expectations of Cochrane Intervention Reviews), if a Cochrane Review has specific eligibility criteria around study design to address adverse effects, economic issues or qualitative research questions, it is now mandatory that searches must be undertaken to address these issues. These areas, together with others, are covered in a new web resource, SuRe Info, produced by the Interest Sub-Group on Information Resources (IRG) of Health Technology Assessment international (HTAi).
Objective:
To present the SuRe Info resource.
Methods:
Information retrieval methods publications are identified by database searching. Publications meeting the SuRe Info inclusion criteria receive a structured abstract containing a brief critical appraisal prepared by one SuRe Info information specialist and checked by another. Key messages from the appraisals are summarized into topic-specific chapters.
Results:
SuRe Info is published as a section of the HTAi Vortal (www.sure-info.org). It has two parts:
1) chapters on general search methods common across all evidence syntheses and
2) chapters describing the methods to use when searching for specific aspects of evidence syntheses, such as adverse effects / safety and economic evaluations. Chapters summarize current research evidence with links to the structured abstracts / appraisals.
Conclusion:
SuRe Info is a new open-access web resource that provides research-based summaries relating to information retrieval for evidence synthesis including systematic reviews. It provides a valuable addition to the information provided in The Cochrane Handbooks.
SYNCRETIC CLINICAL RESEARCH SERVICES PVT. LTD., is an ISO-certified CRO hybrid providing excellent end-to-end clinical research services across all domains since 2014. We have successfully completed multiple trials in various therapeutic areas for both Indian and Global Sponsors.
This document outlines the roles and responsibilities of members of a clinical trial study team. It discusses the investigator who leads the trial, the coordinator who manages the day-to-day operations, the sponsor who provides funding and oversight, the monitor who ensures compliance, and the contract research organization which provides additional support services. For each role, the document describes the main responsibilities which include following regulatory standards, protecting participant safety, ensuring protocol adherence, and reporting requirements.
This journal club presentation summarizes a study on determinants of antenatal care, institutional delivery, and postnatal care service utilization in Nigeria. The study used 2013 Nigeria Demographic and Health Survey data and found that 54% of women had at least four antenatal care visits, 37% delivered in a health facility, and 29% of newborns received postnatal care. Key factors predicting utilization of these maternal and child health services were education level, residence, wealth, and parity. Antenatal care strongly predicted institutional delivery and postnatal care use. The presentation provides a thorough summary of the objectives, methods, results, discussion, and conclusions of the original research article.
When and Where? Hybrid Procedure after Percutaneous Coronary Interventionsemualkaira
Invasive angiography in high risk of significant disease is class A of recommendation. Myocardial infarction caused by dissection of
coronary artery is very rare complication. The infarct-related artery (IRA) should be treated during the initial intervention. If PCI of the
IRA cannot by performed coronary artery bypass (CABG) should be considered.
Incidence of VTE in the First Postoperative 24 Hours after Abdominopelvic Sur...semualkaira
A good number of research reports the incidence of postoperative venous thromboembolism (VTE) mostly
looks at longer postoperative duration, usually days after surgery.
1.2. Objective: We investigated the incidence of early asymptomatic VTE (24 hours postoperatively) to assess the relevance of generalisation of extended post-hospital discharge chemoprophylaxis
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This document discusses improving medical research in Pakistan. It notes that while developed nations have a strong research culture, developing countries like those in SAARC have contributed very little to medical research and publications. This research deficit has negative health consequences. However, Pakistan is now seeing growing awareness of the importance of quality biomedical research. The author recommends that medical institutions in Pakistan follow the College of Physicians and Surgeons Pakistan's model of allowing research papers in place of dissertations to streamline research activity and encourage quality research pursuits. Collaborative efforts across medical organizations will help build research infrastructure and produce internationally reputable research.
The Philippine Council for Health Research and Development.docxJamaicaSalvador
The Philippine Council for Health Research and Development (PCHRD)
- is one of the three sectoral councils of the Department of Science and Technology (DOST).
- It is a forward-looking, partnership-based national body responsible for coordinating and monitoring research activities in the country.
- was created on March 17, 1982 through Executive order No. 784. In 1987, Executive Order No. 128 reaffirmed its existence and relevance. This directive reorganized the National Science and Technology Authority into what is now the Department of Science and Technology.
ELECTRONIC MEDICAL RECORD (EMR) SYSTEMS ARE BEING IMPLEMENTED INCREASINGLY WORLDWIDE. SAUDI
ARABIA IS ONE OF DEVELOPING COUNTRIES THAT COMMENCED IMPLEMENTING SUCH SYSTEMS IN 1988. WHILST
EMR UPTAKE HAS BEEN LOW IN SAUDI ARABIA UNTIL NOW, A NUMBER OF HOSPITALS HAVE IMPLEMENTED EMR
SYSTEMS SUCCESSFULLY. THIS PAPER ANALYSES AVAILABLE STUDIES (N=28) IN THE LITERATURE REGARDING EMR
IMPLEMENTATION IN SAUDI ARABIA TO IDENTIFY THE PROGRESS OF EMR IMPLEMENTATION TO DATE AND TO
IDENTIFY THE FACILITATORS AND BARRIERS TO IMPLEMENTATION.
This document is a resume for Dr. Abdul Jamil Choudhry. It outlines his education, positions held, relevant experience, skills, academic honors, and research projects. Some key details include:
- He has over 30 years of experience in epidemiology, public health, teaching, and research in Pakistan and Saudi Arabia.
- Positions held include roles as a consultant epidemiologist, professor, and head of departments in Pakistan and Saudi Arabia.
- Relevant experience includes conducting epidemiological investigations, surveillance, data management and analysis, disease control, teaching, and research coordination.
- He has extensive experience in epidemiology, public health, and teaching at both the undergraduate and postgraduate levels
The document discusses the current state of clinical trials in India. It begins by describing how India was projected to become a global center for clinical research by 2012 due to several favorable factors, including large patient populations and lower costs. However, since 2009 there has been a dramatic 50% drop in successfully conducted international clinical trials in India. A key reason for this is that the quality of trials, investigators, and data in India has been challenged. For clinical trials to be conducted flawlessly, investigators need proper training and expertise, which is lacking in India currently. The regulatory system in India also needs improvement, such as implementing a rigorous review process of new drug applications similar to other countries. Addressing issues around quality and documentation is also important to
This document is a curriculum vitae that provides biographical information about Mohammad Jamil Ahmad Salim. It includes details about his education, certifications, goals, experiences, and courses attended. He has a Bachelor's degree in nursing from Jordan University of Science and Technology and a Master's degree in medical laboratory science from the same university. His experiences include working as a quality consultant, training manager, and nursing supervisor at various healthcare organizations in Jordan. He has numerous certifications in areas like emergency medical training, auditing, and healthcare accreditation.
EPIDEMIC INTELLIGENCE SERVICE PROGRAMME by Dr.Mahboob ali khan Phd Healthcare consultant
The Changing Paradigm of Health.A nation in transition; major improvements in last 50 years but progress uneven .Old and new challenges (epidemiological transition); factors driving ill-health (poverty, inequities) persist; also new opportunities (partnerships, technology) National capacity building & international collaboration are critical for responding to these challenges
Competency Based Curriculum for GH 2013-02-04James F. Kelley
1) The document describes the development of a competency-based curriculum in global health research for a fellowship program involving a mentored research project.
2) It identifies 8 competency domains and 33 total learning objectives trainees must complete through modular asynchronous learning activities and have evaluated in an electronic portfolio.
3) The curriculum was implemented for 19 trainees in an 11-month training program where they design an online portfolio demonstrating competencies through uploaded artifacts reflecting learning objectives.
Describing the new CDCF project for tagging Systematic reviews - synergistic plan with the MASCOT (Multilateral Association for Studying Health Inequalities and Enhancing North-South And South-South Cooperation – is funded by the European Commission under the Seventh Framework Programme for Research and Technological Development (FP7).f7th project
Appraisal of Maternity Management and Family Planning guidelines using AGREE ...Dr.Sandeep Chavan
Despite being clinically sound, Indian guidelines score poorly due to weak documentation about their development process. It is recommended that the guideline development process be improved with systematic documentation for achieving standardization.
Although other departments of the government shall look after market completion, polices etc. BMRC is going beyond jurisdiction to create an oligopoly situation of three brands of vaccine and depriving the nation from an own successful research. Bangladesh could be proud of global standard research by a local company.
Identifying information retrieval research for systematic reviews and other e...Patrice Chalon
Background:
To date, Cochrane has focused primarily on publishing systematic reviews of the effectiveness of healthcare interventions and subsequently reviews of diagnostic test accuracy. How to identify studies in these areas is well-described in The Cochrane Handbooks. Cochrane is considering extending its remit to evidence syntheses in other areas, such as economic evaluations, prognosis and qualitative research. Study identification has not yet received as much attention in these areas within Cochrane. Additionally, under MECIR (Methodological Expectations of Cochrane Intervention Reviews), if a Cochrane Review has specific eligibility criteria around study design to address adverse effects, economic issues or qualitative research questions, it is now mandatory that searches must be undertaken to address these issues. These areas, together with others, are covered in a new web resource, SuRe Info, produced by the Interest Sub-Group on Information Resources (IRG) of Health Technology Assessment international (HTAi).
Objective:
To present the SuRe Info resource.
Methods:
Information retrieval methods publications are identified by database searching. Publications meeting the SuRe Info inclusion criteria receive a structured abstract containing a brief critical appraisal prepared by one SuRe Info information specialist and checked by another. Key messages from the appraisals are summarized into topic-specific chapters.
Results:
SuRe Info is published as a section of the HTAi Vortal (www.sure-info.org). It has two parts:
1) chapters on general search methods common across all evidence syntheses and
2) chapters describing the methods to use when searching for specific aspects of evidence syntheses, such as adverse effects / safety and economic evaluations. Chapters summarize current research evidence with links to the structured abstracts / appraisals.
Conclusion:
SuRe Info is a new open-access web resource that provides research-based summaries relating to information retrieval for evidence synthesis including systematic reviews. It provides a valuable addition to the information provided in The Cochrane Handbooks.
SYNCRETIC CLINICAL RESEARCH SERVICES PVT. LTD., is an ISO-certified CRO hybrid providing excellent end-to-end clinical research services across all domains since 2014. We have successfully completed multiple trials in various therapeutic areas for both Indian and Global Sponsors.
This document outlines the roles and responsibilities of members of a clinical trial study team. It discusses the investigator who leads the trial, the coordinator who manages the day-to-day operations, the sponsor who provides funding and oversight, the monitor who ensures compliance, and the contract research organization which provides additional support services. For each role, the document describes the main responsibilities which include following regulatory standards, protecting participant safety, ensuring protocol adherence, and reporting requirements.
This journal club presentation summarizes a study on determinants of antenatal care, institutional delivery, and postnatal care service utilization in Nigeria. The study used 2013 Nigeria Demographic and Health Survey data and found that 54% of women had at least four antenatal care visits, 37% delivered in a health facility, and 29% of newborns received postnatal care. Key factors predicting utilization of these maternal and child health services were education level, residence, wealth, and parity. Antenatal care strongly predicted institutional delivery and postnatal care use. The presentation provides a thorough summary of the objectives, methods, results, discussion, and conclusions of the original research article.
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When and Where? Hybrid Procedure after Percutaneous Coronary Interventionsemualkaira
Invasive angiography in high risk of significant disease is class A of recommendation. Myocardial infarction caused by dissection of
coronary artery is very rare complication. The infarct-related artery (IRA) should be treated during the initial intervention. If PCI of the
IRA cannot by performed coronary artery bypass (CABG) should be considered.
Incidence of VTE in the First Postoperative 24 Hours after Abdominopelvic Sur...semualkaira
A good number of research reports the incidence of postoperative venous thromboembolism (VTE) mostly
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Analyses of Risk Factors of Diarrhea in Patients with Esophagectomysemualkaira
Esophageal cancer is one of the most common
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However, long-term complications, such as diarrhea, are the focus
on the postoperative quality of life. Until now, the etiologies of
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Axonal Polyneuropathy with Anti-Caspr1 Igg1 Paranodal Antibodiessemualkaira
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Borderline Ovarian Tumors – Diagnostic and Treatment Modalitiessemualkaira
Ovarian tumors occur in one third of all women gynecology organs. Out of that borderline ovarian tumors occur in 10 – 15% out
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Human microbiota is the system englobing more than 100 trillion
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While the coronavirus-associated Covid-19 infection remains a
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Incisional Hernia Occurring after Ventriculoperitoneal Shunt Fixationsemualkaira
Ventriculo-peritoneal shunt is the procedure of choice for hydrocephalus. Various complications of ventriculoperitoneal shunts
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Fatal Condition of Aortic Dissection Produces Symptoms of Sudden and Tearing ...semualkaira
Aortic dissection is a very difficult condition in which the inner
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Septic cardiomyopathy (SCM) is featured by
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Acute appendicitis is the most common condition encountered in general surgical practice. Alvarado and Modified Alvarado Scores (MASS) are the commonly used scoring
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various experimental methods: liquid chromatography-mass spectrometry, Raman spectroscopy
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
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Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
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Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis