The document discusses the opportunity for transformation in healthcare through connecting patients, clinicians, and organizations using information and communication technologies. It provides examples of Cisco solutions that have improved healthcare delivery through applications like telehealth, remote patient monitoring, and unified communications. These solutions helped increase access to care, improve outcomes, and reduce costs.
InstaHEAL Telemedicine is a HIPAA Compliant Cloud-based Telemedicine, Tele-Consultation & TelePsychiatry platform that offers healthcare providers’ one-stop, real-time access to professional quality care.
The challenges and opportunities in telemedicine during COVID 19 pandemic
Project supervisors: Dr. Rosalind Silverman and Dr. Lorelei Silverman
Background A multidisciplinary team consisting of premedical and predental students, internationally trained doctors, and IT professionals will showcase the present and future of telemedicine post COVID 19 era.
Methodology Our team researched literature and surveyed telemedicine clinics in Canada to identify the usage of telemedicine, devices, advantages and disadvantages of telemedicine in 18 medical disciplines.
Results We will present new technologies and best practice in telemedicine and tele dentistry as well as the practical use in clinics across Canada, USA, and internationally. We will also demonstrate the further role of telemedicine in expanding the field, and challenges and opportunities during COVID19. In addition, we will share our survey of application of telemedicine to telepsychiatry, teleradiology, telepathology, telecardiology, tele respirology, pediatrics, women health, ophthalmology, ENT, emergency response, physiatry, gastroenterology, infertility, dermatology, oncology, palliative care, allergology, rheumatology, and plastic surgery. The advantages of telemedicine such as fast access to care, reduced cost, cutting down on commuting, travelling in bad weather, taking time off from work, need for childcare, immobile patients, remote areas, cultural taboos are also assessed. The disadvantages of telemedicine are mainly present in older population that has less exposure to technology and the concern over data security.
Conclusion In sum, using virtual health care tools and telemedicine we can shorten wait times to see a provider, reduce the risk of community infection, improve training, and expand the range of access to specialists who live further away or need to be consulted for a second opinion
CPT E/M codes are changing January 1, 2021. This webinar unpacks those changes for you, outlining everything you need to know including:
How to navigate all the changes
What these mean for reimbursement
What you need to know to make sure your providers and coders are ready.
InstaHEAL Telemedicine is a HIPAA Compliant Cloud-based Telemedicine, Tele-Consultation & TelePsychiatry platform that offers healthcare providers’ one-stop, real-time access to professional quality care.
The challenges and opportunities in telemedicine during COVID 19 pandemic
Project supervisors: Dr. Rosalind Silverman and Dr. Lorelei Silverman
Background A multidisciplinary team consisting of premedical and predental students, internationally trained doctors, and IT professionals will showcase the present and future of telemedicine post COVID 19 era.
Methodology Our team researched literature and surveyed telemedicine clinics in Canada to identify the usage of telemedicine, devices, advantages and disadvantages of telemedicine in 18 medical disciplines.
Results We will present new technologies and best practice in telemedicine and tele dentistry as well as the practical use in clinics across Canada, USA, and internationally. We will also demonstrate the further role of telemedicine in expanding the field, and challenges and opportunities during COVID19. In addition, we will share our survey of application of telemedicine to telepsychiatry, teleradiology, telepathology, telecardiology, tele respirology, pediatrics, women health, ophthalmology, ENT, emergency response, physiatry, gastroenterology, infertility, dermatology, oncology, palliative care, allergology, rheumatology, and plastic surgery. The advantages of telemedicine such as fast access to care, reduced cost, cutting down on commuting, travelling in bad weather, taking time off from work, need for childcare, immobile patients, remote areas, cultural taboos are also assessed. The disadvantages of telemedicine are mainly present in older population that has less exposure to technology and the concern over data security.
Conclusion In sum, using virtual health care tools and telemedicine we can shorten wait times to see a provider, reduce the risk of community infection, improve training, and expand the range of access to specialists who live further away or need to be consulted for a second opinion
CPT E/M codes are changing January 1, 2021. This webinar unpacks those changes for you, outlining everything you need to know including:
How to navigate all the changes
What these mean for reimbursement
What you need to know to make sure your providers and coders are ready.
Challenges of a telemedicine pilot - Carolina Escobar, MD, VIMA - TFSSVSee
A frank look at the specific challenges and successes of deploying telemedicine for oncology consults - from the Telehealth Failures & Secrets To Success Conference:
vsee.com/telehealth-failures-conference
Telemedicine has moved to the forefront of healthcare, opening up opportunities for both practices and their patients. To help unpack some of the enormous amounts of new information, This presentation focuses on:
- Relaxing of Regulatory Issues
- How Telemedicine Can Help Your Practice
- Challenges
- The Future of Telemedicine
New technologies in social care and NICE's role, pop up uni, 2pm, 2 september...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
mHealth Israel_Hospitals and Healthcare Data_Carol Gomes_Stony Brook Universi...Levi Shapiro
Presentation by Carol Gomes, CEO / COO, Stony Brook University Hospital: Hospitals + Healthcare Data. Key Sections:
- Overview of Stony Brook Medicine Health System
- IT capital planning process
- Transition from Fee-for-Service
- Clinically Integrated Network
- Population Health Analytics Platform
- REGISTRIES – Benchmarking Quality
- Digital Transformation- Business & Clinical Capacity
- Transformation Projects: Analytics; Real-Time Health System Capabilities; Telehealth Services; Command Center Capabilities
- Command Center: Centralized Throughput Office (CTO)
- Command Throughput Office Dashboard
- Real-Time Dashboards
- Early Progress of Command Throughput Office (Boarders, Cases)
- Mobile STROKE Unit Program
- Telemedicine / TeleHealth
- Stony Brook University Hospital awarded $966,026
- Data Strategy in Decentralized Environment
- Call to Action for Startups
Guidelines for the technological development in the e-health application domainIvano Malavolta
Slides of the talk I gave the 18th of July 2014 about the activities I coordinates at the University of L'Aquila (Italy) in the context of the E-Health Technology industrial project.
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
Year after year, technology has played a role in changing the way that health care is delivered. Now in 2014, as technology continues to advance, consumers are demanding more convenient and cost effective care through increased use of mHealth and Telehealth. The mHealth + Telehealth World 2014 is must attend event for health care executives interested in learning how to most efficiently utilize Telehealth programs and mHealth practices to improve patient outcomes by promoting interoperability, sustainability, provider interest, and consumer engagement. Hear case studies, understand the ROI, and discuss ways to address critical issues – including licensing and security issues – of digital health practices.
http://www.worldcongress.com/events/HL14028/
Purna Prasad- Transformation of Healthcare Technology into the Commodity (Con...Levi Shapiro
Transformation of Healthcare Technology into the Commodity (Consumer) Space, by Dr. Purna Prasad, CTO, Northwell Health. Key themes:
- Health Care Is Moving from Hospital to Home
- Innovation
- Sensing
- The Sense of Caring
- Development of the Human Care Model
- Disease
- Input to Actionable Outcomes
- The Driving Factors of Commoditization
- Tethering Patients From Womb to The Tomb
- Health Information Technology Innovation. Commoditization Driving Innovation to Production. The Echo System
- The Innovation Cycle
- Innovation Opportunities
- BYOD (Bring Your Own Device)Currently Available In The Commodity Market
- WYOD – Wear Your Own DeviceCurrently Available In The Commodity Market
- BioMedical Devices Currently Available In The Commodity Market
- Innovation in Health Care Technology Commoditization Opportunities
- Innovation in Security Risk Mitigation
- Northwell Value Added Partners in Commoditizing Health Care Technology
- Commoditization Driving Digital Health
- The Digital Front Door…
- Northwell Cloud
- Telehealth
- Cutting Edge Technologies Under Evaluation/Testing
- Biosensor Technology
- Northwell Drone Ambulance
- Surgical Theater Virtual Reality
- 3D Printing Prototypes (Makerbot)
- The Fin was designed and printed by Northwell Health’s 3D printing experts
- Imagine the Possibilities in Healthcare
Innovation Driving Commoditization
Telehealth Integrators and Competitors LandscapeDonna Cusano
Presentation on telehealth competitive landscape with a focus on \'integrators\' providing care management as option. Overview of marketing opportunities.
A systematized patient-centric healthcare system aptitudes great patient experience…and MOBILITY is the facilitator for establishing this seamless ecosystem.
To view recording of this webinar please use the below link:
https://wso2.com/library/webinars/2015/02/connected-health-reference-architecture/
The key focus areas of this session are
Overview of healthcare IT landscape
Standards and protocols widely used in healthcare platforms
SOA is healthcare domain
Quality of services in healthcare platforms
A connected healthcare reference model
Challenges of a telemedicine pilot - Carolina Escobar, MD, VIMA - TFSSVSee
A frank look at the specific challenges and successes of deploying telemedicine for oncology consults - from the Telehealth Failures & Secrets To Success Conference:
vsee.com/telehealth-failures-conference
Telemedicine has moved to the forefront of healthcare, opening up opportunities for both practices and their patients. To help unpack some of the enormous amounts of new information, This presentation focuses on:
- Relaxing of Regulatory Issues
- How Telemedicine Can Help Your Practice
- Challenges
- The Future of Telemedicine
New technologies in social care and NICE's role, pop up uni, 2pm, 2 september...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
mHealth Israel_Hospitals and Healthcare Data_Carol Gomes_Stony Brook Universi...Levi Shapiro
Presentation by Carol Gomes, CEO / COO, Stony Brook University Hospital: Hospitals + Healthcare Data. Key Sections:
- Overview of Stony Brook Medicine Health System
- IT capital planning process
- Transition from Fee-for-Service
- Clinically Integrated Network
- Population Health Analytics Platform
- REGISTRIES – Benchmarking Quality
- Digital Transformation- Business & Clinical Capacity
- Transformation Projects: Analytics; Real-Time Health System Capabilities; Telehealth Services; Command Center Capabilities
- Command Center: Centralized Throughput Office (CTO)
- Command Throughput Office Dashboard
- Real-Time Dashboards
- Early Progress of Command Throughput Office (Boarders, Cases)
- Mobile STROKE Unit Program
- Telemedicine / TeleHealth
- Stony Brook University Hospital awarded $966,026
- Data Strategy in Decentralized Environment
- Call to Action for Startups
Guidelines for the technological development in the e-health application domainIvano Malavolta
Slides of the talk I gave the 18th of July 2014 about the activities I coordinates at the University of L'Aquila (Italy) in the context of the E-Health Technology industrial project.
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
Year after year, technology has played a role in changing the way that health care is delivered. Now in 2014, as technology continues to advance, consumers are demanding more convenient and cost effective care through increased use of mHealth and Telehealth. The mHealth + Telehealth World 2014 is must attend event for health care executives interested in learning how to most efficiently utilize Telehealth programs and mHealth practices to improve patient outcomes by promoting interoperability, sustainability, provider interest, and consumer engagement. Hear case studies, understand the ROI, and discuss ways to address critical issues – including licensing and security issues – of digital health practices.
http://www.worldcongress.com/events/HL14028/
Purna Prasad- Transformation of Healthcare Technology into the Commodity (Con...Levi Shapiro
Transformation of Healthcare Technology into the Commodity (Consumer) Space, by Dr. Purna Prasad, CTO, Northwell Health. Key themes:
- Health Care Is Moving from Hospital to Home
- Innovation
- Sensing
- The Sense of Caring
- Development of the Human Care Model
- Disease
- Input to Actionable Outcomes
- The Driving Factors of Commoditization
- Tethering Patients From Womb to The Tomb
- Health Information Technology Innovation. Commoditization Driving Innovation to Production. The Echo System
- The Innovation Cycle
- Innovation Opportunities
- BYOD (Bring Your Own Device)Currently Available In The Commodity Market
- WYOD – Wear Your Own DeviceCurrently Available In The Commodity Market
- BioMedical Devices Currently Available In The Commodity Market
- Innovation in Health Care Technology Commoditization Opportunities
- Innovation in Security Risk Mitigation
- Northwell Value Added Partners in Commoditizing Health Care Technology
- Commoditization Driving Digital Health
- The Digital Front Door…
- Northwell Cloud
- Telehealth
- Cutting Edge Technologies Under Evaluation/Testing
- Biosensor Technology
- Northwell Drone Ambulance
- Surgical Theater Virtual Reality
- 3D Printing Prototypes (Makerbot)
- The Fin was designed and printed by Northwell Health’s 3D printing experts
- Imagine the Possibilities in Healthcare
Innovation Driving Commoditization
Telehealth Integrators and Competitors LandscapeDonna Cusano
Presentation on telehealth competitive landscape with a focus on \'integrators\' providing care management as option. Overview of marketing opportunities.
A systematized patient-centric healthcare system aptitudes great patient experience…and MOBILITY is the facilitator for establishing this seamless ecosystem.
To view recording of this webinar please use the below link:
https://wso2.com/library/webinars/2015/02/connected-health-reference-architecture/
The key focus areas of this session are
Overview of healthcare IT landscape
Standards and protocols widely used in healthcare platforms
SOA is healthcare domain
Quality of services in healthcare platforms
A connected healthcare reference model
Pasos para elaborar un proyecto educativoSofia Mendoza
Esta es una presentación que de manera clara y sin muchos rodeos clarifica la idea de elaborar un proyecto educativo, por medio de unos sencillos pasos que facilitan la elaboración a cualquier persona interesada en la elaboración de un proyecto, principalmente alumnos que comienzan a integrarse en este tipo de trabajos.
Health Care Panel presented to the Minnesota Ultra High-Speed Broadband Task ...Ann Treacy
Presentations from the Health Care Panel presented to the Minnesota Ultra High-Speed Broadband Task Force on March 20, 2009. Presenters include: Stuart Speedie, Professor, U of M Medical School, Health Informatics, Karen Welle, Asst Director, MN Dept of Health, Office of Rural Health & Primary Care, Maureen Ideker, Rice Memorial Hospital, Chief Nursing Officer, Steve Mulder, Hutchinson Area Health Care Director of Quality and Clinical Services, Joe Schindler, MN Hospital Association, Mark Schmidt, SISU Chief Information Officer, Dr Eduard Michel, Emergency Physician.
Towards Better Patient Outcomes and Staying Well: The Promise of Cloud Comput...accacloud
The healthcare industry is one which is often at the forefront of technology change. From hospital management to rural healthcare communities, from doctors and surgeons to pharmacists and lab technicians— there is often a tension between the urgent needs of the healthcare industry that compels rapid technology adoption, and a strict and heavily-regulated environment that defaults to caution when embracing new technology. Today, we see a healthcare industry that is moving towards the new paradigm of cloud computing with increasing optimism and trust.
How can the healthcare industry best deploy cloud computing to achieve better patient outcomes? What are the current opportunities to start a digital transformation in a healthcare institution? Where are the opportunities for the healthcare industry to leverage cloud technology, and move towards an ideal of preventing disease whenever we can, for prevention is preferable to cure? What other prospects does cloud computing hold for the healthcare sector?
This report will answer these questions by demonstrating the different innovative uses and deployment of cloud computing in six healthcare sub-verticals. These case studies show how technology and the healthcare industry can strengthen patient outcomes, and together, work towards the goal of staying healthy and well.
For more information, visit us at http://www.asiacloudcomputing.org
Hospital Management and Inventory Control Solution for Public Hospitals in De...Mamoon Ismail Khalid
Historic underinvestment in public health has left Ecuador
with one of the most inefficient health systems in the region.
The Problem
Little info sharing
The lack of interoperable
systems and records
management contributes to a
lack of understanding of public
health needs leads to
treatments that don't really
address overall health issues
Bureaucracy
Public health employees are
engaged in redundant
administrative tasks that divert
resources from patient care and
clog system
PAPER RECORDING OF INFORMATION
Medical assistants need to manually fill in 5
different records (1 per prescription), they
first do it in paper and then typed it in the
computer since the Wi-Fi is not reliable.
Excessive waits
Lead times for getting
appointments in and long
check in processes lead to
patients abandoning
preventative care that could
save money and improve
patient outcomes
Most people we surveyed
complained about lead time. It
becomes even more
aggravating when it’s an
emergency.
Abuse and waste
Inability to track prescriptions
and inventory offer opportunity
for abuse that undermines the
system's overall quality
The result:
Costly, Inefficient
and non-citizen
centric public
healthcare system
The result:
Costly, Inefficient
and non-citizen
centric public
healthcare system
Conferencia ¿Donde nos encontramos? que invita a realizar una reflexión con respecto al momento en el cual nos encontramos. ¿Donde ha quedado la innovación?, o estamos al frente de sólo procesos de hibridación. Los invito a revisarla y a realizar sus comentarios y aportes.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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.
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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.
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.
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10. Sichuan Province Earthquake Rebuilding Foundation for regional health information network for Disease Monitoring and Telehealth Services Connectivity across the province County Health Network Newly built, smaller Tier 2 hospital with Medical Grade Network, acting as a “Spoke” and connected to the Hub Sichuan Province Health Network 1 2 3 Other Tier 2 / 1 Hospital Tier 3 Connected Hospital Other Tier 2 / 1 Hospital Other Tier 2 / 1 Hospital Pilot Tier 2 Connected Hospital Major upgrade to Medical Grade Network to an existing, Top Tier facility, to act as a “Hub”
18. Connected Health Vision Cable DSL Dial Patients / MDs at home Pharmacies State Agencies Suppliers IVSS Laboratories Hospitals Clinics Universities Barrio Adentro Long Term Care Diagnostic Centers Connected Health Core WiMAX/3G Remote Areas (( ))
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Editor's Notes
Notes for the Presenter: This deck sets out: the vision for Country Transformation, why investment in a broadband infrastructure is needed and how this involves the interconnection of infrastructure needed to support a number of e-Services, one of which is Health Global health trends show that developing countries have to deal with significant levels of both communicable and non-communicable diseases. Measures of the burden of illhealth show that many of the risk factors are associated with poverty. Poverty exacerbates illhealth and vice versa. In addition, health manpower is not where the burden is greatest Cisco’s point of view on Connected Health is that in focusing on connected health communities ICT can play a key role in meeting goals for both health and development. The path to Connected Health begins with understanding that health systems as a whole can be strengthened by investment in ICT, and then starting by improving public health systems and health knowledge, and then delivering telehealth, working towards Connected Hospitals and then creating a Connected Health Provider Community with Connected Health Consumer Communities seen as an increasingly important part of the Health System. The evolution of a Connected Health community involves addressing what functionality can be afforded. Working towards transformation, therefore, involves assessing the makeup of the socio-economic and health systems at country level and below, and then considering (and using appropriate case studies) what opportunities there are for making progress for connecting health organisations, health workers, citizens and communities.
First and foremost, healthcare for all is a fundamental responsibility of government. It’s an essential economic function; after all, a healthy nation is a productive and competitive one. Healthcare has not only to be accessible and affordable, but it must also be responsive – to the specific, constantly-changing medical and clinical needs of patients, and to the broader demographic, social and cultural shifts which typify the modern world, and are more clearly defined in emerging economies than anywhere else.
New technology is crucial to the successful delivery of modern healthcare services. Information and communications technology, or ICT, has proven to be a massive influence on growth, efficiency and innovation worldwide. ICT integration, in which once-disparate areas of infrastructure are unified and consolidated, is especially important. It is common for healthcare to be viewed as an expensive function, scattered inefficiently across different, discrete areas – general practice surgeries, local clinics, specialist consultancies and other points of delivery. And since today's advanced hospital networks typically run more than 300 applications, it can be costly to share data between healthcare professionals across a fragmented ICT infrastructure. The promise of healthcare integration concentrates the minds of governments, prompting them to focus on healthcare as a worthwhile and wide-ranging social and economic benefit. It is Cisco’s goal to make it easy and practical for healthcare professionals in emerging markets to share vital medical, clinical and patient information, in turn fostering a culture that perpetuates the idea of an integrated service, with the patient at its heart.
The Solution Data available when patient comes to clinic Automation of electronic data collection & electronic health educational content for family visits Potential roll out to 60k Mobile Rural Health Workers Results Reduced time between data capture and analysis
The key challenges for radiologists in current imaging workflows are the wasted time in tracking and locating referring physicians to communicate results, the inability to maintain a record of the results notification and acknowledgement interactions with referring physicians for regulatory compliance purposes, and the lack of collaboration tools and screen-sharing capabilities that limit the effectiveness of current interactions with referring physicians. Leading healthcare organizations have made large investments in Picture Archiving and Communication Systems (PACS) to enhance clinician productivity and to increase the effectiveness of using digital imaging to provide accurate and timely diagnosis of various conditions. PACS investments have been focused on optimizing the presentation, distribution, storage, and retrieval of patient images, but have not addressed the integration of physician-to-physician communication and collaboration into imaging workflows. Radiologists still largely rely on manual processes to communicate and collaborate with referring physicians. This not only affects radiologist productivity, but impacts patient safety and patient care. There is a growing need to simplify, streamline and enhance the timeliness of communications and collaboration between clinicians. The University of Wisconsin solution gives Radiologists the flexibility to communicate patient results to referring physicians using the most appropriate mode of communications, based on acuity of care, and criticality of the results and the patient. When radiologists need to communicate unexpected results to referring physicians, they no longer have to waste time making multiple calls or waiting for responses to pages to find the right clinician to communicate results. The Cisco Unified Presence Server presents the radiologist with a filtered list of clinicians that is relevant for that patient study, along with their presence, availability, and preferred mode of contact. One of the key sources of value from the solution is the ability to capture and store an auditable record of results communication and acknowledgements between radiologists and referring physicians. The ability to collaborate and share the same screen will also enhance radiologist and referring physician productivity. The solution will streamline the workflow by enabling radiologists to push specific images to referring physicians and share the same screen while they highlight the areas of interest. In addition, no patient images are transferred, which eliminates privacy and latency concerns.
Cisco is committed to healthcare from our highest executive: " The prime drivers in health care are very similar to what drives other businesses - first, improving service to customers, second, cost reduction. Medical costs are growing almost out of control. Those organizations that can find a way to contain medical costs and provide a higher level of service are going to have a huge advantage. Cisco hopes to supply that advantage to its customers by consolidating health-care voice, video, and data on a single network." John Chambers, CEO, Cisco
Ontario's northern sector, on the other hand, is often referred to as a province within a province. The area is roughly the size of Texas and California combined, yet it is home to fewer than 1.5 million residents. In such a sparsely populated land, healthcare providers constantly battle shortages of health professionals, distance barriers, isolation, escalating health care costs, and the demands of serving the diverse needs of distinct populations. Of course, serving an isolated population is a challenge for medical professionals. It is impractical for every specialty to represent itself in such a region, yet medical challenges in which time is a critical factor arise regularly. The Clinical Collaboration solution is a cost-effective, audio and videoconferencing system. As easy to use as dialing a telephone, it fosters improved communication among geographically dispersed users leading to improved productivity. Geographically dispersed isolated clinical experts can be called in on a case without having to travel, saving time, money and often lives. One of the mission critical services that OTN delivers over the Cisco Medical-Grade Network is Telestroke. Telestroke brings together videoconferencing and CAT scan Diagnostic Image Sharing over the network. Using this equipment, specialists around the province are on 24-hour call to assist hospitals in rural and remote areas. In the early hours of a stroke, doctors can use a drug to break down the blood clot and reverse the attack, but the same drug can also make a patient bleed to death. So doctors use OTN to reach experts quickly so that they can receive direction on how to properly administer the drug in the few hours that it can make a difference. OTN’s use of telemedicine saves the province of Ontario about Canadian $8 million each year in travel costs alone. OTN may also contribute to patients in Northern Ontario avoiding hospital visits entirely. Studies show that decreased access to medical care results in increased hospitalization rates. Such is the case for Northern Ontario, where hospitalization rates are 25 percent higher than the provincial average. Surveys show that more than 90 percent of patients who received telemedicine services were “satisfied” or “very satisfied” with the experience.
The technology foundation for Connected Health is what we call a “Medical-Grade Network.” The Medical-Grade Network is designed to meet the key technology requirements for healthcare customers: to reduce the complexity of their ever-growing networks, and to lower the total cost of ownership of their network investments. Principles of MGN: No info are created/managed/transported manually – electronic devices + nw Info are stored as they are created: nw + storage systems Info are coherent, not redudant/duplicated (created once): centralized DC + normalization of Info (metadata) Info are available everywhere – anytime (any device?) (used anytime): nw (knows device) + DC An optimized network architecture for the healthcare industry based on best practices for real-time collaboration, resiliency, security, responsiveness and interactivity The MGN architecture : Industry-specific framework for defining network strategies and policies Maps clinical and business needs to technology solutions Optimizes interactions between processes, applications, and technical architecture components Facilitates business and clinical communications throughout the continuum Enhances collaboration across the technology partner ecosystem Criteria and checklists for network efficacy and assessments The MGN architecture is not: A static end state One size fits all A detailed network design A bill of materials A capital and operating budget An implementation guide Specific metrics for performance and availability The Medical Grade Network supports: Communication needs for clinicians, patients, administrators and partners Healthcare requirements for availability, security, and fault tolerance Healthcare’s unique information, technology, bandwidth, and integration challenges Anytime, anywhere information capture and access for wired and wireless applications and devices Converged data, voice, and video networks enhancing patient care collaboration Application, medical device, and workflow messaging supporting clinical and business processes Identity and policy-based privacy and security from inside the network to beyond organizational walls Transfer and storage of large data amounts (for example, MRI images) created by healthcare applications Adaptive and intelligent network management operations
To continue to thrive in the competitive healthcare industry, Florida Health Care Plans wanted to empower its employees to communicate more effectively, using voice, video, and Web collaboration. The ability to reach the right person the first time would strengthen the company’s appeal to members and employers, plus increase employee productivity. Another part of their strategic plan was to migrate from paper charts to electronic health records (EHRs) that clinicians and administrators can securely access from a Web browser. Employees now use Cisco Unified IP phones or Cisco Unified Personal Communicator software, a desktop application that integrates all communications applications and services, including instant messaging, an employee directory, call lists, unified messaging, and presence information, which shows if an employee is currently available and the preferred contact method. Employees can quickly initiate a call from within Microsoft Outlook with the click of a button. Cisco Unity Unified Messaging is integrated with Microsoft Exchange, which makes it just as easy to forward a voicemail message as an e-mail message. Savings projections include: $10,000 monthly savings for prescription refill calls: Members who call a toll-free number for prescription refills and need to be transferred to the pharmacy are now transferred over the IP network at no cost instead of over the public switched telephone network. This eliminates the previous T1 lease costs and long-distance charges. $11,000 monthly savings on long distance. Previously, FHCP pre-committed to $200 monthly in long distance for each of its 13 primary care facilities. Now the company aggregates all long-distance calls at its two data centers to eliminate this surcharge and receive a lower long-distance rate. “Our $16,000 monthly long-distance bill has been reduced to $5000,” says Fielder. $10,000 annual savings on maintenance compared to when FHCP had 13 PBX systems. Employees can reach each other more quickly with Cisco Clinical Collaboration features such as online employee directory, four-digit dialing, and presence. Approximately 150 employees use Cisco Unified Personal Communicator on their laptops, giving them access to voice, video, instant messaging, Web conferencing, voicemail, and presence information—all from one easy-to-use interface. Practice managers can meet virtually, using Cisco Unified MeetingPlace Express for voice, video, and Web collaboration, including sharing documents. They join the sessions from their office or home using a Cisco Unified IP Phone 7971G with built-in video or Cisco Unified Video Advantage.
The University of Miami is using Cisco Unified IP Phones with video screens to provide counseling, education, and resources. Today, family members usually do not receive training to care for people with illnesses such as Alzheimer’s disease and can become overwhelmed by behavioral problems and memory loss as well as basic caregiving activities such as bathing and feeding. Part of the problem is that many caregivers cannot leave home to obtain resources or attend support groups. Therefore, a need has emerged to provide training to everyone, everywhere —including their own or a relative’s home. In response, the Center on Aging and other organizations developed a program called Resources for Enhancing Alzheimer’s Caregiver Health (REACH), funded by the National Institute on Aging and National Institute of Nursing Research which are part of the National Institutes of Health. In the first phase of the project at the University of Miami site, family caregivers were given phones with built-in screens that could display text-based instructions on topics that the caregivers selected from menus. Caregivers also participated in telephone support groups with other caregivers. The initial project was successful, and the Center on Aging decided to expand the intervention by adding video. The Center on Aging selected the Cisco Unified IP Phone 7985G for the program because of its large display area, buttons that caregivers could press to select different options, and the ease of programming to display text-based information based on caregivers’ menu selections—and also because telephones are a more familiar technology to this population than computers. Giving family members the resources and support that they need has a significant economic impact. Currently, there are 22 million family caregivers in the United States alone, a population expected to increase to 37 million by 2050. The estimated economic value of family-provided care is US$257 billion annually.