The document discusses documentation of surgical procedures and methods for documentation. It notes that documentation is important for reviewing training effectiveness, recording complex cases, and education. Good documentation criteria includes objective data, honesty, continuity, and postoperative follow-up. Methods of documentation include program-based electronic logbooks, formal written records, web-based systems, and use of media like audio, video, and photos. Trainees should accurately document procedures and be honest in their reporting.
Dr Pradeep Jain Reviews, Fortis Hospital - Laparoscopy Surgery New HorizonesDr Pradeep Jain Reviews
Dr Pradeep Jain Reviews, Fortis Hospital - Laparoscopy Surgery New Horizones. High volume experience of Dr Pradeep Jain means better outcome for patients.
Definition
Wound healing
Chronic Ulcers
Causes for Non-healing Ulcers
Management of Chronic Ulcers
Role of Antibiotics /Antiseptics
Wound dressings
Ideal wound dressing
Types of Wound Dressings
When to change dressings
Things to avoid in chronic wounds
This presentation of introduction of laparoscopic surgery made by Dr. R.K. Mishra Director and chief surgeon World Laparoscopy Hospital. Dr. Mishra in this presentation has explained present pas and future of laparoscopic surgery. Laparoscopy is a surgical procedure which uses a special surgical instrument called a laparoscope to look inside the body, or to perform certain operations. World Laparoscopy Hospital is the center of excellence for laparoscopic and da vinci robotic surgery training and considered as one of the best institute in the world. For more detail about laparoscopic surgery please visit: http://www.laparoscopyhospital.com
Dr Pradeep Jain Reviews, Fortis Hospital - Laparoscopy Surgery New HorizonesDr Pradeep Jain Reviews
Dr Pradeep Jain Reviews, Fortis Hospital - Laparoscopy Surgery New Horizones. High volume experience of Dr Pradeep Jain means better outcome for patients.
Definition
Wound healing
Chronic Ulcers
Causes for Non-healing Ulcers
Management of Chronic Ulcers
Role of Antibiotics /Antiseptics
Wound dressings
Ideal wound dressing
Types of Wound Dressings
When to change dressings
Things to avoid in chronic wounds
This presentation of introduction of laparoscopic surgery made by Dr. R.K. Mishra Director and chief surgeon World Laparoscopy Hospital. Dr. Mishra in this presentation has explained present pas and future of laparoscopic surgery. Laparoscopy is a surgical procedure which uses a special surgical instrument called a laparoscope to look inside the body, or to perform certain operations. World Laparoscopy Hospital is the center of excellence for laparoscopic and da vinci robotic surgery training and considered as one of the best institute in the world. For more detail about laparoscopic surgery please visit: http://www.laparoscopyhospital.com
Extended totally extraperitoneal repair (eTEP) is a novel technique that was first introduced by Jorge Daes in 2012 to address difficult inguinal hernias.
Stacy Kozak, Manager with the Alberta Health Services (AHS) Surgery Strategic Clinical Network (SSCN) will provide insight on the province-wide approach that has taken compliance with the AHS Safe Surgery Checklist from 50 to better than 90 per cent in two years. WATCH: http://goo.gl/AGde67
Extended totally extraperitoneal repair (eTEP) is a novel technique that was first introduced by Jorge Daes in 2012 to address difficult inguinal hernias.
Stacy Kozak, Manager with the Alberta Health Services (AHS) Surgery Strategic Clinical Network (SSCN) will provide insight on the province-wide approach that has taken compliance with the AHS Safe Surgery Checklist from 50 to better than 90 per cent in two years. WATCH: http://goo.gl/AGde67
Effective management of hemostasis during surgery is critical for the patient. Using the nursing process and evidence-based practices, this independent study program will assist the perioperative RN identify risks, benefits, indications, contraindications, and adverse effects for the various methods available for control of bleeding during surgery. The goal of this learning activity is to educate perioperative RNs about the methods for effective management of hemostasis during surgery to promote positive outcomes for the surgical patient.
Objectives
After completion of this continuing nursing education activity, the participant will be able to:
1. Identify the clinical implications of surgical bleeding.
2. Differentiate between mechanical, energy-based, and chemical methods of surgical hemostasis.
3. Compare the various categories of topical hemostatic products.
4. Identify key factors to consider in the selection of hemostatic products.
5. Describe perioperative nursing care for patients undergoing surgical hemostasis.
2.4 Contact Hours are available through AORN. Learn more at http://bit.ly/HemostasisStudyGuide. This education program was funded through the AORN Foundation by a grant from Ethicon Biosurgery.
An example graph visualization with Processing.js graphdevroom
Visualizing a directed property graph with Processing.js and Neo4j. A short introduction to Processing.js, followed by a high level overview of an example visualization and finally how to connect it to Neo4j via their REST API to populate it. Example: http://getvouched.com/visualizations
What is NO-SQL ?
What No-SQL is NOT?
MongoDB
ABC's Of MongoDB
Features Of MongoDB
HOW to _________________________??
Why No-SQL? Is No-SQL for Me?
U: www.knowarth.com
E: contact@knowarth.com
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. Why
Documentation and archieving
Reviewing the effectivness of training
Recording the wired cases
Matter of education through case-based approach
3. How ….
Criteria of good documentation
Objective data…not subjective
Honesty in writing.
Continuity
Postoperative follow up
Good classification of the surgery undertaken
Ability to find the procedure without delay
Commentary ( on the procedure which was read
prior to procedure ) other than descriptive.
5. 1. Program based
The European Neurosurgical Electronic
Logbook of Operations
6. 1. Program based…cont.
Electronic version of this logbook that helps the trainee to
record all operations in an easy and fast way.
Runs under any version of Microsoft Windows
The EANS published a detailed list of operations with
minimum and optimum figures for each entry that a
trainee must meet at the end of his training
It is not depended on any external programs
7. Continue
The application is designed to support multiple languages
for all text messages and the list of diagnoses
For security reasons all data entered is encrypted
To allow multiple users to access their data on one
single computer, the application supports an
unlimited number of accounts that can be accessed by
one installation of the program
8. Installation of the application is as
straightforward as installing other
standard applications
Both lists mentioned can be printed
9. Role of the trainee during the operation
This value can either be “T” , “TS”, “C” or “A”:
T=Trainee: The trainee has done the operation.
The supervising consultant must not have made
a decision/practical manoeuvre significantly
affecting the execution of the operation.
TS=Trainee (+Consultant Supervising): The
trainee has done the operation but the
supervising consultant has made a significant
decision/practical manoeuvre during the
operation.
10. C=Component: The trainee has performed
component parts during the operation under
supervision of a senior surgeon: Positioning,
operative approach, closure, drainage, draping,
instructions for postoperative care.
A=Assistant: The trainee is the principal
assistant during the operation.
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26. 2.Formal written
The eldest way to record
Depends on ability of recorder to fullfil all fields
Obligate us to read prior to write
Nothing not important, keep your mind with the
seniors and register every data
27. 2.Formal written
Not comfortable
All data around us recorded by new technologies
Return to previous cases is not so easy
29. 2.Formal written ..cont.
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30. 3.Web-based
Few sites were constructed for such mission
The data is stored in place other than my computer
Revision and recording need internet access
The available site is not free
Well organized data and fields, no place for blurred
subjects and specific.
31. continue
The web facilitate revision with trainer
Accredited from well known organisation.
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42. 4.Media
Advantages :
Audio recording represents one of the old method
to record
Video and photos capturing are new quit
methods to save pt. pictures and operative steps
43. 4.Media
Disadvantages :
Continuity not always possible
Needs tool ( high cam zooming )
Needs someone to capture them
Microscopic recording is the best
44. 4.Media
Example : method 1 folder of pics and sound file