According to Healthgrades, orthopedic surgery at South Nassau is among the top 10% in the nation— in terms of favorable patient outcomes as measured by data reported to the federal government and compared to some 4,500 other acute care hospitals
In the United States, current best practices for potential victims of stroke focus on the goals of rapid EMS triage of, transport to and treatment at Primary Stroke Centers. This session will address the following questions:
-What is the best EMS Stroke Care Model to accomplish this?
-Is there only one “Best Model”?
-How do models compare with other systems in neighboring states and elsewhere in the U.S.?
-What aspects of these other models might be adapted by EMS care systems to improve stroke care?
In addition to the Get with the Guideline-Stroke award, South Nassau is a recipient of the association’s Target: Stroke Honor Roll, for improving stroke care.
According to Healthgrades, orthopedic surgery at South Nassau is among the top 10% in the nation— in terms of favorable patient outcomes as measured by data reported to the federal government and compared to some 4,500 other acute care hospitals
In the United States, current best practices for potential victims of stroke focus on the goals of rapid EMS triage of, transport to and treatment at Primary Stroke Centers. This session will address the following questions:
-What is the best EMS Stroke Care Model to accomplish this?
-Is there only one “Best Model”?
-How do models compare with other systems in neighboring states and elsewhere in the U.S.?
-What aspects of these other models might be adapted by EMS care systems to improve stroke care?
In addition to the Get with the Guideline-Stroke award, South Nassau is a recipient of the association’s Target: Stroke Honor Roll, for improving stroke care.
Upon the closing of the sale of the LBMC assets, which is scheduled to occur on or about June 30, 2014, South Nassau will move forward with planning to redevelop medical services consistent with the needs of the South Shore communities
South Nassau’s Emergency Services Department is the busiest community hospital emergency room in Nassau County, realizing an 8.5 percent increase in patient visits in 2013.
Dr. Nauheim is active in research, lecturing and publishing papers on ophthalmology and is also a member of the teaching faculty at North Shore University Hospital and Nassau University Medical Center.
The leaders listed include healthcare providers, advocates, administrators, researchers and professors who have demonstrated a commitment to patient safety through their body of work, personal accomplishments and organizational leadership.
Approximately 300 guests bid on over 200 featured live and silent auction items. A watercolor self-portrait by world-renowned artist Chuck Close topped the bidding at $21,000.
This partnership is part of South Nassau's commitment to help enhance health care services and revitalize the network of community-based physicians available for the residents.
As an IOQ facility, South Nassau demonstrates excellence in care and a commitment to continuous improvement and is recognized in Aetna’s DocFind® online provider directory.
The award recognizes South Nassau’s commitment and success to ensuring that stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines.
Dr. Herman is a 2015 “New York Super Doctor.” No more than 5% of physicians in the New York metro region achieve this designation, which is given by Key Professional Media, a leading research and medical ranking organization.
The Fellows of the AANP (FAANP) impact national and global health and enhance the mission of the AANP by engaging recognized nurse practitioner leaders who make outstanding contributions to clinical practice, research, education, or policy.
Dr. Denier is a clinical cardiologist at South Nassau Communities Hospital’s Center for Cardiovascular Health. Dr. Denier’s primary responsibility as a district councilor is grassroots advocacy at the state and federal government levels.
South Nassau was also named to the association’s Target: Stroke Honor Roll for meeting stroke quality measures that reduce the time between hospital arrival and treatment with the clot-buster tPA.
A recipient of the ACS CoC Outstanding Performance Award, Dr. Shahriyour Andaz is board-certified in both thoracic and general surgery and specializes in complex chest cancer procedures and robotic-assisted surgery.
The Viva is equipped with the latest advancement in shock reduction programing that enables the device to better differentiate between dangerous and harmless heart rhythms.
The world's largest local philanthropy organization, UJA - Federation of New York helps 1.4 million people in New York City, Westchester County and Long Island as well as 3 million people in Israel and 60 other countries around the world.
Recently awarded the prestigious ACS Commission on Cancer Outstanding Achievement Award, South Nassau was selected for inclusion in the list based on a number of factors, including clinical outcomes, clinical expertise and cancer research.
Upon the closing of the sale of the LBMC assets, which is scheduled to occur on or about June 30, 2014, South Nassau will move forward with planning to redevelop medical services consistent with the needs of the South Shore communities
South Nassau’s Emergency Services Department is the busiest community hospital emergency room in Nassau County, realizing an 8.5 percent increase in patient visits in 2013.
Dr. Nauheim is active in research, lecturing and publishing papers on ophthalmology and is also a member of the teaching faculty at North Shore University Hospital and Nassau University Medical Center.
The leaders listed include healthcare providers, advocates, administrators, researchers and professors who have demonstrated a commitment to patient safety through their body of work, personal accomplishments and organizational leadership.
Approximately 300 guests bid on over 200 featured live and silent auction items. A watercolor self-portrait by world-renowned artist Chuck Close topped the bidding at $21,000.
This partnership is part of South Nassau's commitment to help enhance health care services and revitalize the network of community-based physicians available for the residents.
As an IOQ facility, South Nassau demonstrates excellence in care and a commitment to continuous improvement and is recognized in Aetna’s DocFind® online provider directory.
The award recognizes South Nassau’s commitment and success to ensuring that stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines.
Dr. Herman is a 2015 “New York Super Doctor.” No more than 5% of physicians in the New York metro region achieve this designation, which is given by Key Professional Media, a leading research and medical ranking organization.
The Fellows of the AANP (FAANP) impact national and global health and enhance the mission of the AANP by engaging recognized nurse practitioner leaders who make outstanding contributions to clinical practice, research, education, or policy.
Dr. Denier is a clinical cardiologist at South Nassau Communities Hospital’s Center for Cardiovascular Health. Dr. Denier’s primary responsibility as a district councilor is grassroots advocacy at the state and federal government levels.
South Nassau was also named to the association’s Target: Stroke Honor Roll for meeting stroke quality measures that reduce the time between hospital arrival and treatment with the clot-buster tPA.
A recipient of the ACS CoC Outstanding Performance Award, Dr. Shahriyour Andaz is board-certified in both thoracic and general surgery and specializes in complex chest cancer procedures and robotic-assisted surgery.
The Viva is equipped with the latest advancement in shock reduction programing that enables the device to better differentiate between dangerous and harmless heart rhythms.
The world's largest local philanthropy organization, UJA - Federation of New York helps 1.4 million people in New York City, Westchester County and Long Island as well as 3 million people in Israel and 60 other countries around the world.
Recently awarded the prestigious ACS Commission on Cancer Outstanding Achievement Award, South Nassau was selected for inclusion in the list based on a number of factors, including clinical outcomes, clinical expertise and cancer research.
South Nassau and Hofstra NSLIJ School of Medicine have an academic affiliation agreement that combines the school’s academic and clinical resources with the hospital's clinical programs and physicians to provide world class medical training.
The prestigious ACR accreditation is awarded only to facilities that prove during a rigorous peer-review evaluation that they meet specific Practice Guidelines and Technical Standards developed by the ACR.
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.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
- 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
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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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
1. For Immediate Release July 31, 2014
Contact: Damian Becker, Manager of Media Relations
(516) 377-5370
Dr. Kanner Inducted as Fellow of Heart Rhythm Society
Oceanside, NY – The Heart Rhythm Society (HRS) recently announced that is has inducted Lawrence
Kanner, MD, FACC, director of electrophysiology and arrhythmia services at South Nassau Communities
Hospital, as a Fellow of the society.
Fellowship recognizes members for their advanced training, certification, and commitment to the
research and treatment of heart rhythm disorders. Founded in 1979 as the North American Society of Pacing
and Electrophysiology, HRS is a leading resource on cardiac pacing and electrophysiology, representing
medical, allied health and science professionals from more than 70 countries who specialize in cardiac rhythm
disorders.
As director of electrophysiology and arrhythmia services, Dr. Kanner oversees and directs
electrophysiology operations in South Nassau’s state-of-the-art EP lab. He received his bachelor’s degree from
Harvard University and MD from the School of Medicine and Biomedical Sciences at SUNY Buffalo. He
completed his medical residency and specialty training in cardiovascular disease at North Shore University
Hospital in Manhasset (NSUH-Manhasset), and thereafter received advanced fellowship training in Clinical
Cardiac Electrophysiology at the renowned Lahey Clinic Medical Center in Massachusetts. Before joining
South Nassau, Dr. Kanner served as an attending physician in the section of cardiac electrophysiology at
NSUH-Manhasset.
Dr. Kanner and South Nassau’s Center for Cardiovascular Health have been in the forefront in treating
heart rhythm disorders with the latest advancements in implantable cardio-defibrillator devices and
electrophysiology services.
Dr. Kanner was the first electrophysiologist on Long Island to implant several groundbreaking cardiac
devices: the Viva® cardiac resynchronization therapy device with defibrillation (CRT-D) (which continuously
adjusts to individual patient needs and preserves each patient’s normal heart rhythms); Incepta® ICD
(recognized as the world’s smallest and thinnest ICD); Evia®
pacemaker (which incorporates a wireless
monitoring system that immediately notifies the patient’s physician if the patient or the pacemaker is
News From:
2. experiencing complications) and was among the first to implant the Revo MRI™ SureScan® pacing system (the
first pacemaker in the U.S. specifically designed for use in a MRI environment).
In addition to ICDs, Dr. Kanner and electrophysiologists at the Center for Cardiovascular Health use an
array of other advanced technologies and treatments to provide timely, accurate diagnoses and therapies for the
range of cardiac arrhythmias. This includes diagnostic studies, defibrillator maintenance, implanting and testing
of pacemakers, and radiofrequency catheter ablation.
Designated a Magnet® hospital by the American Nurses Credentialing Center (ANCC), South Nassau®
Communities Hospital is one of the region’s largest hospitals, with 435 beds, more than 900 physicians and
3,000 employees. Located in Oceanside, NY, the hospital is an acute-care, not-for-profit teaching hospital that
provides state-of-the-art care in cardiac, oncologic, orthopedic, bariatric, pain management, mental health and
emergency services. In addition to its extensive outpatient specialty centers, South Nassau provides emergency
and elective angioplasty, and is the only hospital on Long Island with the Novalis Tx™ and Gamma Knife®
radiosurgery technologies. South Nassau is a designated Stroke Center by the New York State Department of
Health and Comprehensive Community Cancer Center by the American College of Surgeons and is an
accredited center of the Metabolic and Bariatric Surgery Association and Quality Improvement Program. In
addition, the hospital has been awarded the Joint Commission’s gold seal of approval as a Top Performer on
Key Quality Measures, including heart attack, heart failure, pneumonia and surgical care; and disease-specific
care for hip and joint replacement, wound care and end-stage renal disease. For more information, visit
www.southnassau.org.
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