1. The document discusses evidence-based medicine and summarizes key principles of systematically reviewing medical literature to inform clinical practice. It emphasizes integrating the best available evidence from rigorous research studies.
2. The review process involves forming clear clinical questions, searching appropriate databases, appraising the validity and relevance of the evidence, and applying high-quality findings to improve diagnosis and treatment.
3. Summarizing randomized controlled trials and systematic reviews helps identify the most effective and safest medical practices while minimizing potential harms to patients.
The document discusses key concepts and principles of meeting facilitation including: defining what a meeting is, the purpose of meetings, and the roles and responsibilities of a meeting facilitator. It covers facilitating effective communication and decision making during meetings. Meeting facilitation aims to guide participants through the meeting process to achieve intended outcomes.
The document analyzes the results of a movie-related survey through pie charts and graphs. Most respondents preferred comedy movies and enjoyed mystery in trailers rather than revealing the plot. Over half found ghosts the scariest element in horror movies. Answers to open-ended questions provided varied but useful qualitative data. The survey results influenced the document author's ideas, suggesting a focus on ghosts, social media promotion, a 15 rating, and an optimal trailer length. However, some questions like director recognition produced split 50-50 results, making conclusions less definite.
The document discusses a receiver-based bandwidth sharing system (BWSS) developed by the authors to improve video streaming over TCP connections to bandwidth-limited receivers. BWSS breaks fairness among TCP flows locally to allocate more bandwidth to high priority flows like video. It allows user-specified bandwidth allocation without changes to senders or network infrastructure. Experimental results show BWSS provides a 4x reduction in pre-buffering time for video versus standard TCP and enables constant video streaming rates even during periods of access link congestion, outperforming both standard TCP and UDP solutions.
This document summarizes a research paper that discusses a GIS application for health care planning in Jeddah City, Saudi Arabia. The application aims to evaluate the existing locations of health care facilities, identify how health demand is distributed across districts, and model spatial variation in patient locations. The author created a geodatabase with health facility locations, roads, and population districts. Raster surfaces were produced using kriging to predict health demand values. The outputs can help planners evaluate current facility locations and decide where to allocate new facilities based on health demand patterns. This application serves as a spatial decision support system for health planning in Jeddah City.
This paper proposes an adaptive energy management policy for wireless video streaming between a battery-powered client and server. It models the energy consumption of the server and client based on factors like CPU frequency, transmission power, and channel bandwidth. The paper formulates an optimization problem to assign optimal energy to each video frame. This maximizes system lifetime while meeting a minimum video quality requirement. Experimental results show the proposed policy increases overall system lifetime by 20% on average.
Visualizing User Innovation in Health CareCLICresearch
We aim at identifying actual user innovators, and plan to share those innovations with patients that can benefit from them.
Therefore the following questions should be answered:
- How can we identify the user innovators in health care, and the innovations they developed?
- How can we make them “visible” to society?
- How does society benefit from users innovations in Healthcare services?
more: clicresearch.org/peter-pribilla-stiftung/?page_id=122
The literature on user innovation in health-care services has identified examples of service development (including medical treatments) by users. For example, in October 1969, Richard Bernstein, a type 1 diabetes patient, came across an advertisement of the first blood glucose meter that would give a reading in 1 minute, using a single drop of blood. The device was intended for emergency staff at hospitals to distinguish unconscious diabetics from unconscious drunks. The instrument weighed three pounds, cost $650, and was only available to certified physicians, and hospitals. Determined to take control of his situation, Bernstein asked his wife, a doctor, to order the instrument for him. Bernstein began to measure his blood sugar about 5 times each day, and soon realized that the levels fluctuated wildly throughout the day. To even out his blood sugars, he adjusted his insulin regimen from one injection per day to two, and experimented with his diet, notably by reducing his consumption of carbohydrates. Three years after Bernstein began monitoring his own blood sugar levels, his complications were still progressing, and he began researching scientific articles about the disease. Bernstein, a “user”, is believed to be the first individual to self-monitor his blood sugar, and was an early advocate for such monitoring by diabetics (Bernstein 2007). Bernstein is just one of many users who developed important solutions for their own disease (Oliveira, von Hippel, and DeMonaco 2011).
This is just one of the many examples in which a treatment or medical device was developed by patients. We call these examples the “celebrity user innovators”. We aim at identifying actual user innovators, and plan to share those innovations with patients that can benefit from them.
Therefore the following questions should be answered:
- How can we identify the user innovators in health care, and the innovations they developed?
- How can we make them “visible” to society?
- How does society benefit from users innovations in Healthcare services?
This 3-page pediatric medication handbook provides guidelines for dosing various emergency and intensive care medications. It includes dosing recommendations for intubation, resuscitation, shock, antiarrhythmics, analgesics, sedatives, and more. When referring a child to higher level of care, the handbook advises providing key information such as name, age, vital signs, history, labs, IV access, and current therapies. The table of contents outlines additional dosing guides for hematology/oncology medications, nutrition, managing anxiety, and neonatal medications. All doses provided are initial recommendations that may need adjustment based on the child's condition.
The document discusses key concepts and principles of meeting facilitation including: defining what a meeting is, the purpose of meetings, and the roles and responsibilities of a meeting facilitator. It covers facilitating effective communication and decision making during meetings. Meeting facilitation aims to guide participants through the meeting process to achieve intended outcomes.
The document analyzes the results of a movie-related survey through pie charts and graphs. Most respondents preferred comedy movies and enjoyed mystery in trailers rather than revealing the plot. Over half found ghosts the scariest element in horror movies. Answers to open-ended questions provided varied but useful qualitative data. The survey results influenced the document author's ideas, suggesting a focus on ghosts, social media promotion, a 15 rating, and an optimal trailer length. However, some questions like director recognition produced split 50-50 results, making conclusions less definite.
The document discusses a receiver-based bandwidth sharing system (BWSS) developed by the authors to improve video streaming over TCP connections to bandwidth-limited receivers. BWSS breaks fairness among TCP flows locally to allocate more bandwidth to high priority flows like video. It allows user-specified bandwidth allocation without changes to senders or network infrastructure. Experimental results show BWSS provides a 4x reduction in pre-buffering time for video versus standard TCP and enables constant video streaming rates even during periods of access link congestion, outperforming both standard TCP and UDP solutions.
This document summarizes a research paper that discusses a GIS application for health care planning in Jeddah City, Saudi Arabia. The application aims to evaluate the existing locations of health care facilities, identify how health demand is distributed across districts, and model spatial variation in patient locations. The author created a geodatabase with health facility locations, roads, and population districts. Raster surfaces were produced using kriging to predict health demand values. The outputs can help planners evaluate current facility locations and decide where to allocate new facilities based on health demand patterns. This application serves as a spatial decision support system for health planning in Jeddah City.
This paper proposes an adaptive energy management policy for wireless video streaming between a battery-powered client and server. It models the energy consumption of the server and client based on factors like CPU frequency, transmission power, and channel bandwidth. The paper formulates an optimization problem to assign optimal energy to each video frame. This maximizes system lifetime while meeting a minimum video quality requirement. Experimental results show the proposed policy increases overall system lifetime by 20% on average.
Visualizing User Innovation in Health CareCLICresearch
We aim at identifying actual user innovators, and plan to share those innovations with patients that can benefit from them.
Therefore the following questions should be answered:
- How can we identify the user innovators in health care, and the innovations they developed?
- How can we make them “visible” to society?
- How does society benefit from users innovations in Healthcare services?
more: clicresearch.org/peter-pribilla-stiftung/?page_id=122
The literature on user innovation in health-care services has identified examples of service development (including medical treatments) by users. For example, in October 1969, Richard Bernstein, a type 1 diabetes patient, came across an advertisement of the first blood glucose meter that would give a reading in 1 minute, using a single drop of blood. The device was intended for emergency staff at hospitals to distinguish unconscious diabetics from unconscious drunks. The instrument weighed three pounds, cost $650, and was only available to certified physicians, and hospitals. Determined to take control of his situation, Bernstein asked his wife, a doctor, to order the instrument for him. Bernstein began to measure his blood sugar about 5 times each day, and soon realized that the levels fluctuated wildly throughout the day. To even out his blood sugars, he adjusted his insulin regimen from one injection per day to two, and experimented with his diet, notably by reducing his consumption of carbohydrates. Three years after Bernstein began monitoring his own blood sugar levels, his complications were still progressing, and he began researching scientific articles about the disease. Bernstein, a “user”, is believed to be the first individual to self-monitor his blood sugar, and was an early advocate for such monitoring by diabetics (Bernstein 2007). Bernstein is just one of many users who developed important solutions for their own disease (Oliveira, von Hippel, and DeMonaco 2011).
This is just one of the many examples in which a treatment or medical device was developed by patients. We call these examples the “celebrity user innovators”. We aim at identifying actual user innovators, and plan to share those innovations with patients that can benefit from them.
Therefore the following questions should be answered:
- How can we identify the user innovators in health care, and the innovations they developed?
- How can we make them “visible” to society?
- How does society benefit from users innovations in Healthcare services?
This 3-page pediatric medication handbook provides guidelines for dosing various emergency and intensive care medications. It includes dosing recommendations for intubation, resuscitation, shock, antiarrhythmics, analgesics, sedatives, and more. When referring a child to higher level of care, the handbook advises providing key information such as name, age, vital signs, history, labs, IV access, and current therapies. The table of contents outlines additional dosing guides for hematology/oncology medications, nutrition, managing anxiety, and neonatal medications. All doses provided are initial recommendations that may need adjustment based on the child's condition.
Medical Organizations & SIR Model : EpidemiologySubhajit Sahu
Compartmental models simplify the mathematical modelling of infectious diseases. The population is assigned to compartments with labels - for example, S, I, or R, (Susceptible, Infectious, or Recovered). People may progress between compartments. The order of the labels usually shows the flow patterns between the compartments; for example SEIS means susceptible, exposed, infectious, then susceptible again.
The origin of such models is the early 20th century, with an important work being that of Kermack and McKendrick in 1927.[1]
The models are most often run with ordinary differential equations (which are deterministic), but can also be used with a stochastic (random) framework, which is more realistic but much more complicated to analyze.
The Indian Council of Medical Research (ICMR), the apex body in India for the formulation, coordination and promotion of biomedical research, is one of the oldest and largest medical research bodies in the world. The ICMR is funded by the Government of India through the Department of Health Research, Ministry of Health and Family Welfare.[1][2] In 2007 the organization established the Clinical Trials Registry - India, which is India's national registry for clinical trials.[3]
ICMR's 26 national institutes address themselves to research on specific health topics like tuberculosis, leprosy, cholera and diarrhoeal diseases, viral diseases including AIDS, malaria, kala-azar, vector control, nutrition, food & drug toxicology, reproduction, immuno-haematology, oncology, medical statistics, etc. Its 6 regional medical research centres address themselves to regional health problems, and also aim to strengthen or generate research capabilities in different geographic areas of the country.[2]
This document provides information on glaucoma drugs and treatment. It discusses the impact of generic latanoprost becoming available, noting this will lower costs for patients. It also answers questions from optometrists regarding glaucoma diagnosis and treatment, including when to inform patients they are being followed as suspects, recommendations for medication changes or reductions, and coding family member exams.
A 24-year-old male student presented to the clinic with a 3-week history of generalized weakness, weight loss of 13 kg, polydipsia, polyuria, nocturia, and diplopia. Physical examination found the patient to be conscious but tachycardic and emaciated. Laboratory tests showed severe hyperglycemia of 544 mg/dL and ketoacidosis. The patient was diagnosed with diabetic ketoacidosis and treated with insulin, IV fluids, and a diabetic diet. Blood glucose levels improved with treatment but the patient was continued on insulin injections and monitoring of blood glucose.
This document summarizes information presented by Dr. Stefan Johansson on the patent ductus arteriosus (PDA). It discusses the definition, diagnosis, treatment, and management of PDA in preterm infants. Specifically, it notes that echocardiography is important for visualizing and defining a hemodynamically significant PDA. It also reviews different treatment approaches for PDA including medical treatment with ibuprofen or indomethacin and the need for more research on optimal dosing schedules and timing of treatment.
The document discusses the future of health and medicine. It begins by providing an overview of the history of medicine from ancient river valleys to modern times. It then examines concepts like the definition of health, current issues in global health including access to care, and challenges like rising rates of non-communicable diseases. The document suggests the future may involve continued growth, collapse, or a transformation towards more equitable, sustainable systems. Overall, it considers how studying history can inform the future of health and importance of envisioning multiple possible futures.
London iCAAD 2019 - Dr Jeffrey Kamlet - A PRIMER TO THE TREATMENT OF ADDICTIO...iCAADEvents
As the world’s leading expert on Ibogaine administration, side effects, risk versus benefit and pharmacokinetics of all forms of Ibogaine, my presentation will begin with a brief history of Ibogaine. How Ibogaine has been used for hundreds of years in Africa as a sacrament by the Bwitti and other tribes in Gabon. How, when it was legal in the United States, it was serendipitously discovered by Howard Lotsoff to ameliorate Heroine and Methadone withdrawal in less than 24 hours.
di Mario Cazzola, Dipartimento di Medicina Molecolare, Università degli Studi di Pavia - Clinica Ematologica, Fondazione IRCCS Policlinico San Matteo, Pavia.
Slide per l'intervento tenuto in Fondazione Giannino Bassetti in occasione del primo incontro del ciclo "La medicina di precisione", primo progetto dalla convenzione tra Università di Pavia e Fondazione Bassetti.
12 marzo 2018
This document discusses circadian rhythms and how botanical adaptogens can be used to target the 24-hour circadian cycle. It begins by defining circadian rhythms as the body's internal 24-hour cycles that allow for adaptation to daily environmental changes. It then discusses the three main components of the human circadian clock system: the input pathways, central circadian clock, and peripheral clocks. Several botanicals are then presented that can be used to modulate the circadian rhythm and cortisol cycle, including holy basil, eleuthero, reishi, rhodiola, rhaponticum, licorice, cordyceps, ashwagandha, and magnolia. Dosages and times of day for application of each botan
Dr. Sharda Jain is an experienced gynecologist and surgeon with over two decades of experience teaching at major medical colleges in India. She has received several awards and honors for her contributions in the fields of gynecology, obstetrics, and medical education. She is passionate about improving women's health, fighting issues like female feticide and anemia, and ensuring the safety of doctors.
ROJoson PEP Talk: MEDICAL RECORDS - Generate, Keep & ArchiveReynaldo Joson
The document discusses a course on medical records for laypeople. It aims to educate them on the importance of generating, keeping, and archiving their own medical records for health management. The course covers what medical records are, common types, their uses, ways to generate, keep, and archive records. It provides examples of a personal health journal, clinic notes, and hospital records. It emphasizes the importance of asking healthcare providers for documentation of consultations and tests and safely storing all medical records.
This document is a dictionary containing 3259 technical terms commonly used in traditional Chinese, Japanese, Korean, and Vietnamese medicines. Each term includes the English expression, original Chinese character, and concise English definition. The terms cover basic theories, diagnostics, diseases, therapies including acupuncture and herbal medicine. A numbering system is used to categorize terms and allow for future additions. The standardized terminology aims to accurately convey meanings and avoid multiple expressions for single terms in scientific works on oriental medicine.
This document provides information about Shanti Memorial Hospital Pvt Ltd, a multi-specialty medical center located in Cuttack, India. It was established in 1991 in memory of the founder's mother, Shantilata Patnaik, to provide quality and affordable healthcare. The hospital has highly trained staff and offers a wide range of specialty services. It aims to provide patients with hope, healing, and happiness.
The document summarizes information about child guidance clinics. It states that the first child guidance clinic was started in Chicago in 1990 and the first in India was in 1939 in Mumbai. Child guidance clinics deal with children exhibiting a range of behaviors and psychological problems through prevention, counseling, and helping with difficulties like behavioral issues, learning problems, and medical conditions. They use a multidisciplinary team including psychiatrists, psychologists, social workers, and other professionals to assess children, develop treatment plans, and provide services like therapy, counseling, and training for caretakers.
Ajyal Health magazine is an official publication of the Saudi Ministry of Education that has been published since 1997. It aims to promote health education among students and families. The magazine covers various health topics through articles, investigations, and programs. It has a circulation of 33,000 schools across Saudi Arabia, targeting over 5 million students, families, and teachers. Advertising in the magazine provides access to this wide audience of stakeholders in the education and health sectors.
ROJoson PEP Talk: Can one skip RADIOACTIVE IODINE THERAPY in Thyroid Cancer T...Reynaldo Joson
The document discusses radioactive iodine therapy (RAIT) for thyroid cancer treatment. RAIT involves using radioactive iodine-131, which is taken orally and concentrates in thyroid tissue to destroy cancer cells. It is effective for papillary and follicular thyroid cancers. RAIT is used for remnant ablation after surgery, adjuvant therapy to prevent recurrence, and treatment of known disease. While commonly recommended in the past, the use of RAIT has evolved to focus on patients at higher risk of recurrence rather than applying it routinely, as many thyroid cancers have excellent outcomes with surgery alone. The document questions whether RAIT can be skipped in some patients with a very low risk.
ROJoson PEP Talk: CAN ONE SKIP RADIOACTIVE IODINE THERAPY IN THYROID CANCER T...Reynaldo Joson
The document discusses radioactive iodine therapy (RAIT) for thyroid cancer treatment. RAIT involves using radioactive iodine-131, which is taken orally and concentrates in thyroid tissue to destroy cancer cells. It is effective for papillary and follicular thyroid cancers. RAIT is used for remnant ablation after surgery, adjuvant therapy to prevent recurrence, and treatment of known disease. While commonly recommended in the past, the use of RAIT has evolved to focus on patients at higher risk, as not all thyroid cancers require aggressive treatment like RAIT. The document questions whether RAIT can be skipped in some patients.
Students Enriching Ayurveda Research and Convenient Health .
This club is intended primarily for Ayurveda students & doctors who wish to take up systematic reviews along with interested ones on research works & an expert who has experience in doing such reviews . We wish to structure the protocol by incorporating the principles of Ayurveda, The search strategy that will includes an extensive listing of eastern data bases and hand searching. In Ayurveda, the titles of articles are not in the Population, Intervention, Control, and Outcome (PICO) pattern and sometimes the title and methodology do not tally. Therefore, a search of all types of studies is necessary to pool all the relevant publications. A data extraction form is needed to be proposed for use in assessing the quality of Ayurvedic studies. I hope the protocol provides a template for performing evidence reviews of Ayurvedic interventions.
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
Medical Organizations & SIR Model : EpidemiologySubhajit Sahu
Compartmental models simplify the mathematical modelling of infectious diseases. The population is assigned to compartments with labels - for example, S, I, or R, (Susceptible, Infectious, or Recovered). People may progress between compartments. The order of the labels usually shows the flow patterns between the compartments; for example SEIS means susceptible, exposed, infectious, then susceptible again.
The origin of such models is the early 20th century, with an important work being that of Kermack and McKendrick in 1927.[1]
The models are most often run with ordinary differential equations (which are deterministic), but can also be used with a stochastic (random) framework, which is more realistic but much more complicated to analyze.
The Indian Council of Medical Research (ICMR), the apex body in India for the formulation, coordination and promotion of biomedical research, is one of the oldest and largest medical research bodies in the world. The ICMR is funded by the Government of India through the Department of Health Research, Ministry of Health and Family Welfare.[1][2] In 2007 the organization established the Clinical Trials Registry - India, which is India's national registry for clinical trials.[3]
ICMR's 26 national institutes address themselves to research on specific health topics like tuberculosis, leprosy, cholera and diarrhoeal diseases, viral diseases including AIDS, malaria, kala-azar, vector control, nutrition, food & drug toxicology, reproduction, immuno-haematology, oncology, medical statistics, etc. Its 6 regional medical research centres address themselves to regional health problems, and also aim to strengthen or generate research capabilities in different geographic areas of the country.[2]
This document provides information on glaucoma drugs and treatment. It discusses the impact of generic latanoprost becoming available, noting this will lower costs for patients. It also answers questions from optometrists regarding glaucoma diagnosis and treatment, including when to inform patients they are being followed as suspects, recommendations for medication changes or reductions, and coding family member exams.
A 24-year-old male student presented to the clinic with a 3-week history of generalized weakness, weight loss of 13 kg, polydipsia, polyuria, nocturia, and diplopia. Physical examination found the patient to be conscious but tachycardic and emaciated. Laboratory tests showed severe hyperglycemia of 544 mg/dL and ketoacidosis. The patient was diagnosed with diabetic ketoacidosis and treated with insulin, IV fluids, and a diabetic diet. Blood glucose levels improved with treatment but the patient was continued on insulin injections and monitoring of blood glucose.
This document summarizes information presented by Dr. Stefan Johansson on the patent ductus arteriosus (PDA). It discusses the definition, diagnosis, treatment, and management of PDA in preterm infants. Specifically, it notes that echocardiography is important for visualizing and defining a hemodynamically significant PDA. It also reviews different treatment approaches for PDA including medical treatment with ibuprofen or indomethacin and the need for more research on optimal dosing schedules and timing of treatment.
The document discusses the future of health and medicine. It begins by providing an overview of the history of medicine from ancient river valleys to modern times. It then examines concepts like the definition of health, current issues in global health including access to care, and challenges like rising rates of non-communicable diseases. The document suggests the future may involve continued growth, collapse, or a transformation towards more equitable, sustainable systems. Overall, it considers how studying history can inform the future of health and importance of envisioning multiple possible futures.
London iCAAD 2019 - Dr Jeffrey Kamlet - A PRIMER TO THE TREATMENT OF ADDICTIO...iCAADEvents
As the world’s leading expert on Ibogaine administration, side effects, risk versus benefit and pharmacokinetics of all forms of Ibogaine, my presentation will begin with a brief history of Ibogaine. How Ibogaine has been used for hundreds of years in Africa as a sacrament by the Bwitti and other tribes in Gabon. How, when it was legal in the United States, it was serendipitously discovered by Howard Lotsoff to ameliorate Heroine and Methadone withdrawal in less than 24 hours.
di Mario Cazzola, Dipartimento di Medicina Molecolare, Università degli Studi di Pavia - Clinica Ematologica, Fondazione IRCCS Policlinico San Matteo, Pavia.
Slide per l'intervento tenuto in Fondazione Giannino Bassetti in occasione del primo incontro del ciclo "La medicina di precisione", primo progetto dalla convenzione tra Università di Pavia e Fondazione Bassetti.
12 marzo 2018
This document discusses circadian rhythms and how botanical adaptogens can be used to target the 24-hour circadian cycle. It begins by defining circadian rhythms as the body's internal 24-hour cycles that allow for adaptation to daily environmental changes. It then discusses the three main components of the human circadian clock system: the input pathways, central circadian clock, and peripheral clocks. Several botanicals are then presented that can be used to modulate the circadian rhythm and cortisol cycle, including holy basil, eleuthero, reishi, rhodiola, rhaponticum, licorice, cordyceps, ashwagandha, and magnolia. Dosages and times of day for application of each botan
Dr. Sharda Jain is an experienced gynecologist and surgeon with over two decades of experience teaching at major medical colleges in India. She has received several awards and honors for her contributions in the fields of gynecology, obstetrics, and medical education. She is passionate about improving women's health, fighting issues like female feticide and anemia, and ensuring the safety of doctors.
ROJoson PEP Talk: MEDICAL RECORDS - Generate, Keep & ArchiveReynaldo Joson
The document discusses a course on medical records for laypeople. It aims to educate them on the importance of generating, keeping, and archiving their own medical records for health management. The course covers what medical records are, common types, their uses, ways to generate, keep, and archive records. It provides examples of a personal health journal, clinic notes, and hospital records. It emphasizes the importance of asking healthcare providers for documentation of consultations and tests and safely storing all medical records.
This document is a dictionary containing 3259 technical terms commonly used in traditional Chinese, Japanese, Korean, and Vietnamese medicines. Each term includes the English expression, original Chinese character, and concise English definition. The terms cover basic theories, diagnostics, diseases, therapies including acupuncture and herbal medicine. A numbering system is used to categorize terms and allow for future additions. The standardized terminology aims to accurately convey meanings and avoid multiple expressions for single terms in scientific works on oriental medicine.
This document provides information about Shanti Memorial Hospital Pvt Ltd, a multi-specialty medical center located in Cuttack, India. It was established in 1991 in memory of the founder's mother, Shantilata Patnaik, to provide quality and affordable healthcare. The hospital has highly trained staff and offers a wide range of specialty services. It aims to provide patients with hope, healing, and happiness.
The document summarizes information about child guidance clinics. It states that the first child guidance clinic was started in Chicago in 1990 and the first in India was in 1939 in Mumbai. Child guidance clinics deal with children exhibiting a range of behaviors and psychological problems through prevention, counseling, and helping with difficulties like behavioral issues, learning problems, and medical conditions. They use a multidisciplinary team including psychiatrists, psychologists, social workers, and other professionals to assess children, develop treatment plans, and provide services like therapy, counseling, and training for caretakers.
Ajyal Health magazine is an official publication of the Saudi Ministry of Education that has been published since 1997. It aims to promote health education among students and families. The magazine covers various health topics through articles, investigations, and programs. It has a circulation of 33,000 schools across Saudi Arabia, targeting over 5 million students, families, and teachers. Advertising in the magazine provides access to this wide audience of stakeholders in the education and health sectors.
ROJoson PEP Talk: Can one skip RADIOACTIVE IODINE THERAPY in Thyroid Cancer T...Reynaldo Joson
The document discusses radioactive iodine therapy (RAIT) for thyroid cancer treatment. RAIT involves using radioactive iodine-131, which is taken orally and concentrates in thyroid tissue to destroy cancer cells. It is effective for papillary and follicular thyroid cancers. RAIT is used for remnant ablation after surgery, adjuvant therapy to prevent recurrence, and treatment of known disease. While commonly recommended in the past, the use of RAIT has evolved to focus on patients at higher risk of recurrence rather than applying it routinely, as many thyroid cancers have excellent outcomes with surgery alone. The document questions whether RAIT can be skipped in some patients with a very low risk.
ROJoson PEP Talk: CAN ONE SKIP RADIOACTIVE IODINE THERAPY IN THYROID CANCER T...Reynaldo Joson
The document discusses radioactive iodine therapy (RAIT) for thyroid cancer treatment. RAIT involves using radioactive iodine-131, which is taken orally and concentrates in thyroid tissue to destroy cancer cells. It is effective for papillary and follicular thyroid cancers. RAIT is used for remnant ablation after surgery, adjuvant therapy to prevent recurrence, and treatment of known disease. While commonly recommended in the past, the use of RAIT has evolved to focus on patients at higher risk, as not all thyroid cancers require aggressive treatment like RAIT. The document questions whether RAIT can be skipped in some patients.
Students Enriching Ayurveda Research and Convenient Health .
This club is intended primarily for Ayurveda students & doctors who wish to take up systematic reviews along with interested ones on research works & an expert who has experience in doing such reviews . We wish to structure the protocol by incorporating the principles of Ayurveda, The search strategy that will includes an extensive listing of eastern data bases and hand searching. In Ayurveda, the titles of articles are not in the Population, Intervention, Control, and Outcome (PICO) pattern and sometimes the title and methodology do not tally. Therefore, a search of all types of studies is necessary to pool all the relevant publications. A data extraction form is needed to be proposed for use in assessing the quality of Ayurvedic studies. I hope the protocol provides a template for performing evidence reviews of Ayurvedic interventions.
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
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
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
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!
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
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NG
BEÄNH VIEÄN NHI ÑOÀNG 1
NH NG
2. Rule 31 –
Review the World Literature
Fortnightly*
*quot;Kill as Few Patients as Possiblequot; - Oscar London
5,000?
2500000 per day
Medical Articles per Year
2000000
1500000
1,400
1000000
55 per per day
500000 day
0
Trials MEDLINE BioMedical
27Kg of Guidelines
3. Indexing bias…MEDLINE
Ongoing
Ongoing
All
RCTs
Unpublished
Unpublished
Completed
Completed
Abstracts,
Abstracts,
theses, etc
theses, etc Non-MEDLINE
Non-MEDLINE
Published
Published journals
journals
(c. 12 000)
(c. 12 000)
1966
1966
Journals
Journals RCTs not
RCTs not
MEDLINE identified by
identified by
MEDLINE
journals
journals
MEDLINE
MEDLINE
(c. 3 700)
(c. 3 700)
1966
1966 RCTs
RCTs
identified by
identified by
MEDLINE
MEDLINE
4. KHAÙI NIEÄM Y HOÏC CHÖÙNG CÔÙ
NG
Moät phöông phaùp ñieàu trò ñöôïc chöùng minh coù
ng
hieäu quaû - Thöïc haønh chuaån: 8 - 13 naêm
nh
(Phillips,1998)
70% caùc phöông phaùp ñieàu trò: chöa ñuû chöùng côù
ng
chöùng minh toát hôn khoâng ñieàu trò
ng
(Chalmers,1993)
Treân 12 trieäu CTNC / Medline:
nghieân cöùu ñuùng + khoâng ñuùng phöông phaùp
ng ng
5. …reduced osmolarity ORS with WHO standard ORS
in children with acute diarrhoea
unscheduled IV
41 studies fluid infusions,
stool volume,
(-)6 / RCTs(-) vomiting,
(-)9 / intervention >< reduced osmolarity ORS hyponatraemia
(-)6 / control group did not use (WHO) std. ORS
20 remaining RCTs
(-)2 / not in children;
(-)2 / no relevant outcomes reported;
2 excluded (Mexico 1988, Mexico 1990b,
Mexico 1990a).
13 remaining RCTs
(Panama 1982, USA 1982).
14 studies met the inclusion criteria.
6. Feed thickener for newborn infants
with gastro-oesophageal reflux
MEDLINE from 1966 to March 2004,
the Cochrane Central Register of Controlled
Trials (CENTRAL, The Cochrane Library, Issue
2, 2004).
CINAHL from 1982 to December 2001,
Conference and symposia proceedings published
in Pediatric Research 1990 to 1994.
Conference proceedings for the ESPGAN and
NASPGAN from 1994 to December 2001
There is no evidence from RCTs to support or
refute the efficacy of feedthickeners
in newborn infants with GOR
7. KHAÙI NIEÄM Y HOÏC CHÖÙNG CÔÙ
NG
Thu heïp khoaûng caùch:
ng ch
nghieân cöùu - thöïc haønh ?
nh
Caäp nhaät caùc thaønh quaû cuûa caùc nghieân cöùu coù
nh
giaù trò vaøo thöïc teá ?
Y HOÏC CHÖÙNG CÔÙ
NG
8. KHAÙI NIEÄM Y HOÏC CHÖÙNG CÔÙ
NG
YHCC laø vieäc söû duïng caån thaän, roû raøng, ñuùng ñaén
ng ng ng
caùc chöùng côù toát nhaát hieän coù ñeå ñöa ra quyeát ñònh
ng
chaêm soùc beänh nhaân cuï theå.
nh
9. KHAÙI NIEÄM Y HOÏC CHÖÙNG CÔÙ
NG
Thöïc haønh döïa treân YHCC laø tích hôïp
nh
söï thaønh thaïo laâm saøng
nh ng
vôùi
chöùng côù laâm saøng beân ngoaøi toát nhaát saün coù
ng ng
töø caùc nghieân cöùu heä thoáng
ng
vaø
cô ñòa, söï mong ñôïi cuûa beänh nhaân
nh
10. KHAÙI NIEÄM Y HOÏC CHÖÙNG CÔÙ
NG
Söï thaønh thaïo laâm saøng
nh ng
– Kyõ naêng & söùc phaùn ñoaùn laâm saøng
– Kinh nghieäm thöïc haønh laâm saøng
20. In patients undergoing hip replacement,
to what extent is the risk of post-operative infection
reduced by antimicrobial prophylaxis?
patients undergoing hip
Population
replacement
Intervention
FACETS
antimicrobial prophylaxis
Comparison
placebo
Outcome post-operative infection
Böôùc 1
21. Hip replacement, Hip joint, hip prothesis,
patients
Total-hip replacement, total-joint replace..
undergoing hip
Hip surgery, hip operation, acetabulum
replacement
hip arthroplasty,… OF SYNONYMS AND
DRAW UP A LIST
FACETS ABBREVIATIONS AND SPELLING
Anti-infective agents, infection control,
antimicrobial VARIANTS WHICH MAY BE USED BY
antibiotics, antibiotic prophylaxis,
prophylaxis antimicrobial, anti-microbial, ultraclean,
hypersterile
AUTHORS
Bacterial infections, postopertavie
post-operative
complications, surgical wound infections,
infection
prothesis-related infections, sepsis
Böôùc 1
22. Hip replacement, Hip joint, hip prothesis,
patients
Total-hip replacement, total-joint replace..
undergoing hip
Hip surgery, hip operation, acetabulum
replacement
hip arthroplasty,…
DRAW UP A LIST OF SYNONYMS AND
ABBREVIATIONS AND SPELLING
Anti-infective agents, infection control,
antimicrobial antibiotics, antibiotic prophylaxis,
VARIANTS WHICH MAY BE USED BY
prophylaxis antimicrobial, anti-microbial, ultraclean,
FACETS hypersterile AUTHORS
Bacterial infections, postopertavie
post-operative
complications, surgical wound infections,
infection
prothesis-related infections, sepsis
Böôùc 1
23. Hip replacement, Hip joint, hip prothesis,
patients
Total-hip replacement, total-joint replace..
undergoing hip
Hip surgery, hip operation, acetabulum
replacement
hip arthroplasty,…
Anti-infective agents, infection control,
antimicrobial antibiotics, antibiotic prophylaxis,
prophylaxis antimicrobial, OF SYNONYMS AND ABBREVIATIONS
DRAW UP A LIST
anti-microbial, ultraclean,
hypersterile VARIANTS WHICH MAY BE USED BY
AND SPELLING
Bacterial infections, postopertavie
post-operative AUTHORS
FACETS complications, surgical wound infections,
infection
prothesis-related infections, sepsis
Böôùc 1
24. Hip replacement, Hip joint, hip prothesis,
patients
Total-hip replacement, total-joint replace..
undergoing hip
Hip surgery, hip operation, acetabulum
replacement
hip arthroplasty,…
Anti-infective agents, infection control,
antimicrobial antibiotics, antibiotic prophylaxis,
prophylaxis antimicrobial, anti-microbial, ultraclean,
hypersterile
BacterialUP A LIST OF SYNONYMS AND ABBREVIATIONS
DRAW infections, postopertavie
post-operative
complications, surgical wound infections,
infection
prothesis-related infections, USED BY AUTHORS
AND SPELLING VARIANTS WHICH MAY BE sepsis
Böôùc 1
25. Hip replacement, Hip joint, hip prothesis,
patients
Total-hip replacement, total-joint replace..
undergoing hip
Hip surgery, hip operation, acetabulum
replacement
hip arthroplasty,…
Anti-infective agents, infection control,
antimicrobial antibiotics, antibiotic prophylaxis,
prophylaxis antimicrobial, anti-microbial, ultraclean,
hypersterile
Bacterial infections, postopertavie
post-operative
complications, surgical wound infections,
infection
prothesis-related infections, sepsis
Böôùc 1
28. ÑOÄ MAÏNH CUÛA CHÖÙNG CÔÙ
NH NG
Loaïi I : töø CT ñaùnh giaù heä thoáng
nh ng
Loaïi II : töø ít nhaát 1 CT NC coù ñoái chöùng ngaãu nhieân
ng
Loaïi III : töø caùc NC thöïc nghieäm, khoâng ñoái chöùng
ng
Loaïi IV : töø caùc NC khoâng thöïc nghieäm
Loaïi V : töø quan ñieåm caù nhaân, ca LS
29. ÑOÄ MAÏNH CAÙC THIEÁT KEÁ NGHIEÂN CÖÙU
CHO CAÙC LOAÏI CAÂU HOÛI LAÂM SAØNG
Clinical Prospective, blind comparison
Examination to gold standard
Diagnostic Prospective, blind comparison
Testing to gold standard
Prognosis Cohort study > Case Control > Case Series
Therapy
Therapy Randomized control trial (RCT)
Randomized control trial
Etiology / Harm Cohort study > Case Control > Case Series
Prevention RCT > Cohort study > Case Control >Case
Series
Böôùc 2
30. ÑOÄ MAÏNH CAÙC THIEÁT KEÁ NGHIEÂN CÖÙU
CHO CAÙC LOAÏI CAÂU HOÛI LAÂM SAØNG
Caùc toång quan heä thoáng coù theå traû lôøi cho moïi
loaïi caâu hoûi laâm saøng vôùi ñoä tin caäy cao nhaát
neáu thöïc hieän ñuùng phöông phaùp
Böôùc 2
32. PHAÂN LOAÏI DÖÕ LIEÄU
NGUYEÂN PHAÙT
ÑAÕ ÑÖÔÏC ÑAÙNH GIAÙ
NH
– GIAÙ TRÒ TÖØNG NGHIEÂN CÖÙU
NG
– TOÅNG QUAN HEÄ THOÁNG
NG NG
– GUIDELINES
– KINH ÑIEÅN
33. DÖÕ LIEÄU NGUYEÂN PHAÙT
MEDLINE (MEDlars onLINE)
EMBASE
CINAHL (Cumulative Index to Nursing and
Allied Health Literature)
LILACS (Latin American and Caribbean
Health Sciences)
PsycInfo
34. DÖÕ LIEÄU NGUYEÂN PHAÙT
MEDLINE
NATIONAL LIBRARY OF MEDICINE: 1879
1960, MEDLARS (Medical Literature Analysis and Retrieval
(
System)
TOÅ CHÖÙC DÖÔÙI DAÏNG INDEX (Medical Subject Headings)
NG
12 TRIEÄU RECORDS
4600 TÔØ BAÙO
CAÄP NHAÄT MOÃI TUAÀN
86 % TÖØ TIEÁNG ANH / ABSTRACTS
NG
76% COÙ ABSTRACT
36. DÖÕ LIEÄU NGUYEÂN PHAÙT
JOURNAL
Abridged Index Medicus (AIM) Journal Titles
University of Texas Health Science Center at
San Antonio
Evaluating Web-sites
– The URL: .ORG; .GOV & .DOH; .EDU & .AC
– Health Information Quality Assessment Tool,
– Health On the Net Foundation:
37. DÖÕ LIEÄU THÖÙ PHAÙT
CAT (Critical Appraised Topics)
– Moät hình thöùc bình baùo
– Ñaùnh giaù giaù trò cuûa 1 baøi baùo theo tieâu
nh
chuaån ñaõ ñöa ra.
– Nhoùm chuyeân vieân cuûa moät trung taâm
– FORM
41. DÖÕ LIEÄU THÖÙ PHAÙT
Toång quan heä thoáng
ng ng
– Toång quan TAÁT CAÛ taøi lieäu COÙ LIEÂN QUAN
ng
theo moät khuoân maãu ñònh saün
– Ñaùnh giaù giaù trò cuûa moät vaán ñeà
nh
– Nhoùm chuyeân vieân
42. …reduced osmolarity ORS with WHO standard ORS
in children with acute diarrhoea
unscheduled IV
41 studies fluid infusions,
stool volume,
(-)6 / RCTs(-) vomiting,
(-)9 / intervention >< reduced osmolarity ORS hyponatraemia
(-)6 / control group did not use (WHO) std. ORS
20 remaining RCTs
(-)2 / not in children;
(-)2 / no relevant outcomes reported;
2 excluded (Mexico 1988, Mexico 1990b,
Mexico 1990a).
13 remaining RCTs
(Panama 1982, USA 1982).
14 studies met the inclusion criteria.
45. The Cochrane Database of
Systematic Reviews (3559)
Database of Abstracts of Reviews of Effects
(4795)
The Cochrane Central Register of
Controlled Trials (CENTRAL) (415918)
47. Treating giant cell arteritis:
A consistent level 1 studies
Grades of B consistent level 2 or 3 studies or extrapolations from level 1 studies
C Give4 steroids (A) immediately (D) at
level studies or extrapolations from level 2 or 3 studies
Recommendation
D dosesevidence or troublingly inconsistent or inconclusive studies of any level
level 5 of at least 20 mg (C) daily (A).
48. SAÙCH GIAÙO KHOA
CH
CD ROM
ONLINE
– MD CONSULT
– OVID
– STATREF
– Uptodate
52. GIÔÙI HAÏN THOÂNG TIN
No. relevant items found
Sensitivity =
No. relevant items in existence
No. relevant items found
Precision =
Total no. items found
Böôùc 5
53. TIEÂU CHUAÅN VAØNG
NG
Anne McKibbon at McMaster University
10 TAÏP CHÍ NOÅI TIEÁNG 1983-1991
NG
Handsearching