“I solemnly pledge myself to consecrate my life to service of humanity.” This is the first sentence a doctor utters while taking an oath when s/he enters into the medical profession. They are considered as God by people despite knowing the fact that they are human, as the profession gives ‘hope’ to live to a patient and his family. But due to the increasing number of medico legal issues in the country, there is a serious concern about the doctor-patient relationship. To raise awareness among the patients about their rights and responsibilities as patients and to build up a strong, safe and healthy doctor patient relationship, the Dr. Anamika Ray Memorial Trust observes June 25 as Patients’ Rights Day under the “STOP MEDICAL TERRORISM” movement for better and transparent healthcare services in India.
The Trust, in consultation with a panel of medical professionals of national and international repute, drafted the Patients’ Rights in 10 points and the responsibilities in another 10 points. The Rights and Responsibilities of the patients available at http://smt.armt.in in many Indian languages. It's a two page document. The Trust requests everyone to support the cause by downloading the document in their preferred language, printing it out and distributing it among patients in any hospital in India. The Trust believes that this initiative may save hundreds of lives and will be a great contribution for better and more transparent healthcare services in India.
The rights mentioned in the draft include the right to get the best possible medical care without discrimination; right to prompt, life-saving treatment; right to take part in all decisions relating to one’s health care; right to privacy; right to know the identity and role of people involved in treatment; right to dignity and to have caregivers’ respect; right to appropriate assessment and management of pain; right to receive visitors; right to refuse treatment and to leave the medical centre; and right to get necessary information related to the line of treatment as well as all health records.
The responsibilities mentioned in the draft include the responsibility to refrain from misbehaving and misconduct towards any medical service providers; responsibility to refrain from physical assault of any healthcare personnel or damage to property; responsibility to be truthful; responsibility to provide complete and accurate medical history; responsibility to cooperate with the agreed line of treatment; responsibility to meet the financial obligations; responsibility to refrain from initiating, participating or supporting fraudulent and illegal health care practices; responsibility to report illegal or unethical behaviour; responsibility to get a post-mortem done and responsibility to discuss end of life decisions.
Definition and classification of patient rights
Ethical basis for patient’s right
Patient’s Right related to
Treatment
Access to care
Choice of care
Participation in decision making
Privacy and Confidentiality
Seek for 2nd opinion or referral
Compassionate Palliative and EOL care
“I solemnly pledge myself to consecrate my life to service of humanity.” This is the first sentence a doctor utters while taking an oath when s/he enters into the medical profession. They are considered as God by people despite knowing the fact that they are human, as the profession gives ‘hope’ to live to a patient and his family. But due to the increasing number of medico legal issues in the country, there is a serious concern about the doctor-patient relationship. To raise awareness among the patients about their rights and responsibilities as patients and to build up a strong, safe and healthy doctor patient relationship, the Dr. Anamika Ray Memorial Trust observes June 25 as Patients’ Rights Day under the “STOP MEDICAL TERRORISM” movement for better and transparent healthcare services in India.
The Trust, in consultation with a panel of medical professionals of national and international repute, drafted the Patients’ Rights in 10 points and the responsibilities in another 10 points. The Rights and Responsibilities of the patients available at http://smt.armt.in in many Indian languages. It's a two page document. The Trust requests everyone to support the cause by downloading the document in their preferred language, printing it out and distributing it among patients in any hospital in India. The Trust believes that this initiative may save hundreds of lives and will be a great contribution for better and more transparent healthcare services in India.
The rights mentioned in the draft include the right to get the best possible medical care without discrimination; right to prompt, life-saving treatment; right to take part in all decisions relating to one’s health care; right to privacy; right to know the identity and role of people involved in treatment; right to dignity and to have caregivers’ respect; right to appropriate assessment and management of pain; right to receive visitors; right to refuse treatment and to leave the medical centre; and right to get necessary information related to the line of treatment as well as all health records.
The responsibilities mentioned in the draft include the responsibility to refrain from misbehaving and misconduct towards any medical service providers; responsibility to refrain from physical assault of any healthcare personnel or damage to property; responsibility to be truthful; responsibility to provide complete and accurate medical history; responsibility to cooperate with the agreed line of treatment; responsibility to meet the financial obligations; responsibility to refrain from initiating, participating or supporting fraudulent and illegal health care practices; responsibility to report illegal or unethical behaviour; responsibility to get a post-mortem done and responsibility to discuss end of life decisions.
Definition and classification of patient rights
Ethical basis for patient’s right
Patient’s Right related to
Treatment
Access to care
Choice of care
Participation in decision making
Privacy and Confidentiality
Seek for 2nd opinion or referral
Compassionate Palliative and EOL care
Patient Rights and Responsibilities, by Christine Lang of Citizens Advice BureauHIVScotland
A presentation by Christine Lang of the Citizens Advice Bureau Patient Advice and Support Service on 'Patient Rights and Responsibilities'. Presented at the Positive Persons' Forum on 21 February 2015, Glasgow.
Patient Rights, Patients Bill, ConSumer Protection Act, Nurse and Patient Bill of Rights,
Hospital and Bill of Rights for Patient, Rights of the Pateint, Legal Issues for Patients
Patient Rights and Responsibilities, by Christine Lang of Citizens Advice BureauHIVScotland
A presentation by Christine Lang of the Citizens Advice Bureau Patient Advice and Support Service on 'Patient Rights and Responsibilities'. Presented at the Positive Persons' Forum on 21 February 2015, Glasgow.
Patient Rights, Patients Bill, ConSumer Protection Act, Nurse and Patient Bill of Rights,
Hospital and Bill of Rights for Patient, Rights of the Pateint, Legal Issues for Patients
Practice of Medicine 10 Year Questions Compilation ( BHMS ) by Dr. Ankita baliDr Ankita Bali
This was a compilation that I did to get a clear picture of what the Final year medicine papers offered over previous years . And the compilation helped a lot by highlighting the important topics of the vast course of Practice of Medicine.
This compilation is specifically for BHMS students of Agra University as it offers topic-wise coverage of previous year papers.
PREVIEW OF EMT/EMR SECONDARY ASSESSMENT TRAINING POWERPOINT PRESENTATIONBruce Vincent
This unit describes the knowledge and skills required to continue the assessment and treatment of the patient. Estimated teaching time 2 hours. Over 95 slides in length. Meets or exceeds USDOT NHTSA 2009 EMT/EMR training requirements.
Recommended classroom time 2 hours and 2 hours lab time.
RMC Release of Information PoliciesRasmussen Medical Cen.docxSUBHI7
RMC Release of Information Policies
Rasmussen Medical Center
Health Information Department
Release of Information Policies
Release of Information Overview
This should serve as a resource for those individuals responsible for manageing or performing the process of release of information. Health care providers have a duty to maintain patient privacy and to release information when appropriate. Patient health information should be considered confidential, and should be released only in accordance with a health care information disclosure policy. The policy must define when a patient’s authorization is required and should comply with state and federal statutes, the Health Insurance Portability and Accountability Act (HIPAA), Patient Bill of Rights, court rulings, administrative rules, and accrediting and regulatory agency requirements.
The HIM professional is considered the key individual in developing, implementing and maintaining privacy policies and procedures due to their specific training in handling these particular situations. An HIM professional’s education and experience includes confidentiality, legal issues, and critical thinking in a variety of situations.
Patient information must be protected from unauthorized, inappropriate, or unnecessary access. Federal regulations under HIPAA established national requirements for confidentiality.
Considerations for Disclosure
The principal considerations for determining when information may be disclosed are:
· Whether a patient authorization is required
· The nature of the information requested
· Whether it is confidential or non-confidential
· The purpose of the request
· The authority of the person or agency requesting the information
· Whether any revocations or notices to withhold information are on file
State Law
This state has a statute that identifies provisions for access to health care records. The basic provisions of the law are:
A. The patient has a right to access health care information that pertains to the patient’s examination or treatment of a medical, psychiatric or mental condition.
B. Upon written request from the patient, a health care provider has an obligation to supply the patient with health care information.
C. A signed and dated patient authorization is required for release of health care information except under the following circumstances:
a. Disclosure is authorized by law
b. Disclosure of immunization date
c. Medical emergency
D. Health care information may be release without patient authorization for medical or scientific research unless the patient has specifically objected to disclosure for research purposes. The health care provider must make a “reasonable effort to determine” that the researcher or organization will protect the rocor from unauthorized disclosure or misuse.
E. Health care information may not be re-released without a signed and dated authorization from the patient or patient’s legally authorized representative, unless the ...
The American Hospital Association presents A Patient’s Bill of Rights with the expectation that it will contribute to more effective patient care and be supported by the hospital on behalf of the institution, its medical staff, employees, and patients. The American Hospital Association encourages health care institutions to tailor this bill of rights to their patient community by translating and/or simplifying the language of this bill of rights as may be necessary to ensure that patients and their families understand their rights and responsibilities.
Ethics is a fundamental part of geriatrics. Ethics, or the provision of ethical care, refers to a framework or guideline for determining what is morally good (ie, right) or bad (ie, wrong). Ethical problems arise when there is conflict about what is the “right” thing to do. This dilemma generally occurs when decisions need to be made whether or not a medical intervention should be implemented and whether or not the intervention is futile. The answers to ethical questions are not straightforward; they involve a complex integration of thoughts, feelings, beliefs, and evidence-based data. Ageism can play a strong role in these decisions. Acknowledging and acting on the wishes of the older individual are a critical component of ethical care.
While ethical dilemmas are central to the practice of medicine itself, the dependent nature of the older adult and the imminence of death raise special concerns. Discussions of ethics and aging seem to focus on the roles of autonomy and cost containment, since a significant portion of the cost of delivering health care is incurred at the end of life.
Bioethics- Case study on Autonomy and Decision making in medicineavi sehgal
Bioethics- A case study on Autonomy and Decision making in medicine. Forensic Medicine PowerPoint for medical (MBBS/MD) students trying to understand AETCOM.
Archer USMLE step 3 Ethics lecture notes. These lecture notes are samples and are intended for use with Archer video lectures. For video lectures, please log in at http://www.ccsworkshop.com/Pay_Per_View.html
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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
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.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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.