This contains a general sketch of the CTAC Assessment Process which will be covered in detail in Modules 2-5 as well as during Phase III Residency at CTAC
Sydney Sexual Health Centre Journal Club presentation by Kristen McCormack on AIDS and Behaviour Volume 20 Issue 7, published in July 2016.
AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. The journal publishes original peer-reviewed papers addressing all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.
The Sydney Sexual Health Centre Journal Club allows our team to stay up-to-date with what is being published in the field of sexual health. Staff members take turns to read, review and share the contents of an allocated journal. Journal Club encourages knowledge sharing and discussion about topics raised.
The DSM-IV and ICD-10 have defined hundreds of mental disorders which vary in onset, duration, pathogenesis, functional disability, and treatability. The designation of gender identity disorders (GID) as mental disorders is not a license for stigmatization, or for the deprivation of patients' civil rights. The use of a formal diagnosis is often important in offering relief, providing health insurance coverage, and guiding research to provide more effective care.
DSM-5 Development Group indicate that GID can still be given to children who reject the assigned gender but who do not experience any anatomical dysphoria. To qualify as a mental disorder, a behavioral pattern must result in a significant adaptive disadvantage to the person or cause personal mental suffering. However, the removal of distress/impairment criterion can lead to over-diagnosis of children who do not meet criteria. Instead, it is argued that criterion should be kept based on distress resulting from living in the present gender as apposed to anguish stemming from societal prejudice and discrimination. It would be more appropriate and respectful if the diagnosis is written in language reflecting contemporary views of gender rather than views that are based on gender-specific games or clothing.
Goals: Psychotherapy often provides education about a range of options not previously seriously considered by the patient. It emphasizes the need to set realistic life goals for work and relationships, and it seeks to define and alleviate the patient's conflicts that may have undermined a stable lifestyle.
The Therapeutic Relationship: The establishment of a reliable trusting relationship with the patient is the first step toward successful work as a mental health professional. This is usually accomplished by competent nonjudgmental exploration of the gender issues with the patient during the initial diagnostic evaluation. Other issues may be better dealt with later, after the person feels that the clinician is interested in and understands their gender identity concerns. Ideally, the clinician's work is with the whole of the person's complexity. The goals of therapy are to help the person to live more comfortably within a gender identity and to deal effectively with non-gender issues. The clinician often attempts to facilitate the capacity to work and to establish or maintain supportive relationships.
Language is very important to indicate that a community is making an effort to be trans-friendly. It often makes the difference in whether a transgender person will approach a community and/or clinician and whether they will choose to stay.
Written in response to Misattributions and Potential Consequences: The Case of Child Mental Health Problems and Fetal Alcohol Spectrum Disorders. John D. McLennon. Canadian Journal of Psychiatry. Vol 60, No 12, December 2015.
Not published: too many words and references
Sydney Sexual Health Centre Journal Club presentation by Kristen McCormack on AIDS and Behaviour Volume 20 Issue 7, published in July 2016.
AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. The journal publishes original peer-reviewed papers addressing all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.
The Sydney Sexual Health Centre Journal Club allows our team to stay up-to-date with what is being published in the field of sexual health. Staff members take turns to read, review and share the contents of an allocated journal. Journal Club encourages knowledge sharing and discussion about topics raised.
The DSM-IV and ICD-10 have defined hundreds of mental disorders which vary in onset, duration, pathogenesis, functional disability, and treatability. The designation of gender identity disorders (GID) as mental disorders is not a license for stigmatization, or for the deprivation of patients' civil rights. The use of a formal diagnosis is often important in offering relief, providing health insurance coverage, and guiding research to provide more effective care.
DSM-5 Development Group indicate that GID can still be given to children who reject the assigned gender but who do not experience any anatomical dysphoria. To qualify as a mental disorder, a behavioral pattern must result in a significant adaptive disadvantage to the person or cause personal mental suffering. However, the removal of distress/impairment criterion can lead to over-diagnosis of children who do not meet criteria. Instead, it is argued that criterion should be kept based on distress resulting from living in the present gender as apposed to anguish stemming from societal prejudice and discrimination. It would be more appropriate and respectful if the diagnosis is written in language reflecting contemporary views of gender rather than views that are based on gender-specific games or clothing.
Goals: Psychotherapy often provides education about a range of options not previously seriously considered by the patient. It emphasizes the need to set realistic life goals for work and relationships, and it seeks to define and alleviate the patient's conflicts that may have undermined a stable lifestyle.
The Therapeutic Relationship: The establishment of a reliable trusting relationship with the patient is the first step toward successful work as a mental health professional. This is usually accomplished by competent nonjudgmental exploration of the gender issues with the patient during the initial diagnostic evaluation. Other issues may be better dealt with later, after the person feels that the clinician is interested in and understands their gender identity concerns. Ideally, the clinician's work is with the whole of the person's complexity. The goals of therapy are to help the person to live more comfortably within a gender identity and to deal effectively with non-gender issues. The clinician often attempts to facilitate the capacity to work and to establish or maintain supportive relationships.
Language is very important to indicate that a community is making an effort to be trans-friendly. It often makes the difference in whether a transgender person will approach a community and/or clinician and whether they will choose to stay.
Written in response to Misattributions and Potential Consequences: The Case of Child Mental Health Problems and Fetal Alcohol Spectrum Disorders. John D. McLennon. Canadian Journal of Psychiatry. Vol 60, No 12, December 2015.
Not published: too many words and references
This 2 hour webinar will explore normal sexualized behavior in children as well as when children display sexualized behaviors that are concerning and problematic. The webinar will highlight various factors associated with children's sexualized behaviors and assist clinicians in understanding appropriate assessment and disclosure processes involved when problematic symptoms are present.
The sociological perspective:
• What is the sociological perspective? Direct and indirect relationships
• Establishing patterns
• The sociological imagination-
Theories:
• Sociological theory- pg 7 in Pretoruis
• Why are theories useful and practical?
• The generally accepted definition of a theory
• The main sociological theories:
• 1) Structuralism/ Functionalism (Durkheim): Society as an organism, tendency towards equilibrium, statuses and roles, functions: manifest and latent+ benefits and disadvantages of this approach
• 2) Conflict theory (Karl Marx): Evaluation
• 3) Symbolic theory (Max Weber)
• Comparison of theoretical perspectives
• Applying the theoretical theories:
Developmental delay Identification and managementOlaAlkhars
Objectives
•Definitions
•Benefits and Possible harms of developmental surveillance and screening
•Combining Screening and Surveillance Practice Algorithm
Infant psychiatry is a crucial domain of psychiatry which yet not discussed as much as other sub specialties of psychiatry(Child, adult or geriatric). As a mental health professional, educator or health worker, one should have brief orientation of infant mental health (IMH) or infant psychiatry. This presentation will provide a brief idea about assessment of infancy and early childhood.
Never Fall Behind: Early Action for Babies + Young Children with Delays: Febr...Vicky Sarmiento (She/Her)
In our first of a series of webinars curated for the provider community by fellow child healthcare professionals, Dr. Emily and Dr. Jin Lee talk about the importance of early action and intervention, how to recognize delays, and best practices in neuropsychological testing and evaluation.
This presentation can be supplemented with our video recording on BabyNoggin's Youtube. The video webinar recording will be available 3/2/18. Thank you!
Responding to Mental Health Needs of HIV-Positive Pediatric Patients in Resou...jehill3
Responding to Mental Health Needs of HIV-Positive Pediatric Patients in Resource-Poor Communities
Vicki Tepper, University of Maryland School of Medicine
CORE Group Spring Meeting, April 29, 2010
Respond to the post bellow by comparing your assessment tool .docxcwilliam4
Respond to the post bellow
by comparing your assessment tool to theirs.
NOTE: my assessment tool: The patient Health Questionnaire (PHQ-9
Main Post
According to the American Academy of Child and Adolescent Psychiatry (1995), children and adolescents are evaluated due to psychiatric disorders that impair emotional, cognitive, physical, and/or behavioral functioning. The child or adolescent is evaluated in the context of the family, school, community, and culture. The purpose and aims of the clinical diagnostic assessment are to determine whether psychopathology is present and, if so, to establish a differential diagnosis and tentative diagnostic formulation, to develop a treatment recommendation and plan, or to communicate the above findings in an appropriate fashion to the parents and child. In addition, the aims of the assessment process are to identify the stated reasons and factors leading to the referral, to assess the nature and severity of the child's behavioral difficulties, functional impairments, subjective distress, and to identify individual, family, or environmental factors that may potentially account for, influence, or ameliorate these difficulties. When assessing children, parents’ interviews and school functioning reports are necessary.
The assessment tool I will discuss in this post is the Screen for Child Anxiety Related Emotional Disorders (SCARED). Per the University of Pittsburg (2019), SCARED is a child and parent self-report instrument used to screen for childhood anxiety disorders including general anxiety disorder, separation anxiety disorder, panic disorder, and social phobia. In addition, it assesses symptoms related to school phobia. The SCARED consists of 41 items and 5 factors that parallel the DSM-IV classification of anxiety disorders. The child and parent versions of the SCARED have moderate parent-child agreement and good internal consistency, test-retest reliability, and discriminant validity, and it is sensitive to treatment response
Target population
:
Children ages 8-18 years
Intended users
:
Clinicians and Psychiatrists
Time to Administer
:
10 minutes
Completed by
:
Children and Parents
How to Use SCARED
: SCARED is a questionnaire with scales that describes how people feel. Clients read each phrase and decide if it is “Not True or Hardly Ever True” or “Somewhat True or Sometimes True” or “Very True or Often True”. Then, for each sentence, they fill in one circle that corresponds to the response that seems to describe them for the last 3 months. After each phrase and circles, there are abbreviations of the various disorders. Therefore,
a total score of >25 may indicate the presence of an
Anxiety Disorder
. Scores higher than 40 are more specific.
A score of 7 for items 1, 6, 9, 12, 15, 18, 19, 22, 24, 27, 30, 34, 38 may indicate
Panic Disorder or Significant Somatic Symptoms (PN).
A score of 9 for items 5, 7, 14, 21, 23, 28, 33, 35, 37 may.
This 2 hour webinar will explore normal sexualized behavior in children as well as when children display sexualized behaviors that are concerning and problematic. The webinar will highlight various factors associated with children's sexualized behaviors and assist clinicians in understanding appropriate assessment and disclosure processes involved when problematic symptoms are present.
The sociological perspective:
• What is the sociological perspective? Direct and indirect relationships
• Establishing patterns
• The sociological imagination-
Theories:
• Sociological theory- pg 7 in Pretoruis
• Why are theories useful and practical?
• The generally accepted definition of a theory
• The main sociological theories:
• 1) Structuralism/ Functionalism (Durkheim): Society as an organism, tendency towards equilibrium, statuses and roles, functions: manifest and latent+ benefits and disadvantages of this approach
• 2) Conflict theory (Karl Marx): Evaluation
• 3) Symbolic theory (Max Weber)
• Comparison of theoretical perspectives
• Applying the theoretical theories:
Developmental delay Identification and managementOlaAlkhars
Objectives
•Definitions
•Benefits and Possible harms of developmental surveillance and screening
•Combining Screening and Surveillance Practice Algorithm
Infant psychiatry is a crucial domain of psychiatry which yet not discussed as much as other sub specialties of psychiatry(Child, adult or geriatric). As a mental health professional, educator or health worker, one should have brief orientation of infant mental health (IMH) or infant psychiatry. This presentation will provide a brief idea about assessment of infancy and early childhood.
Never Fall Behind: Early Action for Babies + Young Children with Delays: Febr...Vicky Sarmiento (She/Her)
In our first of a series of webinars curated for the provider community by fellow child healthcare professionals, Dr. Emily and Dr. Jin Lee talk about the importance of early action and intervention, how to recognize delays, and best practices in neuropsychological testing and evaluation.
This presentation can be supplemented with our video recording on BabyNoggin's Youtube. The video webinar recording will be available 3/2/18. Thank you!
Responding to Mental Health Needs of HIV-Positive Pediatric Patients in Resou...jehill3
Responding to Mental Health Needs of HIV-Positive Pediatric Patients in Resource-Poor Communities
Vicki Tepper, University of Maryland School of Medicine
CORE Group Spring Meeting, April 29, 2010
Respond to the post bellow by comparing your assessment tool .docxcwilliam4
Respond to the post bellow
by comparing your assessment tool to theirs.
NOTE: my assessment tool: The patient Health Questionnaire (PHQ-9
Main Post
According to the American Academy of Child and Adolescent Psychiatry (1995), children and adolescents are evaluated due to psychiatric disorders that impair emotional, cognitive, physical, and/or behavioral functioning. The child or adolescent is evaluated in the context of the family, school, community, and culture. The purpose and aims of the clinical diagnostic assessment are to determine whether psychopathology is present and, if so, to establish a differential diagnosis and tentative diagnostic formulation, to develop a treatment recommendation and plan, or to communicate the above findings in an appropriate fashion to the parents and child. In addition, the aims of the assessment process are to identify the stated reasons and factors leading to the referral, to assess the nature and severity of the child's behavioral difficulties, functional impairments, subjective distress, and to identify individual, family, or environmental factors that may potentially account for, influence, or ameliorate these difficulties. When assessing children, parents’ interviews and school functioning reports are necessary.
The assessment tool I will discuss in this post is the Screen for Child Anxiety Related Emotional Disorders (SCARED). Per the University of Pittsburg (2019), SCARED is a child and parent self-report instrument used to screen for childhood anxiety disorders including general anxiety disorder, separation anxiety disorder, panic disorder, and social phobia. In addition, it assesses symptoms related to school phobia. The SCARED consists of 41 items and 5 factors that parallel the DSM-IV classification of anxiety disorders. The child and parent versions of the SCARED have moderate parent-child agreement and good internal consistency, test-retest reliability, and discriminant validity, and it is sensitive to treatment response
Target population
:
Children ages 8-18 years
Intended users
:
Clinicians and Psychiatrists
Time to Administer
:
10 minutes
Completed by
:
Children and Parents
How to Use SCARED
: SCARED is a questionnaire with scales that describes how people feel. Clients read each phrase and decide if it is “Not True or Hardly Ever True” or “Somewhat True or Sometimes True” or “Very True or Often True”. Then, for each sentence, they fill in one circle that corresponds to the response that seems to describe them for the last 3 months. After each phrase and circles, there are abbreviations of the various disorders. Therefore,
a total score of >25 may indicate the presence of an
Anxiety Disorder
. Scores higher than 40 are more specific.
A score of 7 for items 1, 6, 9, 12, 15, 18, 19, 22, 24, 27, 30, 34, 38 may indicate
Panic Disorder or Significant Somatic Symptoms (PN).
A score of 9 for items 5, 7, 14, 21, 23, 28, 33, 35, 37 may.
ISPCAN Jamaica 2018 - The Impact of Domestic Violence on Children's Functioni...Christine Wekerle
The Impact of Domestic Violence on Children's Functioning: Care Planning Approaches to Foster Trauma-Informed Care
Shannon Stewart, Yasmin Garad, Natalia Lapshini
Sensory Processing in Infants and Toddlersbenjatchison
This powerpoint is a basic introduction to the definition, concepts, and examples of sensory processing and sensory processing disorders among infant and toddlers
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
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
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
6. Mission To provide comprehensive assessment of traumatized children ages birth to 18 years and share recommendations to caretakers and responsible persons.
7. Address the impact of trauma and subsequent changes in the child’s behavior, development, and relationships
8. Philosophy Children who are traumatized are often found to have significant developmental delays in all domains. These children can effectively be treated when delays are identified at an early age .
14. FAS Diagnostic Grid (Univ. of Washington, 1999) 4 Digit Diagnostic Code Grid 4444=FAS --- 1111=WNL PHYSICAL EXAM DEVELOPMENTAL DIAGNOSTIC CODE HISTORY Gestational Alcohol Exposure Growth Face Brain High Some Unknown No risk Definite 4 Probable 3 Possible 2 Unlikely 1 Severe Moderate Mild Absent Significant Moderate Mild None ______ Gestational Alcohol Exp _______ ______ _______ _______ Brain Dysfunction FAS Facial Features Growth Deficiency
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19. Psychosocial Assessments… CBCL: Child Behavior Checklist Play Based Interview Trauma Symptom Checklist for Children (TSCC) Draw a Person Test Reactive Attachment Disorder Questionnaire (RADQ) Child Sexual Behavior Inventory (CSBI)