This presentation covers state HIE challenges, how Meaningful Use and HIEs work hand-in-hand, how HIEs are becoming more sustainable, and more about HIE initiatives.
Jennifer Nobbs, Executive Director, Activity Based Funding, presented on the topic 'IHPA and Activity Based Funding' at a meeting of the Australian Stroke Coalition on 27 June 2017.
Jennifer Nobbs, Executive Director, Activity Based Funding, presented on the topic 'A classification for teaching, training and research' at a meeting of Universities Australia on 10 March 2017.
10-3 Clinical Informatics System Selection & ImplementationCorinn Pope
Section ten, module three of the clinical informatics course discusses the information system lifecycle. In this slide deck, we'll cover how to pick a clinical information system that works best for you. Also included are three free practice questions. If you would like more information or resources, be sure to check out our site at http://www.informaticspro.com.
INTEGRATED IT SOLUTIONS FOR HEALTHCARE
Medisist is a Global company with experience in Latin-America & USA
Integrated healthcare information management solutions
Founded by physicians
Long term vision
Strategic alliances
Healthcare IT product development involves a lot of Compliance and Security related component development which can be accomplished in various ways. Harbinger has been working on Meaningful Use Stage 2 related software development in HIT products and has gathered useful insights into Secure Patient Health Information exchange, Patient Health Record privacy and security along with simplification of MU Stage 2 attestation & testing through automation.
Attendees got insight on the prerequisites and the technological approach required with examples in accomplishing attestation to meaningful use stage 2 for Healthcare IT systems in a structured manner.
Jennifer Nobbs, Executive Director, Activity Based Funding, presented on the topic 'IHPA and Activity Based Funding' at a meeting of the Australian Stroke Coalition on 27 June 2017.
Jennifer Nobbs, Executive Director, Activity Based Funding, presented on the topic 'A classification for teaching, training and research' at a meeting of Universities Australia on 10 March 2017.
10-3 Clinical Informatics System Selection & ImplementationCorinn Pope
Section ten, module three of the clinical informatics course discusses the information system lifecycle. In this slide deck, we'll cover how to pick a clinical information system that works best for you. Also included are three free practice questions. If you would like more information or resources, be sure to check out our site at http://www.informaticspro.com.
INTEGRATED IT SOLUTIONS FOR HEALTHCARE
Medisist is a Global company with experience in Latin-America & USA
Integrated healthcare information management solutions
Founded by physicians
Long term vision
Strategic alliances
Healthcare IT product development involves a lot of Compliance and Security related component development which can be accomplished in various ways. Harbinger has been working on Meaningful Use Stage 2 related software development in HIT products and has gathered useful insights into Secure Patient Health Information exchange, Patient Health Record privacy and security along with simplification of MU Stage 2 attestation & testing through automation.
Attendees got insight on the prerequisites and the technological approach required with examples in accomplishing attestation to meaningful use stage 2 for Healthcare IT systems in a structured manner.
Digital health solutions are significantly transforming the healthcare industry, and revolutionizing the healthcare experience. Digital solutions not only make a profound impact on our lifestyle, but also offer better ways for providers to connect, understand, and engage with the patients - clearly paving the path for enhanced quality patient care and better health outcomes.
A recent report from IHS Technology estimates a rise in users of Mobile Consumer and Fitness devices from 23 million in 2011 to 75.5 million devices by the end of 2018. Advancement in the field of IOT has further fueled innovative digital health solutions which are enriching patient’s life by quick and easy synchronization. According to a survey conducted by Rock Health, investments in digital health companies in 2014 were a staggering $4.1 billion, and large and midsized ISV’s were directly benefited by this move.
HIMSS15: Trust in Regional Exchange Supports Patient-Centered ResearchIBM Analytics
Thomas F. Check, MA, and Lorraine M. Fernandes, RHIA, gave this presentation at HIMSS15. Inside you will find info on a number of learning objectives including:
1.Explain how HIE patient-matching technology supports the innovative research infrastructure of NYC-CDRN.
2.Identify privacy issues addressed by HIE participants including how the NYC-CDRN infrastructure supports patient privacy.
3.Describe how consumer, patient consent and other concerns of community stakeholders are addressed.
4.Discuss the value of re-using data from Healthix and the Bronx RHIO including costs and technology infrastructure.
5.Illustrate the information data model’s use within NYC-CDRN and its connection to the PCORnet.
Follow @IBM Healthcare on Twitter: https://twitter.com/IBMHealthcare
From Edge Case to Main Case, Michelle Longmire of Medable_mHealth IsraelLevi Shapiro
Presentation by Michelle Longmire, CEO of Medable, April 20, 2021, for mHealth Israel. During CoVID, as physical access to clinics was limited, Medable enabled patients to continue participating in critical research efforts. Medable Supporting over 100 Studies Across a Diverse Array of Therapeutic Areas. Medable provides a platform for seamless evidence
generation, across the entire patient journey. Connecting patients globally for community, care, and research. Improve patient experience and retention. Reduce site burden. Data Cloud & Platform should be flexible and modular to enable protocol-fit digital. Medable Digitome, for data driven decentralized trials and a new era of understanding patients, therapies, and conditions. Clinical research is a small component of the broader healthcare journey. Enable health data and evidence generation from clinical to commercial, from day one. Continuous health data & evidence from clinical to commercial and beyond. The Digitome can provide a
primary observational protocol that collects large scale baseline data in a framework that enables streamlined recruitment, enrollment, and participation into interventional clinical substudies.
Developed a modular disease management platform for a health solutions company, that enabled self-management and anytime, anywhere access to patient information.
Software Advice BuyerView: Electronic Health Records Report 2014Software Advice
Software Advice talks regularly to medical practices considering a new EHR purchase. We analyzed those interactions to uncover the most common pain points and reasons for purchasing new software.
C606 the pan american health organizations health information and intelligenc...Ramon Martinez
This poster presents the design and implementation of PAHO’s Health Information and Intelligence Platform (PHIP), an organization-wide resource that provides public health data, analytical methods and tools, and information to support decision-making in public health within PAHO. PHIP also provides information products and evidence to national health authorities from Member States of the Americas, health professionals and the general public
Applications of analytics and visualizations in PAHORamon Martinez
This presentation introduces current practices for data analysis and visualizations in the Pan American Health Organization (PAHO).
The PAHO Health Information and Intelligence Platform is presented as key resource to facilitate data access and use, generation of information and insights, and dissemination of information internally and to the general public. Some use cases were illustrated highlighting how PAHO has benefited from the application of visual analytics.
Digital health solutions are significantly transforming the healthcare industry, and revolutionizing the healthcare experience. Digital solutions not only make a profound impact on our lifestyle, but also offer better ways for providers to connect, understand, and engage with the patients - clearly paving the path for enhanced quality patient care and better health outcomes.
A recent report from IHS Technology estimates a rise in users of Mobile Consumer and Fitness devices from 23 million in 2011 to 75.5 million devices by the end of 2018. Advancement in the field of IOT has further fueled innovative digital health solutions which are enriching patient’s life by quick and easy synchronization. According to a survey conducted by Rock Health, investments in digital health companies in 2014 were a staggering $4.1 billion, and large and midsized ISV’s were directly benefited by this move.
HIMSS15: Trust in Regional Exchange Supports Patient-Centered ResearchIBM Analytics
Thomas F. Check, MA, and Lorraine M. Fernandes, RHIA, gave this presentation at HIMSS15. Inside you will find info on a number of learning objectives including:
1.Explain how HIE patient-matching technology supports the innovative research infrastructure of NYC-CDRN.
2.Identify privacy issues addressed by HIE participants including how the NYC-CDRN infrastructure supports patient privacy.
3.Describe how consumer, patient consent and other concerns of community stakeholders are addressed.
4.Discuss the value of re-using data from Healthix and the Bronx RHIO including costs and technology infrastructure.
5.Illustrate the information data model’s use within NYC-CDRN and its connection to the PCORnet.
Follow @IBM Healthcare on Twitter: https://twitter.com/IBMHealthcare
From Edge Case to Main Case, Michelle Longmire of Medable_mHealth IsraelLevi Shapiro
Presentation by Michelle Longmire, CEO of Medable, April 20, 2021, for mHealth Israel. During CoVID, as physical access to clinics was limited, Medable enabled patients to continue participating in critical research efforts. Medable Supporting over 100 Studies Across a Diverse Array of Therapeutic Areas. Medable provides a platform for seamless evidence
generation, across the entire patient journey. Connecting patients globally for community, care, and research. Improve patient experience and retention. Reduce site burden. Data Cloud & Platform should be flexible and modular to enable protocol-fit digital. Medable Digitome, for data driven decentralized trials and a new era of understanding patients, therapies, and conditions. Clinical research is a small component of the broader healthcare journey. Enable health data and evidence generation from clinical to commercial, from day one. Continuous health data & evidence from clinical to commercial and beyond. The Digitome can provide a
primary observational protocol that collects large scale baseline data in a framework that enables streamlined recruitment, enrollment, and participation into interventional clinical substudies.
Developed a modular disease management platform for a health solutions company, that enabled self-management and anytime, anywhere access to patient information.
Software Advice BuyerView: Electronic Health Records Report 2014Software Advice
Software Advice talks regularly to medical practices considering a new EHR purchase. We analyzed those interactions to uncover the most common pain points and reasons for purchasing new software.
C606 the pan american health organizations health information and intelligenc...Ramon Martinez
This poster presents the design and implementation of PAHO’s Health Information and Intelligence Platform (PHIP), an organization-wide resource that provides public health data, analytical methods and tools, and information to support decision-making in public health within PAHO. PHIP also provides information products and evidence to national health authorities from Member States of the Americas, health professionals and the general public
Applications of analytics and visualizations in PAHORamon Martinez
This presentation introduces current practices for data analysis and visualizations in the Pan American Health Organization (PAHO).
The PAHO Health Information and Intelligence Platform is presented as key resource to facilitate data access and use, generation of information and insights, and dissemination of information internally and to the general public. Some use cases were illustrated highlighting how PAHO has benefited from the application of visual analytics.
Micky Tripathi, president and CEO of the Massachusetts eHealth Collaborative, presents to the joint hearing on health information exchange of the federal HIT Policy Committee and HIT Standards Committee
International HL7 Interoperability Conference 2015 Presentation: DECOR Driven Framework for Rapid Development of HL7 CDA Document Editor Components of EHR Systems
7 Strategies to Improve HEDIS Scores and Star RatingsHealthx
In recent years, achieving high scores on HEDIS® measures and Medicare Star Ratings has taken on greater importance for health plans. What was once nice-to-have for marketing purposes has become a must-have for operating in certain lines of business. Here’s why: NCQA Health Plan Accreditation, financial bonuses, and even a plan’s ability to enroll members can be affected by their ratings. If HEDIS Scores and Star Ratings are so important, why don’t more plans work to improve them?
A presentation on the history and background of standards including: Standards & Standardization – What Are Standards?; Before Standardization; The Birth of Standardization; History of BSI; European Committee for Standardization (CEN); International Organization for Standardization (ISO); Types of Standard; The Standardization Process; The Economic Impact of Standardization; The Impact of Using Standards; Testing and Certification; CE and Kitemark®; Standards & Standardization; How to Get Involved; Standards & Standardization -Making a New Work Proposal; Standards Relevant to Digital Inclusion; Standards & Standardization - Further Reading.
Health Care Data Sets and their purpose
UHDDS, UACDS, MDS, OASIS, DEEDS and EMDS.
Explain the standardization data collection efforts.
Explain the five type of standards that need to be in place to implement the Nationwide Health Information Network (NHIN).
Standard Development Organizations
Evolving and Emerging Health Information Standards
WSO2 Guest Webinar - ESB meets IoT, a Primer on WSO2 Enterprise Service Bus (...Yenlo
This webinar looks into the Enterprise Service Bus (ESB), which is the core of a Service Oriented Architecture (SOA). After having discussed the need for an ESB and an SOA, we'll explain what WSO2 ESB has to offer and how it deals with messages.
After a brief introduction, we'll show you how WSO2 ESB can be used for Internet of Things applications, by using the example of a smart doorlock and a smart thermostat communicating through WSO2 ESB to, for instance, lower the thermostat temperature when the door is locked.
Ishan (WSO2) and Rob (Yenlo) will discuss the usage of WSO2 ESB for Internet of Things applications. Topics will be:
What WSO2 components do you need for the Internet of Things?
What deployment do you need for a large sensor network?
How do you analyze and display data?
Examples of WSO2-enabled Internet of Things solutions (e.g. Trimble’s Connected Plants)
See the recording of this WSO2 ESB webinar here: http://www.yenlo.com/en/web-esb-meets-iot
Health IT Summit Denver 2014 - "Anatomy of a Health System"
This unique discussion series explores behind-the-scenes looks at the most progressive and high performing health systems in the country. Panelists will discuss critical areas such as go-live strategy, vendor management, patient engagement, IT governance and more. Attendees will walk away with a better understanding of how departments can effectively work together, tangible strategies for delivering high quality care while maintaining an efficient and secure health information system.
Moderator: Cynthia Burghard, Research Director, IDC Health Insights
Marc Lassaux, CTO, Technical Director Beacon Project, Quality Health Network
Justin Aubert, Chief Financial Officer, Quality Health Network
Kevin Fitzgerald, MD, CMO, Rocky Mountain Health
AAMI_HITECH MU: Impact on the Future of HC ITAmy Stowers
Relate the components of The HITECH Act and Meaningful Use to health management technology
Identify whether existing systems meet requirements
Communicate technology needs and request feedback from end users for a smooth transition
Implement best practices to move people and systems forward under these new requirements
Aami hitech mu impact on the future on HC ITAmy Stowers
Relate the components of The HITECH Act and Meaningful Use to health management technology
Identify whether existing systems meet requirements
Communicate technology needs and request feedback from end users for a smooth transition
Implement best practices to move people and systems forward under these new requirements
Monday, July 20, 2015
11:00 am - 12:00 pm
Learn more about the technical framework and implementation of sPRL and how your organization can leverage this powerful tool.
In this presentation, Shaheen Gauher talks about two things: (1) How data science and machine learning can be used to manage and control escalating healthcare costs, and (2) How to create a Population Health Management Solution using state of the art Azure Data Lake Analytics and Population Health Report with real time visualization capability using Power BI. The solution presented can be deployed on Azure through a one-click deployment option in https://gallery.cortanaintelligence.com/
Health IT Summit in Seattle 2014 - Case Study "Health IT Transformation: Insurance Exchange and Provider Perspective" with Curt Kwak, Chief Information Officer, Proliance Surgeons
Best Practices for Enabling HIE and Incorporating Capabilities into EHR Workf...Justin Campbell
Health Information Exchange (HIE) allows health care providers to access and share a patient’s medical information securely and electronically, providing a unified view of patient data across health care organizations. HIE enhances clinicians’ workflow and their ability to connect, coordinate, and collaborate on patient care quickly and easily. However, health care organizations frequently struggle with last-mile connectivity from their clinical system of record to the receiving system and incorporating HIE capabilities into EHR workflows. This session will provide a framework for successful HIE onboarding including data access, conformance testing & validation, as well as share strategies for implementing HIE capabilities at the point of care. This session will also introduce the concept of Patient Centered Data Home and illustrate how the exchange of information utilizing the PCDH model is a cost-effective, scalable solution to assuring real-time clinical data is available whenever and wherever care occurs to improve the quality of care.
The CMS Innovation Center hosted a special webinar featuring Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer, on Monday, November 10, 2014 from 10:30am – 11:30 am ET. Dr. Conway will provided an update about the work of the CMS Innovation Center and the models being tested to improve better care for patients, better health for our communities, and lower costs through improvement for our health care system. Opportunities for questions were provided.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
mHealth Israel_Hospitals and Healthcare Data_Carol Gomes_Stony Brook Universi...Levi Shapiro
Presentation by Carol Gomes, CEO / COO, Stony Brook University Hospital: Hospitals + Healthcare Data. Key Sections:
- Overview of Stony Brook Medicine Health System
- IT capital planning process
- Transition from Fee-for-Service
- Clinically Integrated Network
- Population Health Analytics Platform
- REGISTRIES – Benchmarking Quality
- Digital Transformation- Business & Clinical Capacity
- Transformation Projects: Analytics; Real-Time Health System Capabilities; Telehealth Services; Command Center Capabilities
- Command Center: Centralized Throughput Office (CTO)
- Command Throughput Office Dashboard
- Real-Time Dashboards
- Early Progress of Command Throughput Office (Boarders, Cases)
- Mobile STROKE Unit Program
- Telemedicine / TeleHealth
- Stony Brook University Hospital awarded $966,026
- Data Strategy in Decentralized Environment
- Call to Action for Startups
The Transition from Paper to Electronic RecordsMatthew Kim
A presentation depicting the history, selection criteria, implementation process and market share among various electronic health record (EHR) vendors.
Do you know everything you need to know about Medicaid's Meaningful Use program? Watch this video to learn more about Meaningful Use's eligibility, registration and timeline.
Accountable Care Organizations: 4 Physician BenefitsGreenway Health
Why would physicians join an Accountable Care Oragnization (ACO)? This informative slide presentation gives a brief overview of ACOs, their benefits, and four reasons physicians may have for joining one.
The Marketplace - Insurance Exchanges and ProvidersGreenway Health
Exploring coverage options through the Marketplace a/k/a Health Insurance Exchange (HIX) is among a growing lexicon of terms for governmental and insurance stakeholders. Intended to provide the consumer with an intuitive way to shop coverage with built-in protections, HIX open enrollment launches Oct. 1, 2013 and offers assistance with coverage choices and comparisons, calculation of costs, and education on public program options. Some HIXs will be run by state governments while others will be administered wholly or in partnership with the federal government. Explore the four exchange tiers, what constitutes "essential benefits" and "essential community providers," the role consumer assistants such as navigators in facilitating coverage for each American, and what providers and practices should be doing today to prepare. Review the basic functions of the HIX and the available subsidies for individuals and families. Regulations on Medicaid eligibility expansion will also be covered, as well as the impact on adult coverage and the future HIX milestones.
Source: Webinar presented August 28, 2013 by Adele Allison, National Director of Government Affairs for SuccessEHS
6 Tips to Leverage EHR Patient Data EffectivelyGreenway Health
If you have an EHR and practice management system, you have a very valuable asset at your fingertips: patient level health data. This presentation covers six practical ways your organization can use the data you already have to improve financial and clinical practice performance and position for coming value-based reimbursement.
How much money have the Meaningful Use Incentive Programs paid so far? Which states are the biggest adopters of new health care technology and which ones are behind? Discover the total amount providers, hospitals and eligible professionals are getting paid in Medicare and Medicaid incentives.
How many moustaches are present in the newly minted 113th Congress? What percentage of women comprise the Senate? Discover the answers and many interesting facts in this slideshow about our U.S. representatives.
Recently, a study published in the Journal of the American Dental Association shows a growing trend among U.S. dentists to incorporate EDR technology into their practice. Learn about how technology adoption has changed over the last decade among dentists, as well as how they are using the technology in their practices.
The Top 10 Tech Trends that affect health care organizations and providers. Includes organization considerations and optimum implementation timeline. (Source: Health Data Management)
Patient Engagement & the Matrix: How plugged in are we?Greenway Health
Americans are plugged in to "the Matrix" more than ever. Read about the digital and mobile habits of the American patient and how this has crossed over into health care.
What's the difference between fraud, waste and abuse when it comes to health care? What is the government doing to prevent fraud, waste and abuse from happening? Learn the definitions and differences in these legal terms and how CMS has worked to prevent these from happening since its inception in 1965.
Meaningful Use measures can be categorized into four distinct "buckets." Adele Allison, National Director of Government Affairs at SuccessEHS, defines the four different marks of Meaningful Use and the health IT goals that go along with each one. She also presents which categories are going to be significant moving forward into Stage 2, as well as how the categories will impact providers and reimbursement reform.
Medicaid Incentive Payouts and Stage 2 Meaningful UseGreenway Health
Adele Allison, National Director of Government Affairs at SuccessEHS, explains the details and deadlines providers need to know for Medicaid Meaningful Use. She highlights the incentive payouts for meeting Stage One, as well as the changes Stage 2 brings for both Medicare and Medicaid.
For a copy of the Medicaid Timeline, visit our blog: info.successehs.com/blog
How will Medicare pay providers who successfully attest to Meaningful Use? This slideshow highlights the timeline and details of Medicare incentive payouts. To view, print or download a copy of the timeline, visit our blog at http://info.successehs.com/blog/
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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
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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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
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.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
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.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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.
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
2. Meaningful Use Stage 2 & HIE
• 255 known HIE initiatives
• 127 initiatives have identified HIE
vendors
o 38% considered only 1-3 HIE vendors
o 33% considered 4-6 HIE vendors
o 29% considered 7-10 HIE vendors
3. Meaningful Use Stage 2 & HIE
• Top HIE vendors:
o 22 OptumInsight, previously called Axolotl
o 14 Medicity
o 9 Cerner
o 9 Mirth
o 8 GE Healthcare
o 8 IBM
o 7 ICA
• 8 Reporting “Homegrown” Systems
4. HIE and Meaningful Use Stage 2
• Move Data (Core Measures)
o 65% ePrescribing + Formulary
Checking
o Electronic availability of Patient Clinical
Summary
o 55% Lab Data into EHR
5. HIE and Meaningful Use Stage 2
• Move Data (Core Measures)
o Patient online access to view, download
and transfer health data
o Electronic Summary of Care Record for
TOC/Referrals
o Secured messaging to patients
o Exception: Imaging results into EHR
(MENU)
6. HIE and Meaningful Use Stage 2
• Report Data
o Ongoing Immunization Data Submission
(Core)
o Ongoing Electronic Syndromic
Surveillance Data to Public Health
(Menu)
7. HIE and Meaningful Use Stage 2
• Report Data
o Ongoing Data submission to State
Cancer Registries
o Ongoing Data submission to Specialized
Registries
8. HIE and Meaningful Use Stage 2
• Clinical Quality Measures
o 12 Data Points
o Electronically reported using PQRS
technical specifications
o No longer a MU Measure
o Now part of definition of “Meaningful
EHR User”
9. Key Attributes in HIE Vendor
Selection
• Platform Flexibility
• Experience
• Cost
• Customer Service
• Ease of Configuration
• Speed to Deployment
• Reputation
10. 25% Re-evaluating Vendor in Next
12 months
• Poor Customer Service
• Complexity in Configuration
• Cost and Implementation Issues
11. HIE Initiatives and Spending
• Amount spent on HIE vendor:
Last Fiscal Year Total
$0 – 100,000 46
$100,001 – 300,000 18
$300,001 – 500,000 11
$500,001 – 700,000 7
$700,001 – 900,000 1
$900,001 – 1 Million 9
Over $1 Million 14
12. HIE Initiatives and Spending
• 85 – Advanced / Full Operational HIEs
• 54 – Independent of Federal Funding
• 24 – Sustainable (an increase of 18
since 2010)
13. Sustainable HIE Initiatives
• Revenue Sources:
o 4 out of 24 HIEs – All Revenue from a
single source
o 4 out of 24 HIEs – Receiving State /
Medicaid funding
o 20 out of 24 HIEs – Funding from a
variety of sources, typically hospitals,
provider practices and payers
15. State HIE Challenges
• Adequate Funding? Resources?
Knowledge?
• Broad range of approaches to all domains
• Broad range of current readiness within the
states
• With so much activity, and such a fast pace,
hard to get a handle on the “national
landscape”
16. Learn more about current health care
industry issues, future legislation and
how they affect providers and patients
on our blog:
www.successehs.com/successtalk