Infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission.
A short brief on 'Hospital Acquired Infections' (HAI) or 'Nosocomial Infection' (NI) for M Phil, MPH and Advance Course in Hospital Management/ Administration
this presentation is help to the student for the getting information regarding the sorces, types, & mode of infection spread in the hospital sector, it help firstd year student student gain the information regarding through this ppt
A short brief on 'Hospital Acquired Infections' (HAI) or 'Nosocomial Infection' (NI) for M Phil, MPH and Advance Course in Hospital Management/ Administration
this presentation is help to the student for the getting information regarding the sorces, types, & mode of infection spread in the hospital sector, it help firstd year student student gain the information regarding through this ppt
Nosocomial Infections by Mohammad MufarrehMMufarreh
Reviews the definition, risk factors, types, sources, causes, and modes of transmission of healthcare-associated infections and the preventive measures that can be applied to minimize the risks.
This presentation was created to help improve awareness of students in healthcare setting and/or healthcare workers regarding infection prevention and control.
**Disclaimer: Some materials (pictures) may have copyright.
INFECTION CONTROL NURSING - Agents of Nosocomial Infection - Modes of Transmi...Enoch Snowden
Infection control Nursing - Agents of Nosocomial Infection - Modes of Transmission - Infection Control Principles -GENERAL MEASURES TO REDUCE INFECTIONS - INFECTION CONTROL GUIDELINES/ POLICIES
Hospital acquired infections: The different common sources of infection, their routes of spread and the growing antimicrobial resistance. Also includes a discussion on hospital Infection prevention and control guidelines and the universal and standard precautions.
Nosocomial Infections by Mohammad MufarrehMMufarreh
Reviews the definition, risk factors, types, sources, causes, and modes of transmission of healthcare-associated infections and the preventive measures that can be applied to minimize the risks.
This presentation was created to help improve awareness of students in healthcare setting and/or healthcare workers regarding infection prevention and control.
**Disclaimer: Some materials (pictures) may have copyright.
INFECTION CONTROL NURSING - Agents of Nosocomial Infection - Modes of Transmi...Enoch Snowden
Infection control Nursing - Agents of Nosocomial Infection - Modes of Transmission - Infection Control Principles -GENERAL MEASURES TO REDUCE INFECTIONS - INFECTION CONTROL GUIDELINES/ POLICIES
Hospital acquired infections: The different common sources of infection, their routes of spread and the growing antimicrobial resistance. Also includes a discussion on hospital Infection prevention and control guidelines and the universal and standard precautions.
Hospital Aquired Infection also called Nosocomial infection.This type of infection is common infection of the world by the contaminated environment of hospital.I hope this slides atleast give a basic level of knowledge for infection.
NOSOCOMIAL INFECTION OR HOSPITAL ACQUIRED INFECTION
OR HEALTHCARE ASSOCIATED INTECTION CAN BE DEFINED AS THE INFECTION ACQUIRED IN THE HOSPITAL BY A PATIENT:
WHO WAS ADMITTED FOR A REASON OTHER THAT INFECTION
FACTORS AFFECTING HAIS
SOURCES OF INFECTION
MICRORGANISMS RESPONSIBLE FOR INFECTION
TYPES OF HAIS
MODE OF TRANSMISSION
PREVENTION OF HAIS
A basic idea about Hospital Acquired Infections from a Preventive and Social Medicine Student's point of view. It has many pictures -some were indeed taken from Slide Share itself! I think I can do it since there is a "share" in Slide share :)
Healthcare organizations including hospitals were founded to give care to those who need it and to keep patients safe.
It is generally agreed upon that the definition of patient safety is…
"DO NO HARM"
Diet does not substitute drugs but it is considered a complementary therapy.
The goals of dietary advice are:
To prevent or manage some medical conditions
To maintain or improve health through the use of appropriate and healthy food choices
To achieve and maintain optimal metabolic and physiological outcome
Malnutrition is poor nutrition due to an insufficient, poorly balanced diet, faulty digestion or poor utilization of foods. (This can result in the inability to absorb foods).
Malnutrition is not only insufficient intake of nutrients. It can occur when an individual is getting excessive nutrients as well.
Adequate diet:
A mixture of food stuffs selected to satisfy the nutritional requirements of the body in quality and quantity. It should be safe and of good taste and smell. It should be suitable for weather age, effort and physiological status of every one.
Nutrition: it is the dynamic processes by which the body can utilize the consumed food for energy production, growth, tissue maintenance and regulation of body functions.
Is the ability to access, assess and apply the best evidence from systematic research information to daily clinical problems after integrating them with the physician's experience and patient's value.
Sample is Group of individuals or things selected from the entire population to be representative to this population.
Each member of the population is called the sampling unit.
Workplace Mental Health (WMH) is a sub-discipline concerned with psychological illness, injury and disability and the role of work as a causal or contributing factor. But, unfortunately, WHO announced that WMH is a ‘Cinderella’ subject. So, it is one of the most urgent demands facing the occupational health services (OHS).
Environment
Any things surrounding us & can affect health
Environmental sanitation
Properties & requisites of clean environment.
Environmental health
Protection of human health from hazards of unsanitary environment.
A training workshop that assists researchers in dealing with statistics throughout the research.
It is the science of dealing with numbers.
It is used for collection, summarization, presentation & analysis of data.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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
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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.
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
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
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
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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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.
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 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
1. HEALTHCARE ASSOCIATED INFECTION
(HOSPITAL – ACQUIRED INFECTION)
(NOSOCOMIAL INFECTION)
Dr. Dalia El-Shafei
Assist.Prof., Community Medicine Department, Zagazig University
http://www.slideshare.net/daliaelshafei
2. LEARNING OBJECTIVES
1) To understand the meaning of Healthcare Associated Infection.
2) To recognize the magnitude of the problem especially in developing
countries.
3) To understand the epidemiology of Healthcare Associated Infection
3.
4.
5. DEFINITION: WHO Infection occurring in a patient in
a hospital or other health care
facility in whom the infection
was not present or incubating at
the time of admission.
Infections acquired in the
hospital but appearing after
discharge.
Occupational infections among
staff of the facility.
6. MAGNITUDE OF THE PROBLEM
Each year, hundreds of millions of patients around
the world are affected by HAI.
Several folds higher in low- & middle-income
countries than in high-income ones.
Incidence ranges between 10-30% in developing
countries in contrast to 5-10% in developed countries.
8. ORGANIZATION STRUCTURE FOR IC IN MOH “EGYPT”
IC department follow Prevention section of MOH sections
IC department present in each governorate of Egypt
IC specialist doctor should be present inside each hospital all
over districts
IC specialist lead infection control activities inside hospitals
& direct IC unit inside hospitals & act as leader for IC team
IC team: IC specialist “leader”, IC head nurse, nurse
coordinator inside each of hospital department
9. ACTIVITIES CARRIED BY IC TEAM:
Setting IC
policies &
strategies
Training of
all staff on
IC standards
Follow up &
evaluate IC
performance
Document
of IC
activities
inside
hospital
Notification
to IC
authorities
at MOH
Surveillance
both active
& passive
for all
diseases &
HAIs
Help in
Epidemic
containment
activities as
part of
national
team
13. RESERVOIRS OF INFECTION
Patient [
cross-
infection or
endogenous
infection]
Health care
providers
Visitors Objects or
substance
recently
contaminated
(environ-
mental
transfer)
Insects &
vectors
14. MODES OF TRANSMISSION:
Contact
• Direct:
physical
contact
between 2
individuals
• Indirect:
involves
inanimate
objects
Droplet
• During
coughing &
sneezing or
respiratory
tract
procedures as
bronchoscopy
or suction.
Airborne
• Tiny droplet
nuclei <5
micron that
remain
suspended in
air.
Vehicle
• Transmission
of pathogens
through
(vehicles)
indirectly
such as water,
food, and air.
Vector
• When
pathogen
reproduces
within a
biological
vector that
transmits it
from one host
to another
(insects
mainly) or
invertebrate
animal
16. AT RISK
Extremes of age
↓Immunity, DM,
Cortisone ttt
Major surgery,
orthopedic surgery
ICU, after intubation
or endoscopy or
invasive maneuvers.
Obesity, bed sores,
Mechanical ventilator
Hospitalization for
long time before
operation.
17. COMMON TYPES OF HAIS
Urinary
tract
infections
Surgical site
infections
Blood
stream
infection
(septicemia)
Hospital
acquired
pneumonia
18.
19. PREVENTION OF HAIS:
Primary prevention:
• Sanitation of hospital environment.
• Isolation of infectious cases.
• Incineration of hospital wastes.
• Disinfection of surgery rooms by UVRs, limiting no. of personnel in operative room.
• Providing washing, sterilization facilities in hospital.
• Strict IC instructions for HCWs.
• Control of visitors.
• Use disposable syringes & Safe blood-transfusion.
• Examination of HCWs for staph or strept. carrier.
• Prophylactic use of broad spectrum antibiotics in pre, intra and postoperative care.
20. Hand washing before & after patient contact prevents 80% of infection.
It is very simple method of prevention but it is very effective.
21. SECONDARY PREVENTION:
• Early detection of cases by frequent monitoring of temperature & signs of infection
• Proper ttt by antibiotics.
• Search for the reservoir (case or carrier or environment)
• Management of these reservoirs to prevent more spread (outbreaks).
• Drastic measures: if a case of tetanus or gas gangrene appears in any surgical room.
• All operative rooms should be closed (all operations are postponed) till complete
sterilization (concurrent & terminal disinfection) proved by free lab exam.