The document provides an introduction and agenda for Ewout Kramer's presentation on FHIR (Fast Healthcare Interoperability Resources) to IHE France. Kramer will provide an introduction to FHIR over the morning, with the option to go deeper on requested subjects or include hands-on activities. FHIR was created by HL7 to address the need for easier and faster integration and sharing of healthcare data between systems and apps. It focuses on implementers and uses common web technologies and formats to make integration simpler.
These are the slides of the tutorial given at the San Antonio HL7 workgroup meeting. It discusses what Profiles are used for and how to express extensions, constraints and vocabulary bindings
Morning session at Vitalis 2016 - giving a high-level overview of the why what and how of HL7 and FHIR. These slides combine background information on the principles that shaped FHIR and the components of FHIR.
These are the slides of the tutorial given at the San Antonio HL7 workgroup meeting. It discusses what Profiles are used for and how to express extensions, constraints and vocabulary bindings
Morning session at Vitalis 2016 - giving a high-level overview of the why what and how of HL7 and FHIR. These slides combine background information on the principles that shaped FHIR and the components of FHIR.
FHIR is the latest standard to be developed under the HL7 organization. Pronounced 'Fire' , FHIR stands for Fast Healthcare Interoperability Resources. I think it's the most interesting standard to have come out of HL7 since the original HL7 protocol.
Afternoon session at Vitalis 2016 discussing subjects pertinent to the Nordic reference architecture for eHealth: Documents versus Rest, DeviceObservations, Questionnaires and SMART-on-FHIR and CDS-Hooks
Presentation given at HL7 Norway on april 1st, 2014. Subjects are: why a new standard? what are the basic building blocks of FHIR? What are profiles? How do we make documents out of resources? Also contains some example architectures.
FHIR is the latest standard to be developed under the HL7 organization. Pronounced 'Fire' , FHIR stands for Fast Healthcare Interoperability Resources. I think it's the most interesting standard to have come out of HL7 since the original HL7 protocol.
Afternoon session at Vitalis 2016 discussing subjects pertinent to the Nordic reference architecture for eHealth: Documents versus Rest, DeviceObservations, Questionnaires and SMART-on-FHIR and CDS-Hooks
Presentation given at HL7 Norway on april 1st, 2014. Subjects are: why a new standard? what are the basic building blocks of FHIR? What are profiles? How do we make documents out of resources? Also contains some example architectures.
FHIR for Developers tutorial as given during the HL7 WGM meetings. Good introductory text for developers getting started with FHIR, HL7's new messaging standard for healthcare.
FHIR stands for Fast Healthcare Interoperability Resources and it is pronounced ‘Fire’, it is the latest standard to be developed under the HL7 organization. Built upon years of lessons around requirements, successes and challenges gained through defining and implementing HL7 v2, v3 and the RIM, and CDA, CCD specs, FHIR is designed for the web and mobile, and its resources are based on simple XML or JSON structures
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
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
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
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.
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
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.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
TheyprobablycraftsomethingthemselvesWe want HL7 to have ananswerto these.If we don’t => someoneelsewill do itand we willlosecredibility.Youcould do itusingv3, but notsolelybased on the downloadable UV-version. Andprobablynot on some country-specificImplementation Guide either (different focus, priorities)These are projects that are stand-alone, and cannot depend on a national authority to localize the v3 UV standard
We don’t actually have a formal manifesto, but these are the principles we adhere to.
Who’s read the v3 spec? – modeler & balloter focusedSpec is driven by people who write codeNumerous pieces have been changed because of experience with what worked when trying to implementEven have a test workbench for RESTful servers
Out-of-the box libraries for Java and C# to kickstart building clients & serversTest servers to have someone to talk toCommunity
Design by constraint failed – years to develop, what was produced required yet more design to be implementable and after that might not be interoperableHow to determine the 80%? Look to existing specs – v2, v3, CDA templates, OpenEHR, jurisdictional projects, what implementations we’ve seenIf not sure, err on the side of “not in for now”Note: not 80% of instances, 80% of implementationsChallenges with “raising the bar”What happens when there aren’t many/any implementations?
We try very hard to *not* invent stuff that exists elsewhere unless it’s really broken or totally unaligned with the FHIR principles.
Even when you think your target will understand all the encoded data, reality is data often gets shared beyond the originally intended contextAllow for exceptions for things like automated device readings, etc.
Was a bigger deal before HL7 decided to open up all IPfull legal text towards bottom of FHIR home page
9:45
Unit of re-useCombine into documents, messages, transfer individually…
Going from Generic to Specific to ensure compatibility & reuse is a great ideaThe “lower” on this slide you stop to “standardize”, the more flexible is your standard to be used in different context, but…Usually, the more specific standards based on it will diverge and not be cross-compatible (e.g. medication in CDA, CCD, message based national standards)FHIR is pretty specific, so divergence will “only” start from that specific level. Hopefullgivinging better “base” interoperabilityPeople do like re-useable blocks, standards where a prescription remains the same, whether they’re used in messages, documents, etc. CCD/C-CDA is probably popular because it tries to define such blocks across multiple uses, thus going further than the more abstract RIM classes or C-METS.
And few systems will ever see more than 40-50
Unit of storage / transaction: you cannot send “partial” updates
Youcanconstrainaway stuff youdon’tneedYoucanadd stuff to the basic modelsforyourusecase“Removeandaddbricks as necessary”
Document every resource,everyattributeProvideexamplesDefinehowtouse in REST, Document and MessageManageableby a project lead in a weekend, or you’llbeignored (in favor of localsolutions)
We try very hard to *not* invent stuff that exists elsewhere unless it’s really broken or totally unaligned with the FHIR principles.
You can retrieve any person using a GET on the person’s id, which is just an url on the server: /fhir/person/@<id>We have our own MIME-type: “text/xml+fhir”Note that FHIR always uses UTF-8. Since this is not the default for HTTP, the server explicitly mentions thisBut should mean the xml encoding mentions “utf-8” and that the payload is really encoded in utf-8There can be a Byte Order Mark, but hopefully your framework handles all that ;-)The response returns a Content-Location header with a version-specific location….see next slide
Unit of re-useCombine into documents, messages, transfer individually…
Bindings use ValueSets to define what codes are allowed.Patient.administrativeGender has a binding using the valueset “http://hl7.org/fhir/vs/administrative-gender”This valueset includes codes from two code systems http://hl7.org/fhir/v3/AdministrativeGender and http://hl7.org/fhir/v3/NullFlavorSo yes, FHIR reused code systems from v3 (and v2), and has some defined specifically for FHIR.
“Drive-by” or “bottom-up” operability: “Communicate first, standardize later”First, business partners. Then, collaborations, communities. Maybe, finally,nation-wideIt’s a naturalprocessthatpeoplewill want to make itwork first, thenonlycoordinatewhattheyreallyneedto, andthenrealizetheycanbroadentheir approach to a community.“Support”, of course top-down shouldstillbepossible! Maybe even a combi in the long-term
Published as HTMLPublished using validation process that performs consistency checksReally shouldn’t require much guidance to read, but a few things to call outObjective of spec is developer can skim and decide in < day
Lower learning curve
FHIR allows defining additional services via the “query” mechanism as well as custom services.