The document outlines healthcare options and how to access care in Manitoba, Canada. It discusses five options - calling Health Links, visiting a walk-in clinic, seeing a family doctor, going to an emergency room, or calling an ambulance. The agenda includes introducing healthcare options, reviewing case studies, learning how to describe symptoms, and practicing making a doctor's appointment. It provides details on each option and scenarios to demonstrate when each would be appropriate. Overall, the document aims to help newcomers to Manitoba understand their healthcare system and how to effectively access care.
Transitioning the Mind From Paramedic to Mobile Integrated Healthcare Paramedicsamuelkordik
Presentation from Zoll Summit 2014 by John Farris on the mindset needed to be a MIH or Community Paramedic (i.e., a clinician focused on long-term patient care not short term patient outcomes). VERY good presentation. Not mine, but freely downloadable on Zoll Data's website.
Transitioning the Mind From Paramedic to Mobile Integrated Healthcare Paramedicsamuelkordik
Presentation from Zoll Summit 2014 by John Farris on the mindset needed to be a MIH or Community Paramedic (i.e., a clinician focused on long-term patient care not short term patient outcomes). VERY good presentation. Not mine, but freely downloadable on Zoll Data's website.
Darnell L Hinton Shares Some Easy Ways to Cope With Emotional EatingDarnell L Hinton
Darnell L Hinton is one of the most widely sought after dieticians in Washington. His expert nutrition & dietary advice has proved instrumental in the lives of many people. Recently, he organized a workshop where he spoke about food, health, and nutrition.
Unit 2: Asking - Filling in Medical Report
The most important part of medical work beside taking care the patient is filling in the report to keep tracking on your patient's health and well-being.
Darnell L Hinton Shares Some Easy Ways to Cope With Emotional EatingDarnell L Hinton
Darnell L Hinton is one of the most widely sought after dieticians in Washington. His expert nutrition & dietary advice has proved instrumental in the lives of many people. Recently, he organized a workshop where he spoke about food, health, and nutrition.
Unit 2: Asking - Filling in Medical Report
The most important part of medical work beside taking care the patient is filling in the report to keep tracking on your patient's health and well-being.
Self advocacy is about taking a proactive approach to all stages of health and illness: prevention, diagnosis, treatment, and recovery. When people take an active role in their care, research shows they fare better both in satisfaction and in how well treatments work. In this talk you will learn how to develop the skills to be a good self-advocate, communicate effectively with your doctors, evaluate the latest health news headlines and find the best health information online.
PharmaCon2007 Congress, Dubrovnik, Croatia "New Technologies and Trends in Pharmacy, Pharmaceutical Industry and Education" http://www.pharmacon2007.com
Abstract is available at http://www.pharmaconnectme.com
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.
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
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.
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.
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
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
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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.
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.
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
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.
2. Workshop Objectives
1. You should be able to explain the 5 health
care options available to you in Manitoba
2. You should be able to express your health
symptoms.
3. You should be able to speak to a receptionist
and make a doctor’s appointment.
3. Our Agenda
1. Introductions
2. Review health care options
3. Case studies
4. Health symptoms
5. Listening
6. Practise making a doctor’s appointment
4. • What is your name?
• What is your country of origin?
Introductions
5. Have you ever been sick and
didn’t know what to do about it?
What happened?
6.
7. Call Health Links
1. A free service provided by the province of Manitoba.
2. You can speak to a nurse about your health concern on the phone.
3. The nurse will give you advice about what to do.
4. The service is available 24 hours a day. Everyday!
8. When should I call Health Links?
1. Call when your situation is not life threatening .
2. Call when going to a walk-in clinic or calling the doctor is not an option.
For example, in the middle of the night.
9. Go to Walk-in Clinic
• You can speak to an experienced
nurse or doctor about minor issues
such as cuts, bruises and burns.
• An appointment is usually not
necessary.
10. You should visit a walk-in clinic when…
1.Your problem is not
an emergency.
2.You can’t wait to
see your doctor, but
you need care now
3.You don’t have a
family doctor
11. 1. When your health concern is not an emergency
2. When you can wait for an appointment
See Family Doctor
Photo by www.audio-luci-store.it https://flic.kr/p/qLq2BA shared under CC-BY
12. Drive to Emergency Room
The emergency room of your local hospital
is open to you 24 hours a day, seven days a
week.
13. Call an Ambulance (911)
Photo by Plong. shared under CC-BY-NC-ND https://flic.kr/p/58kgLZ
14. Drive to ER or call 911?
• Is the condition life-threatening?
• Could the person’s condition become
worse on the way to the hospital?
• What is the weather like?
15. Case Studies
Of the 4 options available to them, what do you think
they should do?
• Call 911?
• Call their doctor?
• Call health links?
• Go to the walk-in-clinic?
• Drive to the closest emergency room?
16. Roger and his wife are new to
Manitoba. Their grandson,
Thomas, is visiting them for
the weekend. Thomas has a
mild stomachache. It is
Saturday night.
Case Study 1
Photo by Philipc http://bit.ly/1Cr3zVj shared under CC-BY-NC-SA
17. Sharmila is new to
Manitoba. She has not
been feeling well lately.
She has been feeling tired.
She has a medical card
and a family doctor.
Case Study 2
Photo by Rishy H. shared under CC-BY-NC-ND http://bit.ly/1aKhzOg
18. This is Rosa with her ten year
old daughter Lupita. Rosa is
five months pregnant. One
day she awoke with sharp
stomach pains.
Case Study 3
Photo by Wonderrlane http://bit.ly/1aK9x8c shared under CC-BY-NC
19. Su Jie and her husband
have hired a man to paint
the interior of their house.
He has fallen. He is awake,
but seems to have a lot of
lower back pain.
Case Study 4
20. Natalia and her husband
have been living in
Manitoba for 6 months.
They suspect their 2 year
old daughter has
swallowed poison.
Case Study 5
Photo by Annie Mueller https://flic.kr/p/7rRtQC shared under CC-BY-SA
21. Adrigo awakes at 3:00 AM
to get some water. Along
the way he walks into a
door. He suffers a small cut
to his forehead and feels a
little dizzy.
Case Study 6
23. Script
• Dorian: Hello Fer, how are you today?
• Fer: I’m ok, but I have a headache.
• Dorian: Have you taken anything for it?
• Fer: No, I have not.
• Dorian: How long have you had it?
• Fer: For about 2 days. I think it’s getting worse. What
do you think I should do?
• Dorian: I think you should call health links. They
might be able to give you some good advice.
24. Questions
1. How many people are speaking?
2. What is Fer’s complaint?
3. For how long has he had this
condition?
4. What advice does Dorian give him?
37. Listen
• What’s the patient’s condition?
• How long have the patient had this
condition?
• When is the appointment?
38. Receptionist: Doctor Minal’s office. How may I help you?
Patient: I would like to make an appointment to see Doctor Minal please.
Receptionist: Sure, may I have your name please?
Patient: Yes, my name is Roger Bannister.
Receptionist: Roger, have you been to the clinic before?
Patient: Yes, I have.
Receptionist: what is the nature of your visit?
Patient: I have had a headache for four days.
Receptionist: Uh, let me see............We have two openings this week. We have
Wednesday at 9:30 am or Friday at 3:00 pm. Which would you
prefer, Wednesday at 9:30 am or Friday at 3:00 pm?
Patient: I think I’d prefer Wednesday at 9:30 am.
Receptionist: Ok Roger, I have you in to see Doctor Minal this Wednesday at
9:30 am. Is there anything else I can help you with?
Dorian: No, that’s about it. Thank you very much.
Receptionist: You’re welcome. See you soon!
39. Talking to a Receptionist
Receptionist: Doctor Minal’s office. How may I help you?
Patient:
Receptionist: Ok, May I have your name please?
Patient:
Receptionist: Dorian, have you been to the clinic before?
Patient:
Receptionist: We have two openings this week. We have _________ at
_______________ or ___________ at ___________. Which would you
prefer, ______________ at _____________?
Patient: Uh, I think I’d prefer __________________at _____________.
Receptionist: Ok Dorian, I have you in to see Doctor Minal this
Wednesday at 9:30 am. Is there anything else I can help you with?
Dorian:
Receptionist: You’re welcome. See you soon!
40. What did you learn today?
• Five Health care Options available to
you in Manitoba
• 10 ways to express your health
symptoms
• How to make a doctor’s appointment
with a receptionist
41. Follow-up Tasks
• Write a dialogue where you make a doctor’s
appointment
• Write about health care options in your birth country
• Write a few sentences about what you learned in
this class