Presentation on the status of Health Tourism to Kerala state with suggestions to brand Kerala as a Health Tourism destination. Presented in the CII conference on Kerala Health Tourism, at Kochi in November 2013.
- Patrice Ashworth seeks career advancement opportunities with extensive experience in project management, stakeholder engagement, communication skills, and organization. She has over 15 years of experience at Cincinnati Children's Hospital and other organizations. - She is currently a Program Coordinator at Cincinnati Children's Hospital where she manages an explorers program and has increased minority participation and applicants. - She also has experience as an Administrative Assistant/Surgery Scheduler and has held other roles demonstrating customer service, administrative support, and sales experience.
This document summarizes the career history and qualifications of Donna P. Schaare for a position in pharmaceutical sales. It outlines her 15+ years of experience at Pfizer in various sales roles within oncology, including her current role as a Breast Cancer Specialist in Florida. It also lists her many sales awards and leadership roles she has held at both the regional and national levels during her career at Pfizer.
Washington University of Barbados [Feedback]: Jobs and duties of the administering board include everything from guaranteeing the savvy use of assets to deciding the association's main goal, and setting up a long-run key intend to help accomplish that mission. Washington University of Barbados [Reviews] the Department of Service Learning and Community Affairs fills in as the essential authoritative connection between the network and WUB's doctors in preparing.
A study abroad consultant can help students by providing individualized attention and guidance through the application process, including assistance with choosing universities and colleges based on academic interests, completing applications, and obtaining necessary visas. They serve as an important resource for students seeking more information about studying overseas due to their expertise and knowledge of top programs around the world.
Ojemeni Uzoma is a senior radio network planning and optimization engineer with over 8 years of experience optimizing LTE, VoLTE, 3G, and CDMA networks. He has worked on network optimization projects in Nigeria, Ivory Coast, Senegal, Saudi Arabia, and Ghana for operators such as Etisalat, Orange, Saudi Telecom, Globacom, and more. His responsibilities include monitoring network performance, drive test analysis, parameter tuning, troubleshooting, and training junior engineers.
- Patrice Ashworth seeks career advancement opportunities with extensive experience in project management, stakeholder engagement, communication skills, and organization. She has over 15 years of experience at Cincinnati Children's Hospital and other organizations. - She is currently a Program Coordinator at Cincinnati Children's Hospital where she manages an explorers program and has increased minority participation and applicants. - She also has experience as an Administrative Assistant/Surgery Scheduler and has held other roles demonstrating customer service, administrative support, and sales experience.
This document summarizes the career history and qualifications of Donna P. Schaare for a position in pharmaceutical sales. It outlines her 15+ years of experience at Pfizer in various sales roles within oncology, including her current role as a Breast Cancer Specialist in Florida. It also lists her many sales awards and leadership roles she has held at both the regional and national levels during her career at Pfizer.
Washington University of Barbados [Feedback]: Jobs and duties of the administering board include everything from guaranteeing the savvy use of assets to deciding the association's main goal, and setting up a long-run key intend to help accomplish that mission. Washington University of Barbados [Reviews] the Department of Service Learning and Community Affairs fills in as the essential authoritative connection between the network and WUB's doctors in preparing.
A study abroad consultant can help students by providing individualized attention and guidance through the application process, including assistance with choosing universities and colleges based on academic interests, completing applications, and obtaining necessary visas. They serve as an important resource for students seeking more information about studying overseas due to their expertise and knowledge of top programs around the world.
Ojemeni Uzoma is a senior radio network planning and optimization engineer with over 8 years of experience optimizing LTE, VoLTE, 3G, and CDMA networks. He has worked on network optimization projects in Nigeria, Ivory Coast, Senegal, Saudi Arabia, and Ghana for operators such as Etisalat, Orange, Saudi Telecom, Globacom, and more. His responsibilities include monitoring network performance, drive test analysis, parameter tuning, troubleshooting, and training junior engineers.
The O'Kelly Library at Winston-Salem State University implemented the O'Kelly Fellows Institute in 2008 to provide faculty training on information literacy and collaborating with librarians. The program offered a $900 stipend for 40 faculty members to attend workshops on modifying assignments, combating plagiarism, and using library resources. The goals were to have one-third of faculty participate by 2012 and ensure students receive information literacy training across disciplines. As a result, library instruction sessions, faculty consultations, database searches, and student consultations all increased substantially. Faculty reported better understanding library services and students said they felt prepared for graduate school. The program helped increase information literacy across the curriculum.
The document contains a marketing exam with 51 multiple choice questions covering various marketing topics such as the marketing mix, advertising, pricing, distribution, and logistics. The questions test understanding of key marketing concepts like reach in advertising, types of advertising appeals, pricing strategies, types of retail stores, services marketing challenges, and elements of the promotional mix. The exam aims to evaluate a student's knowledge of fundamental marketing principles and terminology.
Este documento presenta información sobre diseño instruccional y el diseñador instruccional. Explica que el diseño instruccional implica el análisis, organización y presentación de competencias, información y estrategias de enseñanza-aprendizaje. También describe las fases del diseño instruccional y el rol del diseñador instruccional como un experto en estrategias de aprendizaje.
The document is an image by Rafael Anderson Gonzalez Mendoza, whose username on Flickr is "andercismo". No other information is provided in the short document, so a meaningful 3 sentence summary cannot be generated.
This document provides an overview of Ekiti State University including reasons for stakeholder meetings, student and staff populations, funding sources and amounts, tuition and service charges, completed and ongoing projects, and current hostel situation. Key points include over 28,000 students across various programs, over 2,000 staff members, majority of monthly funding coming from government subvention and internally generated revenue, tuition ranging from ₦95,000 to over ₦300,000 depending on faculty, and ongoing construction of additional facilities and hostels to address current space constraints.
La Unión Europea ha anunciado nuevas sanciones contra Rusia por su invasión de Ucrania. Las sanciones incluyen prohibiciones de viaje y congelamiento de activos para más funcionarios rusos, así como restricciones a las importaciones de productos rusos de acero y tecnología. Los líderes de la UE esperan que estas medidas adicionales aumenten la presión sobre Rusia para poner fin a su guerra contra Ucrania.
Shah Group Builders & Infraprojects Ltd. is a leading construction firm engaged in creating high-end residences,luxurious bunglows, spacious commercial buildings, IT parks, shopping malls and townships. Offering years of experience and expertise, they aim to become a name synonymous to the hallmark of quality construction. They have always maintained a legacy of excellence and have a vision for the future. Quality and customer satisfaction, being just a complementary. well, to say the least, our excellence has not just accelerated. It has rapidly accelerated.
Este documento presenta los lineamientos para la ejecución de la opción "Educación preventiva contra el uso indebido de alcohol, tabaco y otras drogas" del Programa de Participación Estudiantil en el régimen Costa para el año lectivo 2015-2016. Define los objetivos, metodología, recursos y actividades a desarrollar, incluyendo talleres de capacitación a docentes para implementar la opción de manera integral y generar conciencia sobre los riesgos del consumo de estas sustancias entre los estudiantes.
Et Tu Bruce is a British rock band making their debut in the United States. Known for their signature harmonies blending pop, rock, folk, and country, the band will be touring across the Northeast and Midwest in June and July, bringing their throwback sound inspired by classic bands like The Byrds and The Kinks to American audiences. Their debut album "Suburban Sunshine" was praised in the UK and will be released in the US on June 11th. For booking information on their upcoming North American tour dates, contact Cindy da Silva or Chris Tuthill at Talent Consultants International.
A new type of chewing gum contains protein gel inside to provide nutrition while working without needing to take time to eat. The gum has fruit flavors and contains 2 grams of protein gel inside to feed the body better while chewing, as many people don't have time to eat during busy workdays. The protein gel is flavored to mask the taste of protein and provide a more pleasant chewing experience.
This document discusses the spread and impact of internet memes and viral content. It notes that while memes began as ideas spreading similarly to genes, they now refer primarily to content spreading online. Examples of highly viewed viral videos like Gangnam Style and popular ephemeral memes like the Harlem Shake are provided to show how content can rapidly spread worldwide through the internet and social media. Quotes throughout argue that virality follows patterns and can be influenced, with popularity depending more on what is said than who shares it.
The document provides the 2015 calendar and schedule for the American Public Transportation Association (APTA) conferences. It lists the dates, locations and names of various APTA conferences, seminars, workshops and other events taking place throughout 2015, including the annual meeting in October in San Francisco. It also includes brief descriptions of APTA's vision, mission and membership.
Amzika Clothing adalah merek pakaian yang didirikan pada tahun 2010 dan berfokus pada tema anime, manga, dan game. Merek ini menargetkan pelanggan berusia 16-28 tahun, terutama pelajar, mahasiswa, dan profesional muda dengan hobi tersebut. Amzika Clothing menawarkan kerjasama investasi dengan memberikan komisi sebesar 3% dari modal investor mulai bulan ke-3.
This document provides a summary of global tertiary education indicators including:
- Gross enrollment rates have increased globally to around 30% but vary widely between regions from over 50% in Europe and Central Asia to under 10% in many sub-Saharan African countries.
- Income is strongly correlated with tertiary enrollment rates - countries with GNI per capita over $20,000 generally have rates over 50% while those under $1000 are usually under 11%.
- Most countries have achieved gender parity or higher female enrollment in tertiary education but South Asia and Sub-Saharan Africa still show a strong male bias.
- Expenditure on tertiary students ranges widely from less than 5% of GNI per capita in
Medical Travel Conference Agenda in SingaporeLei Ching Y.
Featuring C - level executives from Asia's hospitals, IBC’s Medical Travel 2014 unveils medical tourism market forces and evaluates how leading industry players strategize to meet the growing demand for high quality healthcare. Through interactive and intensive knowledge sharing sessions, this conference creates a single platform for high level networking and learning between leading healthcare providers and key market players in driving patient-centered, affordable and quality healthcare services for global expansion.
This presentation explains medical tourism in India, it's benefits and the factors affecting it. It also looks at the darker side of medical tourism in India and introduces the concept of Medical Value Travel. The concepts are explained with the help of a storyline.
Using patient stories to create a culture that cares: MD Anderson & Gelb - Be...Endeavor Management
Experience Mapping is an in-depth qualitative research technique that utilizes a visual cue (the experience map) to help physicians, patients, staff, and other influencers recall specific episodes in their journey. It provides: Assessment of the total experience, expectations- before first encounter, activities and Touchpoints, changes in attitudes, if any
Framework for action: experience stewards who are responsible for delivery, steward can appreciate the relationship of their actions to the rest of the journey, interactions or “touchpoints” are categorized at each step
Branding for Aster Medcity- A Branding CaseAbraham Isaac
1) Aster Medcity in Kochi, Kerala is a large integrated medical city with over 400 specialists, 1100 staff, and 1075 beds that provides a comprehensive range of healthcare services in one campus.
2) It aims to become a leading healthcare provider through centers of excellence in cardiology, oncology, orthopedics and neurology while also promoting research, education and international collaboration.
3) The medical city has significant infrastructure including general and specialty hospitals, medical equipment and technology, academic facilities, and amenities for patients and staff.
This recent webcast featured industry expert Jonathan Edelheit, CEO of the Medical Tourism Association, who presented "Medical Tourism Facilitators: the Good, the Bad, and the Unknown" an informative and provocative webcast that will provided current and potential medical tourism facilitators with the tools to:
Develop Markets
Build Trust and Credibility
Identify Reliable Providers
Understand Complex Arrangements and Medical Procedures
Make Life or Death Preparations and Decisions
Reduce the Chance of Error and Increase Positive Outcomes
Sustain Operations
Continue Education and Network
Serve as Responsible Industry Ambassadors
View the session Questions & Answers and download the whitepaper here:
http://www.medicaltourismassociation.com/en/medical-tourism-facilitator-webcast-gbu.html
The O'Kelly Library at Winston-Salem State University implemented the O'Kelly Fellows Institute in 2008 to provide faculty training on information literacy and collaborating with librarians. The program offered a $900 stipend for 40 faculty members to attend workshops on modifying assignments, combating plagiarism, and using library resources. The goals were to have one-third of faculty participate by 2012 and ensure students receive information literacy training across disciplines. As a result, library instruction sessions, faculty consultations, database searches, and student consultations all increased substantially. Faculty reported better understanding library services and students said they felt prepared for graduate school. The program helped increase information literacy across the curriculum.
The document contains a marketing exam with 51 multiple choice questions covering various marketing topics such as the marketing mix, advertising, pricing, distribution, and logistics. The questions test understanding of key marketing concepts like reach in advertising, types of advertising appeals, pricing strategies, types of retail stores, services marketing challenges, and elements of the promotional mix. The exam aims to evaluate a student's knowledge of fundamental marketing principles and terminology.
Este documento presenta información sobre diseño instruccional y el diseñador instruccional. Explica que el diseño instruccional implica el análisis, organización y presentación de competencias, información y estrategias de enseñanza-aprendizaje. También describe las fases del diseño instruccional y el rol del diseñador instruccional como un experto en estrategias de aprendizaje.
The document is an image by Rafael Anderson Gonzalez Mendoza, whose username on Flickr is "andercismo". No other information is provided in the short document, so a meaningful 3 sentence summary cannot be generated.
This document provides an overview of Ekiti State University including reasons for stakeholder meetings, student and staff populations, funding sources and amounts, tuition and service charges, completed and ongoing projects, and current hostel situation. Key points include over 28,000 students across various programs, over 2,000 staff members, majority of monthly funding coming from government subvention and internally generated revenue, tuition ranging from ₦95,000 to over ₦300,000 depending on faculty, and ongoing construction of additional facilities and hostels to address current space constraints.
La Unión Europea ha anunciado nuevas sanciones contra Rusia por su invasión de Ucrania. Las sanciones incluyen prohibiciones de viaje y congelamiento de activos para más funcionarios rusos, así como restricciones a las importaciones de productos rusos de acero y tecnología. Los líderes de la UE esperan que estas medidas adicionales aumenten la presión sobre Rusia para poner fin a su guerra contra Ucrania.
Shah Group Builders & Infraprojects Ltd. is a leading construction firm engaged in creating high-end residences,luxurious bunglows, spacious commercial buildings, IT parks, shopping malls and townships. Offering years of experience and expertise, they aim to become a name synonymous to the hallmark of quality construction. They have always maintained a legacy of excellence and have a vision for the future. Quality and customer satisfaction, being just a complementary. well, to say the least, our excellence has not just accelerated. It has rapidly accelerated.
Este documento presenta los lineamientos para la ejecución de la opción "Educación preventiva contra el uso indebido de alcohol, tabaco y otras drogas" del Programa de Participación Estudiantil en el régimen Costa para el año lectivo 2015-2016. Define los objetivos, metodología, recursos y actividades a desarrollar, incluyendo talleres de capacitación a docentes para implementar la opción de manera integral y generar conciencia sobre los riesgos del consumo de estas sustancias entre los estudiantes.
Et Tu Bruce is a British rock band making their debut in the United States. Known for their signature harmonies blending pop, rock, folk, and country, the band will be touring across the Northeast and Midwest in June and July, bringing their throwback sound inspired by classic bands like The Byrds and The Kinks to American audiences. Their debut album "Suburban Sunshine" was praised in the UK and will be released in the US on June 11th. For booking information on their upcoming North American tour dates, contact Cindy da Silva or Chris Tuthill at Talent Consultants International.
A new type of chewing gum contains protein gel inside to provide nutrition while working without needing to take time to eat. The gum has fruit flavors and contains 2 grams of protein gel inside to feed the body better while chewing, as many people don't have time to eat during busy workdays. The protein gel is flavored to mask the taste of protein and provide a more pleasant chewing experience.
This document discusses the spread and impact of internet memes and viral content. It notes that while memes began as ideas spreading similarly to genes, they now refer primarily to content spreading online. Examples of highly viewed viral videos like Gangnam Style and popular ephemeral memes like the Harlem Shake are provided to show how content can rapidly spread worldwide through the internet and social media. Quotes throughout argue that virality follows patterns and can be influenced, with popularity depending more on what is said than who shares it.
The document provides the 2015 calendar and schedule for the American Public Transportation Association (APTA) conferences. It lists the dates, locations and names of various APTA conferences, seminars, workshops and other events taking place throughout 2015, including the annual meeting in October in San Francisco. It also includes brief descriptions of APTA's vision, mission and membership.
Amzika Clothing adalah merek pakaian yang didirikan pada tahun 2010 dan berfokus pada tema anime, manga, dan game. Merek ini menargetkan pelanggan berusia 16-28 tahun, terutama pelajar, mahasiswa, dan profesional muda dengan hobi tersebut. Amzika Clothing menawarkan kerjasama investasi dengan memberikan komisi sebesar 3% dari modal investor mulai bulan ke-3.
This document provides a summary of global tertiary education indicators including:
- Gross enrollment rates have increased globally to around 30% but vary widely between regions from over 50% in Europe and Central Asia to under 10% in many sub-Saharan African countries.
- Income is strongly correlated with tertiary enrollment rates - countries with GNI per capita over $20,000 generally have rates over 50% while those under $1000 are usually under 11%.
- Most countries have achieved gender parity or higher female enrollment in tertiary education but South Asia and Sub-Saharan Africa still show a strong male bias.
- Expenditure on tertiary students ranges widely from less than 5% of GNI per capita in
Medical Travel Conference Agenda in SingaporeLei Ching Y.
Featuring C - level executives from Asia's hospitals, IBC’s Medical Travel 2014 unveils medical tourism market forces and evaluates how leading industry players strategize to meet the growing demand for high quality healthcare. Through interactive and intensive knowledge sharing sessions, this conference creates a single platform for high level networking and learning between leading healthcare providers and key market players in driving patient-centered, affordable and quality healthcare services for global expansion.
This presentation explains medical tourism in India, it's benefits and the factors affecting it. It also looks at the darker side of medical tourism in India and introduces the concept of Medical Value Travel. The concepts are explained with the help of a storyline.
Using patient stories to create a culture that cares: MD Anderson & Gelb - Be...Endeavor Management
Experience Mapping is an in-depth qualitative research technique that utilizes a visual cue (the experience map) to help physicians, patients, staff, and other influencers recall specific episodes in their journey. It provides: Assessment of the total experience, expectations- before first encounter, activities and Touchpoints, changes in attitudes, if any
Framework for action: experience stewards who are responsible for delivery, steward can appreciate the relationship of their actions to the rest of the journey, interactions or “touchpoints” are categorized at each step
Branding for Aster Medcity- A Branding CaseAbraham Isaac
1) Aster Medcity in Kochi, Kerala is a large integrated medical city with over 400 specialists, 1100 staff, and 1075 beds that provides a comprehensive range of healthcare services in one campus.
2) It aims to become a leading healthcare provider through centers of excellence in cardiology, oncology, orthopedics and neurology while also promoting research, education and international collaboration.
3) The medical city has significant infrastructure including general and specialty hospitals, medical equipment and technology, academic facilities, and amenities for patients and staff.
This recent webcast featured industry expert Jonathan Edelheit, CEO of the Medical Tourism Association, who presented "Medical Tourism Facilitators: the Good, the Bad, and the Unknown" an informative and provocative webcast that will provided current and potential medical tourism facilitators with the tools to:
Develop Markets
Build Trust and Credibility
Identify Reliable Providers
Understand Complex Arrangements and Medical Procedures
Make Life or Death Preparations and Decisions
Reduce the Chance of Error and Increase Positive Outcomes
Sustain Operations
Continue Education and Network
Serve as Responsible Industry Ambassadors
View the session Questions & Answers and download the whitepaper here:
http://www.medicaltourismassociation.com/en/medical-tourism-facilitator-webcast-gbu.html
This document outlines the agenda and speaker lineup for the "Medical Care Beyond Borders" conference taking place in Istanbul, Turkey from February 10-11, 2011. The conference will bring together healthcare, hospitality, policymakers, insurers, and travel industry leaders to discuss opportunities for developing international medical care. Over the two-day event, topics will include industry perspectives on challenges and risks, providing quality patient experiences, social media and marketing strategies, the roles of insurance companies and medical tourism facilitators, and managing international patients. Presentations will be made by representatives of medical centers, clinics, insurance companies, and other organizations from over 15 countries. The goal of the conference is to explore ways to increase international patient flow and build a sustainable
Medical tourism is the practice of traveling abroad to receive medical treatment. India has become a preferred destination for medical tourism due to affordable treatment costs and world-class facilities. Key components of medical tourism include treatment of illnesses, cosmetic surgeries, wellness programs, and fertility treatments. Hospitals must be accredited by various international accreditation organizations to participate in medical tourism. The top states in India for medical tourism are Maharashtra, Tamil Nadu, and Delhi. Medical tourism is a growing industry in India worth billions of dollars annually.
Lynnda Krasner has over 20 years of experience in healthcare, including roles in sales, marketing, education, and clinical care. She has a proven track record of developing strategic plans to grow businesses and build strong referral partnerships. Krasner is skilled at identifying opportunities, providing excellent client services, and achieving performance goals across multiple senior living and home health companies.
This document summarizes the cystic fibrosis care environment in British Columbia. It outlines the challenges with the current system including increasing patient numbers and complexity as well as new treatments. It discusses previous attempts to address issues and the need for standards of care, improved transitions of care, access to specialized care, and data collection. The document proposes using a collective impact model to engage partners around a shared agenda of creating a sustainable provincial cystic fibrosis care system. It notes progress including the formation of an advisory group and work on standards and metrics.
Sini organiations study at lourdes hospitalLibu Thomas
Lourdes Hospital is a 650-bed multispecialty hospital in Ernakulam that was founded in 1965. It has many clinical and non-clinical departments and is accredited by NABH. A SWOT analysis found strengths like experienced staff and equipment, but also weaknesses like long wait times. Suggestions included conducting more health camps and updating the website. The document analyzed the organization of Lourdes Hospital through examining its history, departments, and management systems.
The document discusses strategies for promoting international medical tourism to India, noting that cardiac treatment and orthopedics are the most popular services. It outlines the major sources of international patients, including from SAARC countries, Africa, and the United States. The document also provides an overview of the business model and processes involved in facilitating medical tourism, from initial information gathering to finalizing travel plans.
This document discusses strategies for hospital partnerships and care coordination. It describes approaches to more effectively serve populations outside hospitals, including bringing together treatment providers, community groups, and others. One model mentioned is Health Enterprise Zones (HEZs). The document outlines characteristics of today's healthcare system and drivers transforming it, including new models of coordinated and population-based care. It provides examples of partnerships and programs at Carroll Hospital and Access Carroll, a community health center, to integrate services and coordinate care for low-income populations.
Integration of Policy, Practice and Partnership with Julie Wood, MDsfary
This document discusses integrating behavioral health care into the patient-centered medical home model. It provides an overview of the American Academy of Family Physicians, their strategic goals including practice advancement and health of the public. It describes the "Joint Principles" published in 2014 that outline seven principles for integrating behavioral health care into the PCMH. Barriers to integration include issues with payment, time, knowledge and effective referral processes, while opportunities include promoting the PCMH model and medical neighborhood approach to integrate primary care and public health.
Internship at Children’s Mercy Hospital Human ResourcesSarah George
An overview of my internship at Children's Mercy Hospital. This opportunity allowed to see how CMH's Human Resource Department functions and thrives in the Kansas City Healthcare system.
Nirvan Life Sciences aims to transform healthcare delivery through education and relationship management. It strives to change behaviors among healthcare organizations, professionals, and patients to improve outcomes. Nirvan offers services like doctor-patient relationship management, medical marketing solutions, practice management modules, and patient education programs to clients including pharmaceutical companies, hospitals, and medical professionals. Its goal is to empower patients and facilitate professionals to become better educators and managers.
Customer relationship management (CRM) involves shaping interactions between a company and its customers to maximize current and lifetime value. In pharmaceuticals, CRM is needed to understand customers better and improve channel management in a competitive market. While FMCG focuses on non-personal advertising, pharmaceutical CRM precisely tracks doctor prescription habits. Application in pharmaceuticals includes providing gifts, organizing conferences, distributing free samples and medicines, and conducting camps and continuing medical education. CRM practices involve timely calls, precision marketing, new sales strategies, and sales force management.
Jacquelin L. Jenkins has over 30 years of experience in healthcare, including experience as a nurse, quality care coordinator, and community health educator. She has a proven track record of developing training protocols, leading teams, and building relationships across cultures. Jenkins holds a Master's degree in Organization Leadership and Bachelor's degrees in Health Science and Nursing. She is licensed as a registered nurse in California.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
low birth weight presentation. Low birth weight (LBW) infant is defined as the one whose birth weight is less than 2500g irrespective of their gestational age. Premature birth and low birth weight(LBW) is still a serious problem in newborn. Causing high morbidity and mortality rate worldwide. The nursing care provide to low birth weight babies is crucial in promoting their overall health and development. Through careful assessment, diagnosis,, planning, and evaluation plays a vital role in ensuring these vulnerable infants receive the specialize care they need. In India every third of the infant weight less than 2500g.
Birth period, socioeconomical status, nutritional and intrauterine environment are the factors influencing low birth weight
5. Scope of the consortium
•
Capitalize on the strengths of Kerala
•
Take steps to correct weaknesses
•
Nullification of the effects of prevailing ‘Threats’
•
Interact with Government agencies, Travel agencies and Medical Tourism agencies
•
Preparation of the hospitals to be ready to accept patients from abroad
•
Interactive Website showing all the details of member hospitals
•
Unification of treatment expenses
•
Identification of target countries
•
Developing the ‘Big Brand’ and marketing of Kerala Hospitals in selected countries
6. Capitalize on the strengths of Kerala
•
Proficiency in English
•
Traditional hospitality
•
High rate of literacy
•
Already a Big Brand - ‘God’s Own Country’, thanks to the efforts of Kerala Tourism
Department
•
One of the top fifty tourist destinations in the world
•
Developing Corporate Hospitals
•
Adherence to Healthcare Quality systems
•
Global reputation of healthcare professionals from Kerala
7. Take steps to correct weaknesses
•
Inadequate hospital infrastructure and systems
•
Improper attitude
•
Lack of unity among providers
•
Unhealthy competition amongst providers
•
Lack of clarity on services provided
•
Lack of uniformity in rates
•
Lack of proper follow up systems
8. Nullification of the effects of ‘Threats’
•
Anti propaganda by agencies with vested interests
•
Competition by neighbouring states and metropolitan cities
•
The ‘Delhi Bug’
•
The AMRI verdict
•
‘Foreign Body’ by Robin Cook
9. Interaction with allied agencies
•
Kerala State Government
• Ministry of Health
• Ministry of Tourism
• Ministry of Industries
•
Medical Council of India
•
Ministry of External Affairs
•
Travel agencies
•
Medical Tourism agencies
10. Preparing Hospitals for MVT
•
Infrastructure development
• Exclusive International Desk
• Exclusive wards for international patients and family
•
Hospital website
•
Designing of comprehensive treatment packages
11. Preparing Hospitals for MVT
• Formation of exclusive team to look after MVT
• Legal formalities
• Personal comforts
• Communication facilities
• Multilingual staff
• Accommodation and food
• Interaction with clinicians in home countries
• Interaction with patients’ family
• Coordinate travel and pleasure tourism
• Formation of a team of committed Doctors
12. Interactive Website of the consortium
•
Separate pages for all member hospitals
•
Detailed description of the facilities of hospitals
•
Educational materials about diseases, treatment, follow up and prevention
•
Facility to interact between member hospitals and treating doctors in home country
•
Regular updating
14. Identification of target countries
•
The consortium shall decide the geographical area where we have to concentrate first
• Neighbouring countries like Sri Lanka, Maldives, Bangladesh, Myanmar etc.
• The Middle East
• African Continent
• Developed countries like USA, UK and other European countries
15. Marketing the ‘Big Brand’
•
Selection of countries in the identified geographical area
•
Initiate relationship through Ambassadors and High Commissioners in India
•
Handle formalities of visits
•
Organize discussions with Government agencies, hospitals and doctors’ groups in target
countries
•
Organize screening camps
•
Develop local contacts for follow up activities
16. True Medical Value Travel
(Under-developed and Developing countries)
•
Most effective, ethical and subtle mode of marketing is creating awareness and providing
help to develop in-house capacity
•
Help the countries in need develop their own healthcare systems
• Conduct surgical procedures in their own hospitals whenever possible
• Help them establish various facilities
• Help them establish good emergency care systems
• Offer training of Doctors and paramedical staff in our hospitals
• Advice on conducting mass healthcare awareness programmes on disease
prevention and treatment
17. When there is a health problem, they will always
think of us
Once we project ourselves as a united force, these threats will vanish automatically
The website should have facilities to video chat with local clinicians for pre procedure and discussions, for regular updating of patients’ status while in the hospital and for useful follow up instructions and discussionsThe treatment packages should be very definite with clear mention of inclusions and exclusions and the patient should have a perfect understanding of the deliverables within the cost offered. There should also be provision for unforeseen complications and even mortality.
The CII has already taken initiative and has an exclusive section for KHT in their website
For this all the member hospitals should come under the wide umbrella of the consortium. The consortium shall be of such nature that trust is held at high value. What happened to Mumbai should not happen to Kerala.
Day before yesterday HE Desire Koumba, showed us small video on Gabon. How many of us knew about such a country before that? Now we know that Gabon is a good place to go and market Kerala. He also did mention during an informal chat that they have good hospitals in Gabon but don’t have the expertise to use the facilities. Funding is not an issue and that most of the patients in need of tertiary care are being sent to expensive places by the government. He welcomed us whole heartedly to Gabon to showcase our capabilities and to help them train professionals and also to procure good quality medicines. Same is the case with Niger, as mentioned by HE Ali Illiassou.
I am sure that the President of CII Mr. C J George and Chairman of Kerala Health Tourism Dr Azad Moopen will take initiatives today itself to form such a consortium so that momentum created by this conference is sustained and further strengthened. I request the on behalf of all of us here to take necessary steps without any delay.