Those realities point to gigantic physician billing and Ambulatory Surgery Center Billing in the coming years, mandating more extensive physician billing service requirements.
http://www.medpmr.com/
Niall Brennan: "‘It’s the Prices, Stupid’: How sky-high prices are crippling ...reportingonhealth
Niall Brennan's slides from the Center for Health Journalism webinar, "‘It’s the Prices, Stupid’: How sky-high prices are crippling our health care system," 12.6.17
More info: https://www.centerforhealthjournalism.org/content/its-prices-stupid-how-sky-high-prices-are-crippling-our-health-care-system
Covered California Calls Collection of Patient Data a Good ThingFreeway Insurance
With 1.4 million people enrolled, Covered California is embarking on an ambitious effort to collect insurance company data on every patient pertaining to prescriptions, doctor visits and hospital stays .
Bloomberg Intelligence: US Healthcare Outlook 2015Bloomberg LP
Entering 2015, impacts of the Affordable Care Act will continue to shape the healthcare landscape for both patients and providers. The industry may also see new product launches from medical device companies looking to offset stagnant sales.
Sarah Kliff: "‘It’s the Prices, Stupid’: How sky-high prices are crippling ou...reportingonhealth
Sarah Kliff's slides from the Center for Health Journalism webinar, "‘It’s the Prices, Stupid’: How sky-high prices are crippling our health care system," 12.6.17
More info: https://www.centerforhealthjournalism.org/content/its-prices-stupid-how-sky-high-prices-are-crippling-our-health-care-system
Although symptoms can vary widely, the first problem many people notice is forgetfulness severe enough to affect their ability to function at home or at work or to enjoy lifelong hobbies.
[Ler] (Kindle) Patients at Risk: The Rise of the Nurse Practitioner and Physi...IrlanSaraswati
Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation's healthcare continue to decline-with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision.Written by two physicians who have witnessed the decline of medical expertise over the last twenty years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a roadmap for patients to protect themselves from medical harm. .
Niall Brennan: "‘It’s the Prices, Stupid’: How sky-high prices are crippling ...reportingonhealth
Niall Brennan's slides from the Center for Health Journalism webinar, "‘It’s the Prices, Stupid’: How sky-high prices are crippling our health care system," 12.6.17
More info: https://www.centerforhealthjournalism.org/content/its-prices-stupid-how-sky-high-prices-are-crippling-our-health-care-system
Covered California Calls Collection of Patient Data a Good ThingFreeway Insurance
With 1.4 million people enrolled, Covered California is embarking on an ambitious effort to collect insurance company data on every patient pertaining to prescriptions, doctor visits and hospital stays .
Bloomberg Intelligence: US Healthcare Outlook 2015Bloomberg LP
Entering 2015, impacts of the Affordable Care Act will continue to shape the healthcare landscape for both patients and providers. The industry may also see new product launches from medical device companies looking to offset stagnant sales.
Sarah Kliff: "‘It’s the Prices, Stupid’: How sky-high prices are crippling ou...reportingonhealth
Sarah Kliff's slides from the Center for Health Journalism webinar, "‘It’s the Prices, Stupid’: How sky-high prices are crippling our health care system," 12.6.17
More info: https://www.centerforhealthjournalism.org/content/its-prices-stupid-how-sky-high-prices-are-crippling-our-health-care-system
Although symptoms can vary widely, the first problem many people notice is forgetfulness severe enough to affect their ability to function at home or at work or to enjoy lifelong hobbies.
[Ler] (Kindle) Patients at Risk: The Rise of the Nurse Practitioner and Physi...IrlanSaraswati
Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation's healthcare continue to decline-with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision.Written by two physicians who have witnessed the decline of medical expertise over the last twenty years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a roadmap for patients to protect themselves from medical harm. .
Commissioned by the National Partnership, developed by research partner Professor Alan Westin, Ph.D. and conducted by Harris Interactive, the online survey of nearly 2,000 respondents, with an oversample of Hispanic adults, details consumer experiences with both electronic and paper medical record systems. Intended to serve as a baseline for future studies, the survey looks at how consumers value electronic vs. paper records, how concerned they are about data breaches, and whether they trust electronic medical records more or less than paper records to protect their privacy. It is designed to amplify consumers' voices and inform implementation of health IT.
Healthcare changes a compilation of infographics to tell a story of what's...Dr. Susan Dorfman
This started as an internal project I wanted to do for myself and my team, but later decided to share it. It represents the current and future state of healthcare, based on perspectives and infographics gathered from industry expert sources (each cited with a url to the original source of the image or chart) - with commentary in headers created by me to help put things into perspective. I also tried tried to provide a view of current and future states, including implications to varying stakeholders including patients, physicians and pharma
The issue of fraud in health care has become a serious problem that every participant in the health delivery system must remain aware of in terms of potential and consequences. Managers in the health care system are tasked with ensuring that their staff members know the various fraud schemes as well as making sure that providers are not committing fraud themselves. A key way to accomplish this task is through education and training for fraud detection and prevention by and of health care stakeholders. The stakeholders in health care include providers, patients, organizations and institutions, the government, and the public. Also included are non-health care entities that may steal patient data for fraudulent claims and billing. Managers, therefore, are strongly advised to seek the services of health care compliance agencies to train staff, including doctors and nurses, on how to detect fraud and prevent fraud themselves. These agencies are also adept at helping to improve billing and payment functions to mitigate the risk of lost revenue through fraud and avoidance of criminal liability for the actions of providers and patients. The well-coordinated efforts of all stakeholders of health care assist in preserving the integrity of the system and make available quality services at reasonable prices for all.
A low cost alternative to meeting rising healthcare cost. Addresses the root causes of accelerating health care cost and solves the issue of rising healthcare cost.
Hospital Pricing Issues Cost Employers MoneyMark Gall
This five-year study details the wide variation of hospital prices for the same procedure in the same town. It considers the impact on the costs of private insurance plans from insurance companies including CIGNA, Anthem, Aetna and United HealthCare. See highlights on pages 1 through 6.
Healthcare Fraud: Illegal Kickback Schemes in Medicare & Medicaidlawsuitlegal
The amount of medicare and medicaid fraud is staggering.
This Lawsuit Legal data snapshot exposes how healthcare kickback schemes work.
Qui tam bounties for relators can reach outrageous amounts, and it's no wonder when you look at the scale of fraud in healthcare.
The schemes run the gambit from false claims, illegal referrals, false reimbursement claims, patient referrals and purchasing decision fraud. All in the name of defrauding these lucrative government programs.
In this case we look at what the False Claims Act has to say about kickbacks, and what the law states for people who get greedy and try to break the rules.
In addition, we'll briefly touch on what qui tam whistleblowers can do to put a stop to it, if they have knowledge of fraud.
It's always worth keeping in mind the bounties paid out to relators for money recovered in government actions.
Take a look at the illegal kickbacks common in the healthcare industry, who the most common offenders are, and what to look out for here.
#quitamclaims #whistleblowerlaws
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Ceci Connolly's slides from the Center for Health Journalism webinar, "Left in Limbo: Obamacare’s Shaky Insurance Exchanges," 6.7.17
More info: https://www.centerforhealthjournalism.org/content/left-limbo-obamacares-shaky-insurance-exchanges
An Okay Rating: The Progress of Healthcare in TexasRich_Tyler
A Progress Report on Texas and its actions in meeting the protection of patients in the healthcare sector focuses on five principles. These patient-centered principles include non-discrimination, transparency, state oversight, uniformity, and continuity of care.
A presentation of information about transparency in healthcare reform. States are currently pursuing ways to make pricing information available to people before they even need it.
Digitization is bringing a sea change to a U.S. healthcare industry already facing waves of uncertainty. By taking the right steps, this can be a major opportunity for industry players.
Forecasting the future of any industry is difficult, none more so right now than healthcare in the United States. There are countless reasons why healthcare will look different in the near future, not least of which being the country's movement toward national coverage. However, digital transformation—the cumulative change that comes when digital technologies are introduced wholesale into an established industry—is poised to have an even bigger impact. For the U.S. healthcare industry, digital technology will be transformational, cutting healthcare delivery costs, eliminating errors through improved electronic medical records, and establishing routinized, evidence-based approaches to treatment.
Digital forces are pulling at the industry and significantly altering services, products, innovation, delivery, and remuneration (see figure). There are digitally integrated healthcare providers, digital medical devices and technologies, and digital delivery and monitoring of home healthcare. In addition, new ideas are emanating from developing markets, agile competitors are embracing technology, and a digital-friendly federal administration is pushing innovation. And don't forget the digital consumer who is used to digital banking, digital retailing, and digital education, and expects digital healthcare.
- See more at: http://www.atkearney.com/paper/-/asset_publisher/dVxv4Hz2h8bS/content/digital-healthcare-or-bust-in-america/10192#sthash.gP6B4uWR.dpuf
Commissioned by the National Partnership, developed by research partner Professor Alan Westin, Ph.D. and conducted by Harris Interactive, the online survey of nearly 2,000 respondents, with an oversample of Hispanic adults, details consumer experiences with both electronic and paper medical record systems. Intended to serve as a baseline for future studies, the survey looks at how consumers value electronic vs. paper records, how concerned they are about data breaches, and whether they trust electronic medical records more or less than paper records to protect their privacy. It is designed to amplify consumers' voices and inform implementation of health IT.
Healthcare changes a compilation of infographics to tell a story of what's...Dr. Susan Dorfman
This started as an internal project I wanted to do for myself and my team, but later decided to share it. It represents the current and future state of healthcare, based on perspectives and infographics gathered from industry expert sources (each cited with a url to the original source of the image or chart) - with commentary in headers created by me to help put things into perspective. I also tried tried to provide a view of current and future states, including implications to varying stakeholders including patients, physicians and pharma
The issue of fraud in health care has become a serious problem that every participant in the health delivery system must remain aware of in terms of potential and consequences. Managers in the health care system are tasked with ensuring that their staff members know the various fraud schemes as well as making sure that providers are not committing fraud themselves. A key way to accomplish this task is through education and training for fraud detection and prevention by and of health care stakeholders. The stakeholders in health care include providers, patients, organizations and institutions, the government, and the public. Also included are non-health care entities that may steal patient data for fraudulent claims and billing. Managers, therefore, are strongly advised to seek the services of health care compliance agencies to train staff, including doctors and nurses, on how to detect fraud and prevent fraud themselves. These agencies are also adept at helping to improve billing and payment functions to mitigate the risk of lost revenue through fraud and avoidance of criminal liability for the actions of providers and patients. The well-coordinated efforts of all stakeholders of health care assist in preserving the integrity of the system and make available quality services at reasonable prices for all.
A low cost alternative to meeting rising healthcare cost. Addresses the root causes of accelerating health care cost and solves the issue of rising healthcare cost.
Hospital Pricing Issues Cost Employers MoneyMark Gall
This five-year study details the wide variation of hospital prices for the same procedure in the same town. It considers the impact on the costs of private insurance plans from insurance companies including CIGNA, Anthem, Aetna and United HealthCare. See highlights on pages 1 through 6.
Healthcare Fraud: Illegal Kickback Schemes in Medicare & Medicaidlawsuitlegal
The amount of medicare and medicaid fraud is staggering.
This Lawsuit Legal data snapshot exposes how healthcare kickback schemes work.
Qui tam bounties for relators can reach outrageous amounts, and it's no wonder when you look at the scale of fraud in healthcare.
The schemes run the gambit from false claims, illegal referrals, false reimbursement claims, patient referrals and purchasing decision fraud. All in the name of defrauding these lucrative government programs.
In this case we look at what the False Claims Act has to say about kickbacks, and what the law states for people who get greedy and try to break the rules.
In addition, we'll briefly touch on what qui tam whistleblowers can do to put a stop to it, if they have knowledge of fraud.
It's always worth keeping in mind the bounties paid out to relators for money recovered in government actions.
Take a look at the illegal kickbacks common in the healthcare industry, who the most common offenders are, and what to look out for here.
#quitamclaims #whistleblowerlaws
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Ceci Connolly's slides from the Center for Health Journalism webinar, "Left in Limbo: Obamacare’s Shaky Insurance Exchanges," 6.7.17
More info: https://www.centerforhealthjournalism.org/content/left-limbo-obamacares-shaky-insurance-exchanges
An Okay Rating: The Progress of Healthcare in TexasRich_Tyler
A Progress Report on Texas and its actions in meeting the protection of patients in the healthcare sector focuses on five principles. These patient-centered principles include non-discrimination, transparency, state oversight, uniformity, and continuity of care.
A presentation of information about transparency in healthcare reform. States are currently pursuing ways to make pricing information available to people before they even need it.
Digitization is bringing a sea change to a U.S. healthcare industry already facing waves of uncertainty. By taking the right steps, this can be a major opportunity for industry players.
Forecasting the future of any industry is difficult, none more so right now than healthcare in the United States. There are countless reasons why healthcare will look different in the near future, not least of which being the country's movement toward national coverage. However, digital transformation—the cumulative change that comes when digital technologies are introduced wholesale into an established industry—is poised to have an even bigger impact. For the U.S. healthcare industry, digital technology will be transformational, cutting healthcare delivery costs, eliminating errors through improved electronic medical records, and establishing routinized, evidence-based approaches to treatment.
Digital forces are pulling at the industry and significantly altering services, products, innovation, delivery, and remuneration (see figure). There are digitally integrated healthcare providers, digital medical devices and technologies, and digital delivery and monitoring of home healthcare. In addition, new ideas are emanating from developing markets, agile competitors are embracing technology, and a digital-friendly federal administration is pushing innovation. And don't forget the digital consumer who is used to digital banking, digital retailing, and digital education, and expects digital healthcare.
- See more at: http://www.atkearney.com/paper/-/asset_publisher/dVxv4Hz2h8bS/content/digital-healthcare-or-bust-in-america/10192#sthash.gP6B4uWR.dpuf
Analytics-Driven Healthcare: Improving Care, Compliance and CostCognizant
In the face of skyrocketing costs, the healthcare industry is addressing inefficiencies by improving data sharing and collaboration across the industry value chain and applying analytics to improve operations and patient outcomes.
Urgent Care Billing Services, Revenue Cycle & EHR Serviceseverestar
Everest A/R is a Florida-based Medical Billing & Revenue Cycle Management Services Company, offers Urgent Care Medical Billing along with Free EHR Services.
How do we see the healthcare's digital future and its impact on our lives?Jane Vita
"Healthcare is undergoing major changes spurred on by, but not limited to, technology.
Digitalisation is changing the way we think about health, what taking care of it really entails, our personal role in healthcare systems and the way we interact with technology in the context of health.
In many ways, we are entering a post-institutional age of increased personal responsibility, which presents healthcare service providers and other players in the field with major opportunities and great risks. Technology has the potential to empower people and help them become more active in the management of their and their families’ health. This will change the relationship of the patient and the caregiver in profound ways." Mirkka Länsisalo
A co-creation with Mirkka Läansisalo and Sala Heinänen, at Futurice.
Healthcare is undergoing major changes spurred on by, but not limited to, technology.
Digitalisation is changing the way we think about health, what taking care of it really entails, our personal role in healthcare systems and the way we interact with technology in the context of health.
In many ways, we are entering a post- institutional age of increased personal responsibility, which presents healthcare service providers and other players in the eld with major opportunities and great risks. Technology has the potential to empower people and help them become more active in the management of their and their families’ health. This will change the relationship of the patient and the caregiver in profound ways.
From Patients to ePatients Driving a new paradigm for online clinical collabo...ddbennett
CareTech eHealth Innovation Series
From Patients to ePatients Driving a new paradigm for online clinical collaboration and health management
David Bennett, SVP, Interactive Solutions
StayWell Custom Communications
Anthony Chipelo, Director, Portal Strategies
CareTech Solutions
Are Electronic Medical Records a Cure for Health CareCASE STU.docxrossskuddershamus
Are Electronic Medical Records a Cure for Health Care?
CASE STUDY #1
During a typical trip to the doctor, you’ll often see shelves full of folders and papers devoted to the storage of medical records. Every time you visit, your records are created or modified, and often duplicate copies are generated throughout the course of a visit to the doctor or a hospital. The majority of medical records are currently paper-based, making these records very difficult to access and share. It has been said that the U.S. health care industry is the world’s most inefficient information enterprise. Inefficiencies in medical record keeping are one reason why health care costs in the United States are the highest in the world. In 2012, health care costs reached $2.8 trillion, representing 18 percent of the U.S. gross domestic product (GDP). Left unchecked, by 2037, health care costs will rise to 25 percent of GDP and consume approximately 40 percent of total federal spending. Since administrative costs and medical recordkeeping account for nearly 13 percent of U.S health care spending, improving medical record keeping systems has been targeted as a major path to cost savings and even higher quality health care. Enter electronic medical record (EMR) systems.
An electronic medical record system contains all of a person’s vital medical data, including personal information, a full medical history, test results, diagnoses, treatments, prescription medications, and the effect of those treatments. A physician would be able to immediately and directly access needed information from the EMR without having to pore through paper files. If the record holder went to the hospital, the records and results of any tests performed at that point would be immediately available online. Having a complete set of patient information at their finger-tips would help physicians prevent prescription drug interactions and avoid redundant tests. By analyzing data extracted from electronic patient records, Southeast Texas Medical Associates in Beaumont, Texas, improved patient care, reduced complications, and slashed its hospital readmission rate by 22 percent in 2010.
Many experts believe that electronic records will reduce medical errors and improve care, create less paperwork, and provide quicker service, all of which will lead to dramatic savings in the future, as much as $80 billion per year. The U.S. government’s short-term goal is for all health care providers in the United States to have EMR systems in place that meet a set of basic functional criteria by the year 2015. Its long-term goal is to have a fully functional nationwide electronic medical recordkeeping network. The consulting firm Accenture estimated that approximately 50 percent of U.S. hospitals are at risk of incurring penalties by 2015 for failing to meet federal requirements.
Evidence of EMR systems in use today suggests that these benefits are legitimate. But the challenges of setting up individual systems, let alo.
The Sustainable Health Care Facility of the FutureTextbooks H.docxchristalgrieg
The Sustainable Health Care Facility of the Future
Textbooks:
Hayward, C. (2006). Healthcare Facility Planning: Thinking Strategically. Chicago, IL: Health Administration Press.
Vickery, C.G., Nyberg, G., & Whiteaker, D. (2015). Modern Clinic Design: Strategies for an Era of Change. Hoboken, NJ: Wiley.
Instructions: Please ensure to substantiate your response with scholarly sources and/or also a personal account of your own experience in the work place or personal life. Cite and reference work! Must be 150 -200 word count.
What reactions do you have to the ideas they presented? Include examples from the course readings or your own experience to support your perspective, and raise questions to continue the dialogue. 100 to 150 words for questions 1, 2, 6, 9, 10 & 11.
1. I agree that the changes made with CMS (center for Medicare and Medicaid Services) how changed the guidelines for how providers can bill for services. One of the biggest changes was the upgrade of ICD codes which has expanded enormously to be more specific with diagnosis and services to bill for. I work for a program of hospice, called palliative care, and the change over from using ICD9 codes to ICD10 was a very large task that took time to switch over to but I have come to realize that changes in health care are inevitable and to be prepared for things to change constantly. With being a palliative care program I don't think the change was as big of an impact on us like I'm sure it was for a hospital. Our program provides education on disease progress for chronic illnesses such a chronic kidney disease, hypertension, diabetes, cancer, heart disease and so on. The amount of ICD 10 codes we use are minimal compared to what a hospital would see. Nonetheless the codes are way more specific now which can be challenging when trying to narrow down for accuracy.
2. I think training and feedback are two important aspects of implementing electronic medical records. The users are the most important stakeholders and they should be trained properly. Their feedback should be taken seriously as this helps with post implementation changes to the system. No one likes changes but change in any organization is essential. Technology has completely transformed the health care industry and from my experience resistance typically comes from the older generation who doesn't really understand the importance. Most are used to doing things manually. Most organizations are turning to the technology to transform their environment by cutting costs and ensuring that their revenues are coming in timely.
3. Open your web browser and search for videos, articles and other resources discussing the health care system in the United States. Look for new trends, current issues affecting the health care system, etc.
4. Discuss your findings with the class
5. As a healthcare leader, you will need to have a strong base with understanding healthcare systems. Where will health care be delivered in the future? ...
Similar to Medical Billing Service a Top Concern for Many Physicians (20)
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.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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
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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
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
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.
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
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Medical Billing Service a Top Concern for Many Physicians
1. Medical Billing S
Healthcare is a hot topic in the United States and has been so for many
America’s estimated 318 million people made over a billion visits to physicians; that’s about three visits
per every child, man, and woman, putting the country’s healthcare cost
trillion.
The cost is likely to increase for at least two reasons. First, the number of Americans getting older is
increasing every day, thus making it more probable that people would be visiting doctors even more.
Second, the most common diagnosis after visits to a
lifestyle, that is likely not to improve any time
Ambulatory Surgery Center Billing
service requirements.
That is hard to do for most physician
involved in treating patients. That’s why most healthcare providers go to one of the top medical billing
companies that, essentially, take the medical records, turn them into proper codes using specialized
software, and send them to insurance companies that would administer the payment.
Unless the business is part of one of the many large
would be next to impossible for a healthcare provider to deal directly with the insurance company.
Think of the process: when you go to
health record is made of the visit, indicating, in simpl
doctor diagnosed, or what further diagnosis was recommended, and what, if any, medication was
recommended.
The US healthcare industry might be a trillion dollar industry, but many of the doctors and physicians
running small to medium size businesses simply would not survive without such medical billing
companies.
For more information visit us at: http://www.medpmr.com/
Medical Billing Service a Top Concern for Many Physicians
Healthcare is a hot topic in the United States and has been so for many decades. It is estima
million people made over a billion visits to physicians; that’s about three visits
per every child, man, and woman, putting the country’s healthcare cost in 2014at an astounding $4
The cost is likely to increase for at least two reasons. First, the number of Americans getting older is
increasing every day, thus making it more probable that people would be visiting doctors even more.
Second, the most common diagnosis after visits to a doctor is reportedly hypertension. Given our
lifestyle, that is likely not to improve any time soon. Those realities point to gigantic physician billing and
in the coming years, mandating more extensive physician billing
That is hard to do for most physicians and clinics given the overwhelming administrative load and cost
involved in treating patients. That’s why most healthcare providers go to one of the top medical billing
ally, take the medical records, turn them into proper codes using specialized
software, and send them to insurance companies that would administer the payment.
is part of one of the many large Physician Practice Management Companies
would be next to impossible for a healthcare provider to deal directly with the insurance company.
go to a physician, a hospital, or an emergency center, an electronic
health record is made of the visit, indicating, in simple terms, what you complained about, what the
doctor diagnosed, or what further diagnosis was recommended, and what, if any, medication was
The US healthcare industry might be a trillion dollar industry, but many of the doctors and physicians
running small to medium size businesses simply would not survive without such medical billing
http://www.medpmr.com/
ervice a Top Concern for Many Physicians
is estimated that
million people made over a billion visits to physicians; that’s about three visits
at an astounding $4
The cost is likely to increase for at least two reasons. First, the number of Americans getting older is
increasing every day, thus making it more probable that people would be visiting doctors even more.
doctor is reportedly hypertension. Given our
realities point to gigantic physician billing and
in the coming years, mandating more extensive physician billing
given the overwhelming administrative load and cost
involved in treating patients. That’s why most healthcare providers go to one of the top medical billing
ally, take the medical records, turn them into proper codes using specialized
Physician Practice Management Companies, it
would be next to impossible for a healthcare provider to deal directly with the insurance company.
a physician, a hospital, or an emergency center, an electronic
e terms, what you complained about, what the
doctor diagnosed, or what further diagnosis was recommended, and what, if any, medication was
The US healthcare industry might be a trillion dollar industry, but many of the doctors and physicians
running small to medium size businesses simply would not survive without such medical billing