National mr sia national orientation agenda
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The document outlines the draft agenda for a National MR SIA Orientation in Zambia taking place on October 28th, 2020. The agenda includes topics such as an official opening, an overview of MRSIA training, planning campaigns and implementation, social mobilization and communication, cold chain implementation, logistics planning, staffing and organizing a campaign, COVID-19 protocols, injection safety, and supervising a quality SIA. The orientation will run from 8:15am to 5:00pm with breaks for tea and lunch, and will be chaired by Mrs. Simwiinga Josephine.
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The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
ABDOMINAL TRAUMA in pediatrics part one.
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National mr sia national orientation agenda
- 1. National MR SIA NATIONAL ORIENTATION Wednesday 28th October 2020 Proposed Draft Agenda Chairperson: ____Mrs Simwiinga Josephine Rapporteur: ___CIRDZ____ Time Topic Facilitator 08:00 – 08:15 Registration MOH Secretariat 08:15 – 08:30 Introductions MOH 08:30 – 08:45 Official Opening Dr. Mwansa 08:45 -09:00 Trainingagenda/objectives Mrs. Simwiinga 09:00 – 09:30 Overviewof MRSIA training Mrs. Simwiinga 09:30 – 10:00 PlanningCampaignsandImplementation Eric Chisupa 10:00 - 10:30 TEA BREAK 10:30 – 11:00 Social Mobilization,Communication&Advocacy Mr. Eric Chisupa 11:00 – 11:30 ColdChainImplementation Mr. Silwiimba 11:30 – 12:00 AEFIs Mrs. Constance Banda 12:00 – 13:00 LogisticsPlanning Mr. G. Phiri 13hrs to 14hrs LUNCH BREAK 14:00 – 14:30 Staffing, Organizationof aCampaign Mrs. Simwiinga 14:30 – 15:00 COVID19 Mr. G. Simwiinga 15:00 – 15:30 InjectionSafety Mr. Silwiimba 15:30 – 16:00 SupervisingA QualitySIA Mr. Eric Chisupa 16:00 – 16:15 AFTERNOON BREAK 16:15 – 16:45 Flexibilities Dr. Mwansa 16:45 – 17:00 Childhealthweek Dr. Mwansa 17:00 END OF DAY