1) The study measured the effectiveness of 4 appointment reminder methods - email, phone call, SMS, and SMS with email - at reducing absenteeism rates in outpatient appointments.
2) SMS reminders and phone call reminders significantly reduced absenteeism rates compared to the control group that received no reminder, with absenteeism rates decreasing by up to 22%.
3) While email reminders also decreased absenteeism, the decrease was not statistically significant compared to the control group.
Imran Sarwar Bajwa, [2010], "Virtual Telemedicine Using Natural Language Processing", International Journal of Information Technology and Web Engineering IJITWE 5(1):43-55, January 2010
Many molecules in nature have geometry, which enables
them to exist as non-superimposable mirror images, or enantiomers.
Modulation of toxicity of such molecules provides
possibility for therapeutics, since they target
multiple points in biochemical pathways. It was hypothesized
that toxicity of a chemical agent, could be counteracted
by a homeopathic preparation of the enantiomer of
the chemical agent
Towards EHR Interoperability in Tanzania Hospitals : Issues, Challenges and O...IJCSEA Journal
This study aimed at identifying the issue, challenges and opportunities from the health consumers in Tanzania towards interoperability of electronic health records. Reaching that level of seamless data sharing among Hospitals needs the cooperation of all stakeholders especially the health consumer whose data are the ones to be shared. Without their acceptance that means there is nothing to share. Recognizing that we conducted a study in Tanzania to identify the challenges, issues and opportunities towards health information exchange through interoperable EHRs. The study was conducted in three major cities of Tanzania to identify the security, privacy and confidentiality issues of information sharing together with related challenges to data sharing. This was in order to come up with a clear picture of how to implement some EHRs that will be trusted by health consumers. The participants (n=240) were surveyed on computer usage, EHRs knowledge, demographics, security and privacy issues. A total of 200 surveys were completed and returned (83.3% response rate). Among them 67.5% were women, 62.6% had not heard of EHRs, 73% were highly concerned about the privacy and security of their information. 75% believed that introduction of various security mechanisms will make EHRs more secure and thus better. We conducted a number of chi-square tests (p<0.05) and we realized that there was a strong relationship among the variable of age, computer use, EHRs knowledge and the concerns for privacy and security. The study also showed that there was just a small difference of 8.5% between those people who think EHRs are safer than paper records and those who think otherwise. The general observation of the study was that in order to make EHRs successful in our Hospitals then the issue of security, and health consumer involvement were they two key towards the road of successful EHRs in our hospitals practices and that will make consumers more willing to allow their records to be shared among different health organizations. So besides the issues identified, this study helped us to identify the key requirements which will be implemented in our proposed framework
Use of Mobile Phone for Knowledge Update among Nurses in Primary and Secondar...iosrjce
Prior to their professional carrier, nurses pass through a rigorous training in either schools of
nursing or departments of nursing science in Nigerian universities. The basic professional education they
obtained in these institutions is not sufficient for a life time practice. For nursing to be of high quality, the nurse
will need to continuously update him/herself not only in the knowledge specific to nursing but to have vast
knowledge in other related disciplines. Nigerian nurses face numerous challenges in updating their knowledge.
These challenges notwithstanding, the nurses still have a professional obligation for safe practice supported by
up-to-date knowledge which mobile phone has great potentials to provide. This study examined the use of
mobile phone among nurses in primary and secondary healthcare settings in Sokoto State. It is a descriptive
design in which 15 primary and 5 secondary healthcare facilities in Sokoto State were involved. Proportionate
stratified random sampling technique was used to select 251 nurses in Sokoto State. A self-administered pretested
questionnaire with 47 close-ended questions and 2 open-ended questions was used to collect the data. The
Cronbach alpha reliability co-efficient of α=0.73 was achieved for the instrument. There was 84% response
rate. The results showed that the level of nurses’ knowledge in the States was Good ( 33%). There was high
adoption of mobile phone among the nurses in Sokoto State (100%). The nurses’ main driving force for the use
of mobile technology was general knowledge update (51%) and the main factors restricting respondents from
the use of mobile phone were unreliable connection to the network (74%) and too many work demands (70%).
A web/mobile decision support system to improve medical diagnosis using a com...TELKOMNIKA JOURNAL
This research provides a system that integrates the work of data mining and expert system for different tasks in the process of medical diagnosis, and provides detailed steps to the process of reaching a diagnosis based on the described symptoms and mapping them with existing diagnosis available on the web or on a cloud of medical knowledge based, aggregate these data in a fuzzy manner and produce a satisfactory diagnosis of the persisting problem. The mobile phone interface would make the system user-friendly and provides mobility and accessibility to the user, while posting updates and reading in details the steps that led to the decision or diagnosis that is reached by the K-mean and the fuzzy logic inference engine. The achieved results indicate a promising diagnosis performance of the system as it achieved 90% accuracy and 92.9% F-Score.
Imran Sarwar Bajwa, [2010], "Virtual Telemedicine Using Natural Language Processing", International Journal of Information Technology and Web Engineering IJITWE 5(1):43-55, January 2010
Many molecules in nature have geometry, which enables
them to exist as non-superimposable mirror images, or enantiomers.
Modulation of toxicity of such molecules provides
possibility for therapeutics, since they target
multiple points in biochemical pathways. It was hypothesized
that toxicity of a chemical agent, could be counteracted
by a homeopathic preparation of the enantiomer of
the chemical agent
Towards EHR Interoperability in Tanzania Hospitals : Issues, Challenges and O...IJCSEA Journal
This study aimed at identifying the issue, challenges and opportunities from the health consumers in Tanzania towards interoperability of electronic health records. Reaching that level of seamless data sharing among Hospitals needs the cooperation of all stakeholders especially the health consumer whose data are the ones to be shared. Without their acceptance that means there is nothing to share. Recognizing that we conducted a study in Tanzania to identify the challenges, issues and opportunities towards health information exchange through interoperable EHRs. The study was conducted in three major cities of Tanzania to identify the security, privacy and confidentiality issues of information sharing together with related challenges to data sharing. This was in order to come up with a clear picture of how to implement some EHRs that will be trusted by health consumers. The participants (n=240) were surveyed on computer usage, EHRs knowledge, demographics, security and privacy issues. A total of 200 surveys were completed and returned (83.3% response rate). Among them 67.5% were women, 62.6% had not heard of EHRs, 73% were highly concerned about the privacy and security of their information. 75% believed that introduction of various security mechanisms will make EHRs more secure and thus better. We conducted a number of chi-square tests (p<0.05) and we realized that there was a strong relationship among the variable of age, computer use, EHRs knowledge and the concerns for privacy and security. The study also showed that there was just a small difference of 8.5% between those people who think EHRs are safer than paper records and those who think otherwise. The general observation of the study was that in order to make EHRs successful in our Hospitals then the issue of security, and health consumer involvement were they two key towards the road of successful EHRs in our hospitals practices and that will make consumers more willing to allow their records to be shared among different health organizations. So besides the issues identified, this study helped us to identify the key requirements which will be implemented in our proposed framework
Use of Mobile Phone for Knowledge Update among Nurses in Primary and Secondar...iosrjce
Prior to their professional carrier, nurses pass through a rigorous training in either schools of
nursing or departments of nursing science in Nigerian universities. The basic professional education they
obtained in these institutions is not sufficient for a life time practice. For nursing to be of high quality, the nurse
will need to continuously update him/herself not only in the knowledge specific to nursing but to have vast
knowledge in other related disciplines. Nigerian nurses face numerous challenges in updating their knowledge.
These challenges notwithstanding, the nurses still have a professional obligation for safe practice supported by
up-to-date knowledge which mobile phone has great potentials to provide. This study examined the use of
mobile phone among nurses in primary and secondary healthcare settings in Sokoto State. It is a descriptive
design in which 15 primary and 5 secondary healthcare facilities in Sokoto State were involved. Proportionate
stratified random sampling technique was used to select 251 nurses in Sokoto State. A self-administered pretested
questionnaire with 47 close-ended questions and 2 open-ended questions was used to collect the data. The
Cronbach alpha reliability co-efficient of α=0.73 was achieved for the instrument. There was 84% response
rate. The results showed that the level of nurses’ knowledge in the States was Good ( 33%). There was high
adoption of mobile phone among the nurses in Sokoto State (100%). The nurses’ main driving force for the use
of mobile technology was general knowledge update (51%) and the main factors restricting respondents from
the use of mobile phone were unreliable connection to the network (74%) and too many work demands (70%).
A web/mobile decision support system to improve medical diagnosis using a com...TELKOMNIKA JOURNAL
This research provides a system that integrates the work of data mining and expert system for different tasks in the process of medical diagnosis, and provides detailed steps to the process of reaching a diagnosis based on the described symptoms and mapping them with existing diagnosis available on the web or on a cloud of medical knowledge based, aggregate these data in a fuzzy manner and produce a satisfactory diagnosis of the persisting problem. The mobile phone interface would make the system user-friendly and provides mobility and accessibility to the user, while posting updates and reading in details the steps that led to the decision or diagnosis that is reached by the K-mean and the fuzzy logic inference engine. The achieved results indicate a promising diagnosis performance of the system as it achieved 90% accuracy and 92.9% F-Score.
ICT BASED TELEMEDICINE FOR THE EGYPTIAN SOCIETYcsandit
The One of the most challenging problems that encounter the Egyptian society is the lack of
significant health care in the rural areas. This problem leads to more severe problems that face
the society; the patients from the different rural areas needs to travel to the Egyptian capital
where the most experienced physicians are available. This will make overhead not only on the
patient budget but on the country budget since the focus on the capital makes a severe traffic
problem which threaten most of the economic sectors. The telemedicine is considered one of the
most important solutions that could mitigate the accumulated problems of lack of experienced
physicians in the Egyptian rural areas. The application of the telemedicine encounters several
challenges in Egypt; the lack in the experience in dealing with the telemedicine in these areas
and the problem of insufficient medical experts that could fulfil the gab. In this paper, a new
ICT-based telemedicine system is proposed to serve the Egyptian society. The portal is already
released and snapshots are included
ICT BASED TELEMEDICINE FOR THE EGYPTIAN SOCIETYcscpconf
The One of the most challenging problems that encounter the Egyptian society is the lack of significant health care in the rural areas. This problem leads to more severe problems that face
the society; the patients from the different rural areas needs to travel to the Egyptian capital where the most experienced physicians are available. This will make overhead not only on the patient budget but on the country budget since the focus on the capital makes a severe traffic problem which threaten most of the economic sectors. The telemedicine is considered one of the most important solutions that could mitigate the accumulated problems of lack of experienced physicians in the Egyptian rural areas. The application of the telemedicine encounters several challenges in Egypt; the lack in the experience in dealing with the telemedicine in these areas
and the problem of insufficient medical experts that could fulfil the gab. In this paper, a new ICT-based telemedicine system is proposed to serve the Egyptian society. The portal is already
released and snapshots are included
12Plan for Evaluating the Impact of the Inte.docxmoggdede
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
Protocols and Evidence based Healthcare: information technology tools to support best practices in health care, information technology tools that inform and empower patients.
ICT BASED TELEMEDICINE FOR THE EGYPTIAN SOCIETYcsandit
The One of the most challenging problems that encounter the Egyptian society is the lack of
significant health care in the rural areas. This problem leads to more severe problems that face
the society; the patients from the different rural areas needs to travel to the Egyptian capital
where the most experienced physicians are available. This will make overhead not only on the
patient budget but on the country budget since the focus on the capital makes a severe traffic
problem which threaten most of the economic sectors. The telemedicine is considered one of the
most important solutions that could mitigate the accumulated problems of lack of experienced
physicians in the Egyptian rural areas. The application of the telemedicine encounters several
challenges in Egypt; the lack in the experience in dealing with the telemedicine in these areas
and the problem of insufficient medical experts that could fulfil the gab. In this paper, a new
ICT-based telemedicine system is proposed to serve the Egyptian society. The portal is already
released and snapshots are included
ICT BASED TELEMEDICINE FOR THE EGYPTIAN SOCIETYcscpconf
The One of the most challenging problems that encounter the Egyptian society is the lack of significant health care in the rural areas. This problem leads to more severe problems that face
the society; the patients from the different rural areas needs to travel to the Egyptian capital where the most experienced physicians are available. This will make overhead not only on the patient budget but on the country budget since the focus on the capital makes a severe traffic problem which threaten most of the economic sectors. The telemedicine is considered one of the most important solutions that could mitigate the accumulated problems of lack of experienced physicians in the Egyptian rural areas. The application of the telemedicine encounters several challenges in Egypt; the lack in the experience in dealing with the telemedicine in these areas
and the problem of insufficient medical experts that could fulfil the gab. In this paper, a new ICT-based telemedicine system is proposed to serve the Egyptian society. The portal is already
released and snapshots are included
12Plan for Evaluating the Impact of the Inte.docxmoggdede
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
Protocols and Evidence based Healthcare: information technology tools to support best practices in health care, information technology tools that inform and empower patients.
2
Annotated Bibliography
3164 words
Rough Draft on Infection Control
by
Submitted to
Semester
Date
Contact
Address
Phone
Email
Infection Control
1
Introduction of the Paper
Background
According to various reports by the Centers for Disease Control and Prevention, a significant number of lives are lost each passing year due to the spread of infections in hospitals that could otherwise have been prevented (Alp & Damani, 2015). Therefore, effort geared towards understanding infection control plays a significant role in reducing the otherwise unnecessary loss of lives. Infection control entails the power to directly prevent or determine the spread of infections with the aim of avoiding it (Berríos-Torres, et al., 2017). Indeed, the pathological state resulting from the invasion of the body by pathogenic microorganisms has far-reaching consequences. While so much has been done to prevent its spread, there is still a lot more to be done. This research paper intends to focus on Healthcare-associated Infections and how it can be prevented if not eliminated altogether.
Statement of the Problem
Healthcare-Associated Infections are a common occurrence in the modern healthcare setting resulting in huge financial losses and loss of lives. According to the Office of Disease Prevention and Healthcare Promotion (ODPHP), these are infections that patients contract while receiving treatment in a medical facility. Percival, Suleman, Vuotto & Donelli, (2015) pointed out that its prevalence is as a result of the employment of invasive devices and procedures meant to treat patients and to help them recover. While most of them are accidental in nature, they still remain to be seen as accidents that could have been prevented. The US government, through the establishment of Healthy People 2020 and the U.S. Department of Health and Human Services (HHS) have taken a lead role in spreading the news on infection control. To that effect, recent research reveals that there could be a 70% reduction in infections by implementing existing prevention practices. This translates to a financial benefit estimated to be $31.5 billion in medical cost savings (ODPHP, 2019). Understanding these prevention measures should, therefore, be a priority to all healthcare practitioners. That is why this research study intends to shade more light on nosocomial infections. These are infections that occur within 48 hours upon admission into a hospital. They can also occur in three days of discharge or 30 days of operation. They affect one in every 10 patients admitted in a hospital (Khan, Baig & Mehboob, 2017; Suleyman, & Alangaden, 2016).
Rationale for addressing the issue
Addressing this issue is important to the health sector from a political, social as well as environmental perspective. As a matter of fact, its impact will be on a short term, interim basis and long term basis. Politically, health has always been a major subject of concern as it is used by voters to determi.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Couples presenting to the infertility clinic- Do they really have infertility...
Technologies for_reducing the rate of absenteeism at the outpatient
1. IT Technologies to reduce the rate of absenteeism
at the outpatient
*1,2 Dr. Humberto F. Mandirola Brieux, *2 Sebastián Guillén, *2 Pablo Laguzzi
1 Master career in Internal Medicine in Buenos Aires University, Argentina
Universidad de Buenos Aires, Argentina, 2 BIOCOM Argentina.
Summary
The percentage of absenteeism in external consulting rooms in many institutions ranges from 15 to 30%- By applying information
technologies it can be reduced considerably. The absenteeism in medical appointments has a high incidence in administrative and care
cost and efficiency in ambulatory attention not only in the first consultation but also in complementary studies, so it is very important to
measure it and to take steps to reduce it. 20% of absenteeism considerably increases waiting times in the assignment of new
appointments. The usual form to reduce waiting times for new consultations is to hire new professionals but this can be avoided if we
diminish said absenteeism and if we make the staff of external consulting rooms more efficient and productive. In this work we measure
the efficiency of the appointment confirmation methodology in four different ways: Email sent to patient, phone call made to patient by an
operator, sending an SMS to patient and the last one, combining SMS with an email. In our study, phone calls and SMS reduce
absenteeism in a significant way p<0,001regarding Control Group, it cannot be said the same in the case of reminders of appointments
by Emails.
Key words:
Reminder, Information Technology (IT), Short messaging service (SMS), Randomized controlled trial (RCT),
Telephone, Failure to attend (FTA), appointment-reminder, outpatient absenteeism.
Introduction
The percentage of absenteeism in external consulting rooms in many institutions ranges from 20 to 30%. By
applying information technologies it can be reduced considerably. Information technologies (IT) constitute a
big help to diminish absenteeism impact in external consultation. Failure to attendance has big incidence in
cost and efficiency in ambulatory attention not only in the first consultation but also in complementary studies
so it is very important to measure it and to take steps to reduce it. Many medical centers, considering this cost
and quality impact, implement different technologies efficiently as the so called personalized reminder of
appointment, this is the case of an absenteeism reduction from 11, 6% to 4,7% in breathing functional studio
at St Joseph Hospital. They didn’t find significant differences in absenteeism between reminders thru direct
conversation vs. a message left in an answering machine. [1], [5], [6] ,[8], so in this way it can be proved
that a message is an important means to avoid absenteeism
Standards with HL7 can be used to interoperate between systems in an automatic way [2]. A technology
which has been proved to be very efficient and, above all, economical is sending a SMS message, such is the
case of the work at the Royal Children’s Hospital, Melbourne, Victoria; this group compared two series of
patients, one was reminded by a phone call and the other by SMS. The first group reduced absenteeism 12%
to 16% and the other 19% to 39% [3]. Percentage of absenteeism does not affect productivity of the institution
but the opportunities of diagnosis and treatment in a timely manner and reduces the efficiency of health
systems [4]. 25% of absenteeism increases considerably waiting times for assignment of new appointments.
To reduce waiting times for new appointments the tendency is to hire new professionals but this could be
avoided if we succeed in diminishing absenteeism and in making more efficient and productive the staff in
external consulting rooms.
We measure the efficiency of the methodology of appointments confirmation thru 4 different ways: Email
sent to patient, phone call to patient by an operator, sending an SMS and the last one, combining SMS with an
email
Elements of Work and Methodology
num. 1
2. This study was made on the basis of data of appointments at a Private Hospital. 1000 data obtained at random
from ambulatory appointments in January 2011 were analyzed. At the beginning of the study, appointments
were assigned in 5 groups at random by computer. In samples 1 to 4 confirmation or cancellation of the
appointment was requested 72 hours before it. The four samples were obtained at random from the data base.
1. To send the Email to patients the notification was made by electronic mail thru a BIOCOM
appointments reminder module 72 hours before the assigned appointment.
2. A group of patients were called by phone operators (72 hours before the assigned appointment)
without distinguishing if the messages were received by the patient, a relative or an answering
machine.
3. To send SMS messages it was used: a conventional SIM module of Movistar mobile system, a GSM
modem which was connected to a computer with the appointment confirmation module thru a USB
port, then the BIOCOM appointments reminder module thru an asynchrony transference using AT
commands to activate GSM modem and in this way send the SMS messages.
4. In this group, thru the system, they were sent automatically (an Email and SMS 72 hours before)
with the methodology described before in samples 1 and 3.
The whole sample obtained belongs to 1000 patient appointments and the sub-samples prospectively obtained
at random for the analysis are the following:
1.
2.
3.
4.
By Email n =207
With the phone call of an operator n =200
Sending an SMS n =208
Sending an SMS and an Email n =182
The whole sample obtained belongs to 1000 patient appointments and the sub-samples prospectively obtained
at random for the analysis are the following
5.
6.
7.
8.
9.
By Email n =207
With the phone call of an operator n =200
Sending an SMS n =208
Sending an SMS and an Email n =182
CONTROL GROUP: Procedure of conventional appointment without previous reminder n =203
Inclution Criteria in the study: all the patients included in the data base in May 2011 (elected at
random in the four groups before mentioned) were added.
Exclution Criteria: all the patients who did not receive the message by Email, phone or SMS were
excluded from the study.
The population organization chart in study appears in figure 1 where it is shown the quantity of
excluded ones in each sample
num. 2
3. Figure 1
Data analysis was made transferring data extracted from data base to an Excel and adding a “1” if the patient
attended the appointment and a “0” if he/she failed. On these data different tests to calculate percentage, rates
and signification and comparative statistics between samples were made thru T test, distribution in two tails to
compare two samples of equal variance.
Results
From the analysis of data obtained, significant differences turned up with P<0.001 in the attendance to the
appointment of phone reminder patients with SMS and SMS plus Email (See table 1). Email reminders,
though they show more patient attendance, did not show significant differences with respect to the Control
Group p=0,046. When we compare SMS interventions vs. phone calls, SMS plus Email vs. Phone calls and
SMS plus email vs. SMS, we did not obtained significant differences either. We observed that appointment
reminders thru SMS achieve a 22% attendance increase with respect to the sample without reminder. (See
table 2).
Table 1
num. 3
4. Table 2
In figure 2 behavior of all variable analyzed
Figure 2
Discussion
Mobile phone is a very popular devise which is already part of our life. To use it for different actions related
to health is a valid option even better than other means of communication. This is not the first study which
examines the effect of communication tools as the phone, Emails and SMS on absenteeism in medical
appointments. In our study, though SMS reminders are more effective than phone call reminders, this
difference is not significantly higher. However in other studies other groups registered a significant difference
in favor of SMS [4]. Patients who received a reminder thru Email, phone or SMS tended to keep their
appointments compared to Control Group. Similar studies were obtained by other investigators: Haynes y
Sweeney’s studies (2006) [1]. They showed appointment reminders reduced absenteeism rate from 11,7% to
4% .Shoffner et al. (2007) [6], [8].
References
[1] Haynes, J.M., Sweeney, E.L., 2006. The effect of telephone appointment-reminder calls on outpatient absenteeism in a pulmonary
function laboratory. Respir. Care, 51(1):36-39.
[2] EHR IMPACT European Commission, DG INFSO & Media, The socio-economic impact of interoperable electronic health record
(EHR) and ePrescribing systems in Europe and beyond.
[3] Sean R Downer, John G Meara and Annette C Da Costa Use of SMS text messaging to improve outpatient attendance MJA 2005;
183: 366–368.
[4] Zhou-wen Chen, Li-zheng Fang, Li-ying Chen and Hong-lei Dai, Comparison of an SMS text messaging and phone reminder to
improve attendance at a health promotion center: A randomized controlled trial Journal of Zhejiang University – 2008 Science B
Volume 9, Number 1, 34-38, DOI: 10.1631/jzus.B071464.
num. 4
5. [5] Roberts, N., Meade, K., Partridge, M., 2007. The effect of telephone reminders on attendance in respiratory outpatient clinics. J.
Health Serv. Res. Policy, 12(2):69-72. [doi:10.1258/135581907780279567]
[6] Shoffner, J., Staudt, M., Marcus, S., Kapp, S., 2007. Using telephone reminders to increase attendance at psychiatric appointments:
findings of a pilot study in rural Appalachia. Psychiatr. Serv., 58(6):872-875. [doi:10.1176/appi. ps.58.6.872].
[7] Geraghty, M., Glynn, F., Amin, M., Kinsella, J., 2007. Patient mobile telephone ‘text’ reminder: a novel way to reduce nonattendance at the ENT out-patient clinic. J. Laryngol. Otol., 1:1-3.
[8] The Effectiveness of Outpatient Appointment Reminder Systems in Reducing No-Show Rates The American Journal of Medicine,
Volume 123, Issue 6, June 2010, Pages 542-548 Amay Parikh, Kunal Gupta, Alan C. Wilson, Karrie Fields, Nora M. Cosgrove,
John B. Kostis
Datos de Contacto:
Dr. Humberto Fernán Mandirola Brieux, Email
1645 Ciudad de Buenos Aires CP C1426AKE.
hmandirola@biocom.com Institución.UBA/ BIOCOM Dirección postal Amenabar
num. 5