[Teich] amdis
•
0 likes•329 views
This document discusses delivering clinical knowledge and guidance directly into healthcare workflows through clinical decision support (CDS). CDS aims to provide clinicians and patients with intelligently filtered, situation-specific information to enhance patient care. The goal is to repurpose existing clinical content from various sources and deliver the most precise and useful information for each workflow and information need. Physician information needs were analyzed from query data to develop an ontology of needs. Content is curated, indexed as discrete facts, and tailored for specific situations by matching it to patient data, workflows, and information needs. Knowledge delivery aims to integrate actionable tools and options directly into clinical systems like EHRs.
Report
Share
Report
Share
Download to read offline
Recommended
Effective Documentation II
This document discusses documentation requirements for E&M codes. It explains that E&M codes require an exchange of information between the provider and patient and use of that information to manage the patient. Proper documentation includes history, physical exam findings, and medical decision making. The level of care provided should address the patient's presenting problems based on symptoms, context, and potential issues. Documentation should accurately reflect the provider's clinical judgment, reasoning, and care plan specific to that patient encounter. Copying or "cloning" documentation from previous encounters is not appropriate and will not meet medical necessity requirements.
Health Care Processes and Decision Making_Lecture 3_ slides
This lecture discusses techniques used in diagnostic thinking and clinical decision making. It describes systematic approaches like considering different organ systems (VINDICATE) and examining all possible causes of a symptom (jaundice). Pattern recognition of symptoms' topographical location, temporal pattern, and clinical context is also discussed. Heuristics or rules of thumb help diagnosis, though can introduce cognitive biases. Mathematical tools like Bayes' theorem and decision rules assist as well. The role of health IT in the clinical decision process is also addressed.
Can Decision Support Systems Improve Patient Care?
Clinical decision support is used in a wide range of instances to guide care decisions. Clinical decision support tools include drug-drug interaction checking, automated alerts, templates and order sets. How can these tools be optimized to improve patient care? How should you determine whether the tools are appropriate in your specific practice setting?
HTAi 2015 - Knowledge Transfer in Brazil; Case studies from SUS Collaborating...
The document discusses knowledge transfer activities in Brazil between the Federal University of Minas Gerais and the Minas Gerais State Health Authority. It describes two main activities: 1) an academic detailing pilot project to disseminate treatment protocols for Alzheimer's disease based on clinical evidence and 2) producing technical appraisals to evaluate individual treatment requests and support judicial/administrative decisions. The academic detailing project included training facilitators, visiting physicians to provide information on the Alzheimer's protocol, and found the physicians were receptive. Technical appraisals independently evaluate health technologies and provide evidence-based recommendations to inform decisions.
Gdp
1. The document lists the gross domestic product (GDP) in millions of US dollars for 192 economies in 2011.
2. The United States had the highest GDP at $14,991,300 million, followed by China at $7,318,499 million and Japan at $5,867,154 million.
3. World GDP in 2011 was $69,981,922 million.
HANDMADE IS HEARTMADE
Project activity: Create a small business of our class. The pupils created a business plan and presented their business.
Bridges over Times and Cultures 2012 - 2014
Types of bridges by shantanu
This document discusses different types of bridges. It defines a bridge as a structure built over a road, railway, river, or other passageway to allow people or vehicles to cross between two locations. Some of the bridge types discussed include suspension bridges, which are made of cables; arch bridges, often built over rivers; covered bridges, which protect the passageway from weather; and moon bridges, small bridges situated in parks or gardens for pedestrians. Pictures are provided to illustrate the different bridge designs.
Bridges
"Bridges" is a PowerPoint for primary and secondary students that provides an overview of the different types of bridges and their uses. It also highlights careers in infrastructure development specific to bridge building and maintenance. Additionally, this lesson can be paired with a "Bridge Building" activity.
Recommended
Effective Documentation II
This document discusses documentation requirements for E&M codes. It explains that E&M codes require an exchange of information between the provider and patient and use of that information to manage the patient. Proper documentation includes history, physical exam findings, and medical decision making. The level of care provided should address the patient's presenting problems based on symptoms, context, and potential issues. Documentation should accurately reflect the provider's clinical judgment, reasoning, and care plan specific to that patient encounter. Copying or "cloning" documentation from previous encounters is not appropriate and will not meet medical necessity requirements.
Health Care Processes and Decision Making_Lecture 3_ slides
This lecture discusses techniques used in diagnostic thinking and clinical decision making. It describes systematic approaches like considering different organ systems (VINDICATE) and examining all possible causes of a symptom (jaundice). Pattern recognition of symptoms' topographical location, temporal pattern, and clinical context is also discussed. Heuristics or rules of thumb help diagnosis, though can introduce cognitive biases. Mathematical tools like Bayes' theorem and decision rules assist as well. The role of health IT in the clinical decision process is also addressed.
Can Decision Support Systems Improve Patient Care?
Clinical decision support is used in a wide range of instances to guide care decisions. Clinical decision support tools include drug-drug interaction checking, automated alerts, templates and order sets. How can these tools be optimized to improve patient care? How should you determine whether the tools are appropriate in your specific practice setting?
HTAi 2015 - Knowledge Transfer in Brazil; Case studies from SUS Collaborating...
The document discusses knowledge transfer activities in Brazil between the Federal University of Minas Gerais and the Minas Gerais State Health Authority. It describes two main activities: 1) an academic detailing pilot project to disseminate treatment protocols for Alzheimer's disease based on clinical evidence and 2) producing technical appraisals to evaluate individual treatment requests and support judicial/administrative decisions. The academic detailing project included training facilitators, visiting physicians to provide information on the Alzheimer's protocol, and found the physicians were receptive. Technical appraisals independently evaluate health technologies and provide evidence-based recommendations to inform decisions.
Gdp
1. The document lists the gross domestic product (GDP) in millions of US dollars for 192 economies in 2011.
2. The United States had the highest GDP at $14,991,300 million, followed by China at $7,318,499 million and Japan at $5,867,154 million.
3. World GDP in 2011 was $69,981,922 million.
HANDMADE IS HEARTMADE
Project activity: Create a small business of our class. The pupils created a business plan and presented their business.
Bridges over Times and Cultures 2012 - 2014
Types of bridges by shantanu
This document discusses different types of bridges. It defines a bridge as a structure built over a road, railway, river, or other passageway to allow people or vehicles to cross between two locations. Some of the bridge types discussed include suspension bridges, which are made of cables; arch bridges, often built over rivers; covered bridges, which protect the passageway from weather; and moon bridges, small bridges situated in parks or gardens for pedestrians. Pictures are provided to illustrate the different bridge designs.
Bridges
"Bridges" is a PowerPoint for primary and secondary students that provides an overview of the different types of bridges and their uses. It also highlights careers in infrastructure development specific to bridge building and maintenance. Additionally, this lesson can be paired with a "Bridge Building" activity.
DISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMA
DISCHARGE SUMMARY: PCI IN THE ELDERLY PATIENT 1
DISCHARGE SUMMARY: PCI IN THE ELDERLY PATIENT
DISCHARGE SUMMARY: PCI IN THE ELDERLY PATIENT 6
DISCHARGE SUMMARY: PCI in the Elderly Patient
Professor: XXXX
Student Name
Grand Canyon University-ANP 654
Date
DISCHARGE SUMMARY
Discharge Summary
Date
XXXX-ANP 654
Patient Name: H.W.
MRN: 123456
Sex: Male
Date of Birth: 12/12/1933
Provider: C.H. APRN/MILLENIUM PHYSICIAN GROUP
Primary Care Provider: Dr. S.B.
Admission Date: xx/xx/xxxx
Discharge Date: xx/xx/xxxx
Admitting Diagnoses:
I25.1 Atherosclerotic heart disease of native coronary artery
R00.1 Bradycardia, unspecified (permanent pacemaker placed by Dr. R 12/28/2019)
I10 Renovascular hypertension
N18.6 End stage renal disease (on peritoneal dialysis)
Discharge Diagnosis:
I25.1 Atherosclerotic heart disease of native coronary artery-elective cardiac catheterization on this admission
R00.1 Bradycardia, unspecified
I10 Renovascular hypertension controlled
I70.1 Atherosclerosis of renal artery
N18.6 End stage renal disease (peritoneal dialysis 1/14/20 prior to discharge)
Admission Procedure:
01/13/20- Cardiac catheterization under moderate sedation with use of IVP contrast for coronary angiography
Impression: Non-dominant RCA without significant obstructive disease <60%. OM with an 80% proximal lesion, Circumflex with mid 90% lesion, LAD is without disease, large diagonals without disease. LV function is normal, EF 50%, no wall motion abnormalities. PCI to the OM and Circumflex were performed with good results.
Consultations:
Dr. R Interventional Cardiologist- performed elective cardiac catheterization 1/13/20
Course of Treatment:
This is an 86 year-old male patient with a complex cardiac history. The patient had a permanent pacemaker placed on 12/28/2019 for severe symptomatic bradycardia. After pacemaker placement, the patient underwent a Lexiscan showing ischemia. A planned cardiac catheterization was scheduled for 1/13/20. Dr. R. performed PCI and placed BM stents to the patient’s OM and Circumflex arteries. His RCA was assessed and was deemed not severe enough for intervention and was a non-dominant vessel. The patient was admitted for further observation overnight post procedure. He had no complaints of chest pain, no shortness of breath, no nausea or vomiting, no dizziness, and no numbness or tingling in his bilateral lower extremities. No hematoma, redness or swelling noted at his right groin catheterization site. Overall, the patient is stable for discharge this evening after his peritoneal dialysis treatment.
Admission Home Medications:
Auryxia 210mg, 2 tabs, po three times daily
Entresto 24/26mg, 1 tab, po twice daily
Thiamine 100mg po daily
Docusate sodium 100mg po twice daily
Discharge Medication:
Auryxia 210mg, 2 tabs, po three times daily
Entresto 24/26mg, 1 tab, po twice daily
Thiamine 100mg po daily
Docusate sodium 100mg po twice daily
New:
Nitroglycerine 0.4mg, one tablet SL ...
Gpt buchman
This document discusses how telehealth and real-time analytics can help critical care achieve better health outcomes, better care, and lower costs. It describes how monitoring patients and gaining situation awareness is important for critical care. Real-time data analytics can help clinicians understand a patient's current physiological status and trajectory. Pattern recognition in patient data may help identify issues earlier. The challenges of big data in healthcare including volume, velocity, variety and veracity are discussed. Technologies that provide real-time situation awareness and predictive analytics could help improve patient care and outcomes in the ICU.
Gpt buchman
This document discusses how telehealth and real-time analytics can help critical care achieve better health outcomes, better care, and lower costs. It describes how monitoring patients and gaining situation awareness is important for critical care. Real-time data analytics can help clinicians understand a patient's current physiological status and trajectory. Pattern recognition in patient data may help identify issues earlier. The challenges of big data in healthcare including volume, velocity, variety and veracity are discussed. Technologies that provide real-time situation awareness and predictive analytics could help improve patient care and outcomes in the ICU.
Development of clinical trail protocol
This clinical trial protocol summarizes a phase 2 double-blind randomized placebo-controlled trial to evaluate the safety and efficacy of TJ301 for the treatment of active ulcerative colitis. The trial will enroll 90 patients to receive either 600mg of TJ301 biweekly, 300mg of TJ301 biweekly, or placebo biweekly for 12 weeks. The primary endpoint is clinical and endoscopic remission at week 12. Secondary endpoints include safety assessments, pharmacokinetic measures, and changes in disease activity scores from baseline to week 12. The protocol outlines the study design, patient selection criteria, treatments, assessments, data management, and statistical analysis plan.
Exploring the Landscape: Choices and Decisions in IHD by Mustafa Toma, MD SM ...
Exploring the Landscape: Choices and Decisions in IHD by Mustafa Toma, MD SM ...Providence Health Care
1. The document discusses factors, evidence, and treatment options for decisions regarding management of ischemic heart disease (IHD).
2. It outlines 4 objectives including identifying decision factors, describing decision-making protocols, reviewing evidence for treatments, and illustrating treatments through cases.
3. Several cases are presented and treatment options of medical management, percutaneous coronary intervention (PCI), and coronary artery bypass grafting (CABG) are discussed in the context of each case based on symptoms, anatomy, and evidence from clinical trials.Triage
1. The document discusses different types and purposes of triage. Triage is used to prioritize patient treatment during mass casualty events based on urgency of conditions. It aims to allocate patients to the most appropriate care provider and area to maximize lives saved.
2. Primary triage is done in the field to classify patients into categories of urgent need. Secondary triage in the ED further evaluates patients and assigns color codes. Tertiary triage by specialists determines who needs emergency surgery or ICU care.
3. The triage process involves classifying patients into categories of red (most urgent), yellow, green, or black (deceased) based on injury severity and prognosis to direct patients to the right level
Admit orders
This document provides guidance on writing admission orders for patients to the hospital. It outlines the key components of admission orders, labeled as ADCVANDIML, that should be included. These components are: admitting service, diagnosis, condition, vitals, activity, nursing orders, diet, IV fluids, medications, labs, and "Call HO" with parameters to notify the physician of changes. The document emphasizes including rationale for tests and only ordering those that will change treatment. It stresses communication and respect between physicians and nursing staff.
Clinical Unit In Ed By Saad AL Juma
This document discusses observation units in emergency departments. It begins with introducing observation units and their objectives, then discusses the rationale and design features of such units. Key points covered include having clearly defined policies and staffing, focusing on conditions that can be better managed over a longer period of time than a traditional emergency department visit allows. The document also outlines potential pros and cons, as well as evidence from studies showing observation units can provide faster, better, cheaper care for certain patients.
The Adult ICECAP trial - Early, High Quality, Hypothermic Temperature Managem...
The Adult ICECAP trial - Early, High Quality, Hypothermic Temperature Managem...University of Michigan Department of Emergency Medicine
The document discusses the Adult ICECAP trial, which aims to study early, high-quality hypothermic temperature management for out-of-hospital cardiac arrest. It notes that no devices are FDA-approved for inducing hypothermia in adults, so the trial is using an investigational device exemption. The goal of the trial is to take better care of patients through new knowledge and design future trials to accomplish this. It then provides rationales for inducing hypothermia to 33°C rather than just controlling fever, and argues for cooling patients early and deeply to give them the best chances of survival based on previous study results.Matthew Guy, Imaging Physics
Secure Proactive Clinical Support
for Type 1 Diabetes. These slides were presented at Wessex Health Innovation Forum: Southampton on May 16th 2017.
Preop & consent
This document discusses pre-operative assessment and preparation of surgical patients. It outlines the goals of pre-operative evaluation which include identifying medical issues, determining if further information is needed, and ensuring the patient is medically optimized for surgery. It also discusses informed consent, appropriate pre-operative tests and investigations, prophylactic measures to prevent complications, anesthesia considerations, and assessing post-operative intensive care needs.
American Journal of Anesthesia & Clinical Research
The assessment, diagnosis and treatment of critically ill patients is extremely challenging. Patients often deteriorate whilst being
reviewed and their rapidly changing pathophysiology barrages healthcare professionals with new data. Furthermore, comprehensive assessments must be postponed until the patient has been stabilised. So, important data and interventions are often missed in the heat of the moment. In emergency situations, suboptimal management decisions may cause signifi cant morbidity and mortality. Fortunately, standardisation and careful design of documentation (i.e. proformas and checklists) can enhance patient safety. So, I have developed a series of checklist proformas to guide the assessment of critically ill patients. These proformas also promote the systematic recording and presentation of information to facilitate the retrieval of the precise data required for the management for critically ill patients. The proformas have been modifi ed extensively over the last twenty years based on my personal experience and extensive consultation with colleagues in several world-renowned centres of excellence. The proformas were originally developed for use in the intensive therapy unit
or high dependency unit. However, they have been adapted for use by outreach teams reviewing patients admitted outside of critical care areas. The use of these tools can direct eff orts to provide appropriate organ support and provides a framework for diagnostic reasoning.
3. jan hazelzet vbhc prize 20150409
This document discusses value-based healthcare initiatives at Erasmus MC in Rotterdam, Netherlands. It provides details on:
1) Defining outcome measures and collecting data on outcomes and patient characteristics for various conditions through tools like Gemstracker to enable value-based care.
2) Measuring costs using time-driven activity based costing to understand spending.
3) Creating multidisciplinary teams focused on specific conditions to improve quality, efficiency and value through continuous measurement, analysis and quality improvement efforts.
The goal is to continually improve value for patients by understanding outcomes that matter to them, benchmarking performance, and ensuring best care is delivered at sustainable costs.
Lessons from the TTM trial and planning for the nexst
1) Detailed neurological examinations and blinded prognostication were conducted in the TTM trials to minimize bias in outcomes.
2) Follow-up assessments at 6 months in TTM1 found cognitive impairment, depression, and reduced quality of life in about one third of patients despite similar mortality between groups.
3) Extended cognitive testing in TTM1 at 6 months revealed memory, executive function, and processing speed impairments in about half of patients, more than in risk-factor matched controls, showing long-term cognitive consequences after cardiac arrest.
Evidence Based Medicine
1. The document discusses different ways doctors have traditionally answered the question "What works?" in clinical practice, such as relying on their own experience or authority figures' recommendations.
2. It then introduces evidence-based medicine as a better approach, which involves integrating the best available research evidence with clinical expertise and patient values and preferences.
3. The key steps of evidence-based medicine are outlined as formulating an answerable clinical question, tracking down the best evidence, critically appraising the evidence, and integrating it with clinical judgement.
DESTINY – An Innovative Platform for Personalized Medicine from Doctors for D...
Arnfin Bergmann, CEO at NeuroTransData GmbH, on the topic of 'DESTINY – An Innovative Platform for Personalized Medicine from Doctors for Doctors & Patients' at IFAH held at Le Meridien, Dubai on 16th - 18th December, 2019.
Perioperative & post operative Care
1. The document discusses perioperative care and postoperative complications. It covers topics like preoperative evaluation and management of common medical conditions, intraoperative care, and postoperative care and complications.
2. Preoperative evaluation involves assessing the patient's history and risk factors, performing examinations, and optimizing any medical conditions to reduce surgical risk. Intraoperative care focuses on monitoring the patient, maintaining homeostasis, and using sterile techniques.
3. Common postoperative complications discussed include bleeding, deep vein thrombosis, pulmonary embolism, wound infections, and respiratory issues like pneumonia. The goal of postoperative care is to provide a safe and comfortable recovery for the patient.
Schemes for medical decision making a primer for trainees
An article on a practical road map for teaching trainees easy schemes for Clinical Decision Making. Due to appear soon on the journal "Perspectives on Medical Education"
Useful for Trainers and Trainees alike to complement and expand the PowerPoint presentation on the same subject.
ICN Victoria: Gantner on "Translating Research into Practice"
ICN Victoria presents Dr Dashiell Gantner, research fellow at the Monash University in Melbourne. Here he talks about translating ICU research into clinical practice.
9. Documentation, Recording and Reporting.pptx
This document discusses documentation, reporting, and record keeping in emergency and critical care settings. It covers the purpose of documentation to ensure continuity of care, meet legal requirements, and provide information for research and education. The document outlines various types of records including nursing assessments, care plans, vital signs charts, medication records, incident reports, and informed consent forms. It provides guidance on documentation principles, such as writing objectively, legibly, and avoiding abbreviations. Maintaining accurate and comprehensive patient records is important for patient safety, clinical governance, and potential medico-legal cases.
HRS.15 Sessions to Attend
This document provides a summary of 6 late-breaking sessions to attend at the Heart Rhythm Society Scientific Sessions in Boston from May 13-16, 2015. The sessions include: (1) a study on the impact of remote monitoring on clinical events and healthcare utilization; (2) a randomized global trial comparing uninterrupted rivaroxaban to vitamin K antagonists in patients undergoing catheter ablation; and (3) a study comparing cryoballoon versus open irrigated radiofrequency ablation in patients with paroxysmal atrial fibrillation. The other sessions include: (4) first-in-human experience with a miniaturized transcatheter pacing system; (5) results from the Canadian Registry of Card
Himss cvb sessions
This document provides details on the top 5 sessions to attend at the HIMSS.15 conference. The sessions cover topics like structured cardiology procedure reporting, connected heart health using American Heart Association resources, using BI and analytics to reduce sepsis and heart failure readmissions, how health information exchanges can support population health through New York's Million Hearts initiative, and a session on transforming data into information and driving transformation. Speakers include doctors, public health experts, and data analysts.
More Related Content
Similar to [Teich] amdis
DISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMA
DISCHARGE SUMMARY: PCI IN THE ELDERLY PATIENT 1
DISCHARGE SUMMARY: PCI IN THE ELDERLY PATIENT
DISCHARGE SUMMARY: PCI IN THE ELDERLY PATIENT 6
DISCHARGE SUMMARY: PCI in the Elderly Patient
Professor: XXXX
Student Name
Grand Canyon University-ANP 654
Date
DISCHARGE SUMMARY
Discharge Summary
Date
XXXX-ANP 654
Patient Name: H.W.
MRN: 123456
Sex: Male
Date of Birth: 12/12/1933
Provider: C.H. APRN/MILLENIUM PHYSICIAN GROUP
Primary Care Provider: Dr. S.B.
Admission Date: xx/xx/xxxx
Discharge Date: xx/xx/xxxx
Admitting Diagnoses:
I25.1 Atherosclerotic heart disease of native coronary artery
R00.1 Bradycardia, unspecified (permanent pacemaker placed by Dr. R 12/28/2019)
I10 Renovascular hypertension
N18.6 End stage renal disease (on peritoneal dialysis)
Discharge Diagnosis:
I25.1 Atherosclerotic heart disease of native coronary artery-elective cardiac catheterization on this admission
R00.1 Bradycardia, unspecified
I10 Renovascular hypertension controlled
I70.1 Atherosclerosis of renal artery
N18.6 End stage renal disease (peritoneal dialysis 1/14/20 prior to discharge)
Admission Procedure:
01/13/20- Cardiac catheterization under moderate sedation with use of IVP contrast for coronary angiography
Impression: Non-dominant RCA without significant obstructive disease <60%. OM with an 80% proximal lesion, Circumflex with mid 90% lesion, LAD is without disease, large diagonals without disease. LV function is normal, EF 50%, no wall motion abnormalities. PCI to the OM and Circumflex were performed with good results.
Consultations:
Dr. R Interventional Cardiologist- performed elective cardiac catheterization 1/13/20
Course of Treatment:
This is an 86 year-old male patient with a complex cardiac history. The patient had a permanent pacemaker placed on 12/28/2019 for severe symptomatic bradycardia. After pacemaker placement, the patient underwent a Lexiscan showing ischemia. A planned cardiac catheterization was scheduled for 1/13/20. Dr. R. performed PCI and placed BM stents to the patient’s OM and Circumflex arteries. His RCA was assessed and was deemed not severe enough for intervention and was a non-dominant vessel. The patient was admitted for further observation overnight post procedure. He had no complaints of chest pain, no shortness of breath, no nausea or vomiting, no dizziness, and no numbness or tingling in his bilateral lower extremities. No hematoma, redness or swelling noted at his right groin catheterization site. Overall, the patient is stable for discharge this evening after his peritoneal dialysis treatment.
Admission Home Medications:
Auryxia 210mg, 2 tabs, po three times daily
Entresto 24/26mg, 1 tab, po twice daily
Thiamine 100mg po daily
Docusate sodium 100mg po twice daily
Discharge Medication:
Auryxia 210mg, 2 tabs, po three times daily
Entresto 24/26mg, 1 tab, po twice daily
Thiamine 100mg po daily
Docusate sodium 100mg po twice daily
New:
Nitroglycerine 0.4mg, one tablet SL ...
Gpt buchman
This document discusses how telehealth and real-time analytics can help critical care achieve better health outcomes, better care, and lower costs. It describes how monitoring patients and gaining situation awareness is important for critical care. Real-time data analytics can help clinicians understand a patient's current physiological status and trajectory. Pattern recognition in patient data may help identify issues earlier. The challenges of big data in healthcare including volume, velocity, variety and veracity are discussed. Technologies that provide real-time situation awareness and predictive analytics could help improve patient care and outcomes in the ICU.
Gpt buchman
This document discusses how telehealth and real-time analytics can help critical care achieve better health outcomes, better care, and lower costs. It describes how monitoring patients and gaining situation awareness is important for critical care. Real-time data analytics can help clinicians understand a patient's current physiological status and trajectory. Pattern recognition in patient data may help identify issues earlier. The challenges of big data in healthcare including volume, velocity, variety and veracity are discussed. Technologies that provide real-time situation awareness and predictive analytics could help improve patient care and outcomes in the ICU.
Development of clinical trail protocol
This clinical trial protocol summarizes a phase 2 double-blind randomized placebo-controlled trial to evaluate the safety and efficacy of TJ301 for the treatment of active ulcerative colitis. The trial will enroll 90 patients to receive either 600mg of TJ301 biweekly, 300mg of TJ301 biweekly, or placebo biweekly for 12 weeks. The primary endpoint is clinical and endoscopic remission at week 12. Secondary endpoints include safety assessments, pharmacokinetic measures, and changes in disease activity scores from baseline to week 12. The protocol outlines the study design, patient selection criteria, treatments, assessments, data management, and statistical analysis plan.
Exploring the Landscape: Choices and Decisions in IHD by Mustafa Toma, MD SM ...
Exploring the Landscape: Choices and Decisions in IHD by Mustafa Toma, MD SM ...Providence Health Care
1. The document discusses factors, evidence, and treatment options for decisions regarding management of ischemic heart disease (IHD).
2. It outlines 4 objectives including identifying decision factors, describing decision-making protocols, reviewing evidence for treatments, and illustrating treatments through cases.
3. Several cases are presented and treatment options of medical management, percutaneous coronary intervention (PCI), and coronary artery bypass grafting (CABG) are discussed in the context of each case based on symptoms, anatomy, and evidence from clinical trials.Triage
1. The document discusses different types and purposes of triage. Triage is used to prioritize patient treatment during mass casualty events based on urgency of conditions. It aims to allocate patients to the most appropriate care provider and area to maximize lives saved.
2. Primary triage is done in the field to classify patients into categories of urgent need. Secondary triage in the ED further evaluates patients and assigns color codes. Tertiary triage by specialists determines who needs emergency surgery or ICU care.
3. The triage process involves classifying patients into categories of red (most urgent), yellow, green, or black (deceased) based on injury severity and prognosis to direct patients to the right level
Admit orders
This document provides guidance on writing admission orders for patients to the hospital. It outlines the key components of admission orders, labeled as ADCVANDIML, that should be included. These components are: admitting service, diagnosis, condition, vitals, activity, nursing orders, diet, IV fluids, medications, labs, and "Call HO" with parameters to notify the physician of changes. The document emphasizes including rationale for tests and only ordering those that will change treatment. It stresses communication and respect between physicians and nursing staff.
Clinical Unit In Ed By Saad AL Juma
This document discusses observation units in emergency departments. It begins with introducing observation units and their objectives, then discusses the rationale and design features of such units. Key points covered include having clearly defined policies and staffing, focusing on conditions that can be better managed over a longer period of time than a traditional emergency department visit allows. The document also outlines potential pros and cons, as well as evidence from studies showing observation units can provide faster, better, cheaper care for certain patients.
The Adult ICECAP trial - Early, High Quality, Hypothermic Temperature Managem...
The Adult ICECAP trial - Early, High Quality, Hypothermic Temperature Managem...University of Michigan Department of Emergency Medicine
The document discusses the Adult ICECAP trial, which aims to study early, high-quality hypothermic temperature management for out-of-hospital cardiac arrest. It notes that no devices are FDA-approved for inducing hypothermia in adults, so the trial is using an investigational device exemption. The goal of the trial is to take better care of patients through new knowledge and design future trials to accomplish this. It then provides rationales for inducing hypothermia to 33°C rather than just controlling fever, and argues for cooling patients early and deeply to give them the best chances of survival based on previous study results.Matthew Guy, Imaging Physics
Secure Proactive Clinical Support
for Type 1 Diabetes. These slides were presented at Wessex Health Innovation Forum: Southampton on May 16th 2017.
Preop & consent
This document discusses pre-operative assessment and preparation of surgical patients. It outlines the goals of pre-operative evaluation which include identifying medical issues, determining if further information is needed, and ensuring the patient is medically optimized for surgery. It also discusses informed consent, appropriate pre-operative tests and investigations, prophylactic measures to prevent complications, anesthesia considerations, and assessing post-operative intensive care needs.
American Journal of Anesthesia & Clinical Research
The assessment, diagnosis and treatment of critically ill patients is extremely challenging. Patients often deteriorate whilst being
reviewed and their rapidly changing pathophysiology barrages healthcare professionals with new data. Furthermore, comprehensive assessments must be postponed until the patient has been stabilised. So, important data and interventions are often missed in the heat of the moment. In emergency situations, suboptimal management decisions may cause signifi cant morbidity and mortality. Fortunately, standardisation and careful design of documentation (i.e. proformas and checklists) can enhance patient safety. So, I have developed a series of checklist proformas to guide the assessment of critically ill patients. These proformas also promote the systematic recording and presentation of information to facilitate the retrieval of the precise data required for the management for critically ill patients. The proformas have been modifi ed extensively over the last twenty years based on my personal experience and extensive consultation with colleagues in several world-renowned centres of excellence. The proformas were originally developed for use in the intensive therapy unit
or high dependency unit. However, they have been adapted for use by outreach teams reviewing patients admitted outside of critical care areas. The use of these tools can direct eff orts to provide appropriate organ support and provides a framework for diagnostic reasoning.
3. jan hazelzet vbhc prize 20150409
This document discusses value-based healthcare initiatives at Erasmus MC in Rotterdam, Netherlands. It provides details on:
1) Defining outcome measures and collecting data on outcomes and patient characteristics for various conditions through tools like Gemstracker to enable value-based care.
2) Measuring costs using time-driven activity based costing to understand spending.
3) Creating multidisciplinary teams focused on specific conditions to improve quality, efficiency and value through continuous measurement, analysis and quality improvement efforts.
The goal is to continually improve value for patients by understanding outcomes that matter to them, benchmarking performance, and ensuring best care is delivered at sustainable costs.
Lessons from the TTM trial and planning for the nexst
1) Detailed neurological examinations and blinded prognostication were conducted in the TTM trials to minimize bias in outcomes.
2) Follow-up assessments at 6 months in TTM1 found cognitive impairment, depression, and reduced quality of life in about one third of patients despite similar mortality between groups.
3) Extended cognitive testing in TTM1 at 6 months revealed memory, executive function, and processing speed impairments in about half of patients, more than in risk-factor matched controls, showing long-term cognitive consequences after cardiac arrest.
Evidence Based Medicine
1. The document discusses different ways doctors have traditionally answered the question "What works?" in clinical practice, such as relying on their own experience or authority figures' recommendations.
2. It then introduces evidence-based medicine as a better approach, which involves integrating the best available research evidence with clinical expertise and patient values and preferences.
3. The key steps of evidence-based medicine are outlined as formulating an answerable clinical question, tracking down the best evidence, critically appraising the evidence, and integrating it with clinical judgement.
DESTINY – An Innovative Platform for Personalized Medicine from Doctors for D...
Arnfin Bergmann, CEO at NeuroTransData GmbH, on the topic of 'DESTINY – An Innovative Platform for Personalized Medicine from Doctors for Doctors & Patients' at IFAH held at Le Meridien, Dubai on 16th - 18th December, 2019.
Perioperative & post operative Care
1. The document discusses perioperative care and postoperative complications. It covers topics like preoperative evaluation and management of common medical conditions, intraoperative care, and postoperative care and complications.
2. Preoperative evaluation involves assessing the patient's history and risk factors, performing examinations, and optimizing any medical conditions to reduce surgical risk. Intraoperative care focuses on monitoring the patient, maintaining homeostasis, and using sterile techniques.
3. Common postoperative complications discussed include bleeding, deep vein thrombosis, pulmonary embolism, wound infections, and respiratory issues like pneumonia. The goal of postoperative care is to provide a safe and comfortable recovery for the patient.
Schemes for medical decision making a primer for trainees
An article on a practical road map for teaching trainees easy schemes for Clinical Decision Making. Due to appear soon on the journal "Perspectives on Medical Education"
Useful for Trainers and Trainees alike to complement and expand the PowerPoint presentation on the same subject.
ICN Victoria: Gantner on "Translating Research into Practice"
ICN Victoria presents Dr Dashiell Gantner, research fellow at the Monash University in Melbourne. Here he talks about translating ICU research into clinical practice.
9. Documentation, Recording and Reporting.pptx
This document discusses documentation, reporting, and record keeping in emergency and critical care settings. It covers the purpose of documentation to ensure continuity of care, meet legal requirements, and provide information for research and education. The document outlines various types of records including nursing assessments, care plans, vital signs charts, medication records, incident reports, and informed consent forms. It provides guidance on documentation principles, such as writing objectively, legibly, and avoiding abbreviations. Maintaining accurate and comprehensive patient records is important for patient safety, clinical governance, and potential medico-legal cases.
Similar to [Teich] amdis (20)
DISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMA
DISCHARGE SUMMARY PCI IN THE ELDERLY PATIENT1DISCHARGE SUMMA
Exploring the Landscape: Choices and Decisions in IHD by Mustafa Toma, MD SM ...
Exploring the Landscape: Choices and Decisions in IHD by Mustafa Toma, MD SM ...
The Adult ICECAP trial - Early, High Quality, Hypothermic Temperature Managem...
The Adult ICECAP trial - Early, High Quality, Hypothermic Temperature Managem...
American Journal of Anesthesia & Clinical Research
American Journal of Anesthesia & Clinical Research
Lessons from the TTM trial and planning for the nexst
Lessons from the TTM trial and planning for the nexst
DESTINY – An Innovative Platform for Personalized Medicine from Doctors for D...
DESTINY – An Innovative Platform for Personalized Medicine from Doctors for D...
Schemes for medical decision making a primer for trainees
Schemes for medical decision making a primer for trainees
ICN Victoria: Gantner on "Translating Research into Practice"
ICN Victoria: Gantner on "Translating Research into Practice"
More from Trimed Media Group
HRS.15 Sessions to Attend
This document provides a summary of 6 late-breaking sessions to attend at the Heart Rhythm Society Scientific Sessions in Boston from May 13-16, 2015. The sessions include: (1) a study on the impact of remote monitoring on clinical events and healthcare utilization; (2) a randomized global trial comparing uninterrupted rivaroxaban to vitamin K antagonists in patients undergoing catheter ablation; and (3) a study comparing cryoballoon versus open irrigated radiofrequency ablation in patients with paroxysmal atrial fibrillation. The other sessions include: (4) first-in-human experience with a miniaturized transcatheter pacing system; (5) results from the Canadian Registry of Card
Himss cvb sessions
This document provides details on the top 5 sessions to attend at the HIMSS.15 conference. The sessions cover topics like structured cardiology procedure reporting, connected heart health using American Heart Association resources, using BI and analytics to reduce sepsis and heart failure readmissions, how health information exchanges can support population health through New York's Million Hearts initiative, and a session on transforming data into information and driving transformation. Speakers include doctors, public health experts, and data analysts.
Top 5 Sessions to attend at HIMSS.15 (CVB)
This document provides details on the top 5 sessions to attend at the HIMSS.15 conference. The sessions cover topics like structured cardiology procedure reporting, connected heart health using American Heart Association resources, using BI and analytics to reduce sepsis and heart failure readmissions, how health information exchanges can support population health through New York's Million Hearts initiative, and a session on transforming data into actionable information. The sessions will take place between April 13-16, 2015 and include speakers such as doctors, healthcare executives, and data analysts.
Innovative technologies at ACC.15
This document summarizes 7 innovative technologies that will be on display at ACC.15:
1) Medtronic's CoreValve transcatheter aortic valve replacement system provides a minimally invasive alternative to open heart surgery for replacing diseased heart valves.
2) St. Jude Medical's CardioMEMS heart failure monitoring system allows clinicians to monitor pulmonary pressures and manage treatment in patients with heart failure.
3) Toshiba's dose-tracking system measures radiation skin dose during interventional procedures to help clinicians monitor patient radiation exposure.
4) Merge Cardio provides a centralized web-based system for physicians to manage multiple aspects of patients' integrated cardiovascular records.
Imaging at ACC.15: Session Spotlight
The document summarizes several imaging sessions at the upcoming American College of Cardiology's Annual Scientific Session & Expo on March 14-16 in San Diego. Key sessions include:
1) Results from the PROMISE trial comparing diagnostic testing for chest pain will be presented on Saturday, and costs will be discussed on Sunday.
2) A joint multimodality imaging symposium with several societies will discuss imaging high risk patients, techniques for difficult diagnoses, and radiation safety.
3) An international perspective on cardiac imaging will be provided including a discussion of using CT on Egyptian mummies to study heart disease over millennia.
10 Sessions You Can’t Miss at ACC.15
So many sessions, so little time. Here are 10 presentations at ACC.15 that could change how you treat patients and do business.
6 simple tips to help you avoid a lawsuit
If you want to avoid damaging litigation, concentrate on dialogue and details. Cardiologists who fail to maintain detailed, two-way conversations with patients and thoroughly assess diagnostic data are at risk of negligence lawsuits, a study shows.
RSNA 2014
The 2014 RSNA conference in Chicago saw over 56,000 attendees, up 5% from the previous year, with more than 2,000 additional professional registrations. Although exhibitor attendance dipped slightly by 2%, the conference floor was packed with 636 exhibits occupying over 426,000 square feet. The conference featured special exhibits celebrating RSNA's 100th anniversary and highlighting the organization's contributions to advances in medical imaging over the past century.
Aos 213 01 nelson rivaroxaban effectiveness and safety in nvaf final
This study compared the real-world effectiveness and safety of rivaroxaban versus warfarin for stroke prevention in nonvalvular atrial fibrillation patients using claims data. The study found:
1) Rivaroxaban and warfarin had similar risks of major bleeding, stroke, systemic embolism, and venous thromboembolism.
2) Rivaroxaban was associated with a higher risk of gastrointestinal bleeding compared to warfarin.
3) Patients were less likely to discontinue rivaroxaban treatment compared to warfarin, suggesting better treatment persistence with rivaroxaban.
Acep 10-15-13
This document summarizes a study examining the length of stay and economic implications of treating pulmonary embolism with rivaroxaban versus low molecular weight heparin-vitamin K antagonist (LMWH-VKA) in an emergency room setting. The study found that among patients in North America from the EINSTEIN PE trial, the median length of stay was 1 day shorter for those treated with rivaroxaban (3 days) compared to LMWH-VKA (4 days). This 1 day reduction in length of stay was associated with an estimated $2040 savings per patient for the rivaroxaban cohort based on average hospital costs. The study concluded that rivaroxaban was associated with a consistent
Shorr and bria innovation at the point-of-care rethinking the doctor-patient...
The document discusses innovations in doctor-patient interactions through technology. It proposes two solutions: 1) Creating a "story" of the patient's medical history and presenting issues for doctors to review before visits to improve care. This would be generated through automated document assembly. 2) Developing an "ad hoc" user interface optimized for point-of-care use, allowing doctors to take notes digitally in various formats like ink, checkboxes and dictation to focus on patient interaction instead of formal documentation. The goal is to enhance both the patient and provider experience through disruptive technology.
Kuperman Health Information Exchange & Care Coordination
1) Care coordination requires improved information sharing both within care teams and across settings using health information exchange (HIE). However, current electronic health records (EHRs) were not designed for care coordination and do not adequately support sharing data and coordinating care.
2) NewYork-Presbyterian Hospital is working to enhance care coordination for patients with diabetes and depression by improving EHR tools, care team workflows, and data sharing across settings using its regional HIE. Key features include standardized screening and monitoring, patient and provider education, population health analytics, and secure messaging.
3) The success of care coordination interventions is being evaluated based on clinical outcomes like HbA1c and depression measures, as well as process measures
Safran info sage & disruptive innovation
This document discusses the need for innovation in healthcare, particularly for the elderly population and their caregivers. It introduces the InfoSAGE project, which aims to create a "living laboratory" to study how technology can improve communication, coordination and collaboration between elderly patients and their families. InfoSAGE will connect various sources of health information and services through identity and content coordination to address the challenges of aging and caregiving. The goal is to develop tools that help address problems around care coordination, respecting patient preferences and reducing caregiver burnout, as electronic health records currently do not adequately meet the needs of elderly patients and their families.
[Hongsermeier] clinical decision support services amdis final
1) Clinical Decision Support Services (CDSS) allow externalization of clinical knowledge and decision support logic from electronic health records (EHRs) to specialized CDSS providers.
2) The Clinical Decision Support Consortium (CDSC) is working on standards for knowledge management, specification, and sharing of CDS content and services.
3) Opportunities exist for EHR vendors to leverage external CDSS as curating all needed clinical knowledge internally is challenging, and most EHR CDS cannot support advanced inferencing required for personalized medicine. Challenges include ensuring appropriate implementation and use of external CDSS within EHR workflows.
Hamann big institution to community care
The document summarizes a presentation on providing collaborative and coordinated care for patients with complex illnesses. Some key points:
- To achieve the goals of improved health outcomes, quality of care, and reduced costs ("Triple Aim"), the healthcare system needs to focus on caring for patients with complex chronic conditions who account for a large portion of costs.
- Successful models involve interdisciplinary, team-based care coordinated across care settings. CareMore, a Medicare Advantage plan, achieves better outcomes and lower costs through intensive management of frail patients using nurse practitioners, protocols, home monitoring, and an electronic health record.
- Clinical IT can support collaborative care by enabling documentation, care planning, decision support, and information
Hongsermeier app store for health
This document discusses challenges with using electronic health records (EHRs) to support clinical knowledge management (KM) and continuous learning. It outlines several investments made by Lahey Health to address these challenges, including using an external collaboration platform to manage clinical decision support (CDS) content outside of the EHR. The document argues that EHRs are not designed for collaboration or learning, and that clinical KM 3.0 approaches are needed to help health systems and users continuously self-improve.
Mandl app store for health
The document is from the Intelligent Health Lab and discusses several topics:
1. The Lab's director and its affiliation with Harvard.
2. The potential for an "App Store for Health" where innovators can create and distribute apps across EMR systems, similar to app stores for smartphones.
3. The vision of a "Learning Health System" where evidence is continuously generated from patient data to improve outcomes over time.
Kibbe expect direct health information exchange in the context of state 2 mea...
This document provides an introduction to Direct exchange for those engaged in Stage 2 Meaningful Use programs. It discusses how Direct exchange relates to Stage 2 MU objectives and the role of DirectTrust in supporting Direct exchange adoption. Direct exchange allows EHR users using different vendors to securely send and receive messages and attachments. It is one way providers can meet Stage 2 MU requirements for transmitting care summaries during transitions of care and allowing patients to view, download and transmit health information. The document describes how Direct exchange works, involving Health Information Service Providers, Certificate Authorities, Registration Authorities, and X.509 certificates to enable secure exchange between organizations and individuals.
Crotty engaging patients in new ways from open notes to social media
The document discusses new ways to engage patients through open notes and social media. It describes initial findings from the OpenNotes project that showed patients found value in reading clinical notes. It also outlines how patients use social media to find health information and connect with others. The document argues that healthcare providers can leverage these technologies and concepts to reduce information asymmetry, educate patients, and learn from them to provide more engaging and effective care.
Karson approaching innovation with commercial ehrs
The document discusses innovation with commercial electronic health records (EHRs) at Partners HealthCare. It describes Partners HealthCare's structure and approach to innovation, which includes advancing core work and creating new solutions. The clinician team focuses on areas like clinical process redesign, clinical informatics, and knowledge management. Guiding principles for fostering innovation emphasize supporting innovators, prioritizing innovations aligned with Partners' strategy, and disseminating innovations across Partners HealthCare. A prioritization framework is being created to evaluate innovative projects according to standard criteria.
More from Trimed Media Group (20)
Aos 213 01 nelson rivaroxaban effectiveness and safety in nvaf final
Aos 213 01 nelson rivaroxaban effectiveness and safety in nvaf final
Shorr and bria innovation at the point-of-care rethinking the doctor-patient...
Shorr and bria innovation at the point-of-care rethinking the doctor-patient...
Kuperman Health Information Exchange & Care Coordination
Kuperman Health Information Exchange & Care Coordination
[Hongsermeier] clinical decision support services amdis final
[Hongsermeier] clinical decision support services amdis final
Kibbe expect direct health information exchange in the context of state 2 mea...
Kibbe expect direct health information exchange in the context of state 2 mea...
Crotty engaging patients in new ways from open notes to social media
Crotty engaging patients in new ways from open notes to social media
Karson approaching innovation with commercial ehrs
Karson approaching innovation with commercial ehrs
Recently uploaded
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
Breast cancer: Post menopausal endocrine therapy
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Know the difference between Endodontics and Orthodontics.
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Acute Gout Care & Urate Lowering Therapy .pdf
In this document , the management of acute gout attacks and a description of urate lowering therapy is mentioned.
Pollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdfChulalongkorn Allergy and Clinical Immunology Research Group
Pollen and Fungal allergy
Presented by Chaloemchai Chumsaengchotsakul, MD.
June 14, 2024acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
cosmetics and cosmeceuticals
Muskan
mpharm
2nd semester
Guru Gobind Singh college of pharmacy, yamunanagar, haryana
PGx Analysis in VarSeq: A User’s Perspective
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Skin Diseases That Happen During Summer.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
Foundation of Yoga, YCB Level-3, Unit-1
Unit -1 of Yoga certification board, level 3, all topics covered. An exam conducted by ministry of Ayush for yoga enthusiastic students.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort. Patellar Instability: Diagnosis Management
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
5 Effective Homeopathic Medicines for Irregular Periods
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Top Travel Vaccinations in Manchester
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
How to Control Your Asthma Tips by gokuldas hospital.
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
biomechanics of running. Dr.dhwani.pptx
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Recently uploaded (20)
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
[Teich] amdis
- 1. Delivering Knowledge into the Workflow Jonathan Teich – AMDIS fall symposium, Sept. 30, 2013
- 2. 1 The Guy Who Knows
- 3. 2 New Condition = angina FAQs How do I confirm Dx? Gen info about angina What are the treatments? What can I expect? (clin course/hazards Info about relevant MEDS Info about relevant procedures Disposition, re: admission criteria Nitroglycerin Beta blockers Antiplatelet agents Heparin Cardiac cath PTCA (stents) Angina Order Set: Meds, O2, Monitoring, x-ray, labs 1. Order Clopidogrel FAQs ALERT: Don’t use in Patients taking WarfarinCheck rules Info about med 2. Procedure needed Procedure advice Information needs •
- 4. 3 Clinical Decision Support • CDS = “Providing clinicians or patients with clinical knowledge and patient-related information, intelligently filtered or presented at appropriate times, to enhance patient care.” • Stuff you learned once from books and journals, reformatted and delivered when and how you need them in practice – Tailored to the current situation – Delivered for best action
- 5. 4 Like a GPS, CDS supplies information tailored to the current situation, and organized for maximum value.
- 6. 5
- 7. 6 Goal We seek to repurpose the content available in books, journals, guidelines, etc., to deliver the most precise information and the most useful form For any given workflow and information need
- 8. 7 Physician information needs and queries • Data about hundreds of thousands of queries to MDConsult, First Consult • Synthesized ontology of information needs 7
- 9. 8 Smart Content – turning content into action 1. Content • Curated, maintained 2. Content indexed as discrete, reusable facts 3. Content tailored to the situation • Matched to insertion points, patient data, information need configuration 4. Actionable tools • External, service-based • Integrated into EHR screens 8
- 10. 9
- 11. 10
- 12. 11
- 13. 12 12 Patient-specific workup options: diagnostic and therapeutic choices
- 14. 13 13 *
- 15. 14 Summary • Knowledge is a parallel to data – they both have ontologies, coding, and could have standards • Knowledge can be applied in different forms for different workflows and different users • Need to balance working with EHRs, SMART sidecars, standalone references, smartphones – for the best clinical result j.teich@elsevier.com jteich@harvard.edu