Want to create a comprehensive clinical trial budget? Or ever wondered how much a clinical study should cost? Here is a complete presentation on all clinical trial costs.
There are many areas to focus on when taking steps towards improving clinical trial operations. This presentation focuses on 4 areas: Patient Enrollment, Study Start-up, Monitoring, and Project Management.
Investigation Device Exemptions (IDEs) for Early Feasibility Medical Device C...BostonBiomedical
Marybeth Gamber, Senior Regulatory Affairs Principal in Consulting Services presented at the Opal Events Medical Devices Summit West on June 25, 2015 in San Jose, CA. The attached presentation entitled, “Investigation Device Exemptions (IDEs) for Early Feasibility Medical Device Clinical Studies,” will focused on the FDA Early Feasibility Study (EFS) program. The intention of the EFS program is for devices that are early in their development lifecycle for which preclinical test methods are either not available or adequate to provide information to advance the device development process. Ms. Gamber discussed the background of the IDE process, the creation of the EFS program and guidance, along with the key steps and considerations to consider when pursuing this path, including lessons learned from on early interactions with the FDA in this program.
There are many areas to focus on when taking steps towards improving clinical trial operations. This presentation focuses on 4 areas: Patient Enrollment, Study Start-up, Monitoring, and Project Management.
Investigation Device Exemptions (IDEs) for Early Feasibility Medical Device C...BostonBiomedical
Marybeth Gamber, Senior Regulatory Affairs Principal in Consulting Services presented at the Opal Events Medical Devices Summit West on June 25, 2015 in San Jose, CA. The attached presentation entitled, “Investigation Device Exemptions (IDEs) for Early Feasibility Medical Device Clinical Studies,” will focused on the FDA Early Feasibility Study (EFS) program. The intention of the EFS program is for devices that are early in their development lifecycle for which preclinical test methods are either not available or adequate to provide information to advance the device development process. Ms. Gamber discussed the background of the IDE process, the creation of the EFS program and guidance, along with the key steps and considerations to consider when pursuing this path, including lessons learned from on early interactions with the FDA in this program.
Korey Fung Dawn of Tissue Engineering Pathology End of Transplant Waiting ListsKim Solez ,
Korey Fung presentation for Youth Research Forum at Pathology-2015 meeting in New Orleans July 15, 2015 "Dawn of Tissue Engineering Pathology and The End of Transplantation Waiting Lists"
Explaining the Different Types of Routine Monitoring VisitsAnand Butani
In the clinical research industry, there are several types of basic monitoring visits that everyone involved in it should differentiate, especially CRAs (monitors). A CRA (clinical research associate) or a monitor is the person responsible for visiting a site in order to ensure that the clinical trial is being conducted properly. The CRA’s tasks include on-site visits and ensuring compliance, subjects’ safety, data quality and integrity, etc. Although clinical trials belong in the medical field, a CRA doesn’t have to be a doctor or a medical professional. It’s enough if a CRA has a background in Life Sciences, past experience in clinical trials (most often as a coordinator), and the proper training.
The main monitoring visits are the Site Selection Visit, Site Initiation Visit, Regular (Interim) Monitoring Visits, Site Close-Out Visit, and the Pre-Audit Visit. Out of all these monitoring visits, here we’ll pay more attention to the Routine Monitoring Visits, as one of the most frequent and important visits at a site.
Integrating Clinical Operations and Clinical Data Management Through EDCwww.datatrak.com
When electronic data capture was first introduced there was a great deal of discussion surrounding how the technology would alter the roles of those in clinical operations and clinical data management. Through the review of a case study, we will explore how EDC is used as a tool to more tightly integrate clinical operational staffs with those in clinical data management resulting in a more streamlined process from study initiation to database lock.
We're developing augmented reality software to help clinicians with pre-surgical planning by providing them with patient-specific, high fidelity 3D holograms that have been derived from the same data used to generate conventional CT scans and MRIs.
How to Prepare for and Make the Most Out of your FDA Pre-Submission: Leverage...Greenlight Guru
The FDA Pre-Submission process is one the most effective tools out there to de-risk your 510(k) yet it is often both under-utilized and used improperly.
The Pre-Sub allows for device manufacture to discuss and get feedback directly from FDA on both their product development and regulatory strategy.
When used properly the Pre-Sub process can result in significant time savings to market - however when used improperly or ignored all together, this can easily result in unnecessary delays and wasted money.
This presentation covers:
- What is a Pre-Sub and why it is so important
- How to prepare and get the most out of your Pre-Sub
- The exact Pre-Sub timeline of events
- An example of the contents to include and how to format your Pre-Sub
- What you should do after your Pre-Sub
- A step-by-step case study example of the Pre-Sub process
Watch the presentation with commentary here: https://www.greenlight.guru/webinar/fda-pre-submission-process
The FDA Early Feasibility Study Pilot and the Innovation PathwayTrimed Media Group
WASHINGTON, D.C.—FDA researchers Andrew A. Farb, MD, and Dorothy B. Abel presented an overview about the potential for an FDA Early Feasibility Study pilot program in the U.S., recognizing a need for a cultural shift within the agency. However, evaluating the FDA guidance, they also recognized the challenges to the device evaluation strategy.
Best Practices to Risk Based Data Integrity at Data Integrity Conference, Lon...Bhaswat Chakraborty
Data integrity can be implemented using several approaches. One of the most effective ways to implement DI is a risk based approach. The speaker elaborates this.
Laboratory Management With Constrains Iamm 2010PathKind Labs
Clinical laboratory services are a critical yet much neglected component of health systems in resource poor countries. They are crucial for public health, disease control and surveillance, and guide patient diagnosis and care, but their key role is often not recognized by governments or donors. Laboratory tests should be used to improve the outcome for individual patients or to provide public health information. However, if the quality of laboratory tests is poor, resources will be wasted on repeat tests or inappropriate management and the laboratory service will be inefficient.
The primary goal of Laboratory Medicine is to provide information that is useful to assist medical decision-making, allowing optimal health care. This can only be obtained by generating reliable analytical results on patient samples. Meaningful measurements are indeed essential for the diagnosis, monitoring, treatment, and risk assessment of patients. Inadequate laboratory performance may have extensive consequences for practical medicine, healthcare system, and, in conclusion, for the patient. Poor quality results may actually lead to incorrect interpretation by the clinician, impairing the patient’s
situation.
Accreditation authorities have identified twelve quality system essentials that need to be in place for a laboratory to perform clinical tests adequately and in a quality assured manner. Along with each laboratory performing tests that are in its scope, it is essential that duplication and excess capacity is addressed by forging and operating a network of laboratories leading to consolidation and integration of clinical testing. A network would have collection centers at places convenient to the patients, supported by frequent transfer of samples in appropriate conditions to the laboratory. In the laboratory there is a need for increased automation and relevant training of personnel and the setting up of centralized accessioning, pneumontic chutes for transport of samples to the work bench and for bidirectional interphased equipment to transfer results to desk top of laboratory physicians and after validation of results for the results to be electronically transferred by SMS and/or PDF files via email and/or becoming available online for clients, supplemented by delivery of hard copies of the results.
The challenge in the next decade for laboratory medicine is to accomplish these major changes in organization to meet fiscal restraint and shortage of adequately trained laboratory personnel. Collaborative networks, constructive use of point of care devices, and the development of rapport between laboratories and their clients leading to cost effective utilization of limited resources, are some of the strategies that will maximize patient benefit
Study start up activities in clinical data managementsoumyapottola
Study start-up (SSU) is so much more than a one-time document management exercise. It’s a global, strategic operation that can get new drugs approved faster – and it’s ripe for innovation – from Site Selection to Site Activation and Site Training.
Many SSU tech solutions deployed by sponsors don’t deliver the results promised because they add burden without benefits to clinical research sites. The result? Site staff simply avoid using them.
When that happens, document exchange and tracking falls back to paper, email and Excel formats – with CRAs holding the processes together. The tools that were supposed to solve a problem become part of the problem – and consume preThe implementation and conduct of a study can be a complex process that involves a
team from various disciplines and multiple steps that are dependent on one another. This
document offers guidance for navigating the study start-up processcious clinical trial budget.
A successful clinical study start-up is a crucial first step and an important factor for the overall success of the trial. For this reason, SCRO has experienced study start-up teams, offering customized services depending on your needs, whether it be fuWhile the definition varies across companies, study startup typically includes the process of identifying and qualifying sites, collecting essential documents at the study and site level, and submitting these documents for ethics approval. Successful study startup requires coordination between sites, sponsors, and contract research organizations (CROs) to achieve critical milestones in a compliant manner.ll-service or single activities.
How to achieve better time management in EDC start up
Clinical data management requires strict time management processes, especially in study start up within an electronic data capture (EDC) system. Three steps that clinical data management teams can take to outline the planning and executing of each task that needs to be considered are as follows:
Make a List: Create a daily or weekly task list and schedule when each task will be completed. This strategy will assist you in maintaining focus and staying organized.
Set realist goals: Be realistic about what you can finish in the amount of time you have. When setting unrealistic goals, failure is almost certain to follow.
Explore time-saving techniques: Examples of techniques that could help save time include grouping similar tasks together or using a timer to stay focused.
To help get started, here is a list of EDC considerations for Study Start-Up deadlines:
Protocol finalization and study enrollment
Split go-live considerations
eCRF Specification meetings (this will ensure proper collaboration and minimize any back-and-forth communication)
EDC add-on modules (which will be required and need validation?)
ePRO/eCOA used with licensed questionnaires.
IRB requirements for add-on modules (eConsent/ePRO)
Network, Technology, and Data: Missing Pieces of the Puzzle for Clinical Tria...Health Catalyst
There is a massive shortfall in the enrollment and accrual of patients for clinical trials. Identifying the “right patients for the right trials at the right time” is a growing concern for providers, pharmaceutical companies, and clinical research organizations. In this webinar, we will discuss the evolution of clinical trials, including how to break barriers to enable successful clinical research as a care option, how clinical research impacts patient satisfaction and revenue, and more.
Dale W. Usner, Ph.D., President of SDC, co-authored the article "The Clinical Data Management Process," which was published in the November/December 2014 issue of Retina Today.
The article reviews the clinical data management (CDM) process in its entirety - from protocol review and CRF design through database lock. Describing the roles of various CDM team members and tips for efficient data management practices, "The Clinical Data Management Process" provides a comprehensive yet concise summary of this essential function in clinical trial research, specifically with respect to retina trials.
Troubleshooting in Transfusion transmissible infection TTI laboratoryDrShinyKajal
Checklist of categories for troubleshooting in TTI
Factors affecting Troubleshooting in TTI Lab
controls used in assay testing
Principles and Practices of ELISA and Rapid for TTI Screening
Equipment Management in TTI Laboratory
calibration of equipments used
Documentation and Records in TTI Laboratory
Root Cause Analysis and Process Improvement in TTI Laboratory
External Quality Assessment Scheme and Proficiency Testing
Waste management in transfusion centre
Principle of Troubleshooting in TTI Lab
TGA presentation: PICS Guide for GMP and Data Integrity relating to microbiol...TGA Australia
An overview of regulatory requirements introduced as part of the new PIC/s PE009-13 Guide to Good Manufacturing Practice, specifically outlining impact on micro laboratories. Also, a summary of the new PI041-1 Data Integrity Guidance will be provided with a particular focus of Data Integrity in the laboratory
Korey Fung Dawn of Tissue Engineering Pathology End of Transplant Waiting ListsKim Solez ,
Korey Fung presentation for Youth Research Forum at Pathology-2015 meeting in New Orleans July 15, 2015 "Dawn of Tissue Engineering Pathology and The End of Transplantation Waiting Lists"
Explaining the Different Types of Routine Monitoring VisitsAnand Butani
In the clinical research industry, there are several types of basic monitoring visits that everyone involved in it should differentiate, especially CRAs (monitors). A CRA (clinical research associate) or a monitor is the person responsible for visiting a site in order to ensure that the clinical trial is being conducted properly. The CRA’s tasks include on-site visits and ensuring compliance, subjects’ safety, data quality and integrity, etc. Although clinical trials belong in the medical field, a CRA doesn’t have to be a doctor or a medical professional. It’s enough if a CRA has a background in Life Sciences, past experience in clinical trials (most often as a coordinator), and the proper training.
The main monitoring visits are the Site Selection Visit, Site Initiation Visit, Regular (Interim) Monitoring Visits, Site Close-Out Visit, and the Pre-Audit Visit. Out of all these monitoring visits, here we’ll pay more attention to the Routine Monitoring Visits, as one of the most frequent and important visits at a site.
Integrating Clinical Operations and Clinical Data Management Through EDCwww.datatrak.com
When electronic data capture was first introduced there was a great deal of discussion surrounding how the technology would alter the roles of those in clinical operations and clinical data management. Through the review of a case study, we will explore how EDC is used as a tool to more tightly integrate clinical operational staffs with those in clinical data management resulting in a more streamlined process from study initiation to database lock.
We're developing augmented reality software to help clinicians with pre-surgical planning by providing them with patient-specific, high fidelity 3D holograms that have been derived from the same data used to generate conventional CT scans and MRIs.
How to Prepare for and Make the Most Out of your FDA Pre-Submission: Leverage...Greenlight Guru
The FDA Pre-Submission process is one the most effective tools out there to de-risk your 510(k) yet it is often both under-utilized and used improperly.
The Pre-Sub allows for device manufacture to discuss and get feedback directly from FDA on both their product development and regulatory strategy.
When used properly the Pre-Sub process can result in significant time savings to market - however when used improperly or ignored all together, this can easily result in unnecessary delays and wasted money.
This presentation covers:
- What is a Pre-Sub and why it is so important
- How to prepare and get the most out of your Pre-Sub
- The exact Pre-Sub timeline of events
- An example of the contents to include and how to format your Pre-Sub
- What you should do after your Pre-Sub
- A step-by-step case study example of the Pre-Sub process
Watch the presentation with commentary here: https://www.greenlight.guru/webinar/fda-pre-submission-process
The FDA Early Feasibility Study Pilot and the Innovation PathwayTrimed Media Group
WASHINGTON, D.C.—FDA researchers Andrew A. Farb, MD, and Dorothy B. Abel presented an overview about the potential for an FDA Early Feasibility Study pilot program in the U.S., recognizing a need for a cultural shift within the agency. However, evaluating the FDA guidance, they also recognized the challenges to the device evaluation strategy.
Best Practices to Risk Based Data Integrity at Data Integrity Conference, Lon...Bhaswat Chakraborty
Data integrity can be implemented using several approaches. One of the most effective ways to implement DI is a risk based approach. The speaker elaborates this.
Laboratory Management With Constrains Iamm 2010PathKind Labs
Clinical laboratory services are a critical yet much neglected component of health systems in resource poor countries. They are crucial for public health, disease control and surveillance, and guide patient diagnosis and care, but their key role is often not recognized by governments or donors. Laboratory tests should be used to improve the outcome for individual patients or to provide public health information. However, if the quality of laboratory tests is poor, resources will be wasted on repeat tests or inappropriate management and the laboratory service will be inefficient.
The primary goal of Laboratory Medicine is to provide information that is useful to assist medical decision-making, allowing optimal health care. This can only be obtained by generating reliable analytical results on patient samples. Meaningful measurements are indeed essential for the diagnosis, monitoring, treatment, and risk assessment of patients. Inadequate laboratory performance may have extensive consequences for practical medicine, healthcare system, and, in conclusion, for the patient. Poor quality results may actually lead to incorrect interpretation by the clinician, impairing the patient’s
situation.
Accreditation authorities have identified twelve quality system essentials that need to be in place for a laboratory to perform clinical tests adequately and in a quality assured manner. Along with each laboratory performing tests that are in its scope, it is essential that duplication and excess capacity is addressed by forging and operating a network of laboratories leading to consolidation and integration of clinical testing. A network would have collection centers at places convenient to the patients, supported by frequent transfer of samples in appropriate conditions to the laboratory. In the laboratory there is a need for increased automation and relevant training of personnel and the setting up of centralized accessioning, pneumontic chutes for transport of samples to the work bench and for bidirectional interphased equipment to transfer results to desk top of laboratory physicians and after validation of results for the results to be electronically transferred by SMS and/or PDF files via email and/or becoming available online for clients, supplemented by delivery of hard copies of the results.
The challenge in the next decade for laboratory medicine is to accomplish these major changes in organization to meet fiscal restraint and shortage of adequately trained laboratory personnel. Collaborative networks, constructive use of point of care devices, and the development of rapport between laboratories and their clients leading to cost effective utilization of limited resources, are some of the strategies that will maximize patient benefit
Study start up activities in clinical data managementsoumyapottola
Study start-up (SSU) is so much more than a one-time document management exercise. It’s a global, strategic operation that can get new drugs approved faster – and it’s ripe for innovation – from Site Selection to Site Activation and Site Training.
Many SSU tech solutions deployed by sponsors don’t deliver the results promised because they add burden without benefits to clinical research sites. The result? Site staff simply avoid using them.
When that happens, document exchange and tracking falls back to paper, email and Excel formats – with CRAs holding the processes together. The tools that were supposed to solve a problem become part of the problem – and consume preThe implementation and conduct of a study can be a complex process that involves a
team from various disciplines and multiple steps that are dependent on one another. This
document offers guidance for navigating the study start-up processcious clinical trial budget.
A successful clinical study start-up is a crucial first step and an important factor for the overall success of the trial. For this reason, SCRO has experienced study start-up teams, offering customized services depending on your needs, whether it be fuWhile the definition varies across companies, study startup typically includes the process of identifying and qualifying sites, collecting essential documents at the study and site level, and submitting these documents for ethics approval. Successful study startup requires coordination between sites, sponsors, and contract research organizations (CROs) to achieve critical milestones in a compliant manner.ll-service or single activities.
How to achieve better time management in EDC start up
Clinical data management requires strict time management processes, especially in study start up within an electronic data capture (EDC) system. Three steps that clinical data management teams can take to outline the planning and executing of each task that needs to be considered are as follows:
Make a List: Create a daily or weekly task list and schedule when each task will be completed. This strategy will assist you in maintaining focus and staying organized.
Set realist goals: Be realistic about what you can finish in the amount of time you have. When setting unrealistic goals, failure is almost certain to follow.
Explore time-saving techniques: Examples of techniques that could help save time include grouping similar tasks together or using a timer to stay focused.
To help get started, here is a list of EDC considerations for Study Start-Up deadlines:
Protocol finalization and study enrollment
Split go-live considerations
eCRF Specification meetings (this will ensure proper collaboration and minimize any back-and-forth communication)
EDC add-on modules (which will be required and need validation?)
ePRO/eCOA used with licensed questionnaires.
IRB requirements for add-on modules (eConsent/ePRO)
Network, Technology, and Data: Missing Pieces of the Puzzle for Clinical Tria...Health Catalyst
There is a massive shortfall in the enrollment and accrual of patients for clinical trials. Identifying the “right patients for the right trials at the right time” is a growing concern for providers, pharmaceutical companies, and clinical research organizations. In this webinar, we will discuss the evolution of clinical trials, including how to break barriers to enable successful clinical research as a care option, how clinical research impacts patient satisfaction and revenue, and more.
Dale W. Usner, Ph.D., President of SDC, co-authored the article "The Clinical Data Management Process," which was published in the November/December 2014 issue of Retina Today.
The article reviews the clinical data management (CDM) process in its entirety - from protocol review and CRF design through database lock. Describing the roles of various CDM team members and tips for efficient data management practices, "The Clinical Data Management Process" provides a comprehensive yet concise summary of this essential function in clinical trial research, specifically with respect to retina trials.
Troubleshooting in Transfusion transmissible infection TTI laboratoryDrShinyKajal
Checklist of categories for troubleshooting in TTI
Factors affecting Troubleshooting in TTI Lab
controls used in assay testing
Principles and Practices of ELISA and Rapid for TTI Screening
Equipment Management in TTI Laboratory
calibration of equipments used
Documentation and Records in TTI Laboratory
Root Cause Analysis and Process Improvement in TTI Laboratory
External Quality Assessment Scheme and Proficiency Testing
Waste management in transfusion centre
Principle of Troubleshooting in TTI Lab
TGA presentation: PICS Guide for GMP and Data Integrity relating to microbiol...TGA Australia
An overview of regulatory requirements introduced as part of the new PIC/s PE009-13 Guide to Good Manufacturing Practice, specifically outlining impact on micro laboratories. Also, a summary of the new PI041-1 Data Integrity Guidance will be provided with a particular focus of Data Integrity in the laboratory
Who needs fast data? - Journal for Clinical Studies KCR
How “no news” during the life of a trial is bad news, and what data management (among other things) can do to help when ensuring access to fast data? Get to know this and more about smart e-solutions in the newest article of Kaia Koppel, Associate Director, Biometrics & Clinical Trial Data Execution Systems at KCR, in the recent issue of Journal for Clinical Studies (p.40-21).
Table of contents
-Definition of CRF
-What is CRF
-Types & Methods of filling of CRF
-CRF Input team
-CRF Approval team
-Review team
-Facts about CRF
-Purpose of CRF
-CRF Development process & Guidelines
-Elements of CRF
-CRF Design
-CRF completion checklist
-CRF Design tools
-CRF use
-GCP connection
Site Selection Metrics: Best Practices for Sponsors and CROsKunal Sampat
Site selection for a clinical study is a very important task. The quality of selected sites will be reflected in the clinical data, quality, recruitment rate and compliance.
Here is the step-by-step guide for an objective site selection based on data (not emotions).
Improve inclusion exclusion criteria to safeguard successful patient recruitm...Kunal Sampat
9 strategies to develop excellent inclusion-exclusion criteria for your clinical trial protocol.
Each strategy is actionable that you can start implementing starting today
Optimize your protocol for increase site satisfaction and faster patient recruitment
Stop wasting money on clinical trials that don't enroll because you don't have fully vetted inclusion-exclusion criteria.
Want to know what an ideal clinical research team looks like? This presentation provides an in-depth overview of all clinical functions including project management, clinical operations, safety, quality, data management, and more.
Best Practices: Site and Sponsor Engagement During EnrollmentKunal Sampat
Are you a site, sponsor or clinical research organization struggling to enroll patients in your clinical trial? Here is your ultimate guide to site and sponsor engagement during the most important phase of any clinical trial. By implementing these simple and powerful strategies, you should see an uptick in enrollment.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
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.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Ultimate Guide to Clinical Trial Costs
1. U L T I M A T E G U I D E T O
C L I N I C A L T R I A L C O S T S
K U N A L S A M P A T
C L I N I C A L T R I A L P O D C A S T . C O M
2. 1 . P A T I E N T G R A N T
Screen Failures
Baseline/index procedure and
follow-up visits
Non-standard of care tests
Procedure costs
3. 2 . S I T E C O S T S
Start-Up Fees
EC/IRB Fees
Close-out Fees
Storage fees
Administrative overhead
Site Management Organization (SMO)
4. 3 . N O N - P A T I E N T C O S T S
Clinical Evaluation Committee (CEC)
Data Safety Monitoring Board (DSMB)
Physician Consulting
Independent Corelab Analysis
Medical Device Cost
5. 4 . L A B O R C O S T S
Clinical research assistants or associates (CRAS)
Project Manager (Also known as clinical trial
manager or study manager)
Data Manager
Scientists
Biostatistician
Quality
6. 5 . S I T E M A N A G E M E N T
Pre-Study Visits
Site Initiation Visits (SIV)
Monitoring
Close-out
7. 6 . M I S C E L L A N E O U S
Investigator meetings
Travel
Document Translations
Technology Solutions
Regulatory Filing Fees
8. 7 . O T H E R F A C T O R S
Protocol Amendments
Inflation, Value added tax (VAT) and
foreign exchange
Trial Enrollment Delays
9. G E T T O K N O W M E
TEXT CLINICAL
TO 44222
TEXT CLINICAL
TO 44222