This document discusses a study conducted at the North Chicago VA Medical Center (NCVAMC) looking at the impact of patient literacy, HbA1c understanding, and socio-demographic factors on attendance and retention in VA diabetes education programs. The study found that 48% of high-risk diabetes patients at NCVAMC either dropped out of or did not participate in education programs. The researchers aimed to develop new education tools to better communicate with patients and influence health behaviors. The document reviews the impact of low health literacy and proposes initiatives at NCVAMC such as redesigning education materials and using techniques like Ask Me 3 to improve patient-provider communication.
In this slide explain about Referral services. Starting from Introduction, Purposes, Function of FRU, Steps of referral, Role of nurse.
This slide basically prepared for GNM 1st Year students.
a process in which the P.H.C physician who has lesser facilities to manage clinical condition seeks the assistance of specialist partner with resources to guide in managing clinical episode.
In this slide explain about Referral services. Starting from Introduction, Purposes, Function of FRU, Steps of referral, Role of nurse.
This slide basically prepared for GNM 1st Year students.
a process in which the P.H.C physician who has lesser facilities to manage clinical condition seeks the assistance of specialist partner with resources to guide in managing clinical episode.
Improving ruli district hospital's patient referral system, final, 4.12.11Wendy_Leonard
Presentation by team of MBA students from Ross School of Business at University of Michigan. Describes recommendations for improving the referral process for rural health centers to the district hospital in rural Rwanda.
“Referral system is defined as a system of transferring cases which are beyond the technical competence of one infrastructure to a higher level infrastructure/institution having technical competency and all other resources to provide desired health services.”
This topics aims to highlight the importance of referral as an integrated tool for health delivery in health systems which has three tier system primary,secondary and tertiary care system
MICRO TEACHING ON DOCUMENTATION OF NURSING PROCESS
Nursing documentation clearly describes: • An assessment of the client’s health status, nursing interventions carried out, and the impact of these interventions on client outcomes; • Information reported to a physician or other health care provider. INTRODUCTION
3. DEFINITION Nursing Documentation: Any written or electronically generated information about a client that describes the care or service provided to that client. “Client” refers to individuals, families, groups, populations or entire communities who require nursing expertise.
4. • To facilitate communication • To promote good nursing care • To meet professional and legal standards PURPOSE FOR DOCUMENTATION
5. Benefits of the Nursing Notes Nursing documentation provides: • An account of judgment • Critical thinking used in the nursing process.
6. Cont… Accurate, timely documentation reflects care provided: • Professional, legislative, & agency standards • Enhance nursing care • Facilitate communication b/w nurses & other health care providers.
7. DOCUMENTATION PRINCIPLES • Comprehensive and flexible • Quality and continuity • Track patient outcomes • Reflect current standards • Patient identification on every page of the record • Date, time and name/initials.
8. GUIDELINES FOR DOCUMENTATION • Factual • Accurate • Complete • Current • Organized
9. CONSEQUENCES OF INADEQUATE DOCUMENTATION • Fragmented care • Repetition of tasks • Delayed therapy • Omitted therapy • Delayed recovery
10. Refrences •DUGas, B., Esson, L. & Ronaldson, S.(1999). Nursing Foundation: A Canadian Perspective. Scarborough: Prentice Hall Canada, P. 480
Improving ruli district hospital's patient referral system, final, 4.12.11Wendy_Leonard
Presentation by team of MBA students from Ross School of Business at University of Michigan. Describes recommendations for improving the referral process for rural health centers to the district hospital in rural Rwanda.
“Referral system is defined as a system of transferring cases which are beyond the technical competence of one infrastructure to a higher level infrastructure/institution having technical competency and all other resources to provide desired health services.”
This topics aims to highlight the importance of referral as an integrated tool for health delivery in health systems which has three tier system primary,secondary and tertiary care system
MICRO TEACHING ON DOCUMENTATION OF NURSING PROCESS
Nursing documentation clearly describes: • An assessment of the client’s health status, nursing interventions carried out, and the impact of these interventions on client outcomes; • Information reported to a physician or other health care provider. INTRODUCTION
3. DEFINITION Nursing Documentation: Any written or electronically generated information about a client that describes the care or service provided to that client. “Client” refers to individuals, families, groups, populations or entire communities who require nursing expertise.
4. • To facilitate communication • To promote good nursing care • To meet professional and legal standards PURPOSE FOR DOCUMENTATION
5. Benefits of the Nursing Notes Nursing documentation provides: • An account of judgment • Critical thinking used in the nursing process.
6. Cont… Accurate, timely documentation reflects care provided: • Professional, legislative, & agency standards • Enhance nursing care • Facilitate communication b/w nurses & other health care providers.
7. DOCUMENTATION PRINCIPLES • Comprehensive and flexible • Quality and continuity • Track patient outcomes • Reflect current standards • Patient identification on every page of the record • Date, time and name/initials.
8. GUIDELINES FOR DOCUMENTATION • Factual • Accurate • Complete • Current • Organized
9. CONSEQUENCES OF INADEQUATE DOCUMENTATION • Fragmented care • Repetition of tasks • Delayed therapy • Omitted therapy • Delayed recovery
10. Refrences •DUGas, B., Esson, L. & Ronaldson, S.(1999). Nursing Foundation: A Canadian Perspective. Scarborough: Prentice Hall Canada, P. 480
Cooperative Extension's National Focus on Health literacySUAREC
Please presentation, that was presented as a webinar focuses on the National Land-grant's role on Health Literacy. The presenters of this webinar were Dr. Sonja Koukel, New Mexico State University Extension and Dr. Fatemeh Malekian, Southern University Agricultural Research and Extension Center.
The issue of medical aliteracy has drawn both scholars and medical practitioners’ attention in the recent years. The negative cost of medical aliteracy has continued to constitute major threats to health related issue which has resulted in high mortality rate, high medical expenditure and medical underperformance among others. On this premise the study examined the influence of medical aliteracy among senior medical personnel. The study employed descriptive research design and Chi-Square to test the research hypotheses. A total number of 50 questionnaires were designed to collect information from the sampled population through a random sampling. From the result of the analysis it was revealed that factors such as ineffective supervision of medical personnel, low patient literacy level, lack of personnel-patients engagement could lead to medical aliteracy among senior medical personnel. Senior medical personnel have the knowledge of medical aliteracy and its implications on for medical personnel and the public. Medical aliteracy has an implication on health sector performance which includes increase in mortality rate, increase health expenditure, widening of the gap between patients – medical personnel communication among others. Perception of medical aliteracy has significant influence on medical personnel performance. The study concluded that, medical aliteracy is prevalent among medical personnel and patients and is associated with many poor medical outcomes in the health sector. It was however recommended that medical literacy training, schemes and programmes should be designed according to the needs of the different medical personnel and should therefore be included in medical professional training programs.
Patients and their families are given a multitude of information about their health and commonly must make important decisions from these facts. Obstacles that prevent easy delivery of health care information include literacy, culture, language, and physiological barriers. It is up to the nurse to assess and evaluate the patient's learning needs and readiness to learn because everyone learns differently.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Evaluation of antidepressant activity of clitoris ternatea in animals
VA Diabetes Education Research Study 2008
1. “ What Are the Influences of Patient Literacy, HbA1c Understanding, and Socio-Demographic Variables on the Effectiveness, Attendance and Retention of VA Diabetes Patient Educational Initiatives? ” Department of Veterans Affairs Medical Center, North Chicago, IL USA Dr. Tariq Hassan, M.D. Veterans Affairs Medical Center, North Chicago, IL Dr. Barry Weiss, M.D. University of Arizona, Tucson Dr. George Lutz, Ph. D, Veterans Affairs Medical Center, North Chicago, IL Dr. Tom Muscarello, Ph. D, DePaul University David R. Donohue. M.A. Qualitative Technologies, Inc. and Northwestern University [email_address]
8. Low Health Literacy Impacts a Patient’s Ability to Fully Engage in the Healthcare System A Large US Study Conducted on Health Literacy Found That… Source: Williams MV, Parker RM, Baker DW, et al. Inadequate Functional Health Literacy Among Patients at Two Public Hospitals. JAMA 1995 Dec 6; 274(21):1,677–82 33% Were unable to read basic health care materials 42% Could not comprehend directions for taking medication on an empty stomach 26% Were unable to understand information on an appointment slip 43% Did not understand the rights and responsibilities section of a Medicaid application 60% Did not understand a standard informed consent
9. National Adult Literacy Survey 2003 U.S. Department of Education ▲ 47 % of the adult U.S. population - approximately 87 million people - has only a basic or below basic literacy levels
![“ What Are the Influences of Patient Literacy, HbA1c Understanding, and Socio-Demographic Variables on the Effectiveness, Attendance and Retention of VA Diabetes Patient Educational Initiatives? ” Department of Veterans Affairs Medical Center, North Chicago, IL USA Dr. Tariq Hassan, M.D. Veterans Affairs Medical Center, North Chicago, IL Dr. Barry Weiss, M.D. University of Arizona, Tucson Dr. George Lutz, Ph. D, Veterans Affairs Medical Center, North Chicago, IL Dr. Tom Muscarello, Ph. D, DePaul University David R. Donohue. M.A. Qualitative Technologies, Inc. and Northwestern University [email_address]](https://image.slidesharecdn.com/va-health-literacy-research-presentation-1231209621469366-2/85/VA-Diabetes-Education-Research-Study-2008-1-320.jpg)
![♦ North Chicago VA Medical Center North Chicago, IL USA, December 2007 ,[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)