Este documento describe los tipos y frecuencias de violencia en el noviazgo en México, incluyendo abuso físico, psicológico y sexual. Más del 70% de las personas entre 15-24 años han sufrido algún tipo de violencia en el noviazgo, con altos porcentajes de abuso psicológico y ataques sexuales. La violencia en el noviazgo puede causar depresión, aislamiento y problemas de salud mental y académicos/laborales.
Instrumentacion y mediciones_montaje_de_un_voltimetromanc2799
El documento describe el montaje de un voltímetro de rango múltiple utilizando un galvanómetro de D'Arsonval. Explica cómo calcular los valores de las resistencias necesarias para las escalas de 0-2V, 0-20V y 0-200V usando un divisor de voltaje. También detalla los componentes necesarios como el galvanómetro, resistencias y un interruptor de rango para cambiar entre las diferentes escalas de medición.
Funciones Vitales III: Hormonas y Sexualidad Humana (BC13 - PDV 2013)Matias Quintana
Este documento describe las etapas clave del desarrollo embrionario humano, incluyendo la fecundación, segmentación, implantación, gastrulación y organogénesis. La fecundación ocurre cuando un espermatozoide fertiliza un ovocito, formando un cigoto. Luego sigue la segmentación, donde el cigoto se divide repetidamente. Entre los días 5-6 el embrión se implanta en el útero. La gastrulación crea las 3 capas germinativas primarias. Finalmente, durante la organogénesis entre la 4
La química orgánica estudia los compuestos que contienen carbono, como los que se encuentran en alimentos, textiles, medicinas y petroquímica. El carbono puede formar enlaces simples, dobles o triples mediante la hibridación de sus orbitales, determinando la geometría molecular. Los átomos de carbono pueden ser primarios, secundarios, terciarios o cuaternarios dependiendo de cuántos otros carbonos estén unidos a él. La disposición de los átomos de carbono e hidrógeno puede dar lugar a isómer
1. El documento describe las funciones y procesos del sistema digestivo humano, incluyendo la digestión mecánica y química de los alimentos en la boca, estómago e intestino delgado. 2. Explica que cada sección del tubo digestivo desempeña un papel especializado, como la secreción de enzimas en la saliva, el estómago y el páncreas para hidrolizar los nutrientes. 3. También describe las hormonas que controlan la digestión, como la gastrina y la colecistoquinina.
Dr. T.V. Rao discusses what makes a good lecture. Some key points include:
- A good lecture is well-structured, engaging, and covers the essential material in a clear manner.
- Effective lecturers demonstrate expertise on the topic, use examples to illustrate concepts, and generate interest among students.
- While lecturing remains an important teaching method, especially for large classes, lecturers should aim to actively involve students through questions and other techniques.
- Preparation, clear communication, enthusiasm, and knowledge of the subject matter are hallmarks of successful lecturing. A good lecture facilitates learning while sparking students' curiosity.
Este documento describe los tipos y frecuencias de violencia en el noviazgo en México, incluyendo abuso físico, psicológico y sexual. Más del 70% de las personas entre 15-24 años han sufrido algún tipo de violencia en el noviazgo, con altos porcentajes de abuso psicológico y ataques sexuales. La violencia en el noviazgo puede causar depresión, aislamiento y problemas de salud mental y académicos/laborales.
Instrumentacion y mediciones_montaje_de_un_voltimetromanc2799
El documento describe el montaje de un voltímetro de rango múltiple utilizando un galvanómetro de D'Arsonval. Explica cómo calcular los valores de las resistencias necesarias para las escalas de 0-2V, 0-20V y 0-200V usando un divisor de voltaje. También detalla los componentes necesarios como el galvanómetro, resistencias y un interruptor de rango para cambiar entre las diferentes escalas de medición.
Funciones Vitales III: Hormonas y Sexualidad Humana (BC13 - PDV 2013)Matias Quintana
Este documento describe las etapas clave del desarrollo embrionario humano, incluyendo la fecundación, segmentación, implantación, gastrulación y organogénesis. La fecundación ocurre cuando un espermatozoide fertiliza un ovocito, formando un cigoto. Luego sigue la segmentación, donde el cigoto se divide repetidamente. Entre los días 5-6 el embrión se implanta en el útero. La gastrulación crea las 3 capas germinativas primarias. Finalmente, durante la organogénesis entre la 4
La química orgánica estudia los compuestos que contienen carbono, como los que se encuentran en alimentos, textiles, medicinas y petroquímica. El carbono puede formar enlaces simples, dobles o triples mediante la hibridación de sus orbitales, determinando la geometría molecular. Los átomos de carbono pueden ser primarios, secundarios, terciarios o cuaternarios dependiendo de cuántos otros carbonos estén unidos a él. La disposición de los átomos de carbono e hidrógeno puede dar lugar a isómer
1. El documento describe las funciones y procesos del sistema digestivo humano, incluyendo la digestión mecánica y química de los alimentos en la boca, estómago e intestino delgado. 2. Explica que cada sección del tubo digestivo desempeña un papel especializado, como la secreción de enzimas en la saliva, el estómago y el páncreas para hidrolizar los nutrientes. 3. También describe las hormonas que controlan la digestión, como la gastrina y la colecistoquinina.
Dr. T.V. Rao discusses what makes a good lecture. Some key points include:
- A good lecture is well-structured, engaging, and covers the essential material in a clear manner.
- Effective lecturers demonstrate expertise on the topic, use examples to illustrate concepts, and generate interest among students.
- While lecturing remains an important teaching method, especially for large classes, lecturers should aim to actively involve students through questions and other techniques.
- Preparation, clear communication, enthusiasm, and knowledge of the subject matter are hallmarks of successful lecturing. A good lecture facilitates learning while sparking students' curiosity.
The document discusses antibiotic resistance and the need for antibiotic policies in hospitals. It provides background on the development of antibiotic resistance over time. The key points are:
- Inappropriate antibiotic use promotes the spread of resistant bacteria. Hospital settings can foster drug resistance.
- An antibiotic policy aims to reduce resistance by optimizing antibiotic use and educating staff. The policy is developed with input from microbiologists, pharmacists, and clinicians.
- The hospital infection control committee implements and monitors adherence to the antibiotic policy. Continuous education is needed to ensure appropriate antibiotic prescribing.
The document discusses various parasitic infections that can affect the central nervous system. It covers how parasites can cross the blood-brain barrier and challenges in diagnosing neuroparasitic infections. Common methods include microscopy examination of blood or tissue samples, as well as newer techniques like PCR and antigen detection tests. Specific infections discussed in detail include malaria, toxoplasmosis, and infections caused by free-living amebae. The document emphasizes the importance of integrating clinical signs and laboratory diagnostic methods for accurate diagnosis of neuroparasitic diseases.
Toxoplasmosis is caused by the parasite Toxoplasma gondii and can cause encephalitis and neurological disease in patients with low CD4 counts. It is diagnosed through imaging, blood tests, and sometimes brain biopsies. Treatment involves antiparasitic drugs and maintaining CD4 counts through antiretroviral therapy. Cryptosporidiosis is caused by Cryptosporidium parasites and causes diarrhea. It is transmitted through contaminated water or food. Microsporidiosis is caused by various protist parasites and can infect the gut or other organs. It is diagnosed through stool or tissue samples and treated with antiparasitic drugs and antiretroviral therapy. Isosporiasis is
The document discusses the importance of proper specimen management in diagnostic microbiology. It states that specimen management has the most influence on accurate laboratory results and patient outcomes. Proper specimen management is key to accurate diagnosis, reduces errors, and directly impacts patient care and therapeutic decision-making. The document provides guidance on appropriate specimen collection and processing techniques to ensure representative samples and meaningful diagnostic results.
Artificial intelligence shows promise in helping to control infectious diseases and reduce antimicrobial resistance in three key ways:
1) AI can enhance disease surveillance and early detection of outbreaks by integrating diverse data sources to identify patterns.
2) It can help optimize antimicrobial treatment by recommending personalized therapy regimens based on a patient's clinical information.
3) Over time, AI may become an indispensable public health tool by facilitating more accurate intervention strategies and optimizing resource allocation to curb disease spread.
1) Hungarian physician Ignaz Semmelweis observed higher mortality rates of women giving birth in the medical student ward compared to the midwife ward in the 1840s.
2) He discovered that the doctors in the medical student ward were coming directly from dissecting corpses to examining women without washing their hands, possibly transmitting infections.
3) Semmelweis mandated that doctors wash their hands with chlorine before examinations, which dramatically reduced the mortality rates in the medical student ward. This provided early evidence that hand hygiene reduces healthcare-associated infections.
Dr. T.V. Rao discusses causality department practices and environmental safety measures. Proper cleaning and disinfection are top priorities to prevent transmission of infectious agents and protect human safety. Dedicated cleaning practices are especially important when dealing with patients admitted with infectious diseases like diarrhea. Adherence to cleaning protocols and use of appropriate disinfectants can reduce healthcare-associated infections.
Biosecurity and infection control in hospitals aims to prevent the spread of infectious diseases. It includes proper hand hygiene, cleaning and disinfection of surfaces, use of personal protective equipment, and isolation techniques. Ensuring strict adherence to protocols through staff training and environmental monitoring is key to reducing healthcare-associated infections and protecting patients, staff, and the community.
This document discusses how microbiologists can improve clinical care through better laboratory reporting. It emphasizes providing accurate, clinically relevant results and clear interpretive comments to aid clinician decision making. Effective communication between the laboratory and clinicians is key. The document also highlights challenges such as information overload, confusion over terminology, and ensuring rapid reporting, especially for ICU patients.
This document discusses ventilator associated pneumonia (VAP), including its definition, risk factors, pathogenesis, prevention strategies, and more. Some key points:
- VAP is pneumonia that develops in intubated patients and is the leading cause of hospital-acquired infections in the ICU. The risk is 6-21 times higher for mechanically ventilated patients.
- Common risk factors for VAP include underlying illnesses, prolonged mechanical ventilation, supine position, and comorbidities like diabetes or heart failure.
- Bacteria are usually the cause, often multidrug-resistant pathogens like Pseudomonas, Klebsiella, Acinetobacter, and MRSA.
- Prevention strategies include
This document discusses hospital-acquired infections and strategies for prevention. It begins by honoring Ignaz Semmelweis, who in the 1800s established that handwashing reduced maternal mortality during childbirth by 90%. The document then discusses the nature and consequences of hospital-acquired infections. Key strategies for prevention discussed include the importance of handwashing, environmental cleaning, immunization, and establishing infection control committees and antibiotic policies. The challenges of drug resistance and maintaining standards with staff turnover are also addressed.
The document provides information on organizing and operating a bacteriology laboratory. It discusses the importance of the laboratory for hospitals and the roles and basic skills of microbiologists and lab professionals. It covers classifying and identifying common microorganisms like bacteria, examining specimens directly and through staining, culturing specimens using different media, and following sterile technique to prevent contamination. The document emphasizes the need for collecting, transporting, and processing specimens correctly to obtain accurate results and properly diagnose and treat patients.
This document discusses biosecurity and biosafety in healthcare settings. It defines biosecurity as a strategic approach to analyzing and managing risks to human, animal, and plant life from infectious diseases. Biosafety refers to measures that reduce exposure to potentially infectious materials. The document outlines various infection control methods used in hospitals including standard precautions, hygiene practices like hand washing, and managing nosocomial infections and needlestick injuries. It emphasizes the importance of education and surveillance to improve patient safety.
Artificial intelligence has the potential to significantly impact the practice of medicine. It is being used in areas like disease diagnosis using machine learning models, personalized treatment through precision medicine, and providing virtual assistants that can answer patient questions. AI also has benefits such as improving patient safety by reducing errors, lowering healthcare costs, and increasing access to care through tools like chatbots. However, medical professionals need more education on AI applications and their ethical use to ensure they improve patient outcomes.
The document discusses MRSA (methicillin-resistant Staphylococcus aureus), including what it is, how it develops resistance, types of infections it causes, risk factors, screening and testing methods, and prevention strategies. MRSA is a strain of staph bacteria that is resistant to certain antibiotics like methicillin and oxacillin. Screening high-risk patients and implementing good hand hygiene are effective ways to control the spread of MRSA infections in healthcare settings.
This document discusses the history and methods of sterilization and disinfection. It begins with a brief history of sterilization dating back to the invention of the autoclave in 1862. It then covers terminology related to sterilization and discusses various sterilization methods including physical methods like heat, filtration, and irradiation as well as chemical methods. Factors that influence the efficacy of sterilization methods are also examined. The document provides an overview of the development and principles of sterilization.
This document discusses antimicrobial stewardship and the importance of appropriate antibiotic usage. It notes that nearly half of hospitalized patients receive antimicrobial agents. However, there has been misuse of antibiotics through treating trivial infections, commercial pressures, and a lack of understanding of antibiotic principles. This has led to a rise in antibiotic-resistant bacteria. The document advocates for antimicrobial stewardship programs in hospitals to optimize clinical outcomes while reducing unintended consequences of antibiotic usage like toxicity, resistance, and costs. Such programs involve formulary restrictions, guidelines, education, and prospective audits to ensure appropriate antibiotic selection and usage.
Cephalosporins are a class of antibiotics derived from the fungus Cephalosporium. The first generation was introduced in 1964 and provided activity against gram-positive cocci. Subsequent generations have increasingly broader coverage of gram-negative organisms. Mechanisms of resistance include beta-lactamase production and changes to penicillin-binding proteins. Later generations are used for serious hospital-acquired infections and as drugs of last resort for pathogens like Salmonella.
Coxsackieviruses were discovered in 1948-49 in Albany, New York and were named after the town of Coxsackie where samples were originally obtained. They belong to the Picornaviridae family and Enterovirus genus which also includes poliovirus and echovirus. Coxsackieviruses are divided into two groups - A and B - based on their pathogenicity in mice. Group A causes myositis while Group B causes muscle and neuronal tissue damage. Common diseases include hand-foot-and-mouth disease, herpangina, and myocarditis. Transmission is usually via the fecal-oral route. While there is no vaccine, treatment involves rest, fluids, and
This document discusses hospital-associated infections (HAIs), also known as nosocomial infections. It covers topics such as the history of infection control efforts dating back to Ignaz Semmelweiss, the impact of HAIs on patients and hospitals, common causes of HAIs, and strategies for prevention and control of infections. This includes the importance of hand hygiene, infection control committees and policies, and guidelines for reducing various device- and procedure-related infections.
The document discusses antibiotic resistance and the need for antibiotic policies in hospitals. It provides background on the development of antibiotic resistance over time. The key points are:
- Inappropriate antibiotic use promotes the spread of resistant bacteria. Hospital settings can foster drug resistance.
- An antibiotic policy aims to reduce resistance by optimizing antibiotic use and educating staff. The policy is developed with input from microbiologists, pharmacists, and clinicians.
- The hospital infection control committee implements and monitors adherence to the antibiotic policy. Continuous education is needed to ensure appropriate antibiotic prescribing.
The document discusses various parasitic infections that can affect the central nervous system. It covers how parasites can cross the blood-brain barrier and challenges in diagnosing neuroparasitic infections. Common methods include microscopy examination of blood or tissue samples, as well as newer techniques like PCR and antigen detection tests. Specific infections discussed in detail include malaria, toxoplasmosis, and infections caused by free-living amebae. The document emphasizes the importance of integrating clinical signs and laboratory diagnostic methods for accurate diagnosis of neuroparasitic diseases.
Toxoplasmosis is caused by the parasite Toxoplasma gondii and can cause encephalitis and neurological disease in patients with low CD4 counts. It is diagnosed through imaging, blood tests, and sometimes brain biopsies. Treatment involves antiparasitic drugs and maintaining CD4 counts through antiretroviral therapy. Cryptosporidiosis is caused by Cryptosporidium parasites and causes diarrhea. It is transmitted through contaminated water or food. Microsporidiosis is caused by various protist parasites and can infect the gut or other organs. It is diagnosed through stool or tissue samples and treated with antiparasitic drugs and antiretroviral therapy. Isosporiasis is
The document discusses the importance of proper specimen management in diagnostic microbiology. It states that specimen management has the most influence on accurate laboratory results and patient outcomes. Proper specimen management is key to accurate diagnosis, reduces errors, and directly impacts patient care and therapeutic decision-making. The document provides guidance on appropriate specimen collection and processing techniques to ensure representative samples and meaningful diagnostic results.
Artificial intelligence shows promise in helping to control infectious diseases and reduce antimicrobial resistance in three key ways:
1) AI can enhance disease surveillance and early detection of outbreaks by integrating diverse data sources to identify patterns.
2) It can help optimize antimicrobial treatment by recommending personalized therapy regimens based on a patient's clinical information.
3) Over time, AI may become an indispensable public health tool by facilitating more accurate intervention strategies and optimizing resource allocation to curb disease spread.
1) Hungarian physician Ignaz Semmelweis observed higher mortality rates of women giving birth in the medical student ward compared to the midwife ward in the 1840s.
2) He discovered that the doctors in the medical student ward were coming directly from dissecting corpses to examining women without washing their hands, possibly transmitting infections.
3) Semmelweis mandated that doctors wash their hands with chlorine before examinations, which dramatically reduced the mortality rates in the medical student ward. This provided early evidence that hand hygiene reduces healthcare-associated infections.
Dr. T.V. Rao discusses causality department practices and environmental safety measures. Proper cleaning and disinfection are top priorities to prevent transmission of infectious agents and protect human safety. Dedicated cleaning practices are especially important when dealing with patients admitted with infectious diseases like diarrhea. Adherence to cleaning protocols and use of appropriate disinfectants can reduce healthcare-associated infections.
Biosecurity and infection control in hospitals aims to prevent the spread of infectious diseases. It includes proper hand hygiene, cleaning and disinfection of surfaces, use of personal protective equipment, and isolation techniques. Ensuring strict adherence to protocols through staff training and environmental monitoring is key to reducing healthcare-associated infections and protecting patients, staff, and the community.
This document discusses how microbiologists can improve clinical care through better laboratory reporting. It emphasizes providing accurate, clinically relevant results and clear interpretive comments to aid clinician decision making. Effective communication between the laboratory and clinicians is key. The document also highlights challenges such as information overload, confusion over terminology, and ensuring rapid reporting, especially for ICU patients.
This document discusses ventilator associated pneumonia (VAP), including its definition, risk factors, pathogenesis, prevention strategies, and more. Some key points:
- VAP is pneumonia that develops in intubated patients and is the leading cause of hospital-acquired infections in the ICU. The risk is 6-21 times higher for mechanically ventilated patients.
- Common risk factors for VAP include underlying illnesses, prolonged mechanical ventilation, supine position, and comorbidities like diabetes or heart failure.
- Bacteria are usually the cause, often multidrug-resistant pathogens like Pseudomonas, Klebsiella, Acinetobacter, and MRSA.
- Prevention strategies include
This document discusses hospital-acquired infections and strategies for prevention. It begins by honoring Ignaz Semmelweis, who in the 1800s established that handwashing reduced maternal mortality during childbirth by 90%. The document then discusses the nature and consequences of hospital-acquired infections. Key strategies for prevention discussed include the importance of handwashing, environmental cleaning, immunization, and establishing infection control committees and antibiotic policies. The challenges of drug resistance and maintaining standards with staff turnover are also addressed.
The document provides information on organizing and operating a bacteriology laboratory. It discusses the importance of the laboratory for hospitals and the roles and basic skills of microbiologists and lab professionals. It covers classifying and identifying common microorganisms like bacteria, examining specimens directly and through staining, culturing specimens using different media, and following sterile technique to prevent contamination. The document emphasizes the need for collecting, transporting, and processing specimens correctly to obtain accurate results and properly diagnose and treat patients.
This document discusses biosecurity and biosafety in healthcare settings. It defines biosecurity as a strategic approach to analyzing and managing risks to human, animal, and plant life from infectious diseases. Biosafety refers to measures that reduce exposure to potentially infectious materials. The document outlines various infection control methods used in hospitals including standard precautions, hygiene practices like hand washing, and managing nosocomial infections and needlestick injuries. It emphasizes the importance of education and surveillance to improve patient safety.
Artificial intelligence has the potential to significantly impact the practice of medicine. It is being used in areas like disease diagnosis using machine learning models, personalized treatment through precision medicine, and providing virtual assistants that can answer patient questions. AI also has benefits such as improving patient safety by reducing errors, lowering healthcare costs, and increasing access to care through tools like chatbots. However, medical professionals need more education on AI applications and their ethical use to ensure they improve patient outcomes.
The document discusses MRSA (methicillin-resistant Staphylococcus aureus), including what it is, how it develops resistance, types of infections it causes, risk factors, screening and testing methods, and prevention strategies. MRSA is a strain of staph bacteria that is resistant to certain antibiotics like methicillin and oxacillin. Screening high-risk patients and implementing good hand hygiene are effective ways to control the spread of MRSA infections in healthcare settings.
This document discusses the history and methods of sterilization and disinfection. It begins with a brief history of sterilization dating back to the invention of the autoclave in 1862. It then covers terminology related to sterilization and discusses various sterilization methods including physical methods like heat, filtration, and irradiation as well as chemical methods. Factors that influence the efficacy of sterilization methods are also examined. The document provides an overview of the development and principles of sterilization.
This document discusses antimicrobial stewardship and the importance of appropriate antibiotic usage. It notes that nearly half of hospitalized patients receive antimicrobial agents. However, there has been misuse of antibiotics through treating trivial infections, commercial pressures, and a lack of understanding of antibiotic principles. This has led to a rise in antibiotic-resistant bacteria. The document advocates for antimicrobial stewardship programs in hospitals to optimize clinical outcomes while reducing unintended consequences of antibiotic usage like toxicity, resistance, and costs. Such programs involve formulary restrictions, guidelines, education, and prospective audits to ensure appropriate antibiotic selection and usage.
Cephalosporins are a class of antibiotics derived from the fungus Cephalosporium. The first generation was introduced in 1964 and provided activity against gram-positive cocci. Subsequent generations have increasingly broader coverage of gram-negative organisms. Mechanisms of resistance include beta-lactamase production and changes to penicillin-binding proteins. Later generations are used for serious hospital-acquired infections and as drugs of last resort for pathogens like Salmonella.
Coxsackieviruses were discovered in 1948-49 in Albany, New York and were named after the town of Coxsackie where samples were originally obtained. They belong to the Picornaviridae family and Enterovirus genus which also includes poliovirus and echovirus. Coxsackieviruses are divided into two groups - A and B - based on their pathogenicity in mice. Group A causes myositis while Group B causes muscle and neuronal tissue damage. Common diseases include hand-foot-and-mouth disease, herpangina, and myocarditis. Transmission is usually via the fecal-oral route. While there is no vaccine, treatment involves rest, fluids, and
This document discusses hospital-associated infections (HAIs), also known as nosocomial infections. It covers topics such as the history of infection control efforts dating back to Ignaz Semmelweiss, the impact of HAIs on patients and hospitals, common causes of HAIs, and strategies for prevention and control of infections. This includes the importance of hand hygiene, infection control committees and policies, and guidelines for reducing various device- and procedure-related infections.
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Communicating effectively and consistently with students can help them feel at ease during their learning experience and provide the instructor with a communication trail to track the course's progress. This workshop will take you through constructing an engaging course container to facilitate effective communication.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Liberal Approach to the Study of Indian Politics.pdf
Why our patients need human touch ?
1. WHY OUR PATIENTS NEED HUMAN TOUCH?
DR.T.V.RO MD
Today we the Medical Professionals are blamed by our patients and society, for many bad
reasons, one being Doctors are no longer human, they treat us mechanically, they have no
time to touch us evenwhen we are afflicted with serious illness.They say we are just human
we need the compassion and human touch. There are several reasons to appreciate the
patients feelings and concerns, the science and research proves there are many aspects to
believe, human touch has longer impact on any one even the healthy persons, then why not
our Patients.In recent years, a wave of studies has documented some incredible emotional
and physical health benefits that come from touch. This research is suggesting that touch is
truly fundamental to human communication, bonding, and health. Many studies have
proved human touch has lot of reasons to improve the communication, the great
experiment being A study by French psychologist Nicolas Gueguen has found that when
teachers pat students in a friendly way, those students are three times as likely to speak up
in class. Touch can even be a therapeutic way to reach some of the most challenging
children: Some research by Tiffany Field suggests that children with autism, widely believed
to hate being touched, actually love being massaged by a parent or therapist.Developmental
delay is common in children deprived of normal sensory stimulation – for example, in
premature neonates and some institutionalized children. Touch has emerged as an
important modality for the facilitation of growth and development; positive effects of
supplemental mechanosensory stimulation have been demonstrated in a wide range of
organisms, from worm larvae to rat pups to human infants. I have been following profession
for more than 4 decades we had Great teachers, majority are Humanistic in approach, even
when the patient was leaving the ward, they assured the recovery of the patients with
human touch to say good bye and used to say see you soon,even to the serious patients,
when the time was limited to survive, in view of the seriousness of the Disease, many
incurable patients lived in hope died shortly. Even the relatives and friends of the patients,
used to cometo inform the death of his patients, to treating Doctors and nurses, and
thanked for the support to the patients, however the economic and technical advances
made us inhuman we rarely know what happened to our patients the moment he leaves
from our chamber. The major question remains who are our Medical students?Are we
simply selecting the wrong people for medical colleges? Or does the rigorous training that
ensues during the residency years generate an emotional egress of what attracted us to this
principled and honourable profession in the first place: to relieve the suffering of a fellow
human being, be it physical, social, spiritual, or emotional?In India Majority of early
residency programmes have collapsed where the young doctors entering profession are
busy with studying for all sorts of entrance examinations, to get Post graduate seats. The
early stage of the interns are lost with tensions and ambitions to become a post graduate
student, even they lost ideas about the miracles of human touch, in reality many seniors are
missing with their own private consultation the young Doctors are really left alone to
2. survive. I request you to read my article on WWW. SLIDESHARE.COM,Internists
On
duty – a Night too long. Today we hear of several incidences of attacking the hospitals
when the matters are left to the most ill experienced people in the Profession and patient
dies.Many patients are looked mechanically an objects for treating with mechanical skills
and diagnostic parameters. The question raises as medicine become such a business that
the human factor has been relegated to the trash? Has the paucity of autonomy or even a
falling income usurped the humanistic qualities of our worthy profession? Could it be that
we lack empathic and compassionate mentors to plant humanistic seeds among young,
impressionable physicians? The most frequent comments from patients concern the
attitude of physicians, the most common reasons for lawsuits have some link with the
physician's attitude. Pain is identified as the most important factor in life of many patients, if
the Doctors attend the patients in crisis with pain as in accidents, and cancer, I think it is
utmost important, just giving injection to kill the pain is not going to heal the malady,
however it has to be supported with humanistic approach, the most important part of
cancer care is human touch, the rest is assured the patient knows that he is going to die very
soon, never forget he knows well that you cannot cure him. I find many highly qualified talks
very blunt to patients, that he cannot do anything to his illness ever forget the power of
placebo of touch.The placebo effect may be unexplained, but it is very real; in the field of
headache, it averages 40 percent. That means that 40 percent of pain relief is not due to the
medication and very likely relates to the attitude of the caregiving Physician, If I look back at
my class mates, who were poor in studies, majority of times back benchers become very
successful doctors with simple human touch, and listening to the Human emotions never
forget they made lots of money. The Government hospitals are becoming symbols of
poverty and treating the poor, and medico legal cases, and majority of destitutes as no body
bears their burden have excellent Doctor, however they can do little with available
resources.And the privatization has taken the major role with starting of many Medical
Colleges and Institutes, as Today, costs and liability concerns have taken the human touch
out of medical care, and general practitioners can’t get into the hospital to see patients.
Hospitalists work for the hospital, not for the patient.My many years of experience in
Medical Profession made me to understand the art of medicine and the power of human
touch are to be blended for successful results. Occasionally, when listening to a patient’s
frustrations about a previous encounter with another doctor or healthcare provider, they
would mention, “and he never even touched me.” They reach out from the sick bed
to make contact with some other Doctor in a plea for help, as if they will not be taken
seriously until they transfer their tacit need by touch, this request not confirmed until we
touch back. Just reassure the patient, tell I will care for you. I will try to give a little spark of
life to you, today we do not teach this in medical college, Our Medical colleges, medical
teachers, and administrators should go back to aspects of civilization how human touch,
compassion, made the animal in man to human nature. Never forget we the Doctors are
potential patients tomorrow with many stresses and challenges, try to create better
3. Hospitalsof tomorrow with human Touch. It's not easy calculating the value and quality of
the doctor-patient relationship, but just because it's not easy doesn't mean that it should be
neglected- and until we actually start incorporating this measurement into all clinical
encounters, we will never be able to fix our ills in the healthcare system, or else it is pay for
the service and no longer Doctors are healers of the disease?
Dr.T.V.Rao MD Professor of Microbiology Freelance writer
Many articles on Human Empowerment, Medicine, Microbiology, Infectious Diseases and
Theology are available on www.slideshare.com. www.scribd.com.
www.articlesbase.comwww.articleset.comwww.authourstram.com. www.
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