...Introduction Dr. C.E. Winslow defines Public Health as the science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort for the sanitation of the environment, control of communicable diseases, the education of individuals in personal hygiene, the organization of medical and nursing services for the early diagnosis and preventive treatment of disease, and the development of the social machinery to ensure everyone a standard of living adequate for the maintenance of health, so organizing these benefits as to enable every citizen to realize his birthright of health and longevity. Public health nursing is defined by the World Health Organization Expert Committee of Nursing as a special field of nursing that combines the skills of nursing, public health and some phases of social assistance and functions as part of the total public health programme for the promotion of health, the improvement of the conditions in the social and physical environment, rehabilitation of illness and disability. Community diagnosis is the process of identification of the various factors that affect the health of an individual in the community and to detect certain problems that a community has. As a community it involves all the individuals that are living in it. Assessment of these factors is done by the Public Health Nurse. It is not an easy task for it requires thorough investigation by surveying families present in the community...
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...Self-Management in Chronic Illnesses: A Concept Analysis Dianne Rinehardt Chamberlain College of Nursing NR501: Theoretical Basis for Advanced Nursing Practice November 2015 Self-management in Chronic Illness: A Concept Analysis Globally, the human species is experiencing longer life-spans. As the number of persons with extended lifespans increases, so does the prevalence of those living with chronic illnesses. With the inception of the Patient Protection and Affordable Care Act (ACA) in 2010, there has been a paradigm shift in the focus of healthcare from treatment to prevention. The origin of this paradigm shift occurred when traditional provider-directed/patient compliant approach failed to produce the outcomes that were expected (Udlis, 2011). Transforming healthcare from a treatment modality to one of prevention assumes that each person will be actively engaged in the prevention of chronic illnesses. Dorothea Orem’s self-care and self-care deficit nursing theory is based on the premise that people are naturally inclined towards self-care and that nursing should be focused on identifying and correcting any self-care deficits. Orem defined self-care as, “care that is performed by oneself for oneself when one has reached a state of maturity that is enabling for consistent, controlled, effective, and purposeful action” (Orem, Taylor & Renpenning, 2001, p 149). Orem’s self-care and self-care deficit theory is directly applicable to the concept of self-management...
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...Helling v. Carey 83 Wash. 2d 514, 519 P.2d 981 (1974) Procedure: The plaintiff Helling, a patient, appealed from a judgment of the Court of Appeals (state of Washington) affirming the judgment of the trial court for defendant ophthalmologists in a medical malpractice action involving the ophthalmologists' failure to timely administer a glaucoma test. This case was heard in the Supreme Court in Washington state. Issue or issues: The issue was whether the ophthalmologists' compliance with the standard of the profession of ophthalmology, that did not require the giving of a routine pressure test to persons under 40 years of age, insulated them from liability. Facts: The patient, who was 32 years of age when she was diagnosed with glaucoma, sued the ophthalmologists, alleging that she suffered severe and permanent damage to her eyes as the proximate result of the ophthalmologists' negligence in failing timely administer a pressure test for glaucoma. Both the trial and appellate courts ruled in favor of the ophthalmologists. Holding: The Washington Supreme Court held, as a matter of law, that the reasonable standard that should have been followed under the undisputed facts of this case was the timely giving of this simple, harmless pressure test to this plaintiff and that, in failing to do so, the defendants were negligent, which proximately resulted in the blindness sustained by the plaintiff for which the defendants are liable. Analysis: After years of seeing Carey and...
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...STUDY OF DRUG UTILIZATION AND DRUG INTERACTION PROFILE OF ANTIBIOTICS PRESCRIBED TO PATIENTS AT ORTHOPEDIC HOSPITAL, NADIAD. ID NO. 13MPHCP002 ABSTRACT The study was aimed to determine prescribing pattern and drug interaction of antibiotic at private hospital using WHO recommended indicators. . A cross-sectional study was conducted for a 6 months to evaluate drug utilization pattern and drug interaction of antibiotic prescribed at orthopedic unit at private hospital, Nadiad. The drug utilization and drug interactions was studied on a total of 200 prescriptions. The average number of prescribed were found 5.15 per prescription. The maximum number of patients were treated with single antibiotic. In our study we observed that the more no of patients between the age group 61-70 year. In our study 22% drugs were prescribed by generic names and 78% were drugs prescribed by their brand names. The most frequently prescribed antibiotic group was beta lactam drug. Accident were most common clinical situation where antibiotics were...
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...Pain Management: A concept Analysis Laura Miller Sacred Heart University Pain Management: A concept Analysis Millions suffer from acute or chronic pain every year and the effects of pain exact a tremendous cost on our country in health care costs, rehabilitation and lost worker productivity, as well as the emotional and financial burden it places on patients and their families. The costs of unrelieved pain can result in longer hospital stays, increased rates of re-hospitalization, increased outpatient visits, and decreased ability to function fully leading to lost income and insurance coverage (American academy of pain medicine,2006). The most often used definition for pain is: an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage (Chandra & Ozturk, 2005, p.34; Loeser & Melzack, 1999, p.1607; McHugh & Thoms, 2001, p.33). The aim is to improve communication, develop tools to evaluate the effectiveness of pain management, and how it can be the solution in decreasing the cost of unrelieved pain, decrease re-hospitalization and also improve function and quality of life. Current use and historical perspective Individuals have a great tendency to treat their pain before seeking any medical assistance. Every culture has some type of home remedy that they rely on to treat any type of element including pain. According to Bonica, Pain is as old as humankind and Humankind has been suffering from...
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...The effects of music on children and young people. 1. The effect of music on IQ Campabello, Nicolette; De Carlo, Mary Jane; O'Neil, Jean; Vacek, Mary Jill Music Enhances Learning. Dissertations/Theses; Tests/Questionnaires. 2002 An action research project implemented musical strategies to affect and enhance student recall and memory. The target population was three suburban elementary schools near a major midwestern city: (1) a kindergarten classroom contained 32-38 students; (2) a second grade classroom contained 23 students and five Individualized Education Program (IEP) students; and (3) a fifth grade classroom. Students exhibited difficulty recalling facts and information in a variety of subject areas evidenced through an inability to gain mastery of grade level skill areas. Research suggests that young students have difficulty understanding concepts and lack the ability and desire to learn. A successful program needs to be developed to teach these concepts. A review of solution strategies suggests that the following musical techniques proved to be helpful for increasing student recall because the songs helped with phonemic training, mnemonics, setting desired skills to familiar tunes, and linking connection to cultural themes. Research has shown that preschool children taught with an early exposure to music through games and songs showed an IQ advantage of 10 to 20 points over those children taught without exposure to the songs. In the same study, students at age...
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...From www.bloodjournal.org by guest on March 10, 2015. For personal use only. How I treat How I treat enteropathy-associated T-cell lymphoma Antonio Di Sabatino,1 Federico Biagi,1 Paolo G. Gobbi,1 and Gino R. Corazza1 1First Department of Medicine, Centro per lo Studio e la Cura della Malattia Celiaca, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Policlinico S. Matteo, University of Pavia, Pavia, Italy Enteropathy-associated T-cell lymphoma (EATL) is a complication of celiac disease (CD). This tumor derives from the neoplastic transformation of aberrant intraepithelial T lymphocytes emerging in celiac patients unresponsive to a gluten-free diet. Poor adherence to a gluten-free diet, HLA-DQ2 homozygosity, and late diagnosis of CD are recognized as risk factors for malignant evolution of CD. Recurrence of diarrhea, unexplained weight loss, abdominal pain, fever, and night sweating should alert physicians to this complication. The suspicion of EATL should lead to an extensive diagnostic workup in which magnetic resonance enteroclysis, positron emission tomography scan, and histologic identification of lesions represent the best options. Treatment includes high-dose chemotherapy preceded by surgical resection and followed by autologous stem cell transplantation, although biologic therapies seem to be promising. Strict adherence to a gluten-free diet remains the only way to prevent EATL. (Blood. 2012;119(11): 2458-2468) Introduction Celiac disease (CD) is a chronic...
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...father, a Jewish wool merchant of modest means, moved the family to Leipzig, Germany in 1859, and then settled in Vienna, where Freud remained until 1938. When Freud was eight years old, he was reading Shakespeare, and, during his adolescence, the hearing of a lecture about Goethe's essay on nature impressed him very much. Having considered studying law previously, he decided instead on a career in medical research, beginning his studies at Vienna University in 1873. As a student, Freud began research work on the central nervous system, guided by Ernst von Brock, and qualified as doctor of medicine in 1881. He worked at the Theodor Meynert's Psychiatric Clinic for a year, and later studied with Charcot, at the Salpetriure, in Paris. From 1884 to 1887 Freud published several articles on cocaine. He married Martha Bernays in 1886. The couple had six children (Mathilde, 1887; Jean-Martin, 1889; Olivier, 1891; Ernst, 1892; Sophie, 1893; Anna, 1895). He established a private practice, specializing in nervous disorders. His interest in hysteria was stimulated by Breuer's and Charcot's use of hypnotherapy. Freud moved to a flat in Berggasse, which turned into The Freud Museum Vienna eighty years later, in 1971. Freud and Breuer published their findings in Studies on Hysteria in 1895; in the same year, Freud was able to...
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... of the International College of Applied Kinesiology for the year 2005-2006 -- Edited by Scott Cuthbert, D.C. Functional Systems Approach to Central Nervous System Evaluation Richard Belli, D.C., D.A.C.N.B. ABSTRACT Objective: This study investigates the clinical utility of testing functional systems within the central nervous system, compared to testing individual motor nerves with manual muscle testing. Design: Private practice. Study Subjects: Patients were examined by the treating chiropractor from his existing patient pool. Methods: Chiropractic management was decided on by the treating chiropractor. A series of twelve tests were designed to discover disorders of functional systems within the CNS. The tests described were to evaluate the function of 12 systems: 1) spinal cord, 2) myelencephalon/reticular formation, 3) vagal system, 4) trigeminal motor system-muscles of mastication, 5) vestibulospinal system, and bulbo reticular area, 6) reticular formation, 7) diencephalons and gait locomotion system, 8) mesencephalon, 9) cardiac sympathetic autonomic system, 10) pyramidal system, 11) limbic system, 12) sensory system. Results: This chiropractic approach tests the nervous system after provocation of functional systems instead of sensory challenges to more discreet portions of the body. Conclusion: For chiropractic patients who are not responding to discreet treatment programs, this method...
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...Blood Sciences Interpretative assignment 2015-16 A 19 year-old woman, patient M, has been diagnosed with infectious mononucleosis an infectious viral disease characterized by swelling of the lymph glands and prolonged lassitude by her GP. The diagnosis was confirmed by blood tests. Three weeks later she returned to her GP feeling very unwell. When examined she presented with symptoms of mild jaundice yellow discoloration of the skin caused by increase levels of billirubin. On examination there was tenderness in the right upper abdominal quadrant but the liver was not palpable. The GP took some blood and sent it for testing. Question 1 Discuss the typical laboratory results expected for haematological investigations in a case of infectiousHow is it used? The Monospot test is used to determine whether you have infectious mononucleosis. This test is rapid and easy to perform, but it is not 100% specific. More testing may be needed to confirm that the disease is mononucleosis and not another illness. ^ Back to top When is it requested? The Monospot test is requested if your doctor suspects that you have infectious mononucleosis, which causes fever, headache, swollen glands, tiredness, and malaise. Your healthcare professional may detect that you have an enlarged spleen or liver. The test will not be positive until you have been infected for about two weeks. Other tests may need to be requested if the heterophil antibodies are negative, but your doctor still suspects...
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...Philadelphia, PA, United States i American Society of Clinical Oncology, Emory University, Atlanta, GA, United States j American College of Surgeons, Montefiore Medical Center, Bronx, NY, United States k American Society of Clinical Oncology, University of Michigan, Ann Arbor, Michigan, United States l University of Florida, Gainesville, FL, United States m Emory University School of Medicine, Atlanta, GA, United States b c a r t i c l e i n f o s u m m a r y The ACR Head and Neck Cancer Appropriateness Criteria Committee reviewed relevant medical literature to provide guidance for those managing patients with thyroid carcinoma. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals...
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...11204008 Tazruba K. Prome 11204047 MD. Ashraful Amin 11304038 Sumaita Ahmed 11304052 LETTER OF AUTHORIZATION Date: 17th November, 2014 DR. MOHAMMED TAREQUE AZIZ Associate Professor and EMBA Coordinator BRAC Business School BRAC University Subject: Submission of Service Marketing Report of MKT 431. Dear Sir, We, the students of MKT 431 (service Marketing), section 1; want to submit the Service Marketing Report required for the completion of the course. We have followed every instruction you have provided and tried our best to ensure that all the information is authentic and relevant. The report is about the Service Marketing practice of Holy Family Red Crescent Medical College Hospital (HFRCMCH). We hope that all the information and analysis provided within the report will be up to your expectations and will be glad to provide clarification to any inquiries you may have. Thank you. Sincerely, Chowdhury Fahim Mostafa 10204011 Anika Azhar 10204083 Syed Shah Tayef Ahmed 10204105 Ifrat Jahan 11104139 Jarin Subha 11204007 Adnan Abdur Razzaque 11204008 Tazruba K. Prome 11204047 MD. Ashraful Amin 11304038 Sumaita Ahmed 11304052 Acknowledgement At the initial phase we want...
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...A review of evidence supporting the use of Anti-Biotics in the treatment of Acute Otitis Media in children to prevent Mastoiditis. Word count: 1469 Module Leaders Jeshni Amblum & Stuart Rutland Contents Page 1. Front Sheet 2. Contents Page 3. A review of evidence supporting the use of Antibiotics in the treatment of Acute Otitis Media in children to prevent Mastoiditis. 4. Reference List 5. Appendices: i. SECAMB Clinical Management Plan/Patient Group Directive ii. FIGURE 3 - Thompson et al (2009) A review of evidence supporting the use of Antibiotics in the treatment of Acute Otitis Media in children to prevent Mastoiditis. Student no 18830 Rationale The Paramedic Practitioner (PP) role has recently adopted a number of Clinical Management plans and Patient Group Directives (PGD) increasing the scope of practice. One such PGD (Appendix i) allows for the utilisation of antibiotics, namely Amoxicillin and Clarithromycin, for the treatment of Otitis Media (OM). This essay will look at the evidence supporting the use of these antibiotics, their efficacy and if early use prevents OM from developing in to Mastoiditis. Its primary aim is to enhance a PP’s knowledge and support education working towards clinical autonomy. Description Otitis Media literally means inflammation of the middle ear (Merriam-Webster 2011) and is predominantly caused by an effusion with in the middle ear caused by Eustachian tube dysfunction (Dhillon and East, 1994...
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...been done by medical research teams including the Center for Disease Control. The Efficacy and effectiveness of influenza vaccines: a systematic review and meta analysis was researched by Michael Osterholm and his associates by reviewing over 5000 studies of the influenza vaccine. Many articles since then have commented on this meta-analysis and have gone further to expand the question of does the flu vaccine decrease pneumonia in the elderly. Results are such that the confounding conditions of the study needed to be adjusted fully and the studies re-evaluated. Another question arises. Does mandatory vaccination of healthcare workers decrease the spread of the flu virus within the hospital. Evidence for consistent high-level protection is elusive for the present generation of vaccines, especially in those at risk of medical complications and those aged 65 years or older. Does Science Support the Flu Shot? Since the discovery of the influenza virus and the subsequent development of the flu vaccine, has there been enough science research to support the effectiveness and efficacy of the flu vaccine? Influenza also known as the flu is a viral infection. The flu is caused by influenza viruses A and B, and to a much lesser extent C and there are many different strains of the flu virus every year and they mutate frequently. The virus is spread person to person by droplets made when people with the flu cough, sneeze or talk, and can land up to six feet away...
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...716 Index major depressive disorder, brain imaging studies, 70–71 malignant catatonia, 333 malingering, 530–531 ‘manic depressive insanity’, 45 manic states, 250, 253 abnormal beliefs and perceptions, 254 amphetamines and, 266 course and outcome, 274 delusional, 16 in HIV patients, 345 in ICD-10, 42 in old age aetiology, 369 clinical features, 370 treatment, 370 in old age, 369–370 mixed state with depression, 255 sensations in, 6 stroke and, 344 stupor in, 31 manic states, 15–17 Marchiafava-Bignami syndrome, 206, 338 Marijuana Anonymous, 239 marital status, and suicide, 454 masculinity drunkenness and, 428 sense of, 395 Massachusetts Male Aging Study, 402 Massachusetts Women’s Health Study (MWHS), 442 masturbation, 396 McNaughton Rules, 558 McNaughton, Daniel, 558 m-CPP 435 , MDMA (3, 4-methylenedioxymethamphetamine; ‘ecstasy’), 328 medial temporal lobe volume in Alzheimer’s disease, 359 MRI for detecting, 75 medical conditions anxiety disorders in, 170 depression treatment, 521 detection of psychiatric illness, 483 feigned illness, 530–531 mental disorders due to, 327 anxiety disorders, 333 cannabis and psychosis, 330 catatonia, 332 cognitive disorders, 334 delusions, 329 depression and Parkinson’s disease, 332 general principles, 327 hallucinations, 328 mood disorders, 330 personality disorder, 333 psychotic disorder, 328 stimulant psychosis, 329 mental disorders due to, 326–335 relationship to affective change...
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