...prenatal testing. In the past, most mutational diseases that were tested for were rare, but now studies are being conducted to detect mutations such as cancer. In 1930, the process of mutational screening for errors in DNA began when newborns were tested for phenylketonuria, which causes a buildup of in amino acid buildup in the blood that causes mental retardation. Blood was taken from the child's foot. If PKU was discovered, it could be prevented with a specific diet....
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...Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted coding. List three decision-support tools the EHRs contain to provide patients with safe and effective health care. List four important safety checks that an EHR’s e-prescribing feature can perform when a physician selects a new medication for a patient. KEY TERMS chronic diseases disease management (DM) clinical guidelines formulary computer-assisted coding point-of-care...
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...Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted coding. List three decision-support tools the EHRs contain to provide patients with safe and effective health care. List four important safety checks that an EHR’s e-prescribing feature can perform when a physician selects a new medication for a patient. KEY TERMS chronic diseases disease management (DM) clinical...
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...preventative measure for diarrhea when a child is prescribed an antibiotic. The significance of this problem is that diarrhea can lead to serious complications in the very young and the elderly. Based on a six-month prospective cohort study by Vernacchio et al. (2006), diarrhea in infants and young children was reported to be 2.2 episodes per person-year with a median duration of 2 days. More of these were caused by viruses than bacteria. Although recent data are unavailable, a 1991 study by Glass, Lew, Gangarose, and LeBaron indicated that 325-425 children in the US die of diarrheal disease every year and 2.1 to 3.7 million children are seen by a physician for diarrheal diseases. C difficile infections are among the most serious causes of antibiotic-associated diarrhea and their incidence in hospitalized infants has been increasing (American Academy of Pediatrics Committee on Infectious Diseases, 2013). The major pathophysiology of the diarrhea associated with antibiotics is disturbance of the normal flora in the GI tract. The specific clinical question guiding the search for a quantitative research article is: In hospitalized pediatric patients taking antibiotics, does taking probiotics decrease the risk of antibiotic associated diarrhea? Population- hospitalized pediatric patients taking antibiotics Intervention- taking probiotics Comparison- not taking probiotics Outcome- reduction in diarrhea Probiotics is the independent variable (IV) in this question and diarrhea...
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...The Alzheimer’s Association reports that by the year 2025, 7.1 million people 65 and older will be suffering from Alzheimer’s disease. Alzheimer’s is a form of dementia and its devastating that there will be roughly 7.1 million diagnosed with one specific form of dementia. With this skyrocketing increase, will come the need for more intervention and prevention projects to help the number of individuals suffering from all forms of dementia. However, right now what a lot of educations and caregivers are focusing on is early stage dementia in order to understand the disease better. What early stage dementia is the beginning of a chronic, progressive, and terminal disease, but what is what is important for educators and caregivers to know is the...
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...Newborn screening is a public health program designed to screen infants shortly after birth for a list of conditions that are treatable, but not clinically evident in the newborn period. Some of the conditions included in newborn screening programs are only detectable after irreversible damage has been done, in some cases sudden death is the first manifestation of the disease. Screening programs are often run by state or national governing bodies with the goal of screening all infants born in the jurisdiction. The number of diseases screened for is set by each jurisdiction, and can vary greatly. Most newborn screening tests are done by measuring metabolites and enzyme activity in whole blood samples collected on specialized filter paper, however many areas are starting to screen infants for hearing loss using automated auditory brainstem response and congenital heart defects using pulse oximetry. Infants who screen positive undergo further testing to determine if they are truly affected with a disease or if the test result was a false positive. Follow-up testing is typically coordinated between geneticists and the infant's pediatrician or primary care physician. Newborn screening debuted as a public health program in the United States in the early 1960s, and has expanded to countries around the world, with different testing menus in each country. The first disorder detected by modern newborn screening programs was phenylketonuria, a metabolic condition in which the inability...
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...Center for Disease Control and Prevention (2011), “7% of children were considered obese in the U.S. in 1980, and by 2008, it was nearly 20%. Additionally, the incidence of obesity among adolescent children, aged 12-19 years, grew from 5% to 18% over the same time period” (CDC, 2011). Coincidentally, over the past 30 years, more parents are working, not only every day, but longer hours, and in many cases both parents are working. Is the rat race killing our kids? There is an epidemic of parents who are too tired or lazy to engage their children, and have begun relying on the T.V., computers, or video games to occupy and entertain them. Also, the evolution of new technology has children involved with a screen of some sort, whether it’s a T.V., video game, cell phone, computer, etc, hence researchers have coined the term, “screen time.” This behavior of instant gratification has created an environment of sedentary behavior, as well as fostering a lack of personal interaction with others. The increase in screen time has become a normal way for parents to occupy their children while they are busy doing tasks of their own or resting after a long day at work. This paper will show that as a society, everyone should be proactive, take responsibility, and offer support and encouragement to promote appropriate physical activity in children. Children must be shown that there are more things to do outside and with others, that there isn’t such a need to be focused on a screen, but instead...
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...Irony are frequently used in essays and stories in order to attract the reader’s attention and make them stop and think for a while. The three types irony are dramatic irony, situational irony, and verbal irony. Firstly, “A Plague of Tics” includes dramatic irony in some parts of the essay. The author of the essay Sedaris has a duty of touching the doorknob eight times by his elbow before coming into the house. He hates his mind for having to accomplish the duties everyday, and therefore he wants to get it finished soon. Seeing Sedaris in front of the house touching the doorknob using his elbow eight times, his sister advises him to open the door by his hand instead. The reader would consider her suggestion helpful as it decreases the time...
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...two other different families .This heritage assessment tool was very helpful to this writer in getting the important information from them that relates to their customs and beliefs. Amongst Americans, health maintenance entails a set of programs aimed at preventing diseases , maintain function and promote health .Health maintenance is the center of nursing care.(THE FREE DICTIONARY, 2003-2015).Health maintenance programs can be grouped as per ages .Where ,from birth-17years there is a scheduled program of immunizations. There are also screens for chlamydia, yearly for sexually active women starting from 15,HIV screening for ages 15-85 which is voluntary .Health education to avoid alcohol misuse and prevent use of tobacco .For 18-49,they are screened for diabetes ,risk for ,chlamydia in women, pap smear, a set of immunizations . From 50-74 years ,screens are done for hepatitis c, diabetes, colorectal cancer ,assessment for risk of diabetes and HIV test .Immunizations are given on influenza ,zoster and pneumococcal .On men’s health ,they have regular lipid test ,prostate specific antigen. On women health ,they are tested regularly for pap smear ,mammograms and bone density scan .For 75years and over ,screens include diabetes...
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...for Prevention of Neonatal Group B Streptococcal Infection Purpose of Policy: Intrapartum antibiotic prophylaxis (IAP) to prevent neonatal Group B Streptococcal (GBS) disease has reduced the incidence of invasive early-onset GBS infections in newborns by 70%. The revised 2002 CDC guidelines for the prevention of GBS disease are based upon universal screening for GBS in all pregnant women. Scope of Policy: Nurses, LIP with OB privileges, residents Policy/guideline: I. Screening: Screen every (see exceptions*) pregnant woman for GBS with vaginal and rectal culture at 35-37 weeks gestation. If the pt is PCN allergic, request sensitivities on culture. Review culture results. If a GBS culture is positive during the current pregnancy, regardless of EGA obtained, the patient is treated as GBS positive. If a GBS culture is negative, and was obtained > 5 weeks prior, re-screen for GBS. (* Do NOT screen at 35-37 weeks patients who: ○ GBS bacteriuria in present pregnancy ○ Previous infant affected by invasive GBS disease These patients will automatically receive prophylaxis at delivery) II. Intrapartum Prophylaxis Indicated: • Previous infant with invasive GBS disease • GBS bacteriuria during current pregnancy • Positive GBS screening culture during current pregnancy (unless delivered by cesarean section, in the...
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...Should DNA be used to screen embryos? For couples haunted by a family history of genetic disease, there are few reproductive choices. Aside from adopting a child or using IVF with donated eggs or sperm, they can either take the risk of conceiving a child with the disease, or not have children at all. PGD has changed this, and it is now possible to have a child without passing down an inherited disease. Mark Hughes, now a professor at the Center of Molecular Medicine and Genetics at Wayne State University School of Medicine , first developed PGD in the mid-1980s while at Baylor College of Medicine , and with British colleagues Robert Winston and Alan Handyside used it to screen embryos for cystic fibrosis . The technology was soon extended to many other heritable diseases. PGD is performed on an embryo created through IVF that has developed to the 6–8-cell stage. Changing the sex of your own embryo is a dream come true for many parents. “In the back of my mind, I still had the wanting for a daughter. Within every child I wanted a daughter, says Sharla Miller. “Every time , I was hoping for my little girl. But every time, the Millers had a boy. They ended up with three, so next time Ms. Miller got pregnant she wanted a guarantee that next child would be a girl. Ms Miller looked into adopting a girl, when she stumbled across the web site of “The Fertility Institutes” which offered the odds she was hoping for. As correspondent Vicki Mabrey reported last spring, a new technology...
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...screening tool for overweight or obesity. If your BMI is 25.0 to 29.9, it falls within the overweight range.If your BMI is 30.0 or higher, it falls within the obese range). That is the main reason about many schoolchildren in Hong Kong are overweight. Following I will talk about the negative effects of obesity and give some suggest methods to solve this problem. Body A: Internal influence, Many health problems are related to childhood obesity. Compared to children with a healthy weight, obese children have more metabolic risk factors (including enlarged waist circumference, raised blood pressure, impaired glucose tolerance, elevated blood glucose and suboptimal levels of blood lipids), and at increased risk of diabetes, fatty liver disease, sleep apnoea, asthma and musculoskeletal disorders. Body B: External effect, In addition, obese children are more likely to experience psychosocial...
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...In today’s society, obesity in children is a growing concern. According to CDC (Centers for Disease Control and Prevention) (2015), children obesity has doubled in the past thirty years. With an increase in obesity, an increase in health problems can also be seen. Some of which, noted by CDC (2015) include cardiovascular diseases, prediabetes and diabetes. In addition to, the elevated risk of certain cancers, such as colon, kidney, pancreas and thyroid cancer. Because of the rise in health problems it is becoming more and more important to find the sources of obesity in children. When looking at previous research; a popular theory is that the amount of screen time (i.e. time spent in front of a television or computer) has a direct effect on...
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...in the Globe and Mail, Canadian children are losing an important part of their lives- active play (Baluja, Tamara). This ‘loss’ is said to come from parents’ fear of letting their children play outside. Surprisingly, parents are allowing children to spend most of their free time on screen play. Many reports stated that most children were spending nearly eight hours a day on screen play, while only 3 hours a week were sacrificed to active play. Although the report states that the danger of letting children play outside is no more than it was a generation ago, approximately 56% of Canadian parents...
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...and parents (if requested) receive the results. Abnormal results are brought to the attention of the physician, and testing is repeated to confirm the diagnosis. The technologies used in the screening process are tandem mass spectrometry and MS/MS, both technologies are able to screen for over thirty disorders. Tandem mass spectrometry has been used for many years, but the MS/MS technology has been introduced within the last few years to identify both drugs and genetic disorders in the newborns. The...
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