...research and development, described the pros and cons of the project, a proposal to develop a new portable electrocardiograph machine (EKG) specifically for the Indian market. Cherian believed the time was right to tackle the tough, but fast-growing Indian market. The key question was whether Bella India’s local R&D team, under Manning’s direction, was ready to lead the product development: My goal has always been to develop products that serve emerging markets and make healthcare more accessible. I think medical device companies are learning that this can be done most effectively by those who know these markets best. We should develop our affordable EKG in India, for India. Bella India has proven itself in manufacturing and cost- engineering; this is the next logical step. The endeavor was not without risk. The costly failure of Project Baton, a global product development effort, was fresh on everyone’s mind. Failure with Project TKO would not only hurt Bella Healthcare’s overall profitability, it would undermine Cherian’s case that the India operation was ready for more challenging product development undertakings. Industry Background: Electrocardiogram Equipment Electrocardiography, commonly referred to as EKG or ECG, is the measurement and interpretation of the electrical activity of the heart as it contracts. An EKG enables physicians to assess cardiac health—the regularity of heartbeats, the size and position of the chambers, the identification...
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...of breath. Felt as though she wasn’t moving any air. Patient called 911. The paramedics on scene established IV access and medicated patient with 40 of furosemide and Nitroglycerin sublingual 0.4 mg times 3 doses. Patient was placed on CPAP and brought to the ER. Upon arrival CPAP was continued, a nitroglycerin infusion was started at 20mcg/min. Additional IV access was established and labs were obtained. Stat EKG and Chest Xray were completed. Additional dose of furosemide 80mg was administered IV push and patient was provided with an indwelling foley catheter which is draining clear yellow urine. Past Medical History is significant for Hypertension, Diabetes, Congestive Heart failure, and Atrial Fibrillation with two unsuccessful cardioversions. Medications: Patient currently taking Furosemide, Lisinopril, Digoxin, Metformin, and Glyburide. Patient unable to recall dosages. Past Surgical History is significant for cesarian sections x 3 and ORIF of left hip 8 years ago. Social History: Patient is a 1 pack per day smoker x 40 years. Consumes alcohol on a social basis. Denies using any illicit drugs. Patient is a retired secretary. Patient lives in the community and attends church regularly....
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...- mother is 73 and in good health Social History: - moderately heavy social drinker - 2-3 beers after work - 5-6 beers per day on weekends - smokes a pack of cigarettes a day - married with two children - finances are stable History of Present Illness: - woke up at 4am with pressure in his chest, described as “worst indigestion I ever had” - sweaty and slightly short of breath - achy, heavy feeling in his right arm - ate pizza before bed (unhealthy) - took four Rolaids initially - didn't bring any relief - sitting made the pressure settle down - he was clammy - pressure on his chest persistently for approximately two hours - put on oxygen mask - nurses concerned about his EKG - EKG showed 1 cm ST elevation on leads V2,3,4,5 with slight ST depression on leads 2,3 and AVF Physical Examination: - heart rate was 110 (high heart rate) - respiratory rate was 22 (high respiratory rate. Should be 16-20) - blood pressure was 160/100 (high bp) - sweaty, pale, and had no obvious jugular venous distention - chest was clear on auscultation - abdomen was unremarkable - skin was slightly sweaty - chest x-ray was normal with normal heart size - lab work was normal Research: Heart Problems - closely linked to diet and lifestyle choices some preventable others due to genetic inheritance, infections, or other uncontrollable factors 2 of every 5 Americans will ultimately die of heart disease Coronary Heart Disease - most common of all heart problems -...
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...examination he did not have jugular venous distension, no carotid bruits, normal S1 and S2 with an S3 present. No S4 or murmurs auscultated. Lung sounds clear to auscultation bilaterally, bowel sounds normal, all pulses palpable 2+/4, no edema present. Diagnostic data: BP: 165/98 mmHG HR: 96 bpm RR: 30 breaths/min Temp: 37 C SaO2: 96% with 2L/min O2 per nasal cannula Wt:100 kg A 12-lead ECG was performed in the emergency room showed: Normal Sinus Rhythm (NSR) with frequent premature ventricular contractions. ST segment elevation in Leads 1, aVL, and V2 through V6 (3mm). ST segment depression in Leads III and aVF. Q waves in V2 through V4. The chest X-ray revealed slight cardiomegaly with mild congestive heart failure. An echocardiogram reveals an ejection fraction of 30% and mild mitral valve regurgitation. Mr. Smith’s cardiac enzyme lab values were as follows: Admission 2000 Admission 2400 Day 1 0400 |CK (U/L) |255 |7400 |4998 | | | | | | |CK-MB (%) |11 |>300...
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...Week Five Journal M. B. was a sixty-five-year-old Caucasian female who had a significant history of diabetes, hypertension, and obesity. Her medication profile consisted the following: Norvasc 5 mg QD, Prinivil 10 mg QD, Coreg 6.25 mg BID, Metformin 100 mg BID, Lantus 10 units HS, ASA 81 mg QD, Lipitor 10 mg QD, and a multivitamin daily. She was positive for coronary artery disease, myocardial infarction, diabetes, and hypertension. Her family history was significant for coronary artery disease. Her father died at the age of fifty from a massive myocardial infarction. She lived a sedentary lifestyle without exercise. Her hobbies consisted of knitting. She continued to independently complete both her daily activities and instrumental activities...
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...Cardiovascular Disorders Dawn Moury Walden University NURS-3015-1,Pathopharmacology 6/15/2013 Cardiovascular disorders include such aneurysms, angina, arrhythmias, atrial fibrillation, congested heart failure, coronary artery disease, hypertension, and myocardial infarction. Cardiovascular disease is the leading cause of death in the United States and the major cause of disability in Americans ("Heart diseases," 2013). The purpose of this paper is to examine and evaluate the prescribed medications of a patient with a cardiovascular disorder who was recently admitted to the hospital with a history of pain in her left shoulder radiating up to her neck. Explanation of new medications and contraindications Mrs. K was admitted to the hospital due to having a 3 day history of pain in her left shoulder radiating up to her neck. She was admitted to the telemetry unit. EKG and enzymes ruled her in for a myocardial infarction and she successfully completed a catheterization and angioplasty. Her past medical history was significant only for hypertension for 10 years which was managed with HCTZ 25 mg daily. She is slightly overweight, and reports that she does not have time to exercise regularly, as she commutes over 1 hour each way to her secretarial job daily. Her meals are irregular, and often consist of convenience foods. Prior to her discharge home, her physician informed her she is now a type II diabetic and has coronary artery disease which he has added three medications...
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...Cabarrus Memorial Hospital Situation It was a clear, crisp October morning in Concord, North Carolina. The board of trustees of Cabarrus Memorial Hospital gathered in the windowless, walnut paneled boardroom for its monthly meet- ing (see Exhibit 19/1 for board members). Board chairman George Batte opened the meeting saying, “Because we do not have an open heart surgery program, patients needing open heart surgery or coronary angioplasty have to be transferred to another hospi- tal, causing inconvenience to the patient’s families and risks from delayed treatment. There are several questions we have to answer in addressing this issue. Should we add open heart surgery to the mix of cardiac services we offer? Does the hospital’s existing service area provide adequate patient volumes to support the program? What This case was written by Fred H. Campbell, The University of North Carolina at Charlotte, and Darise D. Caldwell, Executive Vice President and Chief Operating Officer, Northeast Medical Center. It is intended as a basis for classroom discussion rather than to illustrate either effective or ineffective handling of an administrative situation. Used with permission from Fred Campbell. 804 Exhibit 19/1: CMH Board of Trustees Mr. George A. Batte, Jr., Chairman (Retired Manufacturing Executive) Mr. L. D. Coltrane, III, Vice Chairman (Telephone Company President) Mr. Robert L. Wall (President, Cabarrus Memorial Hospital) Mr. Dan Gray, Secretary (Executive...
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...Contents PIC and target market summary 3 Chartering for Ideation 4 Top 5 Ideas 4 Concept Ideation process 7 Controlled Convergence 8 Positioning statement 10 Product concept 11 Competitive comparison 11 Perceptual map 12 Product design 13 Pricing Strategy 16 Costs 16 Sales Forecast 16 Sales Forecast 17 Profit and Loss Statement 17 Table: Profit and Loss Statement 18 Sensitivity Analysis 18 Margins 18 Break-even Analysis 19 Payback Period 19 Net Present Value of Future Cash Flows 19 Unique selling proposition 20 Launch 20 Fitbit advertisements 20 YouTube Viral video 20 Reebok: Crossfit Games 21 In store/ on ground- gym facilities and sporting events 21 Digital social media 21 Website traffic 21 Google Ad words 22 Feedback 22 Media schedule and messaging 22 Electronic direct mail 22 Stock sale and monitoring 22 Sales statistics 22 Gant media schedule 23 Potholes 24 Call to Action 24 Appendices 1 26 Brainstorming Method 26 The Worst Idea Method 26 Relationship Analysis Method - Multi-dimensional / morphological matrix 27 Problem based approach using Voice of Customer through product reviews 27 Highs 28 Lows 28 Highs 31 Lows 31 Market based ideation 32 Problem Analysis of workout market 32 Attribute ideation Method 33 Appendices 2 34 Appendices 3 36 Executive Summary PIC and target market summary Health is opening up a new revolutionary advances within the industry of wearable...
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...Case Study James Morasco College of Southern Nevada – Nursing 211 Clinical Professor Judith Alewel, MSN, RN October 15, 2012 Introduction AV is a 57 year old male whom presented to the Emergency Department of Valley Hospital Medical Center in Las Vegas, NV on September 7, 2012 with the classic signs and symptoms of a left-sided middle cerebral artery (MCA) infarct and was admitted to the medical intensive care unit (MICU). These signs included left sided facial drooping, non-reactive left pupil, right sided weakness in the upper and lower extremities, and the inability to speak. Along with the signs and symptoms of the stroke, a 12-lead EKG revealed that he also has atrial fibrillation. The initial computerized tomography (CT) scan of his brain revealed nothing, but a subsequent MRA (magnetic resonance angiogram) concluded that he did, in fact, have an occluded branch of the left MCA that eventually converted to become hemorrhagic and he was admitted to the MICU. The MRA also found a persistent left trigeminal artery, which is insignificant to his presenting disease process. Along with all of this, a two dimensional echocardiogram revealed some significant hearts problems that will be discussed later. I cared for this patient during the clinical shift on September 18, 2012. History and Physical The only history and physical that was available in this patient’s chart was some narrative comments from his daughter notated by the physician, and this is most likely due to...
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...CONDITIONS INCIDENCE: 1% or 1 in every 100 pregnancies. Over 75% of heart disease in pregnancy is valvular, often Rheumatic Fever or RHD. Effects of pregnancy on heart disease: Increased blood volume and cardiac output Cardiac output and blood volume increase about 50% more during pregnancy (increase workload to the heart) During labor and delivery, cardiac workload increases even more (every time the uterus contracts about 1 or 2 units of blood are autotransfused from utero-placental to maternal circulation. When contraction stops, this volume returns to uteroplacental and the heart may not be able to compensate with such rapid shifting. After delivery, the uteroplacental blood returns to maternal circulation increasing once again blood volume. A woman who receives epidural or spinal anesthesia, her blood vessels dilate and blood pressure decreases that results to decreased venous return which prompts the heart to compensate to meet body’s needs by pumping harder Excessive blood loss during second stage of labor. Systemic vascular resistance drops by 25% during pregnancy lowering blood pressure. Gravid uterus can dramatically affect venous return in some positions compressing IVC and can lead to hypotension. FUNCTIONAL CLASSIFICATIONS OF HEART DISEASE: CLASS I/ uncompromised– Patient is asymptomatic with no limitation of physical activity, no angina pain or discomfort with ordinary activity. Perinatal mortality is 5% CLASS II/ slightly compromised...
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...Patient is 29 year old self referred nurse who presents with complaint of increase in frequency of migraine headaches. Patient reports migraines are frontal, throbbing, rates 7-8/10 on pain scale, usually early am or at hour of sleep, last 1-2 hours, and have been increasing in intensity (6/10 to 8/10) and frequency (from twice a month to 1-2 a week). She states Frovatriptan 2.5mg and rest has usually brought relief, and now is requiring 2nd dose of Frovatriptan to obtain relief. She states her migraines are associated c nausea and sensitivity to light. Pt states she normally experiences migraines around her menstrual cycle and when she consumes ‘too much’ alcohol. Over the past two months, her shift at the hospital has included rotating day/night 12 hour shifts. She admits to increased stress levels at work secondary to increased patient load and acuity. Medications: B complex vitamin 50mg PO BID; Frovatriptan 2.5mg PO q2h PRN migraine (max 3 tabs/24hours) Allergies: NKDA Tobacco – pt states she smoked 1 ppd x 12 years, quit 4 months ago c assistance of Chantix Alcohol – 2 drinks on weekend. Drug – denies Childhood Illnesses – Pt states chicken pox when 6 years old Adult illnesses – Migraine headaches first appeared at age 13 with onset of menarche – diagnosed as migraine headaches at age 14. Surgical history – Wisdom teeth x 4 (age 17) removed s complications OB/GYN – Pt states no pregnancies, menarche at age 13, condoms for birth control, is sexually active...
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...highlighted in yellow in Jane Dare’s Health Record). In the second column, list what each of the individual letters in the abbreviation represents. In the third column define the context or meaning of the term that the abbreviation represents. Use simple terms. Finally, in the far right column, identify the source document. For example, face sheet, discharge summary, progress notes, or x-ray report. Abbreviation | Letters Represent | Context Definition or Application within the Patient’s Chart | Source Document | 1. ICD | International classification of diseases. | States the classification of coding use | Admission SummarySheet | 2. CM | Clinical Modification | Classification of coding use | Admission Summary Sheet | 3. N/A | Not Available | This information concerning the patient is not available | Admission Summary Sheet | 4. ER | Emergency Room | States where the patient was taken for medical care | History & Physical | 5. C/O | Complains of | She made complain of | History & Physical | 6. SOB | Shortness of breath | Symptoms she was having | History & Physical | 7. mg | Milligram | The dosage of medication used | History & Physical | 8. po | By mouth | Method the patient will take her meds | History & Physical | 9. tid | Three times a day | The amount of times the patient will take her medication a day | History & Physical | 10. qd | Everyday | The frequency the patient needs to take her...
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...* Auxilary Area. * Entrance to the ICU. * Ancillary Area. 1.ENTRANCE TO THE ICU: 2.PATIENT CARE AREA: 3.AUXILLARY AREA: 4.ANCILLARY AREA: LEVELS OF ICU: There are five different types and levels of ICU defined according to three main criteria: the nature of the facility, the care process and the clinical standards and staffing requirements. All levels and types of ICU must be separate and self-contained facilities in hospitals and.The five types of ICU are briefly described below: * Adult intensive care unit, level 3: must be capable of providing complex, multisystem life support for an indefinite period; be a tertiary referral centre for patients in need of intensive care services and have extensive backup laboratory and clinical service facilities to support the tertiary referral role. It must be capable of providing mechanical ventilation, extracorporeal renal support services and invasive cardiovascular monitoring for an indefinite period; or care of a similar nature. * Adult intensive care unit, level 2: must be capable of providing complex, multisystem life support and be capable of providing mechanical ventilation, extracorporeal renal support services and invasive cardiovascular monitoring for a period of at least several days, or for longer periods in remote areas or care of a similar nature (see ACHS guidelines). * Adult intensive care unit, level 1: must be capable of providing basic multisystem life support usually...
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...MEDICAL TOURISM IN THAILAND Table of Contents Medical Tourism What is Medical Tourism Why Thailand? Medical Tourism in Thailand Why Thailand is No.1 in Medical Destination? What makes Thailand a prime Medical Destination? History of modern medical services Medical and health services currently provided Present policy of medical tourism of Thailand Medical treatments that Thailand offer Additional services for your recover period Medical standards of Thailand Rules and regulations 4 4 5 5 6 7 10 12 14 15 19 23 25 Follow the doctor’s instructions pre-treatment strictly 26 While you are on your way Plan ahead Select health travel agent Summary 27 28 29 31 2 MEDICAL TOURISM IN THAIALND 3 Medical Tourism Medical tourism is a term that has risen from the rapid growth of international healthcare where people from all around the world are traveling to other countries to obtain general medical surgery, cosmetic plastic surgery and dental surgery at a fraction of the cost of healthcare in their home country. And, while abroad, if physical conditions permit, patients can experience the interesting cultural attractions their destination country offers. More and more people are seeking the expertise of medical tourism companies to travel abroad as an affordable, enjoyable, and safe alternative to having medical, dental, and cosmetic surgical procedures done in their home countries. What is Medical Tourism? Medical Tourism is the practice of travelling across the borders...
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...evaluation criteria for the course and work ethics, warranty claims, available student support services, expected accomplishments, and specific timelines. INSTITUTIONAL MISSION: Atlanta Technical College, a unit of the Technical College System of Georgia, located in the city of Atlanta, is an accredited institution of higher education that provides affordable lifelong learning opportunities, associate degrees, diplomas, technical certificates of credit, customized business and industry training, continuing education and other learning services using state-of-the-art technology. The integration of academics and applied career preparation to enhance student learning is essential in meeting the workforce demands and economic development needs of the people, businesses, and communities of Fulton County. Course Title: Anatomy and Physiology II Course Code Number: BIO 2114 Prerequisites: BIO 2113 Contact Hours: 70 Includes: Class Hours: 4 D. Lab Hours: 3 Credit Hours: 5 Instructor's Name: Barry N. Bates Office Room Number: 2107 Office Phone Number: 404.225. 4583 Office Fax Number: 404.225.4641 Instructor's Email Address: bbates@atlantatech.edu Office Hours: T.B.D. Course Time: 1:00 PM – 4:00 PM Lab Time: Days: Monday and Wednesday Room Number: 2124 COURSE DESCRIPTION: BIO 2114 Anatomy and Physiology II, emphasizes the physiology of the human body. It provides...
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