...Epidemiology by definition is the study of the distribution and patterns of health-events, health- characteristics and their causes or influences in well-defined populations. It is the cornerstone method of public health research, and helps inform policy decisions and evidence-based by identifying risk factors for disease and targets for preventive medicine. Epidemiologists are involved in the design of studies, collection and statistical analysis of data, and interpretation and dissemination of results (including peer review and occasional systematic review).Major areas of epidemiological study include outbreak investigation, disease surveillance and biomonitoring, and comparisons of treatment effects such as in clinical trials. Epidemiologists rely on a number of other scientific disciplines such as biology (to better understand disease processes), biostatistics (to make efficient use of the data and draw appropriate conclusions), and exposure assessment and social science disciplines (to better understand proximate and distal risk factors, and their measurement). I would like to discuss elderly patients as my vulnerable population. There is no set age at which a person maybe under the care of a geriatric physician. The physician aims to promote health by preventing disease and disabilities in geriatric adults. A gerontologist specializes in the aging process. Adult medicine differs from the geriatric patient because the focus is on the elderly...
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...The place is chose to conduct my Windshield Survey was, Sunnyvale, Texas, where I resided for the past 7 years. Windshield survey is conducted to observe the health of the community and its members. The factors affecting health is collected and community health nurses intervene to create a difference either to the entire community or its members. Community assessment helps identify community needs, clarify problems, and identify strengths and resources 351. Even though I lived and worked in this community, I have noticed many disturbing facts that have not changed in the past few years. The town of Sunnyvale is very diverse in terms of ethnicity, age, religion and shares both rural as well as urban areas. After conducting an extensive research, I discovered multiple health problems that required the intervention of Community Health Nurses. I selected three common community nursing diagnosis. The first diagnosis is the rise in cardiovascular diseases, diabetes, stroke , chronic obstructive pulmonary disease, and obesity. The second diagnosis is the lack of physical activity leading to obesity. The third is, fall in the elderly age group. The first diagnosis I would like to address is the rise in cardiovascular diseases, diabetes, stroke, and chronic obstructive pulmonary disease. The rise in these deadly diseases is majorly due to the unhealthy lifestyles adopted by the community. Members here were observed to be smoking, obese, unhealthy diet, and not many were physically...
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...Running Head: OZONE DEPLETION Taylor Graham Ozone Depletion The Ozone Layer The ozone layer prevents most harmful solar ultraviolet light, (UV) from passing through the earth’s atmosphere by absorbing 93-99% of these UV rays. UV rays are potentially damaging to life on earth. The ozone layer is comprised of high concentrations of ozone, (03) and mainly located in the lower portion of the stratosphere (rabbitair.com). The atmosphere of the Earth is divided into 5 layers. From closest and thickest to farthest and thinnest the layers are: troposphere, stratosphere, mesosphere, thermosphere and exosphere. The majority of the atmosphere’s ozone resides in the stratosphere, which extends from 6 miles above the Earth’s surface to 31 miles (Sivasakthivel, 2011). The density of the ozone varies according to the season and also the location. The ozone layer has historically protected the Earth from the harmful UV rays, however in recent decades this protection has diminished due to stratospheric ozone depletion. History of Ozone Depletion Ozone depletion is largely a result of man-made substances. Humans have introduced gases and chemicals into the atmosphere that have rapidly depleted the ozone layer in the last century. The possibility of ozone depletion was first introduced by scientists in the late 1960's as dreams of supersonic transport began to become a reality. Scientists had long been aware that nitric oxide (NO) can catalytically react with ozone (O3) to produce...
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...exacerbation. Admitting orders includes: diet as tolerated; out of bed with assistance; oxygen (O2) to maintain SaO2 of 90%; maintenance IV of D5W at 50 ml/hr.; intake and output (I&O); arterial blood gases (ABGs) in AM; CBC with differential, basic metabolic panel (BMP), and theophylline (Theo-Dur) level on admission; chest x-ray (CXR) q24h; prednisone 60 mg/day PO; doxycycline 100 mg PO q12h x10 days, azithromycin 500 mg IV piggyback (IVPB) q24h x2 days then 500 mg PO x 7 days; theophylline 300 mg PO bid; heparin 5000 units SC q12h; albuterol 2.5 mg (0.5 ml) in 3 ml normal saline (NS) and ipratropium 500 mg by nebulizer q4-6h; enalapril 10 mg PO q AM. In this case, I will discuss the definition of COPD/emphysema, causes, S/S, risk factors, contributing factors, normal lab values, current lab values, diagnostic tests, prevention, treatment, patient care, education, and discharge instructions. Chronic Obstructive Pulmonary Disease (COPD); Emphysema Patient D.Z.is a 65-year-old male admitted to medical floor for...
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...battle returned to the outposts to care for the sick and injured * Army nursing service – organize nurses and hospitals and coordinate supplies for the soldiers during the Civil War * Clara Barton a. Provided care in tents set up close to the fighting b. Did not discriminate c. Establishment of the American Red Cross * Harriet Tubman – helped slaves escape to freedom on the underground railroad * Walt Whitman – a poet * Louisa May Alcott – an author * Dorothea Dix – union’s superintendent of female nurses during the Civil War B. Nurses fighting diseases * Florence Nightingale d. Epidemiology – the study of the distribution and origins of disease e. Air, light, nutrition, and adequate ventilation and space assist the patient to recuperate * Lillian Wald & Mary Brewster f. Founded the Henry Street Settlement in NY to improve the health and social conditions of poor immigrants g. Improve health and prevent illness by promoting safe drinking water, adequate sewage facilities, and proper sanitation Florence Nightingale (1820-1910) * “Lady of the Lamp” * Walked through the camp at night providing care to the sick and wounded during the Crimean War * Major contributions: * Establishment of nursing as a distinct profession * Introduction of a broad-based liberal education for nurses ...
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...essential for all body processes. If a diet is unbalanced a person is malnourished. This can lead to being too thin or fat and to deficiency diseases. Balancing the energy If you use more calories than you eat you will lose weight. If you use less calories than eat you will gain weight. Doing exercise uses up lots of calories. The effect of exercise on health Regular exercise keeps you healthy. It maintains a good metabolic rate. It requires energy so uses lots of calories. If they are not used up they are stored possibly as fat. Metabolic rate The rate at which chemical reactions happen in the cells of your body. One major metabolic reaction is respiration. This releases energy from the food we eat. Inherited factors affect metabolic rate: Some people inherit genes that give them a higher or lower metabolic rate than others. The higher the proportion of muscle to fat in your body, the higher you metabolic rate: Muscle cells use more energy. The more exercise you do the faster your metabolic rate: More energy is needed. The warmer it is, the lower your metabolic rate: We use less energy to keep our body temperature at 37oC. Therefore, the less exercise you take, and the warmer it is, the less food you need. Obesity Obesity is a disease where someone is carries too...
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...AS Biology Unit 1 page 1 AQA AS Biology Unit 1 Contents Specification Biological Molecules Chemical bonds Carbohydrates Lipids Proteins Biochemical Tests Enzymes Eukaryotic Cells Prokaryotic Cells Cell Fractionation Microscopy The Cell Membrane Movement across Cell Membranes Exchange The Gas Exchange System Lung Diseases The Heart Coronary Heart Disease The Digestive System Cholera Lifestyle and Disease Defence against Disease Immunisation Monoclonal Antibodies 1 – Mathematical Requirements 2– The Unit 1 Exam 2 4 6 8 10 16 17 24 28 30 31 35 37 44 46 50 54 58 60 67 68 72 80 81 83 86 Cells Human Physiology Disease Appendices These notes may be used freely by A level biology students and teachers, and they may be copied and edited. Please do not use these materials for commercial purposes. I would be interested to hear of any comments and corrections. Neil C Millar (nmillar@ntlworld.co.uk) Head of Biology, Heckmondwike Grammar School High Street, Heckmondwike, WF16 0AH July 2011 HGS Biology A-level notes NCM/7/11 AS Biology Unit 1 page 2 Biology Unit 1 Specification Biochemistry Biological Molecules Biological molecules such as carbohydrates and proteins are often polymers and are based on a small number of chemical elements. • Proteins have a variety of functions within all living organisms. The general structure of an amino acid. Condensation and the formation of peptide bonds linking together amino acids to form polypeptides. The relationship...
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...Clinical guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries guidance for prescribing 2010 EDITION © Médecins Sans Frontières – January 2010 All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner. ISBN 2-906498-81-5 Clinical guidelines Diagnosis and treatment manual Editorial Committee: I. Broek (MD), N. Harris (MD), M. Henkens (MD), H. Mekaoui (MD), P.P. Palma (MD), E. Szumilin (MD) and V. Grouzard (N, general editor) Contributors: P. Albajar (MD), S. Balkan (MD), P. Barel (MD), E. Baron (MD), M. Biot (MD), F. Boillot (S), L. Bonte (L), M.C. Bottineau (MD), M.E. Burny (N), M. Cereceda (MD), F. Charles (MD), M.J de Chazelles (MD), D. Chédorge (N), A.S. Coutin (MD), C. Danet (MD), B. Dehaye (S), K. Dilworth (MD), F. Fermon (N), B. Graz (MD), B. Guyard-Boileau (MD), G. Hanquet (MD), G. Harczi (N), M. van Herp (MD), C. Hook (MD), K. de Jong (P), S. Lagrange (MD), X. Lassalle (AA), D. Laureillard (MD), M. Lekkerkerker (MD), J. Maritoux (Ph), J. Menschik (MD), D. Mesia (MD), A. Minetti (MD), R. Murphy (MD), J. Pinel (Ph), J. Rigal (MD), M. de Smet (MD), S. Seyfert (MD), F. Varaine (MD), B. Vasset (MD) (S) Surgeon, (L) Laboratory technician, (MD) Medical Doctor, (N) Nurse, (AA) Anaesthetist-assistant, (Ph) Pharmacist, (P) Psychologist We would like to thank the following doctors for their invaluable help:...
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...course of evaluating project licence applications. We have sought to look at the many issues which arise in relation to this important element of the regulation of the use of animals, but would draw attention to three particular aspects of our work. In the first place we have addressed the fundamental question as to scientific validity of the use of animals. We believe that our considerations and conclusions offer an important clarification of the debate and fulfil the request made by your predecessor, Mike O’Brien, to provide advice on this issue. Secondly, while we conclude that some uses of animals may yield scientific knowledge, we argue that this does not settle the question of justification. We go on to elucidate the full range of factors which must be considered for there to be a rigorous application of the cost-benefit assessment. Thirdly, we also consider how the practice and process of cost-benefit assessment can be enhanced so that it can be, and be seen to be, critical and comprehensive. This includes a discussion of the future use of the severity limit and band labels, as you requested of the APC in your letter of 10 February 2003. It is important that I should stress that our report does not issue in a series of neat recommendations, but in a...
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...publication may be reproduced, repackaged, redistributed, resold in whole or in any part, or used in any form or by any means graphic, electronic or mechanical, including photocopying, recording, taping, or by information storage or retrieval, or by any other means, without the express written consent of the publisher. DISCLAIMER All information contained in this publication has been researched and compiled from sources believed to be accurate and reliable at the time of publishing. However, in view of the natural scope for human and/or mechanical error, either at source or during production, Business Monitor International accepts no liability whatsoever for any loss or damage resulting from errors, inaccuracies or omissions affecting any part of the publication. All information is provided without warranty, and Business Monitor International makes no representation of warranty of any kind as to the accuracy or completeness of any information hereto contained. Singapore Pharmaceuticals & Healthcare Report Q3 2010 ©...
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...1 HLTH 21: Health Education Spring 2012 Course Orientation This course is all about what YOU want and need to know about personal, family, and community health with an emphasis on epidemiology of disease, nutritional behavior, communicable disease, disease prevention, mental health, and substance abuse. It's really up to you to decide how much you want to get out of this course in terms of meeting your personal and professional goals. Learning Outcomes By the end of this course, students should be able to: Assess health behavior choices, apply that information to everyday life for the improvement of individual, family, and community well-being. Identify preconceived ideas about knowledge, values, and behavior that affect health and compare with established research and accepted scientific evidence. How to be Successful in this Course Plan to spend at least 9 hours per week on this course. Login and keep up with readings, discussions, and quizzes on a weekly basis. Click on Course Map and get familiar with it. First, introduce yourself in the Discussion Forum. Before you begin with the Module readings, take some time to get to know your classmates. Click on the Discussion and Private Messages link to the left of your screen. Click on Discussion Forum titled: Introductions Post a message to tell us a little bit about yourself such as your major, degree plans, career goals, hobbies/interests, and why you are taking this course. Read your...
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...their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley or for impaction 3. any of the mycin's..check for tinnitus or hearing loss 4. cloudy dialysate...always futher assess and call doctor 5.osteoporosis prevention and mgt. choose weight bearing (walking) instead of calcium if both are choices 1. Dilantin can cause gingival hypoplasia, advise good oral hygiene and freq. dental visits, IVP 25-50 mg/min...
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...disrespect for any particular patient population or racial or ethnic group but are solely presented as memory devices to assist in the learning of a complex and important medical subject. We welcome suggestions for future editions. 1) Write in a conversational style for rapid assimilation. 2) Include numerous figures serving as "visual memory tools" and summary charts at the end of each chapter. These can be used for "cram sessions" after the concepts have been studied in the text. 3) Concentrate more on clinical and infectious disease issues that are both interesting and vital to the actual practice of medicine. MARK GLADWIN, MD BILL TRATTLER, MD D CONTENTS Preface v PART 1 1 2 3 BACTERIAL TAXONOMY CELL STRUCTURES, VIRULENCE FACTORS, and TOXINS...
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...Philippine Institute for Development Studies A Study of Philippine Hospital Management Administrative Systems Fred Avestruz DISCUSSION PAPER SERIES NO. 95-16 The PIDS Discussion Paper Series constitutes studies that are preliminary and subject to further revisions. They are being circulated in a limited number of copies only for purposes of soliciting comments and suggestions for further refinements. The studies under the Series are unedited and unreviewed. The views and opinions expressed are those of the author(s) and do not necessarily reflect those of the Institute. Not for quotation without permission from the author(s) and the Institute. June 1995 For comments, suggestions or further inquiries please contact: The Research Information Staff, Philippine Institute for Development Studies 3rd Floor, NEDA sa Makati Building, 106 Amorsolo Street, Legaspi Village, Makati City, Philippines Tel Nos: 8924059 and 8935705; Fax No: 8939589; E-mail: publications@pidsnet.pids.gov.ph Or visit our website at http://www.pids.gov.ph A STUDY OF PHILIPPINE HOSPITAL MANAGEMENT AND ADMINISTRATIVE SYSTEMS PIDS Project No. DOH / 91-92 / 05 (Final Report) October 30, 1994 Fred S. Avestruz, MBA, Ph.D. Asian Institute of Management TABLE OF CONTENTS Chapter 1 Page INTRODUCTION ........................................................ 1 1.1 Objectives of the Study .................................................. 1 1.2 Conceptual Framework of Hospital Management .....
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...Workbook on Science (Grade 5) Produced by 57-75 in partnership with the Ateneo Center for Educational Development and the Department of Education Divisions of Bayombong (Nueva Vizcaya), Guimaras, Iligan City (Lanao del Norte), Iloilo City (Iloilo), Pampanga, San Isidro (Nueva Ecija), Pagbilao (Quezon) and Sual (Pangasinan) Workbook on Science (Grade 5) Writers: Ms. Nenita Gellego (Guimaras) Ms. Jacinta Abeleda (Sual,Pangasinan) Reviewers: Ms. Michelle Jose (Ateneo Loyola Schools) Ms. Anna Marie Q. Benedicto (Ateneo High School) In partnership with: Ateneo Center for Educational Development Foundation for Worldwide People Power League of Corporate Foundations Philippine Business for Education Philippine Business for Social Progress SynergeiaFoundation PREFACE In April 2008 the 57-75 Movement organized a workbooks development write-shop in order to come up with an immediate and effective response to the problem of lacking textbooks and instructional materials in public schools. For two weeks, master teachers from each of the 57-75 pilot sites compiled a series of workbooks on Science, English, and Mathematics designed for their elementary and high school students. The write-shop aimed to: (1) identify least mastered skills in a subject area; (2) produce lesson guides that will help increase the ability of classroom instructors in developing the mastery level of students particularly in problematic subject areas; and (3) help teachers be creative in developing their own instructional...
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