...S w 908D01 PAEDIATRIC ORTHOPAEDIC CLINIC AT THE CHILDREN'S HOSPITAL OF WESTERN ONTARIO Manpreet Hora wrote this case under the supervision of Professor Robert D. Klassen and Dr. Kellie Leitch solely to provide material for class discussion. The authors do not intend to illustrate either effective or ineffective handling of a managerial situation. The authors may have disguised certain names and other identifying information to protect confidentiality. Ivey Management Services prohibits any form of reproduction, storage or transmittal without its written permission. Reproduction of this material is not covered under authorization by any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2008, Ivey Management Services Version: (A) 2010-01-13 Dr. Kellie Leitch glanced at the data on wait times collected from the patients in one of her clinics. As Chief of Paediatric1 Orthopaedic surgery at the Children’s Hospital of Western Ontario (CHWO), she was very concerned by the long times that the young patients (and their parents) were experiencing in the daily clinic. Long wait times tended to aggravate the already pent-up distress and concern that they were feeling, and parents were...
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...Roentgen The history of radiology is filled with wonder and discovery. Since ancient times, people have been curious about the body, its structure, and how it functions. This led to the many creative individuals who helped pave the way for radiology; from as early as first century Archimedes and his explanation on the reaction of solids to George Eastman who produced a patented roll of film. All of these discoveries and inventions helped give birth to the discovery of x-rays by Physicist, Wilhelm Roentgen. His discovery of a new kind of ray, spurred the age of modern physics and turned the world upside down in diagnostic medicine. Wilhelm Roetgen was born on March 27, 1845 in Lennnep, Germany. His parents were Fedrick and Charolette...
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...caner melanoma”. Individual genes are recorded and traced to others with similar characteristics to detect the cancer. This program was mainly formed by the computer with minimal human help. ULTRASOUND SCANNING: The use of ultrasound in treating patients with complications too severe to be transported to a radiology laboratory, the use of defibirillators in people who are injured by heart attacks in an outside of hospitals and more complex technologies such as computerized monitoring systems described earlier. MICROCONTROLLER ROBOTIC SURGERY: Another example of computers being used benificial in medicine would be through surgery performed by using robotics. Currently two robotic surgical systems exist which have been cleared by the Federal Drug Administration (FDA) which are known as The da Vinci surgical system are used in aparoscopic and thoracoscopic surgeries which are surgeries done in the chest and abdomen areas. The da vinci Robotic system is a robot with three hands fitted with surgical instruments with one holding a camera which is inserted into the patients body through small openings. The other two hands are controlled by the surgeon inserting his or her fingers into rings. This systems camera provides a three dimensional view and can magnify objects upto 15 times their normal size which greatly increases a surgeons visibility and decision making. CONCLUSION: Such technologies continue to prove beneficial and useful in aiding physicians and surgeons to perform their...
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...rotation of his shoulder. Furthermore, the patient denied being short of breath, feeling dizzy, or with difficulty swallowing. Radiographs of the left clavicle and sternoclavicular joint (SCJ) at the initial visit were remarkable for a posterior dislocation of the clavicle. A magnetic resonance imaging (MRI) study of the left clavicle and SCJ revealed that it was posteriorly displaced and edema was present at the fracture site. The physeal attachment to the manubrium was intact. Furthermore, the anterior portion of the clavicle was abutting the brachiocephalic and left subclavian vein (Figure 1). The patient was admitted and a closed reduction was attempted. Postoperatively, the patient developed paresthesia of the fingers of his left hand. An urgent CT scan with contrast was performed to evaluate any potential bleeding from the subclavian vessels. No active bleeding was discovered, however, a retrosternal hematoma with mass-effect on the adjacent vasculature was identified and the...
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...Hilda Van Duinen 6 October 2014 A Stuffed Toy Bear Walking down a long hallway with bleached white tile, little flecks of paint decorate each square to disguise the drops of food and bits of trash. What room number was it, 1306 or 1309—pretty sure it was bed B? Check the chart. The bleached tile hugs the wall and hides underneath the rustic orange-colored plastic border, creating a gap amid the tile and the wall where the occasional stray syringe cap is lazily tucked in between it. Feet are throbbing; stomach is rumbling, long day, clocked in at four this morning, just want to sleep forever. Following this plastic trimming, the hall seems endless, does it turn left or right, maybe a dead end—you could rarely ever tell if it weren’t for the directional signs. I think this is the room; the girl with the plush stuffed toy bear they said. The wall itself is also white, neutral, seldom decorated with anything other than policies and inspirational posters which are not really meant to look at, more for comfort really. Besides, you could hardly ever see the posters as the halls are constantly filled with running feet. There are lights everywhere, on the ceiling, on the floor, on the walls, above every room, however the hall is surprisingly dim, making it difficult to read patient numbers on doors. Found it, the room with the girl with the plush stuffed toy bear. Finally get to sit. A firm cheap sofa chair that isn’t meant for long term visits—mostly only for show and requirement—but...
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...MD, Constantine G. Bouchlas, MD, Joseph T. Sanelli, DO, and Ashraf F. Hanna, MD This study was designed to investigate radiation exposure to a physician performing fluoroscopically guided caudal epidural steroid injections. The prospective study design included 100 consecutive fluoroscopically guided caudal epidural steroid injections performed on patients with radiculitis from either herniated nucleus pulposus or lumbar spinal stenosis. Radiation exposure was monitored with the assistance of a radiological technologist (RT) who allocated four dosimetry badges to all physicians performing fluoroscopically guided caudal epidural steroid injections on consecutive patients being treated for radicular pain. The badges were placed on the ring finger, glasses and both the inside and outside of the lead apron worn by the physician. In addition, the RTs also wore a marked badge outside his/her lead apron. A control badge was placed 67 inches away from the fluoroscopy table, and a second control badge was located in a desk over 500 feet away from the procedure, to monitor ambient radiation. The average fluoroscopy time per procedure was 12.55 seconds. The average/cumulative exposure per procedure was 4.10/410 mREM at the “ring” badge, 2.47/247 mREM at the “glasses” badge, 3.98 /398 mREM at the “outside apron” badge and 0.15/15 mREM at the “inside” apron; no radiation was detectable at the “outside room” control badge. The RT’s average exposure during these procedures was below the limit...
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...Name of Student: Course Code: Course Title: Instructor’s Name: Conflict Identification and Resolution Conflict is a strong disagreement between people, groups that results in an angry argument. It can also be difference that prevents agreements. It leads into a dramatic action in form of a fight or war. Conflict occurs between people of all kinds of human relationships and in all social settings mostly because of the potential difference among people. There are varies sources of conflict: economic conflict, value conflict and power conflict. * Economic conflict it involves competing motives to attain scarce resources in a certain area. Both party wants to get the most that it can. The behavior and emotions of each party are directed towards maximizing it again. * Value conflict this involves incompatibility in ways of life, ideologies, principles and practices that peoples believes in. conflict like international often have a strong value component where each side asserts the rightness and superiority of it way of life and its political economic system. The cold war is one of the example of value conflict * Power conflict this occurs when each party wishes to maintain the amount of influence that it exerts in the relationship and social settings. In this there is a power struggle which ends in victory and defeat since it is impossible for them both party to win. It is impossible for one party to be stronger without the other one being weaker. Power conflict...
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...KXO223: Systems Acquisition and Implementation Assignment 1, 2013 – Case Studies Tutorial-based group assessments Due: See ‘Due Dates for Case Study Submission’ section Marks: 30% of the total marks for the unit Background – Learning with Cases Harvard University, probably the most famous source of teaching cases, describes these resources as follows: “Teaching cases – also known as case studies – are narratives designed to serve as the basis for classroom discussion. Cases don’t offer their own analysis. Instead, they are meant to test the ability of students to apply the theory they’ve learned to a ‘real world’ situation … where good accounts of specific events can help exemplify and illuminate theory” (Harvard, 2000). The use of cases based on or around real organisations and/or current issues provides an entirely different approach to learning from that of lectures or more conventional tutorial exercises, where students solve specific problems in isolation from the world of business. Case preparation is a significant part of both undergraduate and postgraduate business study – particularly in the English-speaking world – and it is important to learn to do it effectively and efficiently. I have provided two introductory readings to help you with this process: “Learning Information Systems with Cases” (a pdf file available from your KXO223 MyLO resources) and “Notes on Writing a Case Study Report” (included in this document as Appendix A). Please begin by reading...
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...Acquisitions Editor: Crystal Taylor Product Managers: Kelley A. Squazzo & Catherine A. Noonan Designer: Doug Smock Compositor: SPi Technologies First Edition © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business. 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the abovementioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market street, Philadelphia, PA 19103 USA, via email at permissions@lww.com, or via website at lww.com (products and services). Library of Congress Cataloging-in-Publication Data Lambert, Harold Wayne, 1972– Lippincott’s illustrated Q&A review of anatomy and embryology / H. Wayne Lambert, Lawrence E. Wineski ; with special contributions from Jeffery P. Hogg, Pat Abramson, Bruce Palmer. — 1st ed. p. ; cm. Includes index. ISBN 978-1-60547-315-4 1. Human anatomy—Examinations, questions, etc. I. Wineski, Lawrence E. II. Title. [DNLM: 1. Anatomy—Examination Questions...
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..._______________________ Candidate Name Candidate Number IB Biology Lab Cover Sheet Title: Heart Rate Design Lab Check Required Criteria for Lab D_____DCP ______ CE_______ DESIGN ASPECT 1: DEFINING THE PROBLEM AND SELECTING VARIABLES Background Information: The heart is a vital organ made of cardiac muscle that pumps blood throughout the body. Heart rate is associated with the contraction of the different chambers of the heart, and is considered myogenic. As a result, the heart beat is controlled independently of the central nervous system and is instead controlled by the pacemaker, also known as the Sino arterial node. The node sends signals through nerves in the heart to other nodes such as the AV or atrio-ventricular node and these result in the contraction of the chambers (Copeland, 1991). Heart rate is the number of heart beats per unit of time, typically expressed in beats per minute or bpm. The average heart rate at rest under normal conditions of adolescents and adults is 63.3 bpm ± 13.1 bpm, with variability of 3.2 bpm ± 2.1 (Leschka, 2006). Other factors also have an influence on the heart beat and heart rate such as the medulla of the brain of the hormone adrenaline. External stimuli or external factors also result in alterations of the heart rate. These include physical and emotional factors. One type of external stimuli that is shown to have effects on the heart rate is sound, specifically music. Music is currently being...
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...TABLE OF CONTENTS Execusive Summary # INTRODUCTION # CHAPTER 2 # SECTION 2.1 # SECTION 2.2 # SUBSECTION 2.2.A # SUBSECTION 2.2.B # SUBSECTION 2.2.C # SECTION 2.3 # CHAPTER 3 # SECTION 3.1 # SECTION 3.2 # SECTION 3.3 # SUBSECTION 3.3.A # SUBSECTION 3.3.B # SUBSECTION 3.3.C Excusive Summary Numerous healthcare organizations are investing in the use of Epic Electronic Record (EHR) solutions to improve quality of patient care and efficiency. With the growing reliance on digital records for everything from patient test results to medical records to billing and HIPPA reporting, high level of availability Epic HER environment has never been more important. Epic creates and provides integrated software to health care organizations so they can take better care of patients by improving outcomes, enhancing the patient’s experience, and supporting research. All of Epic’s applications are built on a single database, providing an integrated solution that supports patient care and continuity throughout hospitals, clinics, and physician offices. Using these applications, health care organizations and professionals can access the appropriate patient information instantly whenever and wherever needed. Epic is privately held health care software company. In 1979 it was founded by Judith Faulkner. The company headquarters was in Madison, Wisconsin, but in 2005 the company moved to...
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...EFFECTS OF COMPUTER INNOVATION Introduction: Today man’s scientific knowledge is very wide and highly advanced. It has helped him to discover and invent many things for his ease, comfort and efficiency. Computer is the latest and most brilliant child of science. They used for work, school, hospital, industrial, office, shops, house etc. The Computer can be a helpful place to find information on certain topics. With their quick processing ability helping, it makes informed decisions more quickly and to perform our work faster and easier. That is why many people in the world were depending in computers. And yet computer is a very friendly use for us to do whatever and whenever task we want to do. The Computer has a great literacy for over fifty years; beginning with the famous ENIAC, a revolution has been taking place in the United States and the world. The personal computer has changed the way many people think and live. With its amazing versatility, it has found its way into every area of life, and knowing how to operate it is a requirement for today's world. Body of the Paper: Computers today are used in a way people commonly are doing work on it. There is more to computer typing there’s programming, troubleshooting, communications, and many of more uses from them people and I go through. People has know that there is more to computers then just typing more of it comes where in how other specific devices are used to convert data. Troubleshooting things such as...
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...New Medical Devices in the US August 13 2010 Table of Contents 1. Introduction……………………………………………………………………………………………………………………………………2 2. Background and Framework……………………………………………………………………………………………………………4 2.1 Priority Medical Devices for the Netherlands…..……………………………………………………………………4 2.2 The US Vision: From see and treat to predict and prevent……………………………………………………6 2.3 Conclusions…………………………………………………………………………………………………………………………..7 3. Medical device sector in the US………………………………………………………………………………………………………8 3.1 Economic Impact…..………………………………………………………………………………………………………………8 3.2 The Sector by State…..…………………………………………………………………………………………………………10 3.3 Key Institutes: Patent Applications in the Cluster Areas…..………………………………………………….13 3.4 Conclusions…..…………………………………………………………………………………………………………………….20 4. Turning research into novel medical devices………………………………………………………………………………….22 4.1 The Medical Device Development Process…..……………………………………………………………………..22 4.2 CIMIT: A Structure for Medical Device Innovation…..………………………………………………………….23 4.3 Stanford Biodesign: Innovation as a Discipline…..………………………………………………………………..26 4.4 Conclusions and Recommendations…..……………………………………………………………………………….28 5. Summary and Conclusions…………………………………………………………………………………………………………….30 6. Acknowledgements……………………………………………………………………………………………………………………….32 7. References…………………………………………………………………………………………………………………………………….33 Appendices A1 Selection of Key Institutes A2 Results Patent Analysis A3 Research...
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...Nursing 122 Fundamentals of Neuro-Sensory nursing --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Review major structures and functions of both central and peripheral nervous system. (Carolyn Jarvis, Physical Examination and Health Assessment, 3rd ed., pages 688-692 Structure and function of the CNS and PNS --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Potter and Perry, Fundamentals of nursing (8th), Chapter 16 p. 210-211 Types of Data --There are two primary sources of data: subjective and objective. Subjective data are your patients’ verbal descriptions of their health problems. Only patients provide subjective data. For example, Mr. Jacobs's report of incision pain and his expression of concern about whether the pain means that he will not be able to go home as soon as he hoped are subjective findings. Subjective data usually include feelings, perceptions, and self-report of symptoms. Only patients provide subjective data relevant to their health condition. The data sometimes reflect physiological changes, which you further explore through objective data collection. --Objective data are observations or measurements...
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...Explain the role of effective communication and interpersonal interaction within a health and social care setting By Ellena Hall Figure 1 Figure 1 Contents Page: Page 3: Introduction Pages 4-7: Main Text Pages: 8- 9 Conclusion Page: 10 Definitions Page: 11 Bibliography Introduction: I am writing this report to inform year 11 students about effective communication which can be used during work placement in a health and social care setting. This is due to concerns of students being nervous on arrival of work placement and communicating with patients/service users when they start the course. Therefore this report is to help prepare them with different forms and techniques of effective communication and good interpersonal interaction skills. The way in which we communicate vary from person to person as it depends upon ability and the context in which we are communicating, this is due to some people may be unable to communicate verbally due to a condition, but also whether we are in an form al or informal context as we wouldn’t talk to our friends the same way we do with people of higher authority. All methods of commutation can be accessed by every individual despite need; this ensures that every human being can communicate. This is because there are many reasons why we communicate and why effective communication is important, however due to communicating everyday this is often forgotten. We often communicate for one of two reasons, these...
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