...pp 343-348 2001, American Society of Interventional Pain Physicians® ISSN 1533-3159 Case Study Radiation Exposure to a Physician Performing Flouroscopically Guided Caudal Epidural Steroid Injections Kenneth P. Botwin, MD*, Eric D. Freeman, DO, Robert D. Gruber, DO, Francisco M. Torres-Ramos, 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...
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...COMMENTS ON CENTRAL NERVOUS SYSTEM AND RADIOLOGICAL ANATOMY Radiological Anatomy Radiological anatomy is a medical specialty that employs the use of imaging to both diagnose and treat disease visualised within the human body. It explores various tissue densities to be able to determine structures. It could either be invasive or non-invasive. Radiologists use an array of imaging techniques which include: • Conventional radiography (X-ray) • Ultrasound • Computerized Tomography • Magnetic Resonance Imaging • Interventional Radiology • Radiation Therapy The acquisition of medical imaging is usually carried out by the radiographer or radiologic technologist. The radiologist then interprets or "reads" the images and produces a report of their findings and impression or diagnosis. Central Nervous System The nervous system is organized into two parts: the central nervous system, which consists of the brain and the spinal cord, and the peripheral nervous system, which connects the central nervous system to the rest of the body. In the central nervous system, the brain and spinal cord are the main centres where communication of nervous information occur. Both the brain and spinal cord are covered with a system of membranes, called meninges and are suspended in the cerebrospinal fluid; they are further protected by the bones of the skull and the vertebral column. The central nervous system is composed of large numbers of excitable...
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...Final exam study guide: Cancer: Know the difference between Benign and Malignant tumors. Classification of tumors Benign neoplasm Well differentiated Usually encapsulated Kidneys have their own capsule so is easier to catch Expansive mode of growth Characteristics similar to parent cell Metastasis is absent. Rarely recur Classification of tumors Malignant neoplasm May range from well differentiated to undifferentiated Able to metastasize Infiltrative and expansive growth Frequent recurrence Moderate to marked vascularity Rarely encapsulated Becomes less like parent cell Check Moles and Freckles Shows differentiation Hair growing = blood supply = no differentiation = CANCER * Know the warning signs/clinical manifestations of cancer. * CAUTION: * Change in bowel or bladder habits * A sore that does not heal * Unusual bleeding or discharge from any body orifice * Thickening or a lump in the breast or elsewhere * Indigestion or difficulty in swallowing * Obvious change in a wart or mole * Nagging cough or hoarseness Know the different staging, grading and classifications of cancer. Clinical staging classifications * 0: Cancer in situ * 1: Tumor limited to tissue of origin; localized tumor growth * 2: Limited local spread * 3: Extensive local and regional spread * 4: Metastasis * 0 – enclosed extremely localzed * 1 – only in tissue...
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... | |The Patient With Cancer | |nursing diagnosis: Risk for infection related to inadequate defenses related to myelosuppression secondary to radiation or antineoplastic | |agents | |goal: Prevention of infection | |Nursing Interventions |Rationale |Expected Outcomes | |1. Assess patient for evidence of infection: |1. Signs and symptoms of infection may be |● Demonstrates normal temperature and vital | |a. Check vital signs every 4 hours. |diminished in the immunocompromised host. |signs. | |b. Monitor white blood cell (WBC) count and |Prompt recognition of infection and subsequent |● Exhibits absence of signs of inflammation: | |differential each day. |initiation of therapy will reduce morbidity and|local edema, erythema, pain, and warmth. | |c. Inspect all sites that may serve as entry |mortality associated with infection. |● Exhibits normal breath sounds on | |ports for pathogens (intravenous sites...
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...Cover Sheet For all handins Course Code: FEAD06 Course Name: Service Innovation Title of Work: Service Innovation in Different Industries The Last Date: 2011-09-16 Name of Student/Students Family Name Given Name T-Number Bhatty | Usman Tariq | 840415-9256 (R238) | | | | | | | | | | | | | Name of the Teacher: Lars Witell Name of the Administrator: Frania Johansson ------------------------------------------------- Filled out by the examiner First Return: _____ Second Return: ______ Fourth Return: _________ Passed: _________ Received Points: _________ Grade: _________ Examiner: __________________ Service Innovation In different industries Contents Introduction 1 Service Innovation in Industries 1 Financial Services 1 Health Services 3 Hospitality Services 5 Brief Analysis & Conclusion 6 References 7 Appendix-1 1 Introduction The study of services innovation immediately poses the question of how a ‘service’ should be defined. From a conceptual standpoint there are a variety of views. Crespi et al. (2006) review the literature and conclude: “...it is often useful to think of services as either intermediation activities, such as transport, that arise because consumers want to separate production and consumption, or contact services, such as haircuts or medical services, where production involves the consumer directly and where the output of the activity is embodied in the consumer ..... An important aspect of...
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...Management and Ochsner Hospital In today’s society it takes strong leadership and management skills to not only run a successful business, but a prosperous life as well. Frequently, individuals think of managers as the front-runners of the companies and organizations. Nevertheless, strong management and leadership go far beyond being profitable and widely recognized. Organizations develop a number of assets in to achieve effectiveness and to reach set goals and ideas. Internal and external factors affect the four functions of management and if approached productively can lead to a productive outcome. Four Functions of Management The four functions of management are planning, organizing, leading, and controlling (Bateman, 2011). Planning is fairly self-explanatory. Leaders must conclude what the objective is and how to accomplish it. Organizing is the act of conjoining the right combination of people and assets to attain the set goal. Leading includes stimulating members of the business to want to encounter the goal and to do so in both an appropriate and a profitable way. Lastly, controlling is the ongoing performance of studying the outcomes, keeping what works, and eliminating what is not working to successfully meet and possibly exceed the organization’s specified goals. Internal and External Factors The four functions of management significantly affect both...
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...…………………………………………………………………………………………………………………….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 Profiles 1. Introduction This report analyzes the R&D infrastructure in the United States in the field of new medical devices. It is part of the Innovative Medical Devices Initiative the Netherlands (IMDI.NL) thematic program that aims to focus the Netherlands’ R&D infrastructure for medical devices on health care demands and economic growth (1). The study is a collaboration...
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...Transforming Lives Communities The Nation …One Student at a Time Disclaimer Academic programmes, requirements, courses, tuition, and fee schedules listed in this catalogue are subject to change at any time at the discretion of the Management and Board of Trustees of the College of Science, Technology and Applied Arts of Trinidad and Tobago (COSTAATT). The COSTAATT Catalogue is the authoritative source for information on the College’s policies, programmes and services. Programme information in this catalogue is effective from September 2010. Students who commenced studies at the College prior to this date, are to be guided by programme requirements as stipulated by the relevant department. Updates on the schedule of classes and changes in academic policies, degree requirements, fees, new course offerings, and other information will be issued by the Office of the Registrar. Students are advised to consult with their departmental academic advisors at least once per semester, regarding their course of study. The policies, rules and regulations of the College are informed by the laws of the Republic of Trinidad and Tobago. iii Table of Contents PG 9 PG 9 PG 10 PG 11 PG 11 PG 12 PG 12 PG 13 PG 14 PG 14 PG 14 PG 14 PG 15 PG 17 PG 18 PG 20 PG 20 PG 20 PG 21 PG 22 PG 22 PG 22 PG 23 PG 23 PG 23 PG 23 PG 24 PG 24 PG 24 PG 24 PG 25 PG 25 PG 25 PG 26 PG 26 PG 26 PG 26 PG 26 PG 26 PG 27 PG 27 PG 27 PG 27 PG 27 PG 27 PG 28 PG 28 PG 28 PG 28 PG 28 PG 33 PG 37 Vision Mission President’s...
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...within the next couple of months. Said Debashish Poddar, managing director, BP Poddar Hospital & Medical Research Limited, "It will not be a so called state-of-the-art hospital but a hospital, which will ensure healthcare deliver of international standards within the affordable limits of the common man. The hospital is the culmination of the dream of Arun Poddar, Chairman of the Group and his family to perpetuate the memory of his father Late BP Poddar, he added. Despite being a multispeciality unit, the focus area of the hospital will be oncology. All possible imaging facilities will be provided at the hospital. The management has applied for necessary regulatory clearances from Bhaba Atomic Research Centre (BARC) to start radiation therapy for treatment of cancer. According to Dr Subrata Das, medical director, BP Poddar Hospital & Medical Research Limited, "With a few dedicated hospitals in the region dedicated to oncology, the proposed hospital will take care of all the needs of the cancer patients. We are in the process of installing the latest equipment in the hospital to provide the best possible medical care." The management will be investing substantially on training of human resources. Said Shantanu Ray, a renowned academician and a director of BP Poddar Hospital & Medical Research Limited. To make patient feel that he is not in a hospital, the management has emphasized on adding a dash of colour to the costumes of...
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...The Future of Cardiovascular Diagnostics THE MARKET, TRENDS & FUTURE DIRECTIONS Extracted on: 20 Apr 2011 Reference Code: BI00021-008 Publication Date: 02 Mar 2010 Publisher: Datamonitor © Datamonitor This content is a licensed product, no part of this publication shall be reproduced, sold, modified or stored in a retrieval system or transmitted in any form by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of Datamonitor. The information in this document has been extracted from published research by a registered user of the Datamonitor360 platform. Datamonitor shall not be responsible for any loss of original context and for any changes made to information following its extraction. All information was current at the time of extraction although the original content may have been subsequently updated. Please refer back to the website http://360.datamonitor.com/ to view the most recent content and the original source of the information. To the maximum extent permitted by applicable law we exclude all representations, warranties and conditions relating to the facts of all publications. At time of publication no guarantee of accuracy or suitability, whether express or implied, shall attach to this publication (including, without limitation, any warranties implied by law of satisfactory quality, fitness for purpose and/or the use of reasonable care and skill). Please note that the findings, conclusions and recommendations...
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...-[ \ UNIVERSITY OF CAPE COAST SCHOOL OF NURSING MSC. ADVANCED NURSING PRACTICE COURSE: ADVANCED CLINICAL PRACTICUM I AND II IN SPECIALTY AREA COURSE CODE: NUR 822S and NUR 829S PATIENT / FAMILY CASE STUDY (A NURSING PROCESS APPROACH) ON A CLIENT WITH GESTATIONAL TROPHOBLASTIC NEOPLASM BY: CHARLOTTE LAMPTEY SN/ADN/15/0030 AUGUST, 2016 CONTENTS * PREFACE * ACKNOWLEDGEMENT * INTRODUCTION CHAPTER ONE: OVERVIEW OF CLIENT SITUATION I. Literature review of gestational trophoblastic neoplasm CHAPTER TWO: COMPREHENSIVE HOLISTIC ASSESSMENT OF PATIENT/FAMILY I. Patient’s medical and personal history including review of the systems II.Physical examination III.Diagnostic evaluation IV.Nutritional assessment V. Psychosocial history VI. Patient developmental assessment VII.Spiritual assessment VIII.Quality of life assessment IX.Admission of patient CHAPTER THREE: ANALYSIS OF DATA CHAPTER FOUR: COLLABORATIVE PLAN OF CARE I. Presumptive medical diagnosis II.Nursing diagnosis III.Evidence-based interventions IV.Additional diagnostic procedures warranted but not done Medication to be ordered CHAPTER FIVE: DISCHARGE PLAN I. Community service and resource needed II.Client education plan III.Plans for follow-up of care CHAPTER SIX: EVALUATION PLAN Termination of care * SUMMARY * CONCLUSION * REFERENCE PREFACE ...
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...DIGNITY IN END OF LIFE: THE ROLE OF NURSES BY (Student’s Name) Course Instructor Institution City, State Date Dignity in End of Life: The Role of Nurses LITERATURE REVIEW INTRODUCTION A literature review is a critical appraisal of researches that provides a comprehensive and up to date knowledge on a specific topic (Coughlan, Ryan and Cronin 2013). The purpose of literature review in nursing includes evaluating current practice and making recommendations for policy development and change. Thus, the purpose of this literature review is to establish the current perspectives of patients, family and nurses on the factors that improve dignity in the end of life. Resultantly, this literature review will explore the role of nurses’ based on the findings of the perspectives that patients, family and health professionals have concerning the issue of dignity in the end of life care. In that regard, the paper follows a systematic approach which involves an introduction that explains the concept of end of life and the types of end of life care available. The paper then proceeds to explore the concept of dignity as viewed from several perspectives through the use of literature on the models of dignity means of measuring dignity and the themes associated with this conception. Consequently, the factors that improve dignity are laid out and discussed at length. Eventually, the paper will achieve its secondary goal which is to determine and expound on the topic of the roles that a nurse...
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...Executive summary……………………………………………………..……………………………………………………………………………2 CRM industry review and CRM systems……………………………………………………………………………………………………4 Introduction to Salesforce CRM and its business objects………………………………………………………………………….4 Advantages of Salesforce CRM……………………………………………………………………………………………………………….11 Forecasting in Salesforce CRM………………………………………………………………………………………………………………..13 Salesforce CRM implementation insights for Healthcare……………………………………………………………..…………15 Efficiency and productivity can be achieved through Salesforce CRM…………………………………………………….17 Conclusion……………………………………………………………………………………………………………………………………………..20 Reference……………………………………………………………………………………………………………………………………………….21 Executive summary The main objective of this report is to give close insight into the CRM industry, need analysis for such business application software and its role to contribute to reach high efficiency, productivity in current business enterprises. Also, this paper gives industry information, leading CRM providers and particularly, Salesforce.com CRM and its strengths, capabilities. Salesforce.com CRM is as leading SaaS enterprise application that is helping businesses to re-engineer business process and automating them to the level that it reduces operation costs and reach efficiency and productivity in front-office and back-office processes. The purpose is to show how this enterprise application can contribute the buasisesses to achieve high efficiency, productivity in both front-office...
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...2014-2015 Undergraduate Academic Calendar and Course Catalogue Published June 2014 The information contained within this document was accurate at the time of publication indicated above and is subject to change. Please consult your faculty or the Registrar’s office if you require clarification regarding the contents of this document. Note: Program map information located in the faculty sections of this document are relevant to students beginning their studies in 2014-2015, students commencing their UOIT studies during a different academic year should consult their faculty to ensure they are following the correct program map. i Message from President Tim McTiernan I am delighted to welcome you to the University of Ontario Institute of Technology (UOIT), one of Canada’s most modern and dynamic university communities. We are a university that lives by three words: challenge, innovate and connect. You have chosen a university known for how it helps students meet the challenges of the future. We have created a leading-edge, technology-enriched learning environment. We have invested in state-of-the-art research and teaching facilities. We have developed industry-ready programs that align with the university’s visionary research portfolio. UOIT is known for its innovative approaches to learning. In many cases, our undergraduate and graduate students are working alongside their professors on research projects and gaining valuable hands-on learning, which we believe is integral...
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...OFFICIAL CATALOG This Catalog contains information, policies, procedures, regulations and requirements that were correct at the time of publication and are subject to the terms and conditions of the Enrollment Agreement entered into between the Student and ECPI University. In keeping with the educational mission of the University, the information, policies, procedures, regulations and requirements contained herein are continually being reviewed, changed and updated. Consequently, this document cannot be considered binding. Students are responsible for keeping informed of official policies and meeting all relevant requirements. When required changes to the Catalog occur, they will be communicated through catalog inserts and other means until a revised edition of the Catalog is published. The policies in this Catalog have been approved under the authority of the ECPI University Board of Trustees and, therefore, constitute official University policy. Students should become familiar with the policies in this Catalog. These policies outline both student rights and student responsibilities. The University reserves the right and authority at any time to alter any or all of the statements contained herein, to modify the requirements for admission and graduation, to change or discontinue programs of study, to amend any regulation or policy affecting the student body, to increase tuition and fees, to deny admission, to revoke an offer of admission and to dismiss from the...
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