...death. In this paper we explain the origins and history of organ donation, the process by which organs are donated, the ethical implications behind organ donation and discuss many of the proposed solutions to solve the organ shortage issue. HISTORY OF ORGAN DONATION The origins of organ donation arose with several experimental transplants. The first successful transplant was a bone transplant in 1878, which used a bone from a cadaver. (14) Experimentally, bone marrow transplants began by giving patients bone marrow orally after meals to cure leukemia. This had no effect, but later when they used intravenous injections to treat aplastic anemia, there was some effect (14). One development that largely aided organ donation was the discovery of blood groups in the early 20th century. The first recorded kidney transplant was in 1909 and was a rabbit kidney inserted into a child suffering from kidney failure. The child died after two weeks (8). The first human to human kidney transplantation was in 1936 and failed. The first successful kidney transplant wasn't until 1954 and was between two identical twins. Soon after, heart transplants began,...
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...the lakeshore that begin about one half mile north and four miles south of the downtown. According to the United States Census Bureau, the city has a total area of 96.9 square miles. 96.1 square miles of it is land and 0.9 miles squared of it is water. Included in this graph is some basic demographic information: General Characteristics | Number | Percent | U.S. | Total population | 596,974 | | | Male | 285,363 | 47.8 | 49.1% | Female | 311,611 | 52.2 | 50.9% | Median age (years) | 30.6 | (X) | 35.3 | Under 5 years | 47,545 | 8.0 | 6.8% | 18 years and over | 425,990 | 71.4 | 74.3% | 65 years and over | 65,123 | 10.9 | 12.4% | | | | | One race | 580,824 | 97.3 | 97.6% | White | 298,379 | 50.0 | 75.1% | Black or African American | 222,933 | 37.3 | 12.3% | American Indian and Alaska Native | 5,212 | 0.9 | 0.9% | Asian | 17,571 | 2.9 | 3.6% | Native Hawaiian and Other Pacific Islander | 301 | 0.1 | 0.1% | Some other race | 36,428 | 6.1 | 5.5% | Two or more races | 16,150 | 2.7 | 2.4% | | | | | Hispanic or Latino (of any race) | 71,646 | 12.0 | 12.5% | | | | | Household population | 580,571 | 97.3 | 97.2% | Group quarters population | 16,403 | 2.7 | 2.8% | | | | | Average household size | 2.50 | (X) | 2.59 | Average family size | 3.25 | (X) | 3.14 | | | | | Total housing units | 249,225 | | | Occupied housing units | 232,188 | 93.2...
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...Tuesday Clinical Background Information Patient: Betty Boop Sex: Female Married status: Widowed Age: 79 No. of children: 2 Occupation: Disabled Date admitted: 09/03/13 Admitting diagnosis: Hematemesis, melanotic stools, cirrhosis, hepatorenal syndrome. Allergies: Codeine Signs and symptoms on admission: fatigue, lethargic, oriented x 1, vomiting bright red blood, reported recent black stools, jaundice. Summary of History and Physical on admission: Patient has a history of hepatitis C, alcohol abuse, cirrhosis, GI bleed, and pancreatitis. Patient was lethargic, with mental status changes. Patient’s appearance is jaundice, stomach distended and tender to palpation. History of Surgical Procedures with dates: Not Known Patient was brought to Memorial ER by her neighbor who was with patient when she collapsed while checking the mail. She has multiple home medications including lactulose. She has a history of hepatitis C, pancreatitis, cirrhosis, and alcohol abuse. Patient is allergic to codeine. She is suspected to have hepatic portal hypertension. She is on Protonix, multi-vitamins, folic acid, thiamine and lactulose at home. Skin appears to be jaundice. Seems confused and is only oriented to place. Pupil’s dilated, not reactive to light and conjunctivae pallor. Patient is in no respiratory distress. Her abdomen is hard and tender. Blood Pressure 79/46, pulse of 59, respiratory rate of 22, and temp of . Patient possibly has a GI bleed and an NG tube will...
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...subsidiary of Baylor Health Care System. We are a large network of close to 800 providers serving patients in almost 200 care sites throughout North Texas and Fort Worth who are dedicated to providing you with outstanding quality and service when it comes to caring for your medical needs. Having your healthcare needs overseen by a HealthTexas physician means that your care is coordinated across our network and the Baylor Health Care System. As long as you are seeing a HealthTexas primary or specialty care physician, we will have your completed registration packet and medical record securely stored in our Electronic Health Record system giving any HealthTexas physician access to the information they need to provide you and your family with the best care possible. Benefits of Belonging to HealthTexas Provider Network: • One Time Form Completion The registration forms you are filling out today will only have to be filled out once. (Some additional patient information may need to be updated annually) • Electronic Health Record (EHR) system The EHR stores your medical records (including any medications, allergies or health issues you may have) and allows physicians easy access to referrals, consultations, and patient education materials. • Improved Coordinated Care Our primary care sites are recognized by the National Committee for Quality Assurance (NCQA) as Physician Connections-Patient-Centered Medical Homes (PPC-PCMH) allowing our physicians to coordinate your care seamlessly...
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...heart is weakened and unable to pump effectively to meet the body’s needs for nutrients or has lost adequate filling capacity. Clinical presentations of heart failure depends on which ventricles have failed to pump blood adequately; left ventricular failure, also known as congestive heart failure (CHF) is more common than right ventricular failure (McCance & Huether, 2014). The most common symptoms of heart failure are shortness of breath, fatigue, and peripheral edema. HF is not a disease, but rather a manifestation of a diseased heart. Large number of disorders can lead to heart failure, and with the aging population and many surviving primary cardiac events, it is no surprise that the most common reason for hospitalization in patients older than 65 years old is heart failure (McClintock, Mose, & Smith, 2014). Heart failure has become a major public health problem because it is the only cardiac condition that continues to increase in prevalence (McClintock, Mose, & Smith, 2014). Organizations such as American Heart Association (AHA), National Heart, Lung, and Blood Institute (NHLBI), and Heart Failure Society of America (HFSA) are helping raise awareness and are invaluable resources to the increasing heart failure population. Because heart failure affects so many Americans, it is important to discuss heart failure in its complexity and analyze the pathology...
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...tu Twelve Domains of Culture Chart |Mexican |Chinese |South Korean |Indian |Laotian |German |Canadian |Japanese |Filipino |Brazilian | |Overview, inhabited localities, & topography |Prefer to be referred to as Mexican American, geo-graphically, historically, and culturally diverse, reside mostly in CA, TX, IL, AZ, FL, NM, CO, 90% live in urban areas, fastest growing ethnic population in U.S. |Immigrants to Western countries very diverse, culture differs with mix of west and traditional values & beliefs, value accountability to family & neighbors, value higher education, most live in CA, NY, FL, TX |Some major industries are electronics, telecommu-nication, chemicals, & steel. Entertain-ment industry is booming. Mountain-ous. Rapidly increasing immigrant group in U.S.. |Leave their country to attain a higher standard of living. Both religious & social system |Land-locked country in South-east Asia. Mountains & flood-plains. Trop-ical mon-soon climate. Mon-soon season from May to October Popula-tion of 5.2 million as of 1998. 70% of popula-tion is under 30 years old. Most live in rural villages near a temple. Paddy rice is subsis-tence for major popula-tion. |Reserved, formal, like order, love music & celebra-tions. Christmas tree with all its décor is a German creation. 60 million Germans in U.S.. Beautiful landscapes mountain ranges, lowlands & ocean borders. Largest economy in Europe, third largest in world. Climate similar to NW portion of U.S.. Embrace...
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...Demographic Data 4 II. Chief Complaints 4 III. History of Present Illness 4 IV. Past Medical History 5 V. Developmental History 6 VI. Heredo-familial History 15 VII. Gordon’s Functional Health Patterns 16 VIII. Physical Examination 22 IX. Diagnostic Test 43 X. Anatomy and Physiology 75 XI. Pathophysiology 81 XII. Case Management 82 XIII. Nursing Care Plan 107 ABSTRACT “"The divine is not something high above us. It is in heaven, it is in earth, it is inside us..." - Morihei Ueshiba We, group 2 of Level III section 2, have chosen this case to gain more knowledge about the mechanism of End Stage Renal Disease and its process. Our patient C.C is a 51 -year old male who was diagnosed to have diabetes mellitus seventeen years ago and now has End Stage Renal Disease due to Diabetic Nephropathy. His disease leads to fluid accumulation to his lungs and edema on his extremities. Our group chose the case because it is also our first time to handle a case related to two major organ and system of the body, which are the kidney and the endocrine system. We also want to improve our knowledge and skills in dealing with individuals who have diabetes mellitus and End Stage Renal Disease, especially in preventing the occurrence of its complications. Renal failure refers to temporary or permanent damage to the kidneys that...
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...jejunum is used when physiologic condition warrant feeding the pt below the pyloric sphincter. Special Indications – anorexia, orofacial fractures, head and neck cancer, neurologic or psychiatric conditions that prevent oral intake, extensive burns and those who are receiving chemotherapy or radiation therapy. Procedure for tube feeding 1. Patient position – 30-45 degrees position. Head remain elevated for 30-60 mins 2. Patency of tube – Tube should be irrigated with water before and after each feeing to ensure patency. 3. Tube Position – Placement of tube is checked before each feeing or every 8 hours with continuous feeings. Checking methods; aspiration and pH. 4. Formula 5. Administration of feeding – feeing are given either by gravity drip method or by feeding pump. 6. General Nursing Considerations – daily weight, accurate I’s and O’s. Blood glucose check. Complication Related To tube and feeding - Vomiting and or Aspiration - Diarrhea - Constipation - Dehydration ---------------------------------------- Central PN – is indicated when long term parenteral support is necessary or when the patient has high protein and caloric requirements. Peripheral PN – is used when; - nutritional support is needed for only a short time - protein and caloric requirement are not high. - The risk of a CPN is...
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...Type II Diabetes in Pennsylvania 4/29/2015 Introduction Diabetes is a lifelong disease that occurs when a person’s pancreas stops or isn’t producing enough insulin and/or the body cannot use it. Insulin is needed to use the energy from food. The body makes glucose from food that is eaten and then the glucose goes into the bloodstream and circulates around the body. Insulin helps glucose enter the cells where it is used for energy, growth and repair. When people have diabetes, glucose cannot enter the cells. It builds up in the bloodstream until it reaches high levels, which is damaging to the body. High blood glucose levels can be returned to normal with such treatments as meal planning, medication, and regular physical activity. It sounds too good to be true on reversing Type II diabetes through exercise and healthy eating is true. While certain lifestyle changes are key to managing diabetes, whether you can actually turn back time so that it's like you never had diabetes is a different matter. That depends on how long you've had the condition, how severe it is, and your genes. "The term 'reversal' is used when people can go off medication but still must engage in a lifestyle program in order to stay off," (Ann Albright, 2015). Type 2 is the most common form of diabetes and can be diagnosed at any age. It is most commonly seen in adults. Type 2 diabetes accounts for about 90 to 95 percent of all diagnosed cases of diabetes, more than 29.1 million people or 9.3% of the U...
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..." TER 1 Wat Is Morality. I \\·e are discussing nd-sm~ll matter, but how we ought to live. SOCRATES, AS REPORTED BY PLATO IN THE REPUBliC (CA. 390 B.C.) 1.1. The Problem of Definition Moral philosophy is the attempt to achieve a systematic under standing of the nature of morality and what it requires of us in Socrates's words, of "how we ought to live,r and why. :It would be helpful, therefore, if we could begin with a simple, uncon !roversial defiuition of what lIJ,Qrality is. But that tums out to be impossible. There are many rival theories, each expounding a different conception of what it means to live morally, and any definition that goes beyoud Socrates's simple formulation is bound to offend one or another of them. This should make us cautious, but it need not paralyze us. In this chapter I will describe what I call the "minimum con ception" of morality. As the name suggests, the minimum con ception is a core that every moral theory should accept, at least as a starting point. We will begin by examining some recent moral controversies. The features of the minimum conception will emerge from our consideration of these examples. 1.2. An Infant with No Prospects: Baby Theresa Theresa Ann Campo Pearson, an anencephalic infant known to the public as "Baby Theresa," was bom in Florida in 1992. Anen cephaly is amoll'g the worst cong~nital disorders. Anencephalic infants are sometimes referred to as "babies without brains," and . dlls gives...
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...P1 Public Health Strategies in the UK and their origins. In this article I am going to describe the key features of public health strategies as they relate to current times in the UK. -Monitoring the health status of the population. This strategy involves keeping track of people’s health/keeping an eye on everyone though statics. By tracking changes in the health of the population health professionals are able to alert people to potential problems, for example regular check-ups, at doctors for asthma or Dentist to check up on teeth and make sure they are in good condition plus Orthodontic. Also the NHS provide a free midlife MOT to check people aged between 40-74, to make sure they are in good health and to help reduce the number of elderly who suffer with high blood pressure. Also for HIV, they monitor the health of the population with HIV tracking the number of people with HIV within the population. This helps the NHS find out the population of people with HIV in order for them to take further actions. -Identifying the health needs of the population. This strategy involves identifying health needs, including those that are common problems/ illness that are considered a major problem. For example identifying the illness and providing support through services or medicine, advert are a great way that can get you aware, and provide you with health awareness that is common in the population. Doctors for example monitor the health status of...
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...Alternative Cancer Therapies Table of Contents 714-X ABM Mushroom AHCC Aloe Vera Anticoagulants Antineoplastons Antioxidants Anvirzel Artemisinin Asparagus Berries Boluses Bovine Cartilage Cancell Cansema Carnivora Alternative Cancer Therapies Page 1 Updated 05/17/11 Bookmark this page...as we learn of more therapies throug Please report any broken links by contacting info@mnwelldir.org Perhaps we should call these "unproven therapies" since many of them are on the American Cancer Society's infamous black list. Simply because something is "unproven" does not mean that it has been "disproven." And if a therapy fits the following— 1. It works. Castor Oil Packs Cayenne Pepper Chaparral Chinese Bitter Melon Chiropractic Clodronate Coley's Toxins Contortrostatin C-Statin D-limonene DMSO Electrolyzed Water Ellagic Acid Enzyme Therapy Escharotics Essential Oils 2. It's inexpensive. 3. Few, if any, negative side effects. 4. It's not patentable. —odds are it will stay on the black list because no one is going to spend a dime to prove its effectiveness. Medicine is a business. Cancer is a business. The FDA is running a protection racket, protecting drug companies and the AMA from anyone with an inexpensive and effective treatment for money making diseases. The following therapies are not guaranteed to work, at least by us. They are presented to you for information purposes only. For many, their effectiveness has been shown in limited clinical trials, but each one, by itself, is not...
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...An Atlas of Surgical Anatomy An Atlas of Surgical Anatomy Surgical commentary by Alain C Masquelet, MD Illustrations by Léon Dorn © 2005 Taylor & Francis, an imprint of the Taylor & Francis Group First published in the United Kingdom in 2005 by Taylor & Francis, an imprint of the Taylor & Francis Group, 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN Tel.: +44 (0) 1235 828600 Fax.: +44 (0) 1235 829000 E-mail: info@dunitz.co.uk Website: http://www.dunitz.co.uk All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of the publisher or in accordance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1P 0LP. Although every effort has been made to ensure that all owners of copyright material have been acknowledged in this publication, we would be glad to acknowledge in subsequent reprints or editions any omissions brought to our attention. Although every effort has been made to ensure that drug doses and other information are presented accurately in this publication, the ultimate responsibility rests with the prescribing physician. Neither the publishers nor the authors can be held responsible for errors or for any consequences arising...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash 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...
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...Bad Bug Book Handbook of Foodborne Pathogenic Microorganisms and Natural Toxins Introduction Food safety is a complex issue that has an impact on all segments of society, from the general public to government, industry, and academia. The second edition of the Bad Bug Book, published by the Center for Food Safety and Applied Nutrition, of the Food and Drug Administration (FDA), U.S. Department of Health and Human Services, provides current information about the major known agents that cause foodborne illness. The information provided in this handbook is abbreviated and general in nature, and is intended for practical use. It is not intended to be a comprehensive scientific or clinical reference. Under the laws administered by FDA, a food is adulterated if it contains (1) a poisonous or otherwise harmful substance that is not an inherent natural constituent of the food itself, in an amount that poses a reasonable possibility of injury to health, or (2) a substance that is an inherent natural constituent of the food itself; is not the result of environmental, agricultural, industrial, or other contamination; and is present in an amount that ordinarily renders the food injurious to health. The first includes, for example, a toxin produced by a fungus that has contaminated a food, or a pathogenic bacterium or virus, if the amount present in the food may be injurious to health. An example of the second...
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