...Requiring Newborn Screening of Critical Congenital Heart Disease Date With the numerous technological advances that have occurred in today’s health care system, one would think newborn screening would be required in Maryland for the most common birth defect in the United States, critical congenital heart disease (CCHD), but only just this year has the state considered the requirement (Department of Legislative Services, Office of Information Systems [DLSOIS], 2011). Critical congenital heart disease, a disorder in which an infant’s heart or blood vessels near the heart develop abnormally before birth, affects approximately 8 out of every 1,000 infants each year in the US, amounting to around 36,000 infants (DLSOIS, 2011). CCHD is the leading cause of death among infants within the first year of life, amounting to nearly 40% of deaths, often due to the fact that a large number of infants with this disease go undetected (Martin, Bradshaw, & Wright, n.d.). Although some babies are diagnosed with congenital heart disease shortly before or after birth, many diagnoses are not made until days, weeks, or months later; sometimes not at all. Many benefits are associated with implementing CCHD screening, many treatment options are available for those diagnosed with CCHD, and a bill is being proposed to the State of Maryland’s General Assembly about including this screening in the Department of Health and Mental Hygiene’s Newborn Screening Program (DLSOIS, 2011). The benefits...
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...Commonwealth of Pennsylvania, Department of Health Authorization to Obtain Newborn Screening Results and for Disclosure of Protected Health Information Fax form to the Department of Health’s Bureau of Family Health Newborn Screening Section at 717-213-3784 1. I authorize the Pennsylvania Department of Health (Department) to use/disclose individual newborn screening information/results obtained from the records of: (Please Print) Name at Birth: ___________________________________________________________ Date of Birth: __________________________ Sex: M F Telephone:__________________________________ Address:________________________________________________________________ Hospital of Birth: _________________________________________________________ Mother’s Full Name: ______________________________________________________ Mother’s Maiden Name: ____________________________________________________ Last 4 digits of Mother’s Social Security Number: _______________________________ 2. Reason for disclosure of Department Newborn Screening Results:(Describe each specific purpose – such as: use for direct patient care or college application) _College Application__________________________________________________________________ 3. I understand that: a. This authorization may be revoked at any time by writing to the Department except to the extent that information has already been disclosed. If information has already been disclosed...
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...Cystic Fibrosis Latisha Long HCS/245 March 26, 2012 Cathy Coyle Cystic Fibrosis In today’s society there are many diseases out there. It is to contract these diseases by coming in contact with a carrier. People who are into sharing dirty needles, having unprotected sex, or not being able to maintain a healthy and clean environment, can become infected with these transferable diseases. There are some diseases out there that you can inherit; one in particular that stands out is Cystic Fibrosis (CF). CF is a life threating disease; there are 1,000 new cases each year. With the new treatments and studies, people are living longer with CF. Before people with CF were only living into the early years of their childhood, and now they are living well past their 30s. CF is an inherited disease that affects the lungs and digestive system. A defective gene and its protein cause the body to produce an abundance of thick sticky mucus in the lungs. The production of this mucus causes the lungs to clog and can lead to life threating infections. CF can also cause the pancreas to obstruct and stop enzymes, which allows the body to absorb and breakdown food. This can cause slow growth and malnutrition in the body, and the sticky mucus can block the airway which makes it difficult to breath causing this disease to be life threatening. People with CF have shorter life expectancy, because of the way CF controls the body. The treatment for CF is improving every day...
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...been many things that happen to the child but nothing happen and she should be happy with the outcome. The court can’t offer you money to help you raise a child, that’s her job even though she is not the reason the baby came. 2. I would not agree with the court when it comes to not rewarding money for educating and raising the child. The court doesn’t know if Seslar was mentally ready to have this baby. It could be really hard in her life right now, maybe that’s the reason she wanted to have a procedure to stop having children. The court doesn’t know her circumstances so maybe that’s the reason she decided to sue. I think that I would also choose to disagree with the court’s decision based on the amount of money it would take to raise a newborn child. I think that the people...
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...men 2. Men who are older than 60 3. Men who have a father or brother with prostate cancer f. Other People at risk 1. Men who have been around Agent Orange, paint, cadmium, tire plant and other toxic chemicals 2. Men who use too much alcohol 3. Men who eat a diet high in fat, especially animal fat g. Preventive Guidelines 1. Choose a healthy diet 2. Maintain a healthy weight 3. Exercise most days of the week 4. Talk to your doctor about your risk 5. Relax and enjoy life 6. Avoid smoking for many reasons 7. Seek medical treatment for stress, high blood pressure, high cholesterol, and depression h. Pints for Prostate Campaign i. Question 2 for audience participation j. Screening recommendations 1. Digital rectal exam (DRE) 2. Prostate-specific antigen test (PSA) k. Risks when screening for prostate cancer 1. Finding prostate cancer may not improve health or help a man live longer 2. Follow-up tests, such as a biopsy, may be done to diagnose cancer 3. False-negative test results can occur 4. False-positive test results can occur l. Earliest signs and symptoms of Prostate Cancer 1. Trouble Urinating 2. Erection Difficulties 3. Blood in the Urine or Semen 4. Lower Back and Body Pain m. Talk to Your Friends About Prostate Cancer Video n. References III. Conclusion a. Prostate Cancer Information Handouts to audience from American Cancer Society b. Prostate Cancer Presentation Quiz c. Question and...
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...problems arose that needed to be handled immediately. BACKGROUND Carl Robins, a new recruiter for ABC, Inc. hired 15 new trainees in early April to work for Operations Supervisor Monica Carrolls. Mr. Robins could not accomplish the necessary procedures for the new hires to begin work, including drug screenings, completing applications, providing materials and scheduling a facility in which to hold the new hires’ training. Monica Carrolls did contact Mr. Robins May 15 in regard to his responsibility in the hiring process, without verifying if he fully understood his duties, Mr. Robins did not give any indication he was having trouble completing the tasks either. Mr. Robins failed to have a current orientation manual on hand himself and previous employees had failed to keep a current master copy. KEY PROBLEMS Mr. Robins needs to address several problems to resolve the issue in order to meet his goal of having the new hires working by July. The key problems needed to be overcome before the new hires are to report to Mrs. Carrolls are the following four obstacles. First the incomplete trainee applications and transcripts files. Secondly the mandatory drug screenings were not scheduled. Thirdly incomplete orientation manuals must be handled. Lastly he must resolve the facility scheduling conflict. ALTERNATIVES With incomplete applications and transcripts on file, Mr....
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...resources they needed to survive. One night for the celebration of a new born baby in the village they were having a ritual. The ritual consisted of a bonfire and dancing as they worshipped the gods and thanked them for the newborn. One lonely coyote that had been alone for quite awhile noticed a fire in the distance and decided to draw closer for he was curious. He got as close as he could without drawing attention or giving himself away. Coyote observed the situation at hand. He saw the Indian baby all tucked away in his mother’s arms and thought to himself what a good meal that would be. The sly and sneaky coyote quickly made a plan of attack. He would make a distraction by howling as loud as he could and then charge to the village and grab the babe and take off. Coyote knew it was risky but he had faith he could get away with it. He let out a howl and a couple yips and then knew it was time. He made his charge. Everyone started to scream out of shock and terror; he caught the mother off guard and swept the baby boy out of her arms. But, he hadn’t made it out yet. A group of the warriors surrounded him; he tried to bolt and successfully got through their legs. The men were on his tracks though. The Iroquois were not foolish and would not give up finding the newborn. They kept chasing coyote and finally wore him out. He had given up. Coyote surrendered the baby boy and knew what he had coming to him,...
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...Do the benefits of routine cancer screening outweigh the drawbacks? Living in the twenty-first century with all the medical technology available you would think one would be indestructible. Am I right? Scientist keeps coming up with cures, and modern machines seem to detect diseases early on. Or do they? Have you ever been given bad news just to find out later it was false? This has happened to most all of us sometime in our life. Somebody is being told today they have cancer. They have instantly been thrown into a sea of emotions, caught and knocked down by every wave of evil thought. They are eventually relieved that they had denied treatment only after finding out the test was wrong. All the worry this family went through could have been avoided. Some would go ahead with treatment, finding out later that they shouldn’t have. Don’t get me wrong, it is a great benefit to have all the modern updates of medical science at our fingertips. But, have we come to rely on the answers of machines rather than our own self-exams and our own intuition? Instead of being on a roller coaster of emotions, or taking dangerous amounts of unnecessary treatments, shouldn’t we wait until there’s a reason for concern and then use the force of science to combat the enemy? Until the ratio of routine screenings rise to meet a level of accuracy, I feel they are hardly as necessary as one is lead to believe. Routine cancer screenings bring too many false positives with premature and over...
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...example is the most feared form of skin cancer: melanoma. Melanoma rates have gone up since the late 1980s. Most of the increase is in early cancers detected as skin-exam screening became more common. But late-stage melanoma cases didn't decline, Kramer says. Neither did the death rate. Brawley agrees. "I cannot quote a study showing that melanoma screening definitely saves lives," he says. "We cure some melanomas that don't need to be cured. “Nobody wants to live with cancer. Nobody wants to be over diagnosed or over treated. It's just that we want -- need -- answers that medical science does not yet have. "What we really need is a 21st century definition of cancer so we can move away from 20th century screening and diagnosis using a 1840s definition of cancer," Brawley says. There are limits to science, says Susan G. Fisher, PhD, professor and chair of public health sciences at the University of Rochester, N.Y. "People are uncomfortable and concerned because they think we are recommending less screening in some groups," she says. "The message for the public is that science is hard. As we get more and more information we get smarter about our advice. The most recent evidence says that in groups at low risk, we are creating more problems than benefits with early screening." The USPSTF recommends routine screening -- that is, for people at normal risk -- for only three...
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...As you complete your weekly reading, answer the questions below. | Please review the following writing guidelines prior to answering the questions: * Remember to respond to the questions using your own words. * Do NOT copy responses from the textbook, internet or other resources. This is plagiarism, which is illegal, and may result in a failing grade. * You MUST paraphrase information in your own words and not transfer word-for-word. * For information on how to avoid plagiarism, please visit the Writing Center in the Student Success Center. | (Scroll to the next page to view the questions for this assignment) After reading the assigned pages in your textbook, answer the following questions. | 80 points | | 1. Provide the correct Evaluation and Management code for initial hospital care with comprehensive history and examination level and a moderate medical decision making complexity.992222. Provide the correct code Evaluation and Management for a 35 year old patient seen in the critical care unit for 55 minutes on November 5.992913. Identify the correct Evaluation and Management code for a physician who provided an initial comprehensive preventative examination to a 6 year old.993834. Identify the correct Evaluation and Management code for a previously seen 14 year old receiving a periodic comprehensive preventative examination.993945. New patient and ____________________ are the subcategories in the Office and Other Outpatient Services category.Establish...
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...it may not cause serious harm. While some types of prostate cancer grow slowly and may need minimal or no treatment, other types are aggressive and can spread quickly. Prostate cancer that is detected early — when it's still confined to the prostate gland — has a better chance of successful treatment. One of the biggest and prevalent issues with prostate cancer is the rates of sensitivity and specificity. Sensitivity and specificity measure the number of false positives and false negatives, and are useful in evaluating the effectiveness of screening methods. Sensitivity is the number of true positive results divided by the sum of the true positive results and false negative results. Specificity is the number of true negative results divided by the sum of the true negative results and false positive results. The article explains that the PSA test and Digital Rectal Examination (DRE) are the most widely used forms of prostate cancer screening. The PSA test is simply a blood test. Even though the PSA is widely available to the general population it’s the sensitivity is 34.9% and the specificity is 63.1% which is not good at all. The DRE test is available by appointment in a doctor's office; there is discomfort for the patient and a risk of slight bleeding. The sensitivity is 27.1% and the specificity is 49.0%, which is worse than the PSA test. To help ensure that the readings will be more reliable most doctors use the two tests together, the sensitivity remains low at 38.0%, and...
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...Our third initiative will focus on partnering with the community, especially its leaders, in Brasilia, the capital city of Brazil. By building relationships with the community, we can create shared value as we help educate the population about the disease while marketing our product implicitly. Now, I am going to talk about why we chose Brasilia as our location and how we will carry this plan out. First of all, we decided to carry out this project in Brasilia because prostate cancer is the most common cancer for men in Brazil. But, the more important reason for selecting this location lies in that there are Brazilian leaders, who have had cancer, living in the region. To soften the market for our bigger expansion into South America in the future, it is important to respond to the culture there and interact with the community. When we attempt to enter the market in Brasilia, people can be on alert and oppose us since we are a foreign pharmaceutical company. In response, becoming friendly with the Brazilian leaders with some kind of connection to cancer will help the population accept our company better. In Brazil, the current president and ex-president have both suffered and recovered from cancer. So, we believe that these important figures obviously know the importance of treatments and of awareness of such diseases. And since they are major influencers that the citizens listen to, it would be easier to enter the market in Brasilia if we could get them in on our project....
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...sentence strike interest because of the words issue, healthcare and controversial. The second sentence introduces the reason for the argument. Look at the essay’s introduction. Is there a thesis statement or “statement of purpose” drafted? (Look for a sentence that tells the reader what to expect from this essay.) What is the statement? Patients and Practitioners should not adhere to the guidance form the U.S. Preventive Services Task Force against prostate-specific antigen. C. Based on the introduction, what specific points do you think the writer will make about the essay’s subject? Based on the introduction I believe that key points will be about the strong disagreement with the decision of the Task Force not recommending regular PSA screening, considering prostate cancer is the most wide spread form of cancer. D. Based on the way the main points appear in the essay’s introduction, in what order do you expect to see them in the essay? The recommendation was given without: First, regards to the...
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...Crime Scene Investigation On Friday, there was a house that had been broken into, and many things were stolen. It was revealed that the crime was committed at night, and the house belonged to someone named Billy Albert. Who is the thief guilty of this crime? Suspects (and blood types): Danny Brown (O) Peggy Brown (O) James Thomas (A) Ricky Green (A) Christopher Albert (B) Clues: Billy is close friends with siblings Danny and Peggy. James and Billy are best friends. James is a taxi driver, living on a low income and always asking Billy for money, who was always happy to help his friend. Christopher, Billy’s brother, didn’t seem to like him very much. They were always competing with each other to be the most successful businessman. Ricky is Billy’s business partner. Ricky stated that he was in his office working late at night. Hayley, a coworker of Billy’s, confirmed that Ricky was indeed in his office and not with Billy during the night of the robbery. James claims he did not see Billy at all that night, refusing to answer any other questions. James also seemed angry that his friend had to go through such a terrible thing. Christopher said that when he left Billy' house at around 11 pm, he saw James walking towards the house. When Christopher was questioned, he said he was having dinner at Billy’s house at around 8 pm. Christopher also revealed that Danny and Peggy were at Billy’s house and they were enjoying a fun night together playing games. Danny and Peggy...
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...MODEL, AND PROSTATE CANCER What is the Impact of the New Prostate Cancer screening guidelines on Black Men? And The Health Belief Model Calvin Sneed Marymount University August 1st 2014 Introduction Prostate cancer is a highly prevalent disease with an estimate of 30,000 deaths and 233,000 new cases predicted for the United States in 2014 (ACS, 2014). It is the second leading cause of cancer death in American men but is highly survivable if diagnosed correctly. In fact, the American Cancer Society (2014) has stated the relative five and ten year survival rates for the disease are 100 percent and 99 percent respectively. These figures indicate the importance of early detection screenings like the Prostate Specific Antigen test (PSA) and the Digital Rectal Exam (DRE) in regards to surviving the disease. “Since using early detection tests for Prostate Cancer became relatively common in the United States (about 1990), the prostate cancer death rate has dropped” (ACS, 2014). However, there has been a contentious debate in recent years involving many organizations on the adequacy of these early detection measures (American Society of Clinical Oncology, 2013). Controversy stems from studies like the Prostate, Lung, Colorectal, and Ovarian (PLCO) cancer screening trial. The early research from this study indicated there was no evidence of a mortality benefit in having an annual PSA screening done (Andriole, Crawford, Grubb, Buys, and Chia, 2009). After Extensive...
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