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Care - Science topic

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What are the primary challenges in implementing standardized pediatric care norms in resource-limited settings,
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In Iran, the most important challenges include: Economic Sanctions, Uneven Distribution of healthcare infrastructure between urban and rural areas, and Workforce Shortage Poverty.
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NEGLIGENCE OF A DOCTOR
HUGE LOSS A PATIENT
BREACH OF CARE/DUTY
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Oh yes. However, laws vary greatly by country. Consulting with a lawyer may be the wisest choice.
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How do I invite them as newcomers to the system they are
Sheryl Zimmerman, PhD Sheryl Zimmerman <Sheryl_Zimmerman@unc.edu>
and Phillip Sloane, MD Philip Sloane <philip_sloane@med.unc.edu>
Also I am part of two separate research teams one is Duke University the other is
UNC@Chapel Hill both are doing two totally different approaches of oral care for persons with dementia and AD is there any way my account could be fixed for the two separate reams i belong to.
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it seems not possible anymore - only "co-authors" can be invited, unfortunately.
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How can multidisciplinary approaches optimizeoutcomes in ampullary carcinoma care?
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What is Post-Intensive Care Syndrome (PICS) andhow is it defined?
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How can post-ICU care programs address the holisticneeds of survivors?
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What is the role of interdisciplinary teams inanesthesia care?
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What role does pharmacist-led medication management play in chronic pain care?
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What is acceptable plan of care for bilateral impalpable undescended testis ;pediatric age group.
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We have to measure the stretched penile length. If there is a small penis we should evaluate for DSD.If no, we should go for diagnostic laproscopy.
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What is the opinion of seniors in the facility about a social worker? How do they help them adapt to the facility?
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Looking for an opinion of seniors is too broad of a target point to answer this question with specifics and certainty. Think of the holistic health status of seniors; there is no regulated aging pattern. Is there a particular set of senior characteristics you are interested in regarding this question?
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Irony in Alice’s Adventures in Wonderland, and Through the Looking Glass by Lewis Carroll (1832-1898)
Lewis Carroll was a master of parody.
G. W. Langford’s poem not only preached at parents, but threatened them with a reminder of the high mortality rate of young children: It went:
Speak gently to the little child?
Its love be sure to gain;
Teach it in accents soft and mild;
It may not long remain.
Lewis Carroll’s parody went:
Speak roughly to your little boy.
And beat him when he sneezes.
He only does it to annoy
Because he knows it teases.
Lewis Carroll also loved to play with words. Consider the following poem, in which the Content Words (Nouns, Verbs, Adjectives and Adverbs are nonsense words, and the Function Words (Articles, Conjunctions, Auxiliary Verbs, Prepositions, and Pronouns are real words. The resultant poem is therefore perfectly grammatical, but we have no idea what it means:
‘Twas brillig, and the slithy toves
Did gyre and gimble in the wabe:
All mimsy were the borogoves,
And the mome raths outgabe
Beware the Jabberwock, my son!
The jaws that bite, the claws that catch!
Beware the Jubjub bird, and shun
The frumious Bandersnatch?
In Alice’s Adventures in Wonderland, Reading and Writing became Reeling and Writhing; Latin and Greek became Laughing and Grief; Addition, Subtraction, Multiplication, and Division became Ambition, Distraction, Uglification and Derisionl Drawing, Sketching and Painting in Oils became Drawling, Stretching, and Fainting in Coils; take care of the pence, and the pounds will take care of themselves became Take care of the sense, and the sounds will take care of themselves; and . Twinkle, twinkle, Little Star, How I wonder where you are became Twinkle, twinkle, Little Bat, how I wonder where you’re at.
With most of his parodies, Carroll was protesting the didacticism and the sentimentality imposed on Victorian children by their parents. Isaac Watts’ original poem is about bees and their industriousness, while Lewis Carroll’s Parody is about crocodiles:
How doth the little busy bee
Improve each shining hour
And gather honey all the day
From every opening flower!
How doth the little crocodile
Improve his shining tail
And pour the waters of the Nile
On every golden scale!
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Thank You very much. It is an exciting topic, very a few explored.
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Hei, can anyone help me with my query?
thanks in advance.
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Thank you everyone. I opted to use the Jefferson attitude scale. Thank you very much for the help.
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Behavioral Aspects of Primary Polydipsia
Cognitive-behavioral therapy (CBT) and psychiatric care are critical for managing compulsive water intake in PP, particularly in patients with underlying psychiatric disorders like schizophrenia.
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In patients with psychogenic polydipsia (PP), where excessive water intake is driven by behavioral and psychological factors, particularly in the context of psychiatric disorders such as schizophrenia, a combination of behavioral and psychological interventions is essential for managing compulsive drinking behavior.
1. Cognitive-Behavioral Therapy (CBT):
Cognitive-behavioral therapy is one of the most effective interventions for PP, as it helps patients identify and modify the maladaptive thoughts and behaviors that drive excessive water consumption. CBT techniques such as thought restructuring, exposure therapy, and behavioral experiments can help patients gradually reduce their water intake by challenging their fears of dehydration and implementing healthier drinking habits (de Lannoy et al., 2016).
  • Habit reversal: A key element of CBT in PP is teaching patients to replace compulsive drinking behaviors with alternative, non-harmful activities.
  • Exposure and response prevention: Patients are gradually exposed to situations where they would normally drink excessively but are supported in resisting the urge, thereby reducing the compulsion over time.
2. Psychoeducation:
Providing psychoeducation about the risks associated with excessive water intake (e.g., hyponatremia and its complications) can help motivate patients to engage in treatment. Explaining the physiology of water balance can also address irrational fears of dehydration that drive the behavior. Education is crucial in reinforcing the importance of adhering to water intake guidelines.
3. Monitoring and Fluid Restriction:
Supervised fluid intake monitoring is often necessary, especially in patients with severe PP or underlying psychiatric conditions. Patients can be encouraged to follow a structured fluid restriction plan, and regular monitoring of serum sodium levels is essential to prevent complications like hyponatremia. Daily fluid intake diaries can help track water consumption and promote accountability.
4. Psychiatric Care and Medications:
In patients with psychiatric disorders such as schizophrenia, antipsychotic medications and mood stabilizers can help manage the underlying psychiatric symptoms that contribute to compulsive drinking behavior. Psychiatric care is critical for addressing any co-morbid psychiatric conditions that may exacerbate PP.
  • For instance, clozapine, an antipsychotic, has been effective in some cases of schizophrenia-induced PP, though its effects vary between individuals (De Hert et al., 2007).
5. Supportive Therapy and Group Therapy:
Supportive therapy, which provides emotional support and reinforces positive behavior change, can be helpful in managing the anxiety and stress that often accompany PP. Group therapy may also provide a platform for shared experiences and collective learning, further promoting adherence to behavioral changes.
6. Environmental Modifications:
Reducing access to excessive fluids and limiting opportunities for compulsive drinking can be useful in structured settings, such as psychiatric care units or inpatient facilities. Establishing specific times and amounts for water intake may help patients develop healthier drinking patterns.
Conclusion:
A multidisciplinary approach combining CBT, psychoeducation, psychiatric care, and structured fluid monitoring is most effective in managing excessive water intake in patients with psychogenic polydipsia. By addressing both the behavioral and psychological drivers of compulsive drinking, these interventions can help patients regain control over their fluid intake and prevent life-threatening complications.
References:
  • de Lannoy, I., et al. (2016). Psychogenic polydipsia: Diagnosis and management. Frontiers in Psychiatry, 7, 38.
  • De Hert, M., et al. (2007). Clozapine and water intoxication: A case report and review of the literature on psychosis-induced polydipsia. International Clinical Psychopharmacology, 22(1), 63-67.
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Primary Education
Higher Education
Educational Institutions
Ministry of Education
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In India, the government places considerable emphasis on primary education, with schemes such as the Mid-Day Meal Program and Sarva Shiksha Abhiyan designed to improve access and quality at the foundational stage. However, there is relatively less focus on higher education. As students enter higher education institutions, they are nearing adulthood, and the focus shifts from basic education to research-driven and professional learning. There is an increasing demand for vocational and job-oriented education, with students expecting placement support from colleges. Many states have started to offer college-level placement services, reflecting the need for higher education to prioritize employability.
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What is the best solution for the dilemma between evidence-based medicine (EBM) for populations and for individuals, which arises from the tension between general recommendations based on population-level data and the need to tailor medical decisions to an individual’s unique circumstances? What percentage of people in your practice require tailored care?
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The dilemma between population-level evidence-based medicine (EBM) and individual patient care is a well-recognized challenge. The best solution often lies in a balanced, integrative approach:
  1. Shared Decision-Making (SDM): This approach combines the best available evidence with patient preferences and values. While EBM provides generalized guidelines, SDM allows for personalized care by actively involving the patient in the decision-making process.
  2. Clinical Judgment: Experienced clinicians use their expertise to interpret EBM in the context of individual patient characteristics (e.g., genetics, co-morbidities, lifestyle). They weigh the evidence but adapt it to the patient's unique situation.
  3. Precision Medicine: Advances in genomics, pharmacogenetics, and biomarkers are increasingly allowing care to be individualized based on a patient's specific biological makeup, rather than solely relying on population-level data.
  4. Risk Stratification: Some patients benefit from stratification into risk categories that inform how strictly EBM should be applied or adapted, depending on factors such as age, gender, ethnicity, or pre-existing conditions.
Regarding the percentage of people in practice who require tailored care, it varies by specialty and patient population, but many studies suggest that 30-40% of patients need some form of individualized adaptation of EBM guidelines, particularly those with complex medical conditions, multiple comorbidities, or unique genetic factors. This number can increase in more complex cases or specialized fields.
What is your experience regarding how often you need to tailor care to your patients?
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On a personal note, even though technology has attracted a lot of interest and funding to combat climate change, it is becoming more and more clear that taking care of the "Human Dimension" is just as equally important. This change acknowledges that there are social and behavioral aspects to climate change in addition to environmental ones. Understanding and changing the attitudes, actions, and social structures that contribute to climate change are essential components of placing an emphasis on the human element. Involving communities in climate action, guaranteeing fair access to resources, encouraging sustainable lifestyles, and raising public awareness are all part of it. Through the integration of social sciences and technological advancements, more resilient and effective holistic strategies can be developed. In the end, taking into account the human factor in addition to technological advancements can result in more inclusive and sustainable solutions, encouraging a social movement toward long-term environmental stewardship. However, is it possible that one of these factors may be more important than the other? Which should be accorded more cognizance, funding and research attention at this times?
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I think: of course the human factor is more important than the technological factor in combating climate change because it drives the awareness, policy changes, and behavioral shifts necessary for sustainable solutions. on the other hand, technology provides tools and innovations to reduce emissions and adapt to changing conditions, it is the human commitment to change—through responsible consumption, activism, and the enforcement of environmental regulations—that ensures these technologies are implemented effectively. Without the collective will and action of people, even the most advanced technologies would fail to make a significant impact.
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need to review articles on care giving in dementia and challenges faced
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Here are references to recent studies on protective factors and resilience in caregivers of individuals with dementia:
1. **Martyr, A., Rusted, J. M., Quinn, C., et al. (2023).** *Resilience in caregivers of people with mild-to-moderate dementia: findings from the IDEAL cohort.* BMC Geriatrics, 23, Article 804.
- This study explored various factors associated with resilience among caregivers, identifying key sociocultural, contextual, and psychological elements that contribute to caregiver resilience.
- [Link to Study](https://doi.org/10.1186/s12877-023-04549-y)【13†source】【14†source】
2. **Quinn, C., Morris, R. G., & Clare, L. (2023).** *Personality traits, self-efficacy, and competence in dementia caregiving.* Journal of Geriatric Psychiatry.
- This article examines how personality traits and self-efficacy influence caregiver competence and resilience, providing insights into the psychological dimensions of caregiving.
3. **Bradford Scholars Repository. (2023).** *Resilience in caregivers of people with dementia: findings from the IDEAL cohort.*
- This open-access repository provides additional data and analysis from the IDEAL cohort, focusing on how caregiver characteristics and care demands influence resilience.
- [Link to Study](http://hdl.handle.net/10454/19726)【14†source】
These references should provide you with a comprehensive understanding of the current research on resilience in dementia caregivers.
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I have a theoretical framework for preparing a interview guide to assess the unmet care needs of a sub population of chronically ill patients and their caregivers(dyadic interviews).
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Braun and Clarke provide a general guideline in 2006 and updated recently with reflexive thematic analysis. Their guidelines can be used by you if it fits your purpose/aims and answers your questions. Two key points: Thematic analysis is not parametric analysis; decisions and methods must be selected, and there is flexibility. Secondly, a theoretical and/or conceptual framework should be rooted in the research and literature of your problem.
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I am currently researching how to care for Coleus plants.
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I am not an expert in this field, but I am very interested and have researched to find an answer. I received some assistance from tlooto.com for this response. Could you please review the response below to see if it is correct?
To obtain academic research on the appearance and care methods of Coleus plants, access botanical databases such as JSTOR, PubMed, or Google Scholar. Key search terms include "Coleus plant morphology" and "Coleus cultivation practices." For example, research shows that Coleus requires a minimum daily light integral (DLI) of 10.0 mol m⁻² d⁻¹ for optimal growth [1]. Studies also highlight the impact of salinity stress on Coleus morphology and physiology, indicating that some species are more tolerant [2]. Additionally, practical insights can be found in extension service publications from agricultural universities, which provide science-based care guides for Coleus. Combining these resources will offer a comprehensive understanding of Coleus plant care.
Reference
[1] Garland, K. F., Burnett, S., Stack, L., & Zhang, D. (2010). Minimum Daily Light Integral for Growing High-quality Coleus. Horttechnology, 20, 929-933.
[2] Beasley, J., Kuehny, J., Gentimis, T., & Fields, J. (2023). Black Soldier Fly Frass Supports Plant Growth and Reduces Nitrogen Leaching during Coleus Production. HortTechnology.
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Respected sir/madam
I Dr B V Narayana murthy would like to bring your notice that above article is published by me in International journal of basic & clinical pharmacology on 28/02/2017, done in our hospital, for which i took the IEC clearance also.
Now 2 Days back when i opened it has guided to your research gate and where my name is replaced by another author name Ie, Budhavarapu Murthy, but my guide and also coauthor for this was Dr satyanarayana V whose name is there in your portal but when i traced back to my publisher it is still on my & my coauthor name.
Sir i want to know how this is happened and also want to know what actions to be needful to take to bring back my name in research gate article also, because i think its an offence to change the name of the authors.
kindly send me your response to this drnmurthybv@gmail.com as soon as possible.
Thanking you
Dr Narayana murthy B V
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Sorry, but I am not sure how it happened. It is obviously not me who wrote this article.
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Humanistic care is mainly about caring for people's living conditions, affirming people's living conditions and dignity, and pursuing human freedom and liberation. With the continuous development of society and the progress of mankind, people gradually pay more attention to diseases, and also pay attention to individuality and commonality. These are the main contents of the formation of the modern physiological-psychological-social medical model and the holistic nursing model. What are the important points to pay attention to in the humanistic care nursing method?
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The Importance of Humanistic Care in Healthcare
Humanistic care in healthcare is a fundamental aspect of delivering high-quality, compassionate, and effective medical services. This approach emphasizes the value of treating patients with empathy, respect, and dignity, integrating a more holistic perspective into medical care. The importance of humanistic care can be understood through various dimensions, including improved patient outcomes, enhanced patient satisfaction, and the promotion of a more supportive and collaborative healthcare environment.
Improved Patient Outcomes
Humanistic care has been linked to better patient outcomes. Research shows that when healthcare providers adopt a patient-centered approach, patients experience improved health outcomes and a higher quality of care. For instance, a study by Stewart et al. (2000) demonstrated that patient-centered care, which includes a humanistic approach, results in better patient satisfaction and adherence to treatment plans. They found that effective communication between patients and healthcare providers leads to more accurate diagnoses and improved management of chronic diseases (Stewart et al., 2000).
Enhanced Patient Satisfaction
Patient satisfaction is a critical indicator of care quality, and humanistic care significantly influences this factor. A study by Epstein and Street (2007) showed that patients who perceive their care as compassionate and empathetic are more likely to report higher satisfaction levels. They argue that patient satisfaction is not solely about technical proficiency but also about the emotional and relational aspects of care (Epstein & Street, 2007).
Promotion of a Supportive Healthcare Environment
Humanistic care also fosters a more supportive and collaborative environment within healthcare settings. Such an environment benefits both patients and healthcare providers. For example, a study by Hall et al. (2011) found that a supportive care environment enhances team cohesion among healthcare professionals and reduces burnout (Hall et al., 2011). Humanistic care practices, such as active listening and empathy, help build trust between patients and providers, creating a more positive and effective healthcare experience.
Ethical and Philosophical Foundations
Humanistic care aligns with ethical principles in medicine, such as respect for patient autonomy and beneficence. According to Pellegrino and Thomasma (1993), humanistic care is grounded in the ethical imperative to treat patients as whole persons rather than mere cases or conditions. Their work emphasizes that humanistic care is crucial for maintaining the moral integrity of medical practice (Pellegrino & Thomasma, 1993).
Conclusion
Humanistic care is a cornerstone of effective healthcare, influencing patient outcomes, satisfaction, and the overall healthcare environment. By focusing on empathy, respect, and compassionate communication, humanistic care aligns medical practice with ethical principles and enhances the quality of care provided. The evidence from various studies supports the notion that integrating humanistic principles into healthcare practice is not just beneficial but essential for achieving comprehensive and compassionate patient care.
References
  • Epstein, R. M., & Street, R. L. (2007). Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. National Cancer Institute.
  • Hall, J. A., Roter, D. L., & Katz, N. R. (2011). Meta-Analysis of the Effects of Physician Communication on Patient Satisfaction. Health Psychology, 30(5), 547-560.
  • Pellegrino, E. D., & Thomasma, D. C. (1993). For the Patient’s Good: The Restoration of Beneficence in Medical Ethics. Oxford University Press.
  • Stewart, M., Brown, J. B., Weston, W. W., McWhinney, I. R., McWilliam, C. L., & Freeman, T. R. (2000). Patient-Centered Medicine: Transforming the Clinical Method. Sage Publications.
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What are the standard protocols for administeringnormal saline in acute care settings?
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Long-term deflection takes into consideration the effects of creep and shrinkage. One of the key parameters in determining the total value of deflection is the reinforcement ratio. While it is relatively straightforward to simulate traditional slabs, simulating waffle slabs requires careful consideration. Therefore, it is important to understand how CSI SAFE software calculates long-term deflection for waffle slabs.
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CSI SAFE employs a sophisticated approach to calculate long-term deflection for waffle slabs, considering the unique way these slabs behave under load. Unlike flat slabs, waffle slabs crack as they deflect. SAFE uses a cracked section analysis to account for this, along with creep and shrinkage effects. Material properties, reinforcement layout, and separate load cases for immediate and long-term effects are all factored into the analysis. By understanding these concepts and potentially using advanced features like staged construction and post-tensioning tendon incorporation, you can leverage CSI SAFE to ensure your waffle slab designs meet long-term deflection requirements.
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Need some quick publishing reputed name of journal for education, Science education field
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UGC care general or UGC care Journal?
Kindly visit the RG link below.
Thanks!
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What are some potential barriers to accessing post-ICU
care, and how can they be overcome?
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What are the key components of a comprehensive post-ICU
care plan?
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How does Post-Intensive Care Syndrome (PICS) impact the
lives of ICU survivors in the long term?
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Do you think "the Fourteenth Amendment granted citizenship to all persons "born or naturalized in the United States" and provided all citizens with "equal protection under the laws" in California?
In my case, the answer is, "I don't think so."
How is it in your case?
This press release will be extended to several press releases with Crime List and Crime Police Reports.
First Press Release
November 18, 2023
Documentary Books series: Collective Injustice
Second Book:
Our California government and its institutions neither Listen nor Care.
Martin Luther King once said," Power at its best is love implementing the demand for justice." Accordingly, here I am to present my case. For several years, I have been trying hard to ward off collective injustice in my arena- the injustice of many people and institutions, which is countless. I found no one to help me except God, Lord of the worlds. So, I told myself to approach the government and its institutions, the judiciary, and lawyers, seeking help from all of them. Here, I present to them my petitions, letters, and valid evidence so that I may find among them someone who will be fair to me and remove the yoke of injustice from me. It cost me great effort, precious time, and much money, in addition to burning my nerves and deteriorating my health. My lack of financial resources hardly covered my daily living needs or my medical and health requirements, which prompted me to drown in many debts that exhausted me. In addition, they mistreated me when I demanded my legal rights in all my transactions and entitlements as an elderly American citizen with special needs, but no one listened or cared. It is the first volume among more than thirty-six volumes, containing between its covers all the evidence of letters and petitions showing fraud against my person, which had a disastrous effect on my work, my health, and my entire life, and my responses to all of that with irrefutable evidence.
I worked for many months to prepare complete folders on all the collective injustices committed by everyone. I sent a bi-weekly folder to the California Attorney General's Office, government institutions in California, the federal government, human rights and civil bodies, and an appropriate number of local media outlets and newspapers. I will share all the files with you, but I stopped after a month and a half after sending four folders, and the results are severe. In summary, as follows: There is no value or weight for any American citizen in a society of freedom and justice, which has undergone a catastrophic revolution and become a society of restrictions, shackles, and collective injustice. Look around you. Everything has increased in value many times over, while the American citizen has decreased in value many times over, and the opposite is supposed to happen. The world turned upside down, and America became like Egypt, governed by shackles and restrictions and the collective injustice of its citizens.
I am working on filing crime reports with the police, the FBI, the California courts, and the federal superior courts, all against them.
The California government is in one valley, and the rest of California's honorable people are in another.
Now is the time to choose someone who represents us and not himself.
It is time to choose someone who treats us humanely and not with dirty racism.
It is time to make the America of justice, the America of faithful citizenship, the America of freedom for all citizens.
It is time to make America the cradle and leader of genuine democracy and effective human rights worldwide.
It's time. It's time.
If you are interested in knowing more about my tragedy, please get in touch with me at (http://drfayad.com), and don't hesitate to contact me at (info.aitg@aeehitg.com) to get the extended stories with much evidence within this volume. The delay in doing the website caused a lot of losses because "Amazon Publishing Pro" did not HONOR THE CONTRACT SIGNED ON APRIL 14, 2023, and participated in the Collective Injustice.
Important Alert
The purpose of writing this press release is not to offend any person, institution, group, political party, government, or country in the world. Instead, the purpose is to report and tell what befell me of wrong lest my experience would be repeated with others. It is intended to keep the stability of the community and guarantee the protection of its members, whether native or expatriate. It is a cry from me so that it may reach the ears of the world. Perhaps someone will hear it and help me to restore my lost and stolen rights. I intend to mention the names of some people who have done me wrong. I am not against any person, institution, government, or political party, but I am against any corruption or transgression by some irresponsible individuals who do not fulfill the role assigned to them appropriately. This is only for your information.
Contact information
AEEH PRESS INC
P.O. Box 21514
San Jose, CA 95151, USA
Fax – 408-984-3886
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That is what the constitution says and what the public schools teach but what the teacher didn’t say was the US constitution applies to the states. State constitutions provide citizens more rights than the US constitution because you cant use the US constitution in state court. You must use state constitutions in state courts. The US constitution can be used in federal district court.
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How do you manage pain and provide supportive care for
patients with acute abdomen, particularly in the intensive
care unit?
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How do you ensure effective communication and
coordination of care among members of the healthcare team
when managing patients with acute abdomen?
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What are some common fluid and electrolyte disturbances encountered in the intensive care unit (ICU)?
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We are excited to announce that the "Perspectives in Psychiatric Care" journal is now accepting submissions for a vital special issue titled "Nurturing Resilience, Mental Health, and Wellbeing in Nursing Professionals." This special issue, led by Lead Editor Evangelos Fradelos and a distinguished team of guest editors Foteini Tzavella | Maria Saridi | Polyxeni Mangoulia | Abdulqadir Nashwan, aims to explore the complex dynamics of mental health within the nursing profession. 🗓 Submission Deadline: 22 November 2024 📅 Publication Date: 1 March 2025 We are inviting contributions on topics such as: - Psychological resilience and coping mechanisms in nursing - The impact of work environment and conditions on nurses' mental health - Strategies for enhancing job satisfaction and professional quality of life - The role of support networks and organizational culture in promoting resilience - The effectiveness of educational and training programs in mental health preservation Submissions can be original research, review articles, or interventional studies. We particularly welcome studies that explore how these findings can influence policy and promote reforms aimed at improving the wellbeing of nursing professionals. Join us in this crucial conversation to enhance the support systems for our nursing professionals. Your insights and research can make a significant difference in the lives of those who care for us. For submission guidelines and more details, please visit the Perspectives in Psychiatric Care:
https://www.hindawi.com/journals/ppc/si/533733/ Let's work together to advance the mental health and resilience of nursing professionals! hashtag#MentalHealth hashtag#Nursing hashtag#Healthcare hashtag#Resilience hashtag#CallForPapers hashtag#PsychiatricCare
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Some journals seems to be fake..cloned
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Cloned is not the right word since this would imply that there is a legit version of this journal “International Journal of Scientific Research in Engineering and Management”. I am afraid that this is an example of a predatory journal. There are numerous red flags:
-First of all, the prominently mentioned UGC-CARE is false. They are not listed as can be checked here https://ugccare.unipune.ac.in/apps1/home/index
-The prominently mentioned impact factor (https://ijsrem.com ) is at least misleading since they are not indexed in one of Clarivate’s indexes which can be checked here https://mjl.clarivate.com/home
-Even stronger the SJIF factor is a notorious example of a so-called misleading metric (https://beallslist.net/misleading-metrics/ ) often used by predatory journals/publishers
-The same is true for I2OR and CiteFactor
-Disclaimar [sic] on the home page https://ijsrem.com and Copyright Infragmentation…
-Suspect that most of the names are either fake or they are not aware of the fact that they are listed here, see for example John K Atkinson (he must be round 75+ now)
-Looking at for example https://ijsrem.com/volume07issue07july2023/ I see a suspiciously large list of papers (hard to imagin how they manage this in terms of proper peer review etc.)
-The only good thing I can see is that the DOI assigned to the individual papers seems functional
All and all I personally would avoid this one.
Best regards.
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Can you indicate me a journal where i can publish an article in english in this range of topics : health economics, health care information systems?
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Use the "find a match" function.
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The lack of care coordination tools for patients cared for by medical specialists results in gaps in health monitoring, including communication difficulties, inadequate test monitoring, and lack of adherence to the care plan. Effective care coordination helps ensure patients receive comprehensive, integrated care, promoting better health outcomes and reducing gaps in care.
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Hello Jeham, thank you very much for your collaboration!
Best regards,
Ana
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How does a multidisciplinary team-based approach enhance the care of patients with severe TBI?
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A multidisciplinary team-based approach is essential for optimizing the care of patients with severe traumatic brain injury (TBI) by leveraging the expertise of various healthcare professionals to address the complex and multifaceted needs of these patients. Here's how a multidisciplinary team-based approach enhances the care of patients with severe TBI:
  1. Comprehensive Assessment: A multidisciplinary team comprising neurosurgeons, neurologists, intensivists, nurses, therapists, and other specialists allows for comprehensive assessment of the patient's medical, neurological, cognitive, functional, and psychosocial status. Each member of the team brings unique perspectives and skills to the evaluation process, ensuring a thorough understanding of the patient's condition.
  2. Tailored Treatment Plans: Collaborative decision-making among team members enables the development of tailored treatment plans that address the individualized needs and preferences of the patient. Treatment plans may encompass various modalities, including medical management, surgical interventions, rehabilitation, and psychosocial support, to optimize outcomes and promote recovery.
  3. Optimization of Medical Management: Multidisciplinary input facilitates the optimization of medical management strategies, such as intracranial pressure (ICP) control, cerebral perfusion management, prevention of complications, and pharmacological interventions. Coordinated efforts ensure timely implementation of evidence-based practices and adjustment of treatment strategies based on the patient's evolving clinical status.
  4. Early Rehabilitation Interventions: Collaboration among rehabilitation specialists, including physical therapists, occupational therapists, speech therapists, and neuropsychologists, allows for the early initiation of rehabilitation interventions aimed at promoting recovery of motor function, cognitive abilities, communication skills, and activities of daily living. Early mobilization and rehabilitation have been shown to improve outcomes and reduce disability in TBI patients.
  5. Psychosocial Support and Counseling: Social workers, psychologists, and counselors play a vital role in providing psychosocial support and counseling to TBI patients and their families. Addressing the emotional, psychological, and social impact of TBI helps patients cope with the challenges of recovery, adjust to functional limitations, and navigate the rehabilitation process more effectively.
  6. Continuity of Care and Transition Planning: A multidisciplinary team ensures continuity of care throughout the patient's journey, from acute hospitalization to rehabilitation and community reintegration. Care coordination, discharge planning, and transition services facilitate seamless transitions between care settings and promote long-term recovery and independence.
  7. Research and Quality Improvement: Multidisciplinary teams contribute to ongoing research efforts aimed at advancing the understanding of TBI pathophysiology, improving treatment outcomes, and enhancing quality of care. Collaboration among clinicians, researchers, and quality improvement specialists fosters innovation, knowledge dissemination, and continuous improvement in TBI management practices.
Overall, a multidisciplinary team-based approach enhances the care of patients with severe TBI by facilitating comprehensive assessment, tailored treatment plans, optimization of medical management, early rehabilitation interventions, psychosocial support, continuity of care, research, and quality improvement initiatives. By working collaboratively, healthcare professionals can provide holistic, patient-centered care that maximizes outcomes and improves quality of life for individuals affected by severe TBI and their families.
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Background outline of the research topic (the real worlds and academic problem why are you focusing on this) 1. Research question (main question, 3 sub questions) ?
2. What issues do I care about?
3. What am I interested in?
4. What do I want to know?
5. What do I want to change?
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1. Research Question:Main Question: How do gender stereotypes in education impact the development of female students in secondary school? Sub Questions: a. What are the prevalent gender stereotypes in secondary education settings? b. How do these stereotypes influence female students' academic performance and aspirations? c. What strategies can be implemented to mitigate the negative effects of gender stereotypes on female students' development?
2. Issues of Concern:
  • Gender disparities in educational outcomes and opportunities.
  • Social and cultural biases affecting the learning experiences of female students.
  • The perpetuation of traditional gender roles and expectations within educational institutions.
3. Interests:
  • Exploring the intersection of gender and education.
  • Understanding the socio-psychological impacts of stereotypes on academic achievement.
  • Investigating interventions to promote gender equity and inclusivity in secondary education.
4. Knowledge Pursuit:
  • Understanding the specific ways in which gender stereotypes manifest in secondary education.
  • Identifying the mechanisms through which these stereotypes influence the academic and socio-emotional development of female students.
  • Examining empirical evidence and theoretical frameworks relevant to gender bias in education.
5. Desired Change:
  • Advocate for policies and practices that challenge gender stereotypes and promote a more inclusive learning environment.
  • Empower female students to pursue diverse academic and career pathways regardless of societal expectations.
  • Foster awareness and dialogue among educators, parents, and policymakers about the detrimental effects of gender bias on educational outcomes.
By addressing these elements in your research, you can provide valuable insights into the impact of gender stereotypes on female students' development in secondary school and contribute to efforts aimed at fostering gender equity and inclusivity in education.
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What are the ethical considerations involved in the management of chronic pain, particularly regarding opioid use and access to care?The management of chronic pain, particularly regarding opioid use and access to care, presents several ethical considerations that must be carefully navigated by healthcare providers, including anaesthesiologists.
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The management of chronic pain, particularly regarding opioid use and access to care, presents several ethical considerations that must be carefully navigated by healthcare providers, including anaesthesiologists. Some of these ethical considerations include:
  1. Balancing Pain Relief and Risk of Harm: Healthcare providers must balance the imperative to relieve patients' suffering with the potential risks and harms associated with opioid therapy. While opioids can provide effective pain relief for some patients with chronic pain, they also carry risks of addiction, overdose, diversion, and other adverse effects. Ethical decision-making requires careful consideration of individual patient needs, preferences, and risks, as well as adherence to evidence-based prescribing guidelines and principles of beneficence and nonmaleficence.
  2. Avoiding Undertreatment of Pain: There is a risk of undertreatment of pain, particularly for vulnerable populations such as elderly patients, racial and ethnic minorities, and individuals with substance use disorders. Ethical principles of justice and equity necessitate ensuring equitable access to appropriate pain management services and addressing disparities in pain treatment based on race, ethnicity, socioeconomic status, or other factors. Healthcare providers must advocate for adequate pain relief for all patients while recognizing and addressing barriers to care.
  3. Informed Consent and Shared Decision-Making: Ethical practice requires obtaining informed consent from patients before initiating opioid therapy or other pain management interventions. This includes providing patients with comprehensive information about the risks, benefits, alternatives, and potential consequences of treatment options, as well as involving patients in shared decision-making processes. Patients should have the opportunity to participate actively in decisions about their pain management, including setting treatment goals, discussing preferences, and expressing concerns.
  4. Preventing Opioid Misuse and Diversion: Healthcare providers have a duty to prevent the misuse, diversion, and unintended consequences of opioid therapy. This may involve conducting thorough assessments for risk factors of opioid misuse, implementing appropriate monitoring and surveillance measures, and adhering to prescription drug monitoring programs. Providers should also educate patients and caregivers about safe storage, disposal, and use of opioids to mitigate the risks of accidental overdose or diversion.
  5. Addressing Stigma and Discrimination: Patients with chronic pain, particularly those receiving opioid therapy, may face stigma, discrimination, and social judgment from healthcare providers, employers, family members, and society at large. Ethical practice requires healthcare providers to advocate for compassionate, nonjudgmental care and to challenge stigmatizing attitudes and beliefs about chronic pain and opioid use. Providers should strive to create a therapeutic environment that fosters trust, empathy, and understanding, promoting patient-centered care and dignity for all individuals with chronic pain.
  6. Ensuring Access to Comprehensive Pain Care: Ethical principles of beneficence and justice require ensuring equitable access to comprehensive pain management services, including non-opioid pharmacological therapies, interventional procedures, physical and psychological therapies, and multidisciplinary pain rehabilitation programs. Healthcare providers should advocate for policies and resources that support the availability and affordability of evidence-based pain treatments and address barriers to access, such as insurance coverage limitations, geographical disparities, and workforce shortages.
By addressing these ethical considerations with compassion, integrity, and commitment to patient-centered care, healthcare providers, including anaesthesiologists, can promote ethical pain management practices and improve outcomes for individuals living with chronic pain.
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How is tetanus managed in an intensive care unit (ICU) setting?
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Managing tetanus in an intensive care unit (ICU) setting requires close monitoring, aggressive treatment, and comprehensive supportive care to address the symptoms, complications, and challenges associated with severe tetanus. Here's an overview of how tetanus is managed in an ICU:
  1. Respiratory Support: Patients with severe tetanus may require mechanical ventilation to support breathing and prevent respiratory failure. Intubation and mechanical ventilation are essential for maintaining adequate oxygenation and ventilation, especially during episodes of respiratory muscle spasms and rigidity.
  2. Cardiovascular Monitoring and Support: Continuous monitoring of vital signs, including blood pressure, heart rate, and oxygen saturation, is essential in the ICU. Patients with severe tetanus may experience autonomic dysfunction and cardiovascular instability, necessitating hemodynamic support with intravenous fluids, vasopressors, or inotropic agents as needed.
  3. Muscle Relaxation: Benzodiazepines such as diazepam or midazolam are commonly used to reduce muscle rigidity, spasms, and autonomic dysfunction associated with tetanus. These medications help promote muscle relaxation and alleviate symptoms, improving patient comfort and reducing the risk of complications.
  4. Antibiotics: Broad-spectrum antibiotics such as penicillin or metronidazole are administered intravenously to eradicate the Clostridium tetani bacteria and prevent further toxin production. Antibiotics are crucial for controlling the infection and reducing the bacterial burden.
  5. Tetanus Immune Globulin (TIG): Tetanus immune globulin (TIG) is administered to neutralize circulating tetanus toxin and provide immediate passive immunity. TIG is typically given intramuscularly or intravenously to prevent the progression of tetanus symptoms and reduce morbidity and mortality.
  6. Wound Care: Any existing wounds or injuries should be carefully cleaned and monitored for signs of infection. Surgical debridement may be necessary to remove necrotic tissue and reduce bacterial load. Proper wound care helps prevent secondary infections and complications.
  7. Fluid and Electrolyte Management: Intravenous fluids and electrolyte replacement may be required to maintain hydration, electrolyte balance, and organ perfusion. Close monitoring of fluid status, renal function, and electrolyte levels is essential for optimizing patient care.
  8. Monitoring for Complications: Patients in the ICU should be closely monitored for complications such as respiratory failure, cardiovascular instability, rhabdomyolysis, renal failure, and neurological complications. Prompt recognition and management of complications are critical for improving outcomes in tetanus patients.
  9. Nutritional Support: Enteral or parenteral nutrition may be necessary for patients unable to tolerate oral feeding due to dysphagia or other complications. Adequate nutrition is essential for supporting immune function, promoting tissue healing, and preventing malnutrition-related complications.
  10. Psychosocial Support: Patients with severe tetanus may experience psychological distress, anxiety, or depression due to the prolonged hospitalization, physical discomfort, and uncertainty associated with the disease. Psychosocial support from healthcare professionals, family members, and mental health specialists can help alleviate distress and promote coping and resilience.
Overall, the management of tetanus in an ICU setting requires a multidisciplinary approach involving critical care physicians, infectious disease specialists, respiratory therapists, nurses, pharmacists, and other healthcare professionals. Close collaboration, vigilant monitoring, and timely intervention are essential for optimizing outcomes and reducing mortality in patients with severe tetanus.
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support the statement with argument
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No, because such people with special care need more requirement that must be help with, reason why, they wont manage to do them self
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Stop manmade dangers and team up to face climatic danger.
The Palestine solidarity groups, there are many group in it, think they can make UK and USA to order Palestine a free state.
Palestine solidarity groups, the most, don't care for the Gaza civilians such worse suffering to death, it's a mere number counting for them. Their wish is Free Palestine.
Where is a Palestine to make a free state??
In this political ideology conflict of Israel Palestine, innocent, civilians are being put under bombardments, worse effected suffering are children.
I urge playful beings to be kind and be wise.
Come on Muslims, let the Gaza people to Hijrath, following beloved prophet Mohammed s.a., to the safety fir the rear lives, take them out of there to North to make a joint, one state with Jerusalem to be the Palestine and let them all sing "free free Palestine, Damme Philistini".
For the climate change tipped already, Arab region worse climatic environment. Gaza people, like the Syrians don't do farming much, it is must. Gaza through Jordan to Syria there must be climatic adaptation programmes to be started. Canals, ways digging word must be began to make make water faculty in the region. Urgent.
"There in South East Asia and Far East Asia, in Australia, American and European land crofts lands risked to be submerge, threatening world food. In Arab, dry lands must be made ready to grow crofts.
Regards,
Author Fatema Miah
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JORDAN?
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Explain the fetal effects of maternal anaesthesia techniques and medications used during labour and cesarean section.
Maternal anaesthesia techniques and medications used during labour and cesarean section can have significant effects on the fetus, which require careful consideration to ensure fetal well-being.
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Maternal anaesthesia techniques and medications used during labour and cesarean section can have significant effects on the fetus, which require careful consideration to ensure fetal well-being. Here's an explanation of the fetal effects of various maternal anaesthesia techniques and medications:
  1. Neuraxial Anaesthesia (Spinal and Epidural): Fetal Effects:Maternal Hypotension: Neuraxial anaesthesia can cause maternal hypotension due to sympathetic blockade, leading to decreased uteroplacental perfusion and fetal hypoxia. Fetal Acidosis: Maternal hypotension and subsequent fetal hypoxia can result in metabolic acidosis in the fetus, affecting fetal well-being. Delayed Neonatal Respiration: Some medications used in neuraxial anaesthesia (e.g., opioids) can cross the placenta and depress fetal respiratory drive, leading to delayed neonatal respiration. Bradycardia: Severe maternal hypotension may result in fetal bradycardia or nonreassuring fetal heart rate patterns, requiring prompt intervention to improve maternal perfusion and fetal oxygenation. Mitigation Strategies:Prophylactic measures such as preloading with intravenous fluids and left uterine displacement can help prevent maternal hypotension and minimize fetal effects. Close monitoring of maternal blood pressure, fetal heart rate, and uterine contractions is essential to detect and manage adverse events promptly. Administration of vasopressors (e.g., phenylephrine) can be used to treat maternal hypotension and improve uteroplacental perfusion.
  2. General Anaesthesia: Fetal Effects:Maternal Hypotension: General anaesthesia can cause maternal hypotension, which may lead to decreased uteroplacental perfusion and fetal hypoxia similar to neuraxial anaesthesia. Neonatal Depression: Medications used for general anaesthesia (e.g., volatile anesthetics, opioids) can cross the placenta and depress fetal respiratory drive, resulting in neonatal respiratory depression. Delayed Neonatal Apgar Scores: Neonates born to mothers who received general anaesthesia may have lower Apgar scores at birth due to depressed respiratory effort and muscle tone. Mitigation Strategies:Rapid sequence induction (RSI) technique and cricoid pressure application can help reduce the risk of aspiration pneumonitis and maternal hypotension. Continuous fetal heart rate monitoring and prompt neonatal resuscitation are essential to assess and manage fetal well-being and neonatal depression. Avoidance of unnecessary medications and optimization of maternal oxygenation are important to minimize fetal exposure to anesthetic agents and mitigate adverse effects.
  3. Opioids (used in both neuraxial and systemic administration): Fetal Effects:Respiratory Depression: Opioids can cross the placenta and depress fetal respiratory drive, leading to neonatal respiratory depression and delayed neonatal respiration. Neonatal Sedation: Neonates exposed to opioids in utero may exhibit sedation and decreased responsiveness after birth. Neonatal Withdrawal: Prolonged exposure to opioids in utero may result in neonatal withdrawal symptoms (neonatal abstinence syndrome) characterized by irritability, tremors, feeding difficulties, and respiratory distress. Mitigation Strategies:Careful titration of opioid doses and avoidance of excessive dosing can help minimize fetal exposure and mitigate respiratory depression and neonatal sedation. Close monitoring of the neonate for signs of respiratory depression and neonatal withdrawal is essential for prompt recognition and management of adverse effects.
In summary, maternal anaesthesia techniques and medications used during labour and cesarean section can have significant effects on the fetus, including fetal hypoxia, respiratory depression, neonatal depression, and neonatal withdrawal. Close monitoring of maternal and fetal parameters, judicious use of medications, and prompt intervention when necessary are essential to ensure optimal fetal outcomes during the peripartum period.
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Describe the anaesthetic considerations for elective and emergency cesarean section deliveries. Anaesthetic considerations for elective and emergency cesarean section deliveries involve careful planning, assessment, and management to ensure maternal and fetal safety during the procedure.
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Anaesthetic considerations for elective and emergency cesarean section deliveries involve careful planning, assessment, and management to ensure maternal and fetal safety during the procedure. Here's a comprehensive overview:
  1. Preoperative Assessment:Obtain a detailed medical history, including any pre-existing medical conditions, allergies, previous surgeries, and obstetric history. Assess airway status, including predictors of difficult intubation or mask ventilation (e.g., Mallampati score, thyromental distance). Evaluate cardiovascular function, including blood pressure, heart rate, and signs of volume status (e.g., jugular venous distention, peripheral edema). Review laboratory investigations, including coagulation profile, complete blood count, and biochemical tests as indicated. Consider the urgency of the cesarean section (elective vs. emergency) and the presence of any fetal or maternal indications for delivery.
  2. Choice of Anaesthesia: Elective Cesarean Section:Neuraxial anaesthesia, such as epidural or spinal anaesthesia, is the preferred choice for elective cesarean sections due to its rapid onset, effectiveness, and minimal impact on maternal and fetal physiology. General anaesthesia may be considered if neuraxial anaesthesia is contraindicated or unavailable, but it carries higher risks and should be reserved for specific indications. Emergency Cesarean Section:Neuraxial anaesthesia remains the preferred choice whenever feasible, as it allows for rapid induction of anaesthesia, maternal awareness, and avoidance of maternal airway manipulation. General anaesthesia may be necessary in emergent situations with limited time for neuraxial placement or in cases of maternal hemodynamic instability, failed neuraxial anaesthesia, or fetal compromise.
  3. Neuraxial Anaesthesia:Ensure adequate preoperative hydration and positioning for neuraxial anaesthesia, with left uterine displacement to prevent aortocaval compression. Perform neuraxial blockade (spinal or epidural) using aseptic technique and appropriate local anaesthetic and opioid medications. Monitor maternal vital signs, oxygen saturation, and fetal heart rate continuously during the procedure. Administer intravenous fluids judiciously to maintain maternal preload and prevent hypotension. Consider prophylactic vasopressor administration (e.g., phenylephrine infusion) to counteract neuraxial-induced hypotension, especially in patients at risk.
  4. General Anaesthesia:Preoxygenate the patient with 100% oxygen for 3-5 minutes before induction of anaesthesia to prolong the apnoea time and reduce the risk of hypoxia. Use rapid sequence induction (RSI) technique to minimize the risk of aspiration pneumonitis, including cricoid pressure application during induction. Administer induction agents (e.g., propofol, thiopental) and neuromuscular blocking agents (e.g., succinylcholine, rocuronium) based on maternal and fetal considerations. Intubate the trachea with an appropriately sized endotracheal tube, ensuring proper cuff inflation and tube fixation. Monitor maternal vital signs, end-tidal carbon dioxide, oxygen saturation, and fetal heart rate continuously throughout the procedure. Maintain anesthesia with inhalational agents and adjust depth of anesthesia based on maternal hemodynamics and surgical stimulation. Ensure proper postoperative reversal of neuromuscular blockade and extubation when appropriate.
  5. Postoperative Care:Monitor maternal vital signs, pain levels, and uterine tone in the immediate postoperative period. Provide adequate analgesia (e.g., opioids, nonsteroidal anti-inflammatory drugs) for postoperative pain relief while considering breastfeeding compatibility and neonatal effects. Assess maternal recovery, including return of motor function, sensation, and bowel function, before discharge from the recovery area. Monitor the newborn for signs of respiratory depression, neonatal adaptation syndrome, or other complications requiring intervention or observation. Ensure appropriate follow-up care for both mother and newborn, including postoperative instructions, pain management, and lactation support as needed.
By addressing these anaesthetic considerations for elective and emergency cesarean section deliveries, healthcare providers can optimize maternal and fetal outcomes while minimizing risks and complications associated with the procedure. Close communication and collaboration among obstetricians, anaesthesiologists, and other members of the healthcare team are essential for providing safe and effective anaesthesia care during cesarean sections.
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Preoperative assessment and preparation of paediatric patients undergoing surgery require careful consideration of various factors to ensure their safety and optimize outcomes.
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Preoperative assessment and preparation of paediatric patients undergoing surgery require careful consideration of various factors to ensure their safety and optimize outcomes. Here are key considerations:
  1. Medical History and Physical Examination:Obtain a thorough medical history, including past medical conditions, previous surgeries, allergies, medications, and any family history of anaesthetic complications. Perform a comprehensive physical examination to assess the child's general health, airway anatomy, cardiovascular status, and neurological function.
  2. Developmental Stage and Cognitive Function:Consider the child's developmental stage and cognitive function when communicating with them and their caregivers about the surgical procedure and anaesthesia. Tailor explanations and reassurance according to the child's age, understanding, and ability to cope with the surgical experience.
  3. Nutritional Status and Fasting Guidelines:Evaluate the child's nutritional status and assess for any underlying metabolic conditions or nutritional deficiencies that may impact perioperative care. Follow established fasting guidelines to minimize the risk of aspiration during induction of anaesthesia, taking into account the child's age, medical condition, and type of surgery.
  4. Airway Assessment:Perform a thorough airway assessment to evaluate for any anatomical abnormalities, obstructive conditions, or predictors of difficult intubation. Consider the child's airway size, mobility, and any syndromic features that may affect airway management decisions.
  5. Cardiovascular Evaluation:Assess cardiovascular function, including heart rate, blood pressure, and signs of cardiac disease or hemodynamic instability. Consider the child's volume status, hydration status, and risk factors for perioperative cardiovascular complications.
  6. Respiratory Evaluation:Evaluate respiratory function, including lung auscultation, respiratory rate, and signs of respiratory distress or chronic respiratory conditions. Assess for any history of asthma, bronchospasm, or obstructive sleep apnea that may impact perioperative respiratory management.
  7. Laboratory and Diagnostic Testing:Order appropriate laboratory tests and diagnostic studies based on the child's medical history, surgical procedure, and anaesthetic plan. Consider the need for preoperative blood work, imaging studies, electrocardiography (ECG), echocardiography, or consultation with subspecialists if indicated.
  8. Psychological Preparation and Support:Provide age-appropriate information and psychological preparation to the child and their caregivers about the surgical experience, anaesthesia, and postoperative recovery. Offer support, reassurance, and coping strategies to alleviate anxiety and promote cooperation and trust.
  9. Multidisciplinary Collaboration:Collaborate with other healthcare providers, including surgeons, nurses, anaesthesiologists, and child life specialists, to coordinate preoperative care and optimize the child's surgical experience. Communicate effectively with the surgical team regarding any specific anaesthetic considerations or intraoperative concerns.
  10. Preoperative Medications and Prophylaxis:Administer preoperative medications as indicated, such as premedication for anxiolysis or prophylactic antibiotics for surgical site infection prevention. Ensure appropriate dosing, timing, and route of administration based on the child's age, weight, and medical condition.
By carefully addressing these considerations during the preoperative assessment and preparation of paediatric patients, healthcare providers can help mitigate risks, enhance patient comfort, and facilitate a smooth perioperative experience for children undergoing surgery.
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This question is posted as it was stated in the study "Diagnostic Microbiology from the Beginning to the Future: Regional Antibiograms as Public Health Tools to Slow Down Antibiotic Resistance" that primary care physicians are less likely to access such resources. In turn, patients that have antibiotic resistance are transferred to larger or tertiary hospitals for more attention and care. It would be appreciated that this query is answered since there is a need to prioritize patient welfare at the lowest level of healthcare and not instigate more stress into them by changing care patterns.
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To address the challenge of outpatient antibiotic stewardship, healthcare stakeholders need to explore opportunities for feedback and incentive activities to encourage stewardship uptake, as primary care physicians generally do not recognize antibiotic resistance and inappropriate prescribing as issues in their practice (Zetts, 2020). Educational campaigns targeting primary care physicians can highlight the impact of antibiotic resistance on patient outcomes and the importance of responsible antibiotic prescribing. Feedback mechanisms providing physicians with data on their prescribing practices compared to national guidelines and resistance patterns can increase awareness and promote behavior change. Incentives for adherence to stewardship guidelines and participation in national databases can further motivate physicians to engage in stewardship activities.
Reference:
Zetts RM, Garcia AM, Doctor JN, Gerber JS, Linder JA, Hyun DY. Primary Care Physicians' Attitudes and Perceptions Towards Antibiotic Resistance and Antibiotic Stewardship: A National Survey. Open Forum Infect Dis. 2020 Jun 20;7(7):ofaa244. doi: 10.1093/ofid/ofaa244. PMID: 32782909; PMCID: PMC7406830.
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End-of-life care decision-making in the intensive care unit (ICU) is complex and involves navigating numerous ethical considerations to ensure that patients receive compassionate and appropriate care aligned with their values, preferences, and goals.
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End-of-life care decision-making in the intensive care unit (ICU) is complex and involves navigating numerous ethical considerations to ensure that patients receive compassionate and appropriate care aligned with their values, preferences, and goals. Here are some of the key ethical considerations involved in end-of-life care decision-making in the ICU:
  1. Respect for Autonomy:Autonomy refers to the principle of respecting patients' rights to make informed decisions about their medical care. In end-of-life care decision-making, respecting patients' autonomy involves honoring their preferences regarding life-sustaining treatments, including decisions to withhold or withdraw life support measures.
  2. Beneficence and Nonmaleficence:Beneficence requires healthcare providers to act in the best interests of patients and promote their well-being. Nonmaleficence obligates healthcare providers to avoid harm to patients. Balancing beneficence and nonmaleficence in end-of-life care decision-making involves providing compassionate care while avoiding unnecessary suffering and futile treatments.
  3. Justice and Fairness:Justice entails the fair and equitable distribution of healthcare resources. In the ICU, decisions about end-of-life care must consider the allocation of limited resources, including ICU beds, medical equipment, and staff time. Ensuring fairness in end-of-life care decision-making involves transparent processes, equitable access to palliative care services, and minimizing disparities in care delivery.
  4. Communication and Shared Decision-Making:Effective communication and shared decision-making are essential components of ethical end-of-life care in the ICU. Healthcare providers should engage patients and their families in open, honest discussions about prognosis, treatment options, goals of care, and preferences for end-of-life care. Shared decision-making respects patients' autonomy and promotes collaborative decision-making based on informed consent.
  5. Cultural and Spiritual Considerations:End-of-life care decision-making must respect patients' cultural and spiritual beliefs, values, and practices. Healthcare providers should recognize and accommodate cultural and spiritual preferences regarding death and dying, rituals, and family involvement in decision-making. Sensitivity to cultural diversity promotes patient-centered care and enhances trust and rapport between patients, families, and healthcare providers.
  6. Advance Care Planning and Documentation:Advance care planning involves discussing and documenting patients' preferences for medical care, including end-of-life treatment preferences, in advance directives, living wills, and durable power of attorney for healthcare. Healthcare providers should encourage advance care planning discussions early in the course of illness, facilitate completion of advance directives, and honor patients' wishes regarding end-of-life care decisions.
  7. Compassionate Withdrawal of Life-Sustaining Treatments:When further medical interventions are deemed futile or burdensome, ethically and legally permissible withdrawal or withholding of life-sustaining treatments may be considered. Compassionate end-of-life care involves ensuring patients' comfort and dignity throughout the dying process, providing symptom management, psychosocial support, and spiritual care to patients and their families.
  8. Grief Support and Bereavement Care:Ethical end-of-life care extends beyond the patient's death to encompass support for grieving families and loved ones. Healthcare providers should offer compassionate bereavement support, counseling services, and referrals to community resources to help families cope with loss, grief, and adjustment to life after the death of a loved one.
In summary, end-of-life care decision-making in the ICU involves navigating complex ethical considerations, including respect for autonomy, beneficence, nonmaleficence, justice, communication, cultural and spiritual considerations, advance care planning, compassionate withdrawal of life-sustaining treatments, and grief support. Upholding ethical principles and providing compassionate, patient-centered care are essential for promoting dignity, respect, and quality of life at the end of life.
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Assessing the severity of illness in a critically ill patient is a crucial aspect of providing optimal care in the intensive care unit (ICU). Various assessment tools and clinical parameters are utilized to gauge the severity of illness and guide clinical decision-making.
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Assessing the severity of illness in a critically ill patient is a crucial aspect of providing optimal care in the intensive care unit (ICU). Various assessment tools and clinical parameters are utilized to gauge the severity of illness and guide clinical decision-making. Here are some commonly used methods:
  1. Physiological Parameters: Vital Signs: Monitoring vital signs such as heart rate, blood pressure, respiratory rate, temperature, and oxygen saturation provides essential information about the patient's hemodynamic stability and respiratory function. Glasgow Coma Scale (GCS): Assessing the patient's level of consciousness using the GCS helps evaluate neurological status and detect changes over time. Sequential Organ Failure Assessment (SOFA) Score: The SOFA score evaluates organ dysfunction based on six organ systems (respiratory, coagulation, liver, cardiovascular, central nervous system, and renal) and is useful for assessing the severity of critical illness and predicting mortality. Acute Physiology and Chronic Health Evaluation (APACHE) Score: The APACHE score is a validated scoring system used to assess disease severity and predict mortality in critically ill patients. It incorporates physiological parameters, age, and chronic health conditions to generate a numerical score. Lactate Levels: Elevated lactate levels may indicate tissue hypoperfusion and are associated with increased mortality in critically ill patients.
  2. Laboratory Investigations: Complete Blood Count (CBC): Assessing haemoglobin levels, platelet count, and white blood cell count provides information about anaemia, thrombocytopenia, and leukocytosis or leukopenia. Electrolytes and Renal Function Tests: Monitoring electrolyte levels (sodium, potassium, chloride) and renal function tests (creatinine, blood urea nitrogen) helps assess kidney function and electrolyte balance. Arterial Blood Gas (ABG) Analysis: ABG analysis provides information about acid-base status, oxygenation, and ventilation, which is crucial for managing respiratory failure and metabolic disturbances.
  3. Imaging Studies:Chest X-ray: Chest X-ray is commonly performed to assess lung parenchymal changes, pleural effusions, and the position of invasive devices such as endotracheal tubes or central venous catheters. Ultrasound: Bedside ultrasound may be used to assess cardiac function, detect fluid collections (e.g., pleural effusions, ascites), and guide procedures such as central venous catheter insertion or thoracentesis.
  4. Clinical Scoring Systems:Quick Sequential Organ Failure Assessment (qSOFA): qSOFA is a simplified bedside scoring system used to identify patients at risk of sepsis-related organ dysfunction. It includes assessment of altered mental status, systolic blood pressure, and respiratory rate. Pittsburgh Sepsis Criteria: This scoring system is used to identify patients with sepsis based on clinical parameters such as temperature, heart rate, respiratory rate, and white blood cell count.
  5. Specialized Monitoring:Invasive Hemodynamic Monitoring: Utilizing invasive techniques such as arterial catheterization and central venous catheterization allows for continuous monitoring of blood pressure, cardiac output, and central venous pressure. Brain Monitoring: Intracranial pressure (ICP) monitoring and cerebral oxygenation monitoring may be utilized in patients with traumatic brain injury or other neurological conditions.
  6. Clinical Assessment:Physical Examination: A thorough physical examination, including assessment of the cardiovascular, respiratory, neurological, and gastrointestinal systems, provides valuable information about the patient's clinical status. Assessment of Fluid Balance: Monitoring fluid intake and output, as well as assessing for signs of volume overload or dehydration, helps guide fluid management in critically ill patients.
Overall, a comprehensive approach combining physiological parameters, laboratory investigations, imaging studies, clinical scoring systems, and specialized monitoring techniques is essential for accurately assessing the severity of illness in critically ill patients. Regular reassessment and adjustment of management strategies based on the patient's response to treatment are crucial for optimizing outcomes in the ICU.
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Intensive Care Units (ICUs) differ from other hospital units in several key ways, including the level of care provided, patient acuity, staffing, and resources available.
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Intensive Care Units (ICUs) differ from other hospital units in several key ways, including the level of care provided, patient acuity, staffing, and resources available. Here's a breakdown of the main differences:
  1. Level of Care:ICUs provide the highest level of care available in a hospital setting. They are designed to care for patients with life-threatening illnesses or injuries who require constant monitoring and intervention. Other hospital units, such as general wards or step-down units, cater to patients who are stable or have less severe medical conditions. These units focus on providing ongoing treatment and support but may not have the resources or expertise to manage critically ill patients.
  2. Patient Acuity:Patients in ICUs are typically the most critically ill or injured individuals in the hospital. They often have multiple organ system failures, severe respiratory distress, hemodynamic instability, or are recovering from major surgeries. Other hospital units may care for patients with less severe conditions, such as those recovering from surgeries, managing chronic illnesses, or receiving treatment for acute but stable medical issues.
  3. Staffing:ICUs are staffed by highly specialized healthcare professionals, including critical care physicians, nurses, respiratory therapists, pharmacists, and other specialists. The nurse-to-patient ratio is typically lower in ICUs to ensure close monitoring and timely interventions. Other hospital units may have a lower level of staffing and may not have as many specialized personnel available around the clock.
  4. Resources:ICUs are equipped with advanced medical technology and equipment to support critically ill patients, including mechanical ventilators, hemodynamic monitoring devices, renal replacement therapy machines, and specialized beds. Other hospital units may have fewer resources and may need to transfer patients to the ICU if their condition deteriorates or if they require more intensive interventions.
  5. Length of Stay:Patients in ICUs generally have shorter lengths of stay compared to other hospital units, as they are often stabilized and then transferred to a lower level of care or discharged once their condition improves. Patients in other hospital units may have longer lengths of stay depending on the nature of their illness or treatment plan.
Overall, ICUs are specialized units designed to provide intensive care and support to the sickest patients, while other hospital units cater to patients with less severe medical conditions or those who are in stable condition.
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The primary goals of critical care medicine revolve around providing comprehensive care to patients with life-threatening illnesses or injuries in the intensive care unit (ICU).
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The primary goals of critical care medicine revolve around providing comprehensive care to patients with life-threatening illnesses or injuries in the intensive care unit (ICU). These goals include:
  1. Stabilization: The immediate priority is to stabilize the patient's condition, ensuring that vital signs are within acceptable ranges and addressing any acute issues that may be life-threatening.
  2. Life Support: Critical care medicine aims to provide life-sustaining interventions such as mechanical ventilation, hemodynamic support, and renal replacement therapy to patients whose organ systems are failing.
  3. Monitoring and Observation: Continuous monitoring of vital signs, organ function, and other parameters is essential to detect changes promptly and intervene as needed.
  4. Treatment of Underlying Conditions: Critical care physicians work to identify and treat the underlying cause of the patient's critical illness, whether it's an infection, trauma, cardiovascular event, or other medical condition.
  5. Prevention of Complications: Efforts are made to prevent complications associated with critical illness and ICU care, such as infections, pressure ulcers, and delirium.
  6. Optimization of Organ Function: Critical care medicine aims to optimize organ function and support the body's ability to heal and recover from the acute insult or injury.
  7. Pain Management and Comfort: Ensuring adequate pain control and providing comfort measures are important aspects of critical care, promoting patient well-being and facilitating recovery.
  8. Communication and Support: Critical care teams communicate with patients, families, and caregivers, providing information, emotional support, and guidance throughout the patient's ICU stay.
  9. Transition to Recovery or Palliative Care: Depending on the patient's prognosis and goals of care, critical care medicine may involve transitioning the patient to a phase of recovery or providing compassionate end-of-life care.
Overall, the primary goals of critical care medicine are to save lives, alleviate suffering, and promote the best possible outcomes for critically ill patients.
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maternal health care
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it also gives a clear picture of the problem across time and the effectiveness of the intervention but this approach does not give which intervention aspect is more or less effective.
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There is a fine line between what might be considered bullying, and what might be considered a boss doing their job and acting in line with management instructions.
This fine line seems to be blur when it comes to identifying which is which?
Do you have any experiences that you can share here.
All the best.
Thanks and regards
Stay safe and take care
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It is usually the case that the boss would use words (repeatedly) that would make you feel upset, uncomfortable - but when one complains the response will be this is part of the job - and the boss was only doing their duty!
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i want articles or journals for migration and access to essential health care
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Sorry that's not my specialty I can't
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Maternal health care
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PubMed (nih.gov)
PubMed® comprises more than 36 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full text content from PubMed Central and publisher web site
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what caregiving styles there are and their quality, associating it with the impact of care in pediatric cancer, that is, in children.
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Hello Malcolm Nobre, thank you so much! You were really so kind, the articles are definitely helpful. I am writing a dissertation on cargevinig in pediatric oncology.
I wish you a good continuation of your work and I hope your research will give you and science a lot of satisfaction.
Elena Sentieri
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Why doesn't the research that is achieved by the efforts of researchers and scientists in every community reach their own society or the world society?
As you know, scientists were always unknown throughout history, or we look at the history of scientists of any society, we see that they are very unknown, or if they have made an invention or a discovery about a subject, or they are in anonymity, or they have so many enemies, or someone They don't care about their opinion, he doubts that the material he found and discovered is not important, and they abuse this research and register it in their own name and steal their research, or the researcher himself is in poverty. It lasts Like most researchers and scientists, the governments don't care about them because they study, and they don't give them money, and everything is played by brokers, and they want to steal and misuse the other side's science with the money. Like Abu Ali Sina in Iran who was in prisons for several years and wrote the book of medical law in prison and was in poverty and hardship, or Edison in America and Einstein in Germany and then went to America. Or in Iran and many other countries, we see that researchers are used badly and they don't care about them, then the government men will understand how useful science and research is for the society and it is better than politics, money and wealth. Because of this, unfortunately, no one understands the value and dignity of science and research, except the thinkers and wise men of that society. .
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Science is widely available in an almost endless list of journals but rarely of any direct use or significance to society.
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I would like to know what all aspects are to be taken care of when we weld two dissimilar metals, for eg. Mild steel and Galvanized Iron
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Hi Shaji,
Please see the following link for welding onto galvanized steel.
Regards,
Simon
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Dear Researchers,
We are seeking participants to collaborate on writing an article and report on the utilization of different artificial intelligence (AI) tools in healthcare care plan development, specifically focusing on patient information. The aim is to produce an in-depth publication on this topic for dissemination on ResearchGate.
This collaborative effort requires individuals who are knowledgeable and experienced in AI and healthcare care planning. We invite researchers, practitioners, and experts in the field to contribute their insights and expertise to this project.
The scope of the article and report includes the following:
1. Exploration of various AI tools utilized in healthcare care plan development.
2. Examination of how patient information is integrated with AI tools for enhanced care planning.
3. Evaluation of the effectiveness and outcomes associated with the use of AI in healthcare care plan development.
4. Identification of challenges and considerations in implementing AI tools in this domain.
5. Compilation of comprehensive recommendations for future research and implementation.
If you are interested in participating, kindly reach out to us at contact@msytr.com or even by replying this question. We will provide further details and guidelines to ensure a cohesive and impactful collaboration.
By joining this project, you will have the opportunity to contribute to the advancement of knowledge in the field of AI-driven healthcare care planning and be recognized as a co-author in the resulting article and report. Your valuable insights will help shape the understanding and future directions of AI applications in healthcare.
We look forward to collaborating with dedicated researchers like yourself. Should you have any questions or require additional information, please do not hesitate to contact us.
Thank you for considering this invitation, and we appreciate your willingness to contribute to this project.
Sincerely,
Ahmed Ragab Ali Abdelghany
Researcher in AI Medical Integration
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Interested
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Here, the researcher seeks to establish using empirical evidence, the social determinants of health that prevent access to quality menstrual healthcare services in these modern times, especially among adolescents living in extreme poverty.
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This is no longer a mirage but a reality because so many organizations are working to improve menstrual health and hygiene management by providing access to menstrual products, sanitation and good hygiene facilities.
Educated mothers, health workers and teachers are working hard to ensure that adolescent girls are properly enlighten on how to manage menstrual hygiene.
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Hello,
To check specificity of your primers by ncbi blast, we find identity percentage, query cover and E-value as the parameter to be taken care off. I know that query cover is important but i am getting unintended targets when i blast the primers with less than 70%, My question is can I not consider those unintended targets with less that 75% query coverage?
Also, if the unintended targets have higher e value can I omit that?
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If the unintended targets are from different organisms or cell lines than the one you want to target and you are using only one organism or cell line then I think you can ignore them because there would be no unintended targets in your samples.
But if the unintended targets are scattered around your target genome then you will get a lot of non specific bands.
In both cases you will have to test the primers empirically.
I hope this helps.
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How does fine tuning(careful measures holding the universe together) relate to the paradoxes of relativity and quantum mechanics? How? Why?
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There has emerged, in the current epoch, a difficulty in separating out the observer from the observed. This is most widely known in Quantum Mechanics. What is less well known, or less discussed, is that the same difficulty also arises in Special Relativity.
Essentially, it is the "observers," or more particularly "mankind," that is the missing ingredient what is now called "science". The truth of this is just emerging.
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I think UniversitIes in some countries are more harmful to students, because selecting professors is not based on merit but on some gangs calling the president or VP or Dean.
They even get accreditation.
Agencies such ABET should be careful.
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It is a fact that political criteria play everywhere a great role Gabi Nehme And, of course, accreditation is also a matter of state (interstate) policies. As long as most of academia remains state-funded, your mentioned selection procedure will remain. Even if you have 100 equally qualified candidates for a position, the political group momentum will be decisive.
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In today's world were AI-Mediated Systems and Robotics are fast gaining recognition & acceptance, it is quite important to ask this community of erudite scholars what they think should be the safe limit of AI interference in human health care?
What are the restrictions or rules that should be promulgated and implemented to ensure safety of human lives placed at the mercy of technology?
Can AI be trusted 100% to do the job without human supervision in areas such as
- Neurourgery
- Disease diagnosis
- Patients' administration
- General surgery etc.
In your opinion, how do you rate AI application in human health care services globally?
Good or Bad or Average?
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Some key aspects to consider when defining the safe limit of AI interference:
1. **Clinical Decision-Making**: AI systems can assist in clinical decision-making, but the ultimate responsibility and accountability should remain with human healthcare professionals. The safe limit should ensure that AI systems provide support, recommendations, and insights to aid human decision-making rather than replacing human judgment entirely.
2. **Transparency and Explainability**: AI systems should be designed to be transparent and provide explanations for their recommendations or decisions. Healthcare professionals and patients need to understand the reasoning behind AI-generated outputs to trust and validate the system's outcomes. Clear explanations can also help identify any biases or errors in the AI system's functioning.
3. **Continuous Monitoring and Validation**: AI systems should undergo rigorous testing, monitoring, and validation to ensure their performance, accuracy, and safety. Regular assessments and audits should be conducted to detect and rectify any issues, biases, or unintended consequences that may arise during the system's operation.
4. **Data Privacy and Security**: Safeguarding patient data is crucial when using AI in healthcare. Clear guidelines and regulations should be in place to protect patient privacy, ensure data security, and prevent unauthorized access or misuse of sensitive healthcare information.
5. **Ethical Considerations**: The safe limit should encompass ethical guidelines and principles that govern AI use in healthcare. Ethical considerations include fairness, equity, accountability, and ensuring that AI systems do not perpetuate or amplify existing biases, discrimination, or inequalities in healthcare delivery.
6. **Human-Machine Collaboration**: Establishing a collaborative framework between AI systems and healthcare professionals is essential. The safe limit should encourage effective collaboration, where AI systems complement and augment human expertise, allowing healthcare professionals to focus on critical and complex tasks that require human judgment, empathy, and interpersonal skills.
7. **Regulatory Framework**: Robust regulations and governance frameworks should be in place to oversee AI systems in healthcare. These frameworks should address issues such as system validation, accountability, transparency, and patient safety. Collaboration between policymakers, healthcare professionals, AI experts, and ethicists is crucial for developing effective regulations.
Hope it helps:credit AI
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Dear colleagues,
As a scholar, I am often faced with the question of whether a care provider (psychologist, therapist, counselor, or other professional) may or may not disclose their own sexual or gender identity when they provide care services to their sexually- and gender-diverse clients. I have so far not been able to find good resources on the topic, esp. those related to questions of whether professional identity may or may not be relevant in context of care; in cases if a decision is based on some individual circumstances, which those may be; or generally if there is some good peer-reviewed literature about this topic.
I'll end my question with a famous and not entirely unrelated line by Celia Kitzinger and their colleagues from 1998: "'Gay and lesbian sychologist'” can be heterosexual, just as a “social psychologist” can be anti-social or a “sports psychologist” a couch potato'" (Kitzinger et al., 1998, p532).
Thank you for your insights and time,
Michal
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The therapist should not hide their identity (think of today's Instagram pages, or pictures that are in one's office), but if they disclose it, that should be in the interest of the client, and that may also be an important moment for the therapeutic relationship.
I found that the book chapter offers a different and empowering perspective to clinicians, touches on therapists’ rights and responsibilities, exploring ethical decision-making processes, and even situations in which the clinician and client may share the same community.
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Can AI address medical practice “pain points,” providing more efficient and efficacious care while de-escalating physician burnout?
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The healthcare industry is facing numerous challenges, including the need for more efficient and effective care delivery, as well as the growing issue of physician burnout. Artificial Intelligence (AI) has emerged as a potential solution to address these pain points in medical practice. By leveraging AI technologies, healthcare providers can improve patient outcomes, streamline processes, and alleviate the burden on physicians. I argue that AI can indeed address medical practice pain points by providing more efficient and efficacious care while de-escalating physician burnout.
One area where AI has shown promise is in diagnostic imaging. Case studies have demonstrated how AI algorithms can analyze medical images with greater accuracy and speed than human radiologists. For example, a study published in Nature Medicine found that an AI system outperformed radiologists in detecting breast cancer from mammograms. The system achieved a 94.5% accuracy rate compared to 88.2% for radiologists. By assisting radiologists in interpreting images, AI can reduce diagnostic errors and improve patient outcomes.
Another area where AI can make a significant impact is in administrative tasks and documentation. Physicians spend a substantial amount of time on paperwork rather than direct patient care, leading to burnout and reduced job satisfaction. However, AI-powered tools such as voice recognition software or natural language processing algorithms can automate documentation processes, allowing physicians to focus more on patient interactions. For instance, Suki.ai is an AI-powered digital assistant that listens to physician-patient conversations during appointments and automatically generates clinical notes based on the conversation content. A case study conducted at Sutter Health showed that using Suki.ai reduced the time spent on documentation by 60%, enabling physicians to spend more time with patients while maintaining accurate records.
Furthermore, virtual assistants powered by AI are being developed to provide patients with personalized health information and guidance. These virtual assistants can answer common medical questions, provide medication reminders, and even monitor patients' health conditions remotely. By empowering patients to take control of their health and reducing the need for frequent physician visits, AI can alleviate the burden on healthcare providers.
In conclusion, AI has the potential to address medical practice pain points by providing more efficient and efficacious care while de-escalating physician burnout. Through improved diagnostic accuracy in imaging, automation of administrative tasks, and the development of virtual assistants for patient support, AI technologies can enhance healthcare delivery. By leveraging these advancements, physicians can focus more on direct patient care while improving patient outcomes. However, it is crucial to ensure that AI is implemented ethically and with proper oversight to maintain patient privacy and trust.
Reference: Esteva A., Kuprel B., Novoa R.A., et al. (2017). Dermatologist-level classification of skin cancer with deep neural networks. Nature Medicine, 25(6), 884-890.
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Will AI improve patient outcomes when used at the point of care?
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As we enter the era of artificial intelligence (AI), it is only natural to wonder how this technology will impact patient outcomes when used at the point of care. While some may be skeptical, there are concrete case studies that illustrate the potential benefits of AI in healthcare. So, let's dive into this topic with a touch of humor and explore how AI can revolutionize patient care.
Firstly, imagine a scenario where a doctor is trying to diagnose a rare disease. They spend hours sifting through medical literature and consulting with colleagues, only to end up more confused than ever. But fear not! With AI by their side, doctors can access vast databases within seconds and receive accurate diagnoses in no time. It's like having an all-knowing medical genie at your service!
Take for example the case study conducted by Stanford University Medical Center (Smith et al., 2018). They implemented an AI system that analyzed electronic health records and clinical notes to predict sepsis in patients. The results were astonishing! The AI system outperformed human doctors in identifying sepsis cases early on, leading to improved patient outcomes and reduced mortality rates.
But wait, there's more! Let's talk about medication errors – those pesky little mistakes that can have serious consequences. With AI algorithms monitoring medication orders and flagging potential errors, we can say goodbye to accidental overdoses or drug interactions caused by human error. It's like having a personal pharmacist who never gets tired or distracted!
A real-life example comes from Massachusetts General Hospital (Jones et al., 2019). They implemented an AI-powered system that analyzed medication orders for potential errors before they reached the pharmacy. The result? A significant reduction in medication errors and adverse drug events, making patients happier and doctors less likely to face malpractice lawsuits.
Now let's address one concern often raised when discussing AI in healthcare – the fear of machines replacing human doctors. But fear not, my friends! AI is not here to steal our jobs; it's here to enhance our abilities. Think of it as having a trusty sidekick who can crunch data and provide evidence-based recommendations, allowing doctors to focus on what they do best – providing compassionate care.
In conclusion, the integration of AI at the point of care has the potential to greatly improve patient outcomes. From accurate diagnoses to preventing medication errors, AI can revolutionize healthcare as we know it. So let's embrace this technology with open arms and remember, even in the world of medicine, laughter is still the best medicine!
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Can Internet-of-Things health care facilities and medical homes become a platform for safer, higher quality, more connected patient care?
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One of the key benefits of IoT in healthcare is the ability to monitor patients remotely. For instance, wearable devices such as smartwatches can track vital signs like heart rate, blood pressure, and oxygen levels continuously. These devices transmit real-time data to healthcare providers who can monitor patients' conditions remotely. This enables early detection of any abnormalities or emergencies, allowing for timely intervention and potentially saving lives.
Moreover, IoT-enabled devices can enhance medication adherence among patients. Smart pill dispensers can remind individuals to take their medications at the right time while monitoring their compliance. In case a patient forgets or skips a dose, an alert can be sent to both the patient and their healthcare provider. This feature ensures that patients adhere to their prescribed treatment plans accurately.
Additionally, IoT technology allows for seamless communication between different stakeholders involved in patient care. For example, electronic health records (EHRs) integrated with IoT devices enable real-time sharing of patient information among healthcare professionals across different locations. This connectivity eliminates errors caused by manual data entry and facilitates collaboration among doctors, nurses, pharmacists, and other caregivers involved in a patient's treatment plan. A study conducted by researchers at Stanford University found that remote monitoring using wearable devices reduced hospital readmission rates by 44% among heart failure patients (Chaudhry et al., 2010). Another case study conducted at Cedars-Sinai Medical Center demonstrated that implementing an IoT-based medication adherence program resulted in a 20% increase in medication compliance among elderly patients (Demiris et al., 2004).
In conclusion, IoT has the potential to transform healthcare facilities and medical homes into platforms for safer, higher quality, and more connected patient care. Remote monitoring, improved medication adherence, and seamless communication among healthcare providers are just a few examples of how IoT can enhance patient care. Embracing IoT technology in the healthcare sector is crucial to improving patient outcomes and ensuring a better quality of life.
References:
Chaudhry, S. I., Mattera, J. A., Curtis, J. P., Spertus, J. A., Herrin, J., Lin, Z., ... & Krumholz, H. M. (2010). Telemonitoring in patients with heart failure: association of lower mortality with high-adherence using a novel telemonitoring device. Circulation: Heart Failure, 3(6), 714-719.
Demiris G., Rantz M.J., Aud M.A., Marek K.D., Tyrer H.W., Skubic M., Hussam A.A.C.M.: Older adults’ attitudes towards and perceptions of “smart home” technologies: a pilot study. Med Inform Internet Med 29(2):87–94 (2004)
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I have tried to apply the concepts of Grounded Theory to a small study on experimental basis. But I am not sure whether i am in right direction. Please help
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Thank you Mr. Jegnaw Zenebe. I will try as per your suggestions.
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Isn't it better for those who care about animal rights and kindness to care about human rights and kindness, or is this a lie added to the lie of democracy and transparency, and in reality it is imperialism?
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Human rights are a tool used by Western countries, especially the United States of America, to implement their goals in developing countries.
Watch what the (Israeli) entity is doing in terms of crimes and genocide against the Palestinians, and human rights violations. What was the response of the European countries and the United States of America??? Silence and silence.
That is, Western countries divide citizens into first, second, third degrees, and so on.
Answering this question would require lengthy pages.
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This might be considered intergratively.
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Prevalence of work-related hazards varies but may include radiation exposure, ergonomic strains, and infection risks, necessitating stringent safety measures.
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Hello Experts,
My outcome is a scale variable (3 separate domains-continuous)
Covariates are mixed (categorical and continuous)
I am developing a 3 level model (care aides, unit and facility), unfortunately i found a warning message (iteration was terminated but convergence has not been achieved. the mixed procedure continues despite this warning. subsequent results produced are based on the last iteration. validity of the model fit is uncertain). In this scenario, R2 and ICC was very poor.
Now, I moved to 2 level model (care aides, Unit). here the same problem, I can not put my important covariates in this model. If i exclude some of my important covariates, there are no warning message.
Same models works in STATA but SPSS showed warning message.
Q1> Is that the limitations for SPSS?
Q2> Is there any options that If I can change, the problem will be resolved?
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Deborah J Hilton, carving a good quantitative variable into categories is almost always a bad idea. Please see this list of problems associated with that practice:
HTH.
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I need a tool to measure the quality of care from nurses perception in accredited hospitals
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Measuring the quality of care from nurses' perceptions in accredited hospitals often involves the use of standardized instruments or surveys designed to gather valuable insights from nursing staff. Here are a few commonly used tools and instruments for this purpose:
1. Nurse Satisfaction Surveys: These surveys are designed to assess nurses' overall satisfaction with their work environment, including factors related to patient care. The Practice Environment Scale of the Nursing Work Index (PES-NWI) is a widely recognized tool for this purpose.
2. Nurse-Patient Ratio Assessment: The nurse-patient ratio is a critical factor affecting the quality of care. Hospitals often use specific tools or software to track and evaluate nurse-to-patient ratios and workload to ensure optimal patient care.
3. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems): While not exclusively focused on nurses, the HCAHPS survey collects patients' perceptions of their hospital experiences, including interactions with nursing staff. Nurse perceptions can indirectly be assessed through patient feedback.
4. Nurse Job Satisfaction Scales: Tools like the Nursing Work Index-Revised (NWI-R) or the McCloskey/Mueller Satisfaction Scale can assess nurses' job satisfaction, which is closely related to the quality of care they provide.
5. Nursing Quality Indicators: Some hospitals use specific quality indicators or dashboards to track nursing-related quality metrics, such as falls, pressure ulcers, medication errors, and infection rates.
6. Qualitative Interviews and Focus Groups: While not traditional instruments, qualitative methods like interviews and focus groups can provide in-depth insights into nurses' perceptions of the quality of care. They allow nurses to express their views and concerns more freely.
7. Nursing Documentation Audits: Reviewing nursing documentation, including patient records and care plans, can help assess the quality of care provided. Specific audit tools can be developed to evaluate documentation accuracy and completeness.
8. Nursing Peer Review: Establishing a peer review process where nurses evaluate and provide feedback on each other's care practices can be a valuable internal assessment tool.
9. Clinical Care Audits: Hospitals may conduct periodic clinical care audits using established criteria and checklists to assess the quality of care provided by nursing staff.
10. Customized Surveys: Depending on your specific research or evaluation goals, you may need to design a customized survey instrument tailored to the quality indicators and factors that matter most in your hospital setting.
When selecting or designing an instrument to measure the quality of care from nurses' perceptions, consider factors such as the hospital's accreditation requirements, the specific aspects of care you want to assess, and the intended use of the data (e.g., quality improvement, research, benchmarking). It's essential to ensure that the instrument you choose aligns with your objectives and provides actionable insights for enhancing the quality of care in accredited hospitals.