Clinical Documentation Specialist - The Comprehensive Guide
Mastering the Art of Medical Record Accuracy and Compliance for Enhanced Patient CareDive into the essential world of clinical documentation with "Clinical Documentation Specialist - The Comprehensive Guide," a pivotal resource designed for healthcare professionals committed to excellence in patient care through meticulous record-keeping. This guide offers a deep dive into the principles of accurate and compliant medical documentation, highlighting its critical role in ensuring optimal patient outcomes and the seamless operation of healthcare systems. With an emphasis on practical strategies, real-world applications, and the latest compliance standards, this book serves as an invaluable tool for both aspiring and experienced clinical documentation specialists. By focusing on enhancing communication between healthcare providers and supporting the delivery of high-quality care, it addresses the challenges and complexities of modern medical documentation practices.Without relying on images or illustrations for clarity, the guide stands out for its comprehensive coverage and insightful analysis, making it a unique addition to the professional library of healthcare providers. It transcends basic instructional material by weaving in theoretical knowledge with actionable advice, empowering readers to navigate the nuanced landscape of healthcare documentation with confidence. The absence of visual elements is more than compensated for by the depth of knowledge and the engaging writing style, ensuring that readers are equipped with the knowledge and skills necessary to make a significant impact in their roles as guardians of patient information and care continuity.
Script matching test
The TCS is a standardized assessment tool derived from cognitive science research. It is based on script theory. This theory is defined as knowledge architectures adapted to specific actions. At the start of clinical training, learners have only theoretical concepts of the field, and the links between them are not very coherent. As they come into contact with patients, they reorganize their knowledge in order to accomplish their clinical tasks. Throughout their professional career, the knowledge network would be constantly reconfigured and improved by each new situation, as practical experience progressed. According to this theory, the hypothetico-deductive approach to clinical reasoning is based on multiple micro-judgments. In each clinical situation, it is characterized by the search for, selection and verification of the appropriate scripts to iteratively check or reject the hypotheses linked to the situation, by comparing them with the data collected. In short, the more experienced the practitioner, the more scripts he or she has built up, and the richer and more organized these scripts are.
Ageing, stimuli and changes in the brain
Possible environmental and aging influences on learning and memory and the laminar distribution of astrocytes in the dentate gyrus were studied. Performance in episodic-like and spatial memory tests was correlated with astroglial changes in the dentate gyrus estimated by a bias-free method based on stereology. Taken together, the data suggest that maintaining the animals in an environment poor in sensorimotor and cognitive stimuli may be associated with abnormal cognitive development and this with changes in the laminar distribution of astrocytes in the dentate gyrus. Considering that astrocytosis was the element shared by environmental enrichment and aging, it is suggested that the astrocytes increased in one condition and the other are expressing different phenotypes.
A contemplative look at Covid-19 in Tunisia
The coronavirus appeared in December 2019 in China. It is considered highly contagious and transmissible to many people very rapidly in most countries, and is spreading on a larger scale across continents to create a SARS-CoV-2 pandemic.During the median incubation period (5 to 14 days), the person is considered contagious. The main symptoms of this virus are fever, coughing and shortness of breath. Other symptoms may also be present, such as asthenia, anorexia, body aches and dyspnea. In the first instance, diagnosis is made by clinical examination, confirmed by further tests. Either a rapid test based on the detection of viral antigens, or the detection of host cell antibodies. The latter can lead to false results. An RT-PCR test or a chest CT scan can also be used to identify or confirm COVID 19.The Wuhan parent strain undergoes variant mutations. Sanger sequencing was used to detect these variants.
Contributions of Pronto Sorriso to the training of health professionals
The book Contributions of Pronto Sorriso to the training of health professionals reports on changes in the lives of health professionals who have taken a course offered by the Faculty of Medicine at the Federal University of Goi獺s. The institution has been implementing curricular changes with projects that encompass new teaching methodologies and one of them is the Pronto Sorriso Free Core course. N繳cleo livre is a set of contents that aims to give students the freedom to broaden their education. This project was inspired by the work carried out by the Doctors of Joy in the city of S瓊o Paulo and the ideas of the American Patch Adams (ADAMS, 1998). Its aim is to broaden the training of health academics in a holistic way, to ease the pain and discomfort of hospital treatment, favoring faster recovery and contributing to the development of humanistic skills in professionals. Health professionals are generally trained to deal with standards of normality and abnormality, but find it difficult to promote people's health in a humanized way.
Tissue Expanders in Maxillofacial Surgery
Tissue expansion is soft tissue reconstruction, the main principle is to develop the donor tissue by expansion next to the defect. Such donor flaps are twice as large. After dividing the expanded flap for reconstruction, the donor site is well preserved, but the defect is reconstructed with adjacent tissue of similar texture, color, thickness, and sensation. Has minimal scarring. Tissue enlargement is the future of dentistry because it helps patients cover enough tissue, give the defect area excellent aesthetics, and minimize hospital visits and discomfort. Intraoral clinical applications of tissue expanders require extensive knowledge of tissue regeneration. A good surgeon can increase tissue surface area through mechanical creep and biological stretching. This is used to reshape the defect. It improves soft tissue quality and quantity, promotes primary wound closure, and reduces the incidence of wound dehiscence and bone graft exposure. The only thing the surgeon should keep in mind is correct placement of the expander and control of the expansion rate.
Malocclusions in Black Schoolchildren
The aim of this study was to compare the need for orthodontic treatment, as well as the distribution, prevalence and severity of malocclusions, between black individuals and other ethnic groups, in a representative sample of schoolchildren in the city of Salvador/BA-Brazil, as well as to determine whether malocclusions were affected by socio-demographic conditions such as age and gender, using the Dental Aesthetics Index according to World Health Organization criteria. A total of 2085 schoolchildren aged between 12 and 15 years took part in the study, drawn in a multi-stage random sample. Each participant was given a form recording demographic characteristics. The results showed that most of the individuals observed in this study had little or no need for orthodontic treatment. Some had severe malocclusion, resulting in an essential need for orthodontic treatment. For most of the conditions assessed, there was no statistically significant difference between the ethnic groups, with the exception of crowding and anterior open bite, which were more prevalent among blacks.
Stem Cells
The book entitled "STEM CELLS" provides a comprehensive overview of the field, covering everything from the basic biology of stem cells to their diverse applications in regenerative medicine, disease modeling, transplantation, and cancer research. Each unit and chapter delves into key concepts, methodologies, ethical considerations, and real-world implications, offering a thorough understanding of the multifaceted nature of stem cell science. Throughout the book, readers will gain insights into the historical context and milestones that have shaped stem cell research, as well as the current state of the field and future directions. The ethical, legal, and social implications of stem cell technologies are also examined, highlighting the importance of responsible conduct, regulatory oversight, and equitable access to ensure that the benefits of stem cell therapies are maximized while minimizing potential risks and disparities. Overall, "STEM CELLS" serves as a valuable resource for students, researchers, healthcare professionals, policymakers, and anyone interested in the transformative potential of stem cell science.
Rediscovering Masculinity
Rediscover the Essence of Masculinity In a world where synthetic solutions and pharmaceuticals dominate, Johannes F. Weber brings you back to the roots of male vitality with his enlightening book, "Rediscovering Masculinity: How Natural Remedies Can Improve Your Quality of Life". Dive into the transformative world of natural substances that have powered men's health through centuries. This book explores an array of natural remedies-from the rejuvenating ginseng to the potent maca root-each with its rich history and proven benefits. Weber skillfully interweaves scientific research with traditional knowledge, presenting a compelling case for natural approaches to enhancing male vitality and wellbeing. Whether you are facing the challenges of aging, stress, or just seeking to enhance your overall energy, this guide offers a holistic approach to improving your life. Learn about the potential of herbs like Yohimbe bark, Tribulus terrestris, and Ashwagandha-each discussed with clarity and expert insight on their proper use, benefits, and safety profiles. "Rediscovering Masculinity" is more than just a book; it's a journey to the heart of natural wellness. It's designed for those who aspire to embrace a healthier lifestyle, free from the clutches of synthetic drugs. By integrating these ancient herbs and supplements into your daily regimen, you can awaken a new sense of vitality and strength that is both empowering and sustainable. Step into a new chapter of life with Johannes F. Weber as your guide, and unlock the powerful secrets of nature to revitalize your masculine core. This book is an essential read for any man ready to take his health, energy, and life to new heights.
Crazy Covid Kid
This book examines the reason why over 6 million people died of COVID19 by 2022. It is a death figure that should have been a lot less. What was the key oversight from the virus community that killed millions? A truth washed aside by mainstream media but simple to research and clear to see for any non-academic. They made an incomprehensible mistake born from academic attitude and their methodology to deal with potential dangers for society. You will read a factual account of false claims, lies and accusations thrown around by internationally known virus experts. What is the logic to saying there was a lab leak of Coronavirus or that there was not? Do you know what has to be understood before you can make such a judgment? Is Bat Woman guilty of subterfuge? And is it even reasonable to accuse her in the way many voices have? Did the academic community really have the right to stop loved ones from visiting dying relatives? The coronavirus killing machine only succeeded because of one key academic action. Had academics reacted differently there would never had been a pandemic. Do not let them get away with murder they are to blame for the death count. And it is easily argued and easily researched and understood. This book holds the academic virus community to court. Will you find them guilty? The Crazy Covid Kid is out.
Hepatitis & Its Major Types
Hepatitis can cause a variety of symptoms, from minor to severe, such as fatigue, nausea, vomiting, jaundice and lack of appetite. Hepatitis can occasionally result in severe side effects including liver cancer or failure. Depending on the underlying cause, treatment for hepatitis may involve antiviral drugs, supportive care and lifestyle modifications. Hepatitis A and B vaccinations are available and they can help lower the risk of consequences and prevent infection. It is imperative to identify and treat hepatitis early to minimize long-term liver damage and enhance recovery.
Medicinal Plants in the Treatment of Cutaneous Wounds
Cutaneous wounds are still a problem in human and animal health due to their complexity of treatment and recurring complications, generating high costs. Worldwide, there are more than 110 million surgical incisions per year. Traumatic wounds occur at a rate of 1.6 million cases per year. The healing of acute wounds is a complex and dynamic process, involving the participation of soluble mediators, blood cells, extracellular matrix and parenchymal cells. There are thousands of products on the market for the treatment of acute and chronic wounds. The use of traditional products produced from medicinal plants is an alternative in the healing process, as well as to reduce financial burdens. This work investigated the healing use of Inga subnuda and Pseudopiptadenia contorta through: preparation of plant extract; formulation of creams in different concentrations from the plant extracts; in vivo pharmacological tests with experimental induction of surgical wounds and burns in rabbits; analysis of hematological and biochemical parameters; evaluation of the wound contraction index and histological analysis of scar tissue.
Antisocial personality
Antisocial Personality Disorder (APD) is characterized by a general pattern of disregard and transgression of the rights of others, appearing in childhood or early adolescence and continuing into adulthood. This disorder generates a severe handicap in all spheres of life. The aim of this study was to describe the sociodemographic, clinical, psychometric and therapeutic characteristics of patients with ASPD who were hospitalized in a psychiatric unit. A psychometric evaluation was carried out using six scales. APS is a major concern for clinicians in the hospital setting. A better understanding of the specificities of patients suffering from this condition could improve their management.
The Use of Probiotics in the Treatment of Irritable Bowel Syndrome
Irritable Bowel Syndrome (IBS) is a gastrointestinal disorder whose predominant symptoms are abdominal pain or discomfort, accompanied by diarrhea and/or constipation. A single pharmacological or non-pharmacological therapy proves to be ineffective. Probiotics are showing promise. This book discusses epidemiological and pathophysiological aspects and seeks to determine the efficacy of the use of probiotics in the treatment of IBS. A systematic review was carried out in Pubmed, Sciencedirect and Scopus, using the combined keywords Irritable bowel syndrome and probiotics. The search was carried out from August to October 2015 and 16 studies were eligible. The results showed that 81.2% of the articles had positive effects. Lactobacillus was responsible for 75% of these effects. A dosage of 4 to 5 x 109 bacteria twice a day and a study time of 4 weeks were most common. The results indicate that probiotics are a promising strategy, but more clinical trials are needed with an appropriate design, longer evaluation time, standardization in dosages and identification of the isolated and synergistic effects of the species used.
The Effect of School-Linked Module-Based Friendly-Health Education
Although access to sexual and reproductive health information is the right and a critical component of health policy, it is not well addressed in pastoral communities.This study assessed the effect of School-Lined Module-based friendly health education on adolescents' sexual and reproductive health knowledge in the pastoral community of Guji Zone, Ethiopia.The execution of school-linked module-based friendly health education has proved to have a significant effect on mean SRH knowledge. Individual-level and behavioral-level factors significantly explain variability in enhancing SRH knowledge in the pastoral community. We recommend scaling up the School-Linked Module-based friendly health education intervention.
Advanced Techniques in Plant Health Detection
Advanced Techniques in Plant Health Detection: Leveraging Artificial Intelligence and Machine Learning explores cutting-edge methods for monitoring and diagnosing plant health using AI and ML technologies. The text delves into how these techniques enhance early detection of diseases, pests, and stressors in crops, enabling proactive measures for crop protection and yield optimization. By harnessing AI and ML algorithms, agricultural stakeholders can improve efficiency, accuracy, and sustainability in plant health management, thereby contributing to global food security and agricultural resilience.
Ozone therapy and dentistry
Ozone is a gas found naturally and abundantly in the atmosphere, whose virtue is to protect the earth's surface from ultraviolet rays. In medical terms, it has antimicrobial, anti-inflammatory, immunostimulant and analgesic properties. It has few undesirable effects. The latter stem from its toxicity when inhaled. In fact, ozone for medical purposes is considered a super-oxygen and is used in the treatment of many general pathologies, particularly in dentistry. Despite the non-standardization of protocols, several studies have demonstrated its efficacy in conservative dentistry, endodontics, periodontology and oral pathology. In this manuscript, we attempt to shed light on the uses of ozone therapy in the various specialties of dentistry.
The future holds many surprises
COVID-19 is an acute respiratory syndrome caused by the new coronavirus; SARS-COV-2 and has so impacted all sectors of human life in my country. This infectious disease is a zoonosis, which emerged in December 2019 in the city of Wuhan, in China's Hubei province, from which Mali recorded its first two confirmed cases of the epidemic on March 25, 2020.We conducted a prospective study from April 1 to September 30, 2021, which aimed to assess the population's level of knowledge, attitude and practice towards coronavirus disease in the Point G village market. A convenience sampling technique was used to select participants, and data were analyzed using SPSS and R.The under-25 age group was represented in 51.7%. Male gender was represented in 62.73%. The level of knowledge of COVID-19 among our participants was good in 23.37%, and the level of practice of barrier gestures against COVID-19 among our participants was good in 10.76% for those with a higher level of education.
Childhood Obesity in the Quilombola Community of Mussuca - Sergipe
Childhood obesity has been increasing rapidly in recent decades, and this has been characterized as a true global epidemic. This is very worrying, as the association between obesity and metabolic alterations such as hypertension and glucose intolerance, which are risk factors for type 2 diabetes mellitus and cardiovascular disease, was more evident in adults until a few years ago, but can now be seen in children and adolescents. Even with the political mobilization for the organization of quilombola communities, there is a situation in which indicators point to the continued social vulnerability of communities and a certain distance between these populations and social policies and their benefits. Problems such as poor quality education, insufficient provision of health and sanitation services, as well as precarious housing, are recurring demands in Sergipe's quilombola communities.
Knowledge of General Practitioners
Sleep-related respiratory pathology, such as obstructive sleep apnea syndrome, has been a growing concern for pulmonologists over the past 20 years. In general practice, this pathology remains under-diagnosed. In this study, we set out to assess the current state of theoretical knowledge and the level of involvement of general practitioners in the management of sleep disorders. One hundred and twenty-two of the 160 doctors initially contacted agreed to take part in the survey, with an overall participation rate of 62.5%. Based on the results, we concluded that, despite diagnostic and therapeutic advances in the field of sleep disorders, SAS is still a little-known pathology among general practitioners. We therefore need to reflect on the structural means capable of improving certain indications for the management of OSA in our country. In addition, the role of therapeutic education should be better defined and clearly provided in a multidisciplinary way, involving the general practitioner for the benefit of the patient.
New Frontiers in PHC Innovation and Reorganization
According to our criteria, PHC should not limit comprehensive specialized care, since it is the access to the system and in many cases the only gateway to the system for vulnerable populations. For this reason, we have summoned experts from the health team, since it would allow a multidisciplinary PHC, working in a network with other levels and making it equitable, accessible, resolutive and if possible also preventive and curative, with promotion activities (information, education, health training (IECS), prevention, care and rehabilitation). In short, a problem-solving system and not just a gateway.
Serious occurrences of COVID-19 infection outside pregnancy
Maternal infection with SARS-CoV-2 and the resulting coronavirus disease (COVID-19) are associated with an increased risk of pregnancy complications, including preterm delivery, hypertensive disorders of pregnancy, fetal growth restriction and pregnancy loss.This is a retrospective descriptive study of a series of 15 cases of severe Covid 19 infection in pregnant women.The mean age of the patients was 31 years.The predominant symptomatology was hypoxaemic pneumonitis.Delivery was vaginal in 6 patients.Caesarean section was used in 9 patients.The outcome was favourable in 14 patients.The outcome was fatal in one patient.The distribution of COVID-19 in pregnant women followed a gradual increase, peaking during the fifth and second waves, in line with the spread of each variant of SARS-CoV-2.
Impact of the Sars-Cov 2 on the Management of Acute Appendicite
In 2020, a new respiratory-tropic virus called SARS-Cov-2 caused a pandemic, the Covid-19. Acute appendicitis is the most frequent surgical emergency. We carried out a study evaluating the impact of this new pandemic on the management of acute appendicitis. Material and Method: A retrospective study on acute appendicitis was conducted from June 2019 to November 2020 inclusive, in the pediatric surgery department of the Fattouma Bourguiba hospital in Monastir Results: The study included 210 patients. No difference noted concerning the epidemiological data between the 2 periods or the number of consultants. However, we noticed a lengthening of the consultation time du during the Covid period (35.6 h vs 44.4 h: p=0.190) especially beyond the 72nd h. No notable difference concerning the data of the clinical examination and the para-clinical explorations. In addition, the group during the pandemic had a higher rate of complicated acute appendicitis. This group also presented an increase in the duration of hospitalization but also 02 deaths attributable to a delay in treatment. The Covid-19 has had a significant impact on healthcare management in general.
Can you help me? I live with Parkinson’s
Parkinson's disease is a neurodegenerative disease that needs to be approached from different angles. Both patients and their families need to know about it in order to face it in the best way. Self-care needs are more and more essential, that is why we thought about those patients and we developed the educational strategy to help them to face their disease and to know what they can do for themselves.
Role of Boerhavia Diffusa in Chronic Kidney Disease
Renal failure is a complication of chronic kidney disease (CKD), which is characterized by gradual kidney function loss and degradation of the kidney parenchyma. Nephrin is a transmembrane protein that maintains the slit diaphragm of renal podocyte. In CKD, podocyte effacement causes damage to glomerular basement membrane barrier leading to proteinuria. TGF- β is a key factor in CKD progression. Boerhavia diffusa (BD), an Ayurveda herb, is used in treatment of various diseases particularly in relation to the urinary system. This book elaborates the attempt made to evaluate the effect of ethanolic extract of BD on the expression of nephrin and TGF-β in adenine induced CKD rats. The structural and functional damage brought on by adenine-induced nephrotoxicity was countered by protective action of BD by up regulation of nephrin expression and downregulation of TGF-beta expression. Therefore, this book advocates BD as an alternative drug for the treatment of CKD after further clinical trials.
Connective tissue diseases (CTDs)
Intertitial lung diseases (ILDs) are present in approximately 40 % of patients with connective tissue diseases (CTD) such as Systemic Sclerosis (SSc-ILD), rheumatoid arthritis (RA-ILD), Sj繹gren's syndrome, idiopathic inflammatory myositis (IIM), systemic lupus erythematosus (SLE) and mixed connective tissue disease (MCTD-ILD)). The occurrence of ILD is an increasing cause of death in CTD, and is now the leading cause of death in SSc. Their pathogenesis is still not well characterized because of the heterogeneities of the diseases. However, some common risk factors such as genetic abnormalities and environmental risk factors have been associated with many ILDs. Although patterns of ILD-CTD are similar to those seen in idiopathic interstitial pneumonias, a multidisciplinary evaluation is always needed to optimize diagnosis and management strategies. In the management of CTD associated ILD, early treatment is very important to stabilise lung function and improve outcomes, patients are typically given immunosuppressants to address underlying inflammation.
Recovery Strategies for Athletes
Recovery Strategies for Athletes" offers a comprehensive guide to optimizing recovery for peak athletic performance. From restorative sleep to tailored nutrition plans, this book explores the essential components of effective recovery, emphasizing the importance of rest, regeneration, and rehabilitation in athletes' training routines. Through evidence-based strategies and practical insights, athletes and coaches gain valuable tools to enhance recovery, prevent overtraining, and maximize adaptation to training stressors. With a focus on individualized approaches and holistic well-being, this book empowers athletes to unlock their full potential and achieve sustained success in their athletic endeavors.
Factors associated with delayed first prenatal visit
The first prenatal consultation should take place in the 1st trimester of pregnancy. The objective of this study was to investigate the factors associated with delay in the first prenatal consultation in the commune of Mopti in 2021.This was a descriptive and analytical cross-sectional study running from July 1, 2021 to June 30, 2022. Data were analyzed with SPSS version 25, a logistic regression was conducted and Odds ratios with 95% confidence interval and p value probability
Takayashu and pregnancy
Introduction Takayasu arteritis (TA) is a rare, chronic vasculitis affecting women of reproductive age, of unknown origin, primarily affecting the aorta and its branches, leading to narrowing and aneurysms of the systemic and pulmonary arteries.ResultsThe mean age of the patients was 30 years.Average parity was 3.50.Delivery was vaginal in two patients.Delivery was by caesarean section in two patients.All patients had a favourable outcome.Conclusion Takayasu's arteritis, also known as young female arteritis, is a rare inflammatory disease of the blood vessels of unknown origin. It is granulomatous and mainly affects women of childbearing age.
BREAKING BURNOUT Keep Calm and Nurse On
"Bonnie's book, 'Breaking Burnout-Keep Calm and Nurse On, ' is an absolute gem! Her cheerful spirit shines through every page, offering practical strategies and heartfelt advice to fellow nurses navigating the challenges of our demanding profession. Her anecdotes are not only relatable but also inspire a sense of camaraderie, reminding us that we're never alone in this journey. A must-read for anyone seeking to reignite their passion for nursing and reclaim their joy in caregiving." - Kelly Reichenberger, RN, BSN, ONC, Manager, HCA Thousand Oaks Surgical Hospital In-patient Services (HCA 2023 #1 medical-surgical Unit of Distinction)Are you a nurse who feels burned out by your demanding and stressful job? Do you struggle to balance your work and personal life? Do you sometimes wonder if nursing is still the right career for you? If you answered yes to any of these questions, you are not alone. Nurse burnout is a real and serious problem that affects millions of nurses around the world. It can have negative consequences for your health, happiness, and performance, as well as for the quality and safety of patient care. But there is hope. In this book, Bonnie Kitahata shares her own experience of surviving burnout and offers 52 simple and practical strategies to help you do the same. Bonnie has been a nurse since 1985 and has worked in various settings, from ICU to home health, from travel nursing to international volunteer. She knows the challenges of nursing and wants to share with you how you can cope with them effectively. In this book, you will learn how to: - Recognize the signs and symptoms of burnout and take action before it's too late- Manage your stress and emotions in healthy and productive ways- Develop a positive and resilient mindset that can handle any situation- Nurture your physical, mental, and spiritual well-being- Communicate and collaborate with your colleagues, patients, and family- Find meaning and purpose in your work and life- And much more! Whether you are a new or experienced nurse, this book will provide you with valuable insights and tips to help you survive and thrive in your profession no matter what challenges you face. Don't let burnout ruin your passion and potential. Grab your copy today, keep calm, and nurse on!
Acute gastritis in older adults
This book aims to guide older adults together with health agents on the possible factors of acute gastritis, combining theory with praxis at the level of the morphophysiology of the digestive system, highlighting the improper use of NSAIDs and eating habits, associated with the biopsychosocial changes of age, which alter the wall of the gastric mucosa producing its weakness with future damage and even severe reactions, causing complications such as bleeding and perforations; due to pathologies that are not clinically evident (hidden).The reader is encouraged to analyse, criticise and reflect on the subject, efficiency and effectiveness of care, to improve their health and living conditions, with dignified and fair coverage, and to comply with the postulates and the Hippocratic oath.Life brings joy and sadness, but everything depends on the care that is given to them, accompanied by human warmth with excellent professional quality, so that their last years are as pleasant as possible and so that they feel that they were, are and will be useful, today, tomorrow and always the EXISTENCE OF OUR DEAR ELDERS.
Bioethical aspects
Since its inception, organ transplantation has been limited to the availability of donors and the possibility of extracting them in the best conditions, both to guarantee maximum functionality of the organ and to ensure maximum chances of success in reimplantation. While initially brain-dead patients were considered - almost exclusively - as optimal donors, the promotion of organ donation in subjects who died due to circulatory and respiratory criteria (asystole donation) has begun. Within this type of donation is the Controlled Asystole Donation (CAD or Maastricht Type III), which has provoked important bioethical debates since its beginnings, without having been adequately transmitted to patients and public opinion in general. This work analyzes the procedures of controlled asystole donation and the bioethical conflicts they generate, as well as the current prevailing positions on the subject, finally proposing a series of measures to be adopted so that this type of donation can be performed with the maximum guarantees for patients.
Approach to the genetic study of epithelial ovarian cancer
Hypothesis, objectives and methodology for the genetic study of epithelial ovarian cancer. Ovarian cancer is the gynaecological cancer with the highest mortality rate, with high-grade serous ovarian cancer accounting for 75% of this pathology, characterised by having an aggressive course and being diagnosed in advanced stages. One of the inclusion criteria according to the Spanish Society of Medical Oncology for high-risk hereditary breast and ovarian cancer syndrome (HOCCOS) is the diagnosis of non-mucinous high-grade epithelial ovarian cancer. HOCCOS has an autosomal dominant inheritance pattern in cancer susceptibility genes. Historically, the risk of SCMOH has been mainly linked to germline mutations in BRCA1/2. However, it is now also associated with tumour suppressor genes involved in DNA repair. High-grade ovarian cancer is evidenced by being genetically unstable and approximately 50% of these tumours present deficiency in DNA repair mechanisms by homologous recombination.
MATERNAL HEALTH; PREGNANCY, MORBIDITY, and MORTALITY
The target audience for MATERNAL HEALTH; PREGNANCY, MORBIDITY, and MORTALITY: Volume 1, is for women who are or plan to become pregnant. For an easy comprehension, the book layout follows a unique order of events. Unfolding, in its 18 chapters is a true story of a first time pregnancy with a traumatic and painful cesarean delivery; whereas the epidural anesthesia nor the additional sedation failed to have worked. She felt increased pain and pressure (as her fascial incision was grasped with the Kocher clamps and sharply and bluntly dissected); before, during and after the delivery. All the while she suffered with severe eclampsia and was treated with Magnesium Sulfate to lower blood pressure and Betamethasone to develop the infant lungs due to a intra-uterine growth restriction resulting in a preterm birth. According to The Mayo Clinic, "It's common that someone who's sedated may be aware for part or all of the procedure. Although very rare. Estimates vary, but about 1 or 2 people in every 1,000 may experience unintended intra-operative and even rarer to experience pain." General anesthesia - Mayo Clinic. (2023, February 16). https: //www.mayoclinic.org/tests-procedures/anesthesia/about/pac-20384568 Also, find out how to read a medical record and medical report findings to help women and expected mothers make life-informed decisions of their own. THE MATERNAL HEALTH; PREGNANCY, MORBIDITY, and MORTALITY introduction sets the stage for a dramatic read that is truly unreal.
Approach to the genetic study of epithelial ovarian cancer
Results and discussion of our genetic study of epithelial ovarian cancer. Ovarian cancer is the gynaecological cancer with the highest mortality rate, with high-grade serous ovarian cancer accounting for 75% of this pathology, characterised by its aggressive course and diagnosis in advanced stages. One of the inclusion criteria according to the Spanish Society of Medical Oncology for high-risk hereditary breast and ovarian cancer syndrome (HOCCOS) is the diagnosis of non-mucinous high-grade epithelial ovarian cancer. HOCCOS has an autosomal dominant inheritance pattern in cancer susceptibility genes. Historically, the risk of SCMOH has been mainly linked to germline mutations in BRCA1/2. However, it is now also associated with tumour suppressor genes involved in DNA repair. High-grade ovarian cancer is evidenced by being genetically unstable and approximately 50% of these tumours are deficient in DNA repair mechanisms through homologous recombination.
Intelligent Packaging
Intelligent Packaging: Current Technologies and Applications, Volume Six in the Developments in Food Quality and Safety series is the most up-to-date resource on topics such as Advances in the analysis of toxic compounds and control of food poisoning; Food fraud, traceability and authenticity; Revalorization of agrifood industry; Natural antimicrobial compounds and application to improve the preservation of food; Non-thermal processing technologies in the food industry; Nanotechnology in food production; and Intelligent packaging and sensors. This updated volume covers intelligent packaging by discussing the aspects of emerging technologies and strategies to obtain such packaging relevant to the development of traceable food products. Topics such as indicators, sensors, tracing devices, and intelligent packaging used in various food products, such as dairy, meat, fruits and vegetables are also explored. The series is edited by Dr. Jos矇 Manuel Lorenzo and authored by a team of global experts in the fields of Food Quality and Safety, providing comprehensive knowledge to food industry personals and scientists.
Imaging benign bone tumors
Benign bone tumors include a wide variety of tumors, each with its own epidemiological, clinical, radiological and management specificities. Imaging plays a vital role in the diagnostic process, and some tumors with pathognomonic imaging do not require biopsy in the presence of a characteristic picture. In the case of tumors that are atypical on imaging or have the potential for local malignancy, preoperative radioguided or surgical biopsy remains the rule. The treatment of these tumors has benefited from advances in interventional radiology, with significant development in percutaneous procedures, for example in the treatment of osteoid osteoma. Some tumors, such as chondroblastoma, aneurysmal cyst, giant cell tumor and chondromyxoid fibroma, require prolonged radiological surveillance to check for local recurrence.This educational and didactic work provides a radiological description of the various benign tumors, richly illustrated with numerous demonstrative diagrams. The book is intended for radiology interns and practicing physicians.
Osteogenic bone tumors
Osteogenic bone tumors are tumors that produce an ossifying matrix. They are a heterogeneous group of benign and malignant tumors. Benign tumors are represented by enostosis, the most frequent and often suggestive on imaging; osteoma is rare and also has imaging characteristics; osteoid osteoma and osteoblastoma sometimes have the same radiological features, but differ in their clinical presentation and natural history. Malignant tumours are represented by osteosarcoma, which falls into three categories: intramedullary osteosarcoma, surface osteosarcoma and secondary osteosarcoma. These subtypes of osteosarcoma are often characterized by characteristic imaging findings that are suggestive of the diagnosis.This pedagogical and didactic book provides a radiological description of the various osteogenic tumors, illustrating their different presentations, the main imaging features for diagnosis and the various therapeutic decisions.The book is intended for radiology interns and practicing physicians.
Nursing in the I.T.U.
This book proposes an approach to the various factors that produce harmful effects on the psychosomatic health of nursing staff working in the Intensive Care Unit (ICU). Dealing with such situations can lead to emotional and physical disorders. Stress is considered to be any change in the environment that is threatening, harmful or tense, causing an imbalance in the individual who then feels or becomes incapable of carrying out tasks in this situation. This stimulus is the stressor. This book investigates the factors that generate stress for nursing staff. Through personal experience and intensive bibliographical research, the author describes the stress factors present in the nursing team, as well as indicating ways to mitigate their causative agents. If emotional stress is inseparable from the practice of nursing, it is the nurse's duty to mitigate it as much as possible for the best performance of the team and themselves. This book is aimed at nursing workers who seek to carry out their work with efficiency, pleasure and dignity, despite the harsh working conditions and their consequences for their physical and psychological well-being. GOOD READING!
Biomarkers and genetics in Alzheimer’s disease
CSF biomarkers and genetic studies of ApoE make a major contribution to the positive diagnosis of Alzheimer's disease. Our aim was to compare the clinical data, biological and genetic results of the AD population with a group of patients with non-Alzheimer's dementia (D n-MA) and a control population. Methods: This was a retrospective analytical study conducted at the neurology department of the Sahloul University Hospital in Sousse over 3 years (January 2015-December 2017) and included 227 patients meeting the DSM-5 criteria for TNC. The aetiological diagnosis was based on international criteria established through neuropsychological assessment, imaging, CSF biomarker testing and ApoE polymorphism study. Results: The mean age of onset of AD was 70.79 簣 8.93 years. An early age of onset (
Legends Leaders Pioneers
Vascular surgery is an extraordinary success story. The ability to reliably repair, modify or replace human blood vessels is very recent on the long timeline of surgical history. In this book an important part of the story is told through the interview recollections of more than 90 prominent vascular surgeons who helped to guide and pioneer the process. Dr. Yao's and Dr. McCarthy's text highlights ten years of video interviewing with surgeons from the United States and around the world. The interviews were conducted by a Society for Vascular Surgery committee called The History Project Work Group. The reader will meet these interviewed surgeons face-to-face, each in an individual one-hour in-depth video conversation with a committee member. In this book a detailed biography is provided for each individual, and most importantly, the actual interview can easily be immediately accessed by scanning the QR code at the bottom of the page. Dr. Yao was the visionary project initiator and leader beginning in 2011, and Dr. McCarthy became the project chairman in 2018. Within this book are first-hand accounts of tremendous technical surgical advances, new devices and prosthetic materials, magnificent careers, fascinating personalities, hard-fought failures, and many tales of wartime vascular surgery. Surgeons in practice or training, historians and loved ones alike will find much of interest here.
Breastfeeding in the development of children with facial clefts
Breastfeeding is the best way to feed infants and should be exclusive until six (6) months of age, providing the basis for biological and emotional effects on the child's development. Children born with cleft lip and/or palate suffer interference in their natural ability to be properly fed and have negative aspects in their normal development. Difficulties in feeding cleft babies arise soon after birth due to impairments in the sucking and swallowing mechanism, resulting from the lack of anatomical integrity. The aim of this study is to discuss the importance of stimulating breastfeeding for babies with the congenital malformation of cleft lip and/or palate, checking the literature on the weight and height development of children with this malformation.
The chronically hypertensive person
This book offers a comprehensive summary of the study carried out by Cunha et al. which aimed to investigate the impact of chronic disease, namely arterial hypertension, by assessing the lifestyle and perceived quality of life of users integrated into the Consultation of People with Arterial Hypertension in an outpatient clinic of a central hospital in Portugal. The study adopted a quantitative, descriptive, analytical and cross-sectional approach, involving a sample of 105 participants. In addition, the Mini Quality of Life Questionnaire (MINICHAL) was culturally validated for Portuguese in Portugal, highlighting adequate psychometric properties. The results revealed that the perception of quality of life related to somatic health is positively influenced by healthy lifestyles, such as adequate nutrition, adequate sleep, low stress and healthy health and sexual behaviors, while the perception of quality of life related to mental state was correlated with the quality of family and social relationships, quality of sleep, levels of stress experienced, health behaviors and alcohol consumption. This book provides an overview of the course of the study, presenting the main methods used, the results found and the implications for programs to prevent and control cardiovascular risk factors, highlighting the importance of raising awareness of healthy lifestyles for an adequate perception of quality of life for people experiencing chronic illness.
A Synopsis of Social Medicine
This book introduces readers to the field of social medicine, which examines the relationship between society and health. The book explores the social determinants of health and explains the impact of cultural beliefs, social norms, and behaviours of both patients and physicians on health while emphasizing the significance of social justice and health equity. The book offers insights into communication skills within healthcare services and provides a glimpse into the future direction of social medicine.
Depression and coping strategies in the elderly
Depression, which can be found at any age, is the pathology most frequently encountered in aging. We conducted a cross-sectional study in a population of 70 subjects aged over 65, living at home and followed up at the consultation of the polyclinic of the Caisse Nationale de Solidarit矇 Sociale in Sfax for a chronic illness, with the aim of estimating the prevalence of depression in elderly subjects with a chronic illness, investigating the factors correlated with it, and studying coping strategies in this population. We used the Yesavage-Brink Geriatric Depression Scale (GDS), the Activity of Daily Living (ADL) scale and the Carveretal Brief Coping Scale. Almost 2/3 of the subjects were being followed for at least 3 chronic medical conditions (62.9%), with cardiovascular disease and diabetes predominating. The prevalence of depression was 55.7%. In terms of coping, 50% of the population were more focused on emotion-focused coping, while the most common coping strategy for depressed elderly subjects was avoidance-focused coping.
Idiopathic gastric perforation in newborns
Neonatal gastric perforation is a rare and serious condition. It constitutes a neonatal surgical emergency. These facts prompted us to review the observations of NN operated on for gastric perforation in the paediatric surgery department of the Fattouma Bourguiba University Hospital in Monastir from 1990 to 2019.Fifteen observations were described, with a predominance of females. The risk factors are prematurity, hypotrophy, the occurrence of foetal or perinatal distress and maternal or obstetric anomalies.PG is suspected in all newborns presenting with abdominal distension, whether or not associated with respiratory distress.A standing PSA shows pneumoperitoneum. Treatment is essentially surgical.Several aetiopathogenic hypotheses have been put forward: gastric ischaemia, muscle defect, gastric distension and Cajal cell deficiency.The prognosis for this condition remains poor, with a high mortality rate. Pre- and postoperative neonatal resuscitation plays a key role in the management of this condition.
Medical and surgical management of Myasthenia Gravis
Myasthenia gravis (MG) is an autoimmune disease affecting the neuromuscular junction, responsible for the production of autoantibodies against acetylcholine receptors in striated skeletal muscle. This is responsible for the appearance of fluctuating muscular fatigue which, when generalized, can be life-threatening. The association of myasthenia seen in thymic pathology was first described in 1901 by Laquer, and medical treatment (essentially including drugs to increase neuromuscular transmission, immunosuppressants, immunoglobulins, monoclonal antibodies or plasma exchange) is often combined with surgical management to achieve simple or enlarged thymectomy.The earlier a patient undergoes thymectomy, the better the outcome in terms of post-thymectomy morbidity and mortality. This book outlines the medical and surgical management of MG.
