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65
15
216

ECGs: Bradycardias

Written by Dr John L Gibbs, Consultant Paediatric Cardiologist, Yorkshire Heart Centre, Leeds General Infirmary. This presentation covers the many types of bradyarthymias, their ECG findings, investigation of them and finally some of the common treatment methods.  
Lara Gibbs
almost 10 years ago
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2
163

Innovative Programme Elements Add Value to a FAIMER Regional Institute Faculty Development Fellowship Model in Southern Africa

The Foundation for the Advancement of Medical Education and Research (FAIMER) is a US-based non-profit organisation committed to improving health professions education to improve global health. FAIMER traditionally offers a two year fellowship programme; 2 residential and 3 distance learning sessions and an education innovation project in the fellow’s home institution. The focus is on education methods, leadership/management, scholarship and the development of an international community of health professions educators. During the past 5 years, FAIMER has expanded the programme and established regional institutes in India[3], Brazil[1] and Southern Africa (SAFRI)[1]. We implemented the programme in Africa in 2008, introducing 5 innovations to the generic programme. SAFRI was created as an independent voluntary association to reflect the multinational intent of the programme. Aim of project To understand the impact of the innovations in the structure and implementation of the programme on its quality and the experience of the participants in it. Conclusions Faculty development programmes can significantly enhance their impact: Be sensitive to the local political climate Demonstrate wide ownership Focus on developing a community of practice Work within the professional time constraints of Fellows and faculty Maximise learning opportunities by linking to other scholarly activities  
Juanita Bezuidenhout
almost 9 years ago
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7
227

CXR - perforated viscus

This image shows the cardinal sign of a perforated abdominal viscus. There is air under the diaphragm indicating air within the peritoneal cavity which can occur from a perforated abdominal viscus, following a laparoscopic abdominal procedure (where air is pumped into the peritoneal cavity to improve the views) and after more obscure events such as vigorous waterskiing in a female. When this appearance is seen it should be treated as a surgical emergency until proved otherwise.  
Rhys Clement
almost 9 years ago
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4
89

Fracture-Dislocation right shoulder

This image shows a dislocated shoulder with a fracture through the surgical neck of humerus. The patient is at high risk of axillary nerve injury. The axillary nerve supplies deltoids but this is difficult to test in these conditions - luckily it also supplies an area of skin over the shoulder known as the regimental badge - this must be tested before and after any procedure involving the shoulder.  
Rhys Clement
almost 9 years ago
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3
12

Teaching public health in medical schools: a case study in three universities in Paraná - Brazil

Historically, different concepts of Public Health have influenced the specific teaching of this field of knowledge as well as medical education. The objective of this paper is to study the teaching of Public Health in medical schools, focusing on its structure and implications in curriculum design in three universities in Paraná - Brazil: State University of Londrina (UEL), Federal University of Paraná (UFPR) and the Positivo University (UnicenP). The research questions focused on the content of Public Health selected in their respective curricula, the teaching-learning relationships, program emphasis and the partnerships established with public health services. Qualitative research data collection from the perspective of key informants was carried out based on the analysis of pedagogical projects and on how they were effectively experienced. Eleven managers and 18 teachers were interviewed and 4 focus groups with students were developed in the three universities. Outcomes showed the presence of between 5% to 20% of Public Health themes in the course syllabi, depending on the teaching strategies used. However, they always appeared associated with academic issues strongly linked to health services, which were strengthened by the local development of the Comprehensive Health Care System in the two cities, Curitiba and Londrina in which studies were carried out. Public Health is present and very relevant in the curriculum required for doctors’ qualification regardless of the characteristics of the university studied, the bureaucratic and academic course structures and the different methods for hiring teachers. Besides not being a main articulator axis in two of the medical courses studied, Public Health provides the necessary balance for the technical dimension of medical knowledge, represented by the awareness of the challenges and commitment to the reality. On the contrary, because of the complexity of medical education, the strong presence of Public Health in the other medical course studied not necessarily guarantees the ideal qualification of the medical professional.  
João Campos
almost 9 years ago
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3
36

Review of orthopaedic services: Prepared for the Auditor General for Scotland. March 2010

Review of orthopaedic services: Prepared for the Auditor General for Scotland. March 2010. Website http://www.audit-scotland.gov.uk/media/article.php?id=128 "In recent years, the National Health Service (NHS) in Scotland has significantly reduced the length of time people are waiting to receive orthopaedic procedures such as hip replacements and knee operations. Over 95% of patients are now treated within 26 weeks of referral, compared to only 66% in 2003. But there is scope to make savings by working more efficiently. An Audit Scotland report, Review of orthopaedic services, says there is high demand for these services. Orthopaedic care is particularly important for older people, who have the highest rates of fractures and joint replacement."  
Chris Oliver
over 8 years ago
11
1
22

Focus On: Ultrasound-Guided Central Venous Access of the Internal Jugular Vein

Central venous cannulation (CVC) is an important procedure in the practice of emergency medicine.  
American College Of Emergency Medicine
about 8 years ago
8
1
18

Pancreatitis - Surgical Indications and Procedures

<p>This is the third in the series on severe pancreatitis and necrotizing pancreatitis. &nbsp;This episode reviews the indications for surgery, morbidity and mortality of surgery, and what are the surgical options. &nbsp;</p>  
Jeffrey S. Guy, MD, FACS
about 8 years ago
12
1
10

Acute Colonic Pseudoobstruction (Ogilvie's Syndrome)

<p>Acute Colonic Pseudoobstruction (ACPO) is commonly called Ogilvies Syndrome. &nbsp;ACPO presents massive dilation in critically ill patients, and might result in invasive procedures to avoid ischemia or perforation of the colon.</p>  
Jeffrey S. Guy, MD, FACS
about 8 years ago
1
1
4

Patient-Ventilator Interactions and ventilator discontinuation

Getting patients comfortable on the ventilator is not an easy task.&nbsp; This podcasts focuses on methods to make patients synchronize with the ventilator as well as a discussion of spontaneous breathing and awake trials  
Jeffrey S. Guy, MD, FACS
about 8 years ago
6
1
12

Smoke Inhalation Injury: CO and Cyanide Toxicity

The onset of cold weather will bring with it an increase in structure fires.&nbsp; The leading cause of deaths in fires is complications from the inhalation of smoke-- not burns.&nbsp; Learn why smoke is so deadly as well as what are the appropriate methods to treat smoke related asphyxiation.&nbsp;&nbsp;  
Jeffrey S. Guy, MD, FACS
about 8 years ago
3
0
54

Interview with Dr. Matthew Horton, Pathologist Part 1: Basics of Non-Small Cell Lung Cancer Subtypes (audio)

Dr. Matthew Horton, specialist in lung pathology at CellNetix in Seattle, WA, discusses the basic subtypes of non-small cell lung cancer (NSCLC), methods of interpreting NSCLC histology, and the changing importance of pathology in NSCLC management.  
Howard (Jack) West, MD
about 8 years ago
4
1
46

Interview with Dr. Matthew Horton, Pathologist Part 1: Basics of Non-Small Cell Lung Cancer Subtypes (video)

Dr. Matthew Horton, specialist in lung pathology at CellNetix in Seattle, WA, discusses the basic subtypes of non-small cell lung cancer (NSCLC), methods of interpreting NSCLC histology, and the changing importance of pathology in NSCLC management.  
Howard (Jack) West, MD
about 8 years ago
11
1
5

Diagnosis and Staging of Lung Cancer: A Pulmonologist's Perspective (Audio)

This slide presentation by Dr. Gerard Silvestri, pulmonologist at Medical Univ. of South Carolina, covers the key methods of evaluating a new lung cancer, including initial diagnosis and staging studies.  
Howard (Jack) West, MD
about 8 years ago
12
2
16

Diagnosis and Staging of Lung Cancer: A Pulmonologist's Perspective (Video)

This slide presentation by Dr. Gerard Silvestri, pulmonologist at Medical Univ. of South Carolina, covers the key methods of evaluating a new lung cancer, including initial diagnosis and staging studies.  
Howard (Jack) West, MD
about 8 years ago
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1
2

Repair of Midline Abdominal Hernia

This video will demonstrate the procedure  
David Drake,M.D.
about 8 years ago
11
1
14

Domestic Violence

Topics Today, I&#8217;ll be discussing Domestic Violence, including Partner Abuse, Elder Abuse, Child abuse, Dating Partner Abuse, Screening methods and Risk Assessment. Domestic Violence&#8230; View Text Here National Center on Elder Abuse&#8230; Website Here Elder Abuse Helplines and Hotlines &#8230;. 1-800-677-111 National Child Abuse Hotline &#8230;. 1-800-4-A-CHIL Child Welfare Information Gateway &#8230; Website Here National Youth Violence Prevention [...]  
Mike Hughey, MD
about 8 years ago
29649
1
7

Step 7 - Ten Steps to Successful Breastfeeding

Every facility providing maternity services and care for newborn infants should: Practice rooming-in - allow mothers and infants to remain together - 24 hours a day. Mothers with normal babies (including those born by caesarean section) should stay with them in the same room day and night, except for periods of up to an hour for hospital procedures, from the time they come to their room after delivery (or from when they were able to respond to their babies in the case of caesareans). It should start no later than one hour after normal vaginal deliveries. Normal postpartum mothers should have their babies with them or in cots by their bedside unless separation is indicated. The seventh step about rooming--in is very important. Unless medically indicated, the baby remains with the mother 24 hours a day. Unless the mother is heavily sedated, she keeps the baby next to her in her bed. More inf http://tensteps.org/step-7-successful-breastfeeding.shtml --.-- Ten Steps to Successful Breastfeeding - Video Series Babies who are breastfed are generally healthier and achieve optimal growth and development compared to those who are fed formula milk. If the vast majority of babies were exclusively fed breastmilk in their first six months of life -- meaning only breastmilk and no other liquids or solids, not even water -- it is estimated that the lives of at least 1.2 million children would be saved every year. If children continue to be breastfed up to two years and beyond, the health and development of millions of children would be greatly improved. This video series aims to raise awareness, encourage early adoption, promote training of health care staff, and build capacity for, and to stimulate dialogue about, breastfeeding and its impact on the public, in a range of community and public contexts in low- and middle-income countries. Our goal is to have these ten steps in every facility providing maternal services and care for newborn infants. Videos, presentations, research, evidence, papers, training and counselling materials, tools, and many other related and supporting resources are available. Visit us on-line a http://tensteps.org .  
Nand Wadhwani
almost 8 years ago
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3
18

Eating Disorders in Type 1 Diabetics

This presentation descibes to the listener the eating disorders that can occur in type 1 diabetes mellitus. I have focused on 'Diabulimia', a disorder where diabetics omit their insulin in order to lose weight leading to drastic complications. The presentation looks at evidence based medicine and potential methods of treatment for these highly specialised patients.  
Deborah Green
over 7 years ago
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12
180

Introduction to contraception.

Introduction to ¥ Contraceptive Methods: An Overview on receptive Technology ate Series  
Hira Zahid
over 7 years ago