ทฤษฎีการตรวจวินิฉัยและการรักษาทางเวชศาสตร์นิวเคลียร์

3011727    ทฤษฎีการตรวจวินิฉัยและการรักษาทางเวชศาสตร์นิวเคลียร์    Nuclear Medicine Imaging and Therapy Theory

พยาธิสรีรวิทยา กลการการจัดของสารเภสัชรังสี ข้อบ่งชี้และข้อห้าม วิธีการตรวจ การแปลผล ลักษณะปกติและผิดปกติจากการตรวจอวัยวะของระบบต่าง ๆ ของร่างกายด้วยวิธีการถ่ายภาพทางเวชศาสตร์นิวเคลียร์ ข้อบ่งชี้และข้อห้ามในการบำบัดรักษาด้วยวิธีทางเวชศาสตร์นิวเคลียร์ การเตรียมสถานที่และผู้ป่วย การคำนวณปริมาณ และวิธีการบริหารสารเภสัชรังสี ข้อควรระวัง ผลข้างเคียงที่อาจพบได้ทั้งในระยะแรกและระยะหลัง

(Pathophysiology, mechanism of radiopharmaceutical localization, indications and contraindications, procedures, interpretation, normal and abnormal findings from nuclear medicine imaging study of all systems of the body indication, and contraindications for radionuclide therapy, space and patient preparation, dose calculation, administration techniques, precaution, early and late complications, radiation dosimetry.)

(3011727 จุฬาลงกรณ์มหาวิทยาลัย)

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การศึกษาพิเศษทางอาชีวเวชศาสตร์

3014770    การศึกษาพิเศษทางอาชีวเวชศาสตร์    Special Studies in Occupational Medicine

หัวข้อทางอาชีวเวชศาสตร์ที่ศึกษาในแนวลึก ภายใต้การแนะนำของอาจารย์ผู้สอน

(Occupational medicine topics for in-depth study under supervision of the instructors.)

(3014770 จุฬาลงกรณ์มหาวิทยาลัย)

[Via http://sclaimon.wordpress.com]

เวชศาสตร์ธนาคารเลือด

3020795    เวชศาสตร์ธนาคารเลือด    Transfusion Medicine

การเตรียมส่วนประกอบของเลือด ข้อบ่งชี้ในการใช้ส่วนประกอบของเลือดการจัดการเมื่อเกิดปฏิกิริยาหลังจากการให้เลือด

(Preparation of blood components, indications of the use blood components; management of adverse reactions from blood transfusions.)

(3020795 จุฬาลงกรณ์มหาวิทยาลัย)

[Via http://sclaimon.wordpress.com]

Chocolates work 'like anti-depressants'

What about other side effects like tooth decay,increase cholesterol and tendency to become obese.?
Story:
AUSTRALIAN scientists have confirmed what chocoholics have been praying is true – their favourite comfort food can reduce stress.

Food rich in fat and sugar can alter chemical composition in the brain to reduce anxiety, professor Margaret Morris said.

In a study of rats, Professor Morris, from the University of NSW’s School of Medical Sciences, found effects of past trauma could be erased by “unlimited access to yummy food”.

“Implementing that diet reversed anxiety … it took an animal back to the non-stressed state,” Professor Morris said.

“We really don’t know why, but there seems to be a biochemical link.”

Using two groups of baby rats, one with normal contact with mothers, the other with lengthy separations and higher stress hormones, scientists found they became less stressed with comfort foods.

“The control group had no effect from the diet really, but the stressed animals had a deficit … which was restored by the diet.”

“(The) food seems to affect neurogenesis similar to the way anti-depressants promote nerve growth in the brain.”
http://www.news.com.au/couriermail/story/0,23739,26398290-5003426,00.html

[Via http://ramanan50.wordpress.com]

ระบาดวิทยาและเวชศาสตร์ป้องกันทางสัตวแพทย์

3107301    ระบาดวิทยาและเวชศาสตร์ป้องกันทางสัตวแพทย์    Veterinary Epidemiology and Preventive Medicine

ระบาดวิทยาของโรคติดเชื้อ และโรคที่ไม่ได้เกิดจากการติดเชื้อในสัตว์ นิเวศน์วิทยา ความสัมพันธ์ของสัตว์และสิ่งก่อโรค โปรแกรมในการป้องกันและควบคุมโรคสัตว์ที่มีความสำคัญทางเศรษฐกิจ วิธีการในการเฝ้าระวังโรค หลักเศรษฐศาสตร์ทางสัตวแพทย์ การบริหารและการตัดสินใจในการป้องกัน ควบคุม และกำจัดโรค

(Epidemiology of infectious and non-infectious diseases in animals; ecology; interrelation of hosts and agents of diseases; programs for prevention and control of animal diseases of economic importance; methods employed for animal disease surveillance; economics for veterinary science; administration and decision making for prevention, control, and eradication of diseases.)

(3107301 จุฬาลงกรณ์มหาวิทยาลัย)

[Via http://sclaimon.wordpress.com]

Being Thankful for the Contrast

I’m sitting here typing away, feeling fine, no aches-pains-dizziness-weakness, just feeling fine.  But recently I was very ill for a month, pneumonia. I was weak, confused, and barely able to draw a breath for a while. Thoughts blew through my mind like autumn leaves, I really thought I was a goner for a while, what would happen to my kids, my mother that I care for? My 13 room house and outbuildings just full of stuff, who would deal with all that? My life was so unfinished. Contrast is what makes things visible, and  this experience illuminated something I usually take for granted, my health. Well, thanks to modern antibiotics, I’m still here. All better now. And every day I wake up feeling that I’ve been granted an extension on things. I’ve started chipping away at the detrius of my life to try and reduce and bring order to it.  I can’t really love my kids anymore than I already do, but every day with them is a blessing and every day they are closer to self-sufficiency. I run up and down the stairs as I always have, but I don’t take it for granted anymore.

So this is what I’m thankful for at the moment, I’m thankful for many things, but this is what’s in focus for me.  I realize how privileged I am compared to so many in the world, and of all the things I take for granted. That’s why global awareness is so important, it offers the contrast we need to really see things.  

This post was created as part of a global groundswell of gratitude called TweetsGiving. The celebration, created by US nonprofit Epic Change, is an experiment in social innovation that seeks to change the world through the power of gratitude. I hope you’ll visit the TweetsGiving site to learn more, and to bring your grateful heart to the party by sharing your gratitude, and giving in honor of that for which you’re most thankful.

[Via http://booksbelow.wordpress.com]

Squeaky Danskos

I got a pair of Dansko clogs about a year ago because I was told that they were the best shoes for being on your feet all day.  I didn’t really understand why I needed good shoes until I had to be on my feet in the hospital for 12 hours every day.  My feet were killing me.  So I bought a pair and love them.  You know these shoes are good when so many people wear them despite the fact that they are one of the ugliest shoes on earth, especially when worn with green scrubs.  I’ve worn my pair of Danskos so much that they look normal to me now, but I distinctly remember seeing people wear them before I started working in the hospital and wondering why the hell anyone would wear those shoes.

Anyway, $120 and three months later, my left shoe started squeaking.  It progressed from a soft intermittent squeak to a very loud consistent squeak.  It echoed in the halls where there was tile.  It even squeaked loudly when I was walking on carpet.  At first I was convinced that there was something on the bottom of my shoe, but after multiple cleanings I was disappointed to realize that the noise was coming from the inside of my shoe.  Nurses and patients would look at me when I walked down the hall.  It was so embarrassing.  I knew they were judging me for having “dirty shoes”, but the soles weren’t dirty, they were defective!  My Danskos were too comfortable and expensive to give up, but after a year of squeaking I couldn’t take it anymore.

I brought them to a department store that was selling them without a shoebox or receipt.  I mentioned that I was having a problem with my Danskos…and was quickly interrupted and asked if they squeaked, even on carpet.  Surprised, I said yes.  Before I knew it, I was walking out the store with a new pair of Danskos.  Apparently there was a large batch of Dansko clogs that had manufacturing defects and a lot of them squeaked.  I felt like an idiot, I had suffered through months of squeaking when I could have just bought them in and exchanged them under the Dansko warranty.  Whatever.  I’m happy now, this pretty much made my day.  No more squeaking and a new pair of Danskos.

[Via http://lametothemax.wordpress.com]

SWAT4LS2009 - Sonja Zillner: Towards the Ontology Based Classification of Lymphoma Patients using Semantic Image Annotation

(Again, these are notes as the talk happens)

This has to do with the Siemens Project Theseus Medico – Semantic Medical Image Understanding (towards flexible and scalable access to medical images)

Different images from many different sources: e.g. X-ray, MRI etc…use this and combine with treatment plans, patient data etc and integrate with external knowledge sources.

Example Clinical Query:” Show me theCT scans and records of patiens with a Lymph Node enlargement in the neck area” – at the moment query over several disjoint systems is required

Current Motivation: generic and flexible understanding of images is missing
Final Goal: Enhance medical image annotations by integrating clinical data with images
This talk: introduce a formal classification system for patients (ontological model)

Used Knowledge Sources:

• Ann-Arbor Staging System – particularly suitable for lymphoma patients
• RadLex
• Foundational Model of Anatomy
• Semantic Image Annotation

Requirements of the Ontological Model

• Capture the rationale of the Ann Arbor Staging system
• Integrate external ontologies
• Ontology must describe the patient record

Now showing an example axiomatisation for the counting and location of lymphatic occurences and discussses problems relating to extending existing ontologies….

Now talking about annotating patient records: typical problems are abbreviations, clinical codes, fragments of sentences etc…difficult for NLP people to deal with….

Now showing detailed patient example where application of their classification system led to reclassification of patient in terms of staging system.

Checking the Right Boxes, but Failing the Patient

Image by The National Guard via Flickr

Here is an article written by a doctor but I believe the message is for all health care providers–including, but not limited to aides, nurses, doctors, administrator, CEOs.

We are all so careful to give good care but in today’s healthcare world, that really means making sure you cannot be sued or at the least, investigated.  I agree that when you are responsible for people’s lives–both physical and emotional–you have an obligation to do your best.  It seems that today we live in such a litigious society that  doing your best is just not enough.  Maybe you didn’t eat breakfast that day, maybe you fought with your spouse, maybe you don’t feel well…all fodder for law suits.  So, we protect ourselves by treating patients legally instead of medically sometimes.

Dr. Rifkin is correct that we may be missing salient and vital information about our patients because we are always “satisfying the system”.  This is really no way to practice medicine, is it?  What can be done, or what can we do differently?  You tell me.

 

____________________________________________________________________________________________ By DENA RIFKIN, M.D. Published: November 16, 2009

The voice on the phone was authoritative, even brusque. A father was calling our after-hours line to ask about his teenage daughter.

 

 

Heidi Younger

“She’s got another headache,” he said, as I recall. “I’m going to the pharmacy, just wanted your advice on what strength of Tylenol to get her.”

Those opening lines did not admit much room for questions. I knew neither him nor his daughter, but there seemed to be little margin for error in my response. I could almost hear his foot tapping, waiting for the answer.

I hesitated. Who is this young woman? Why is her father calling about a simple headache?

I began to ask questions. Yes, his daughter had headaches every now and then. No, this one seemed a bit worse, that’s all. He wouldn’t even have called, but he wasn’t sure if Tylenol was safe, now that she was breast-feeding.

Breast-feeding?

Yes, yes, there was a new baby, just a few days old. Yes, there had been some problem with the pregnancy and delivery — something about blood pressure — but she had come home just fine. Could I just tell him the right dose?

I sent the young woman and her father to the emergency room, and she was admitted to the hospital with severe pre-eclampsia, a rare but life-threatening postpartum complication.

It has been 10 years since the Institute of Medicine’s seminal report on deaths caused by medical errors (numbering at least 44,000 a year). Since then, there has been tremendous focus on how many mistakes physicians and hospitals make, how much they cost and how to prevent them.

The response at most hospitals has been brisk and multifaceted. Hospital accreditation committees now audit charts for outdated abbreviations and proper signing of notes. Electronic prescription systems are rapidly becoming the norm. Pay-for-performance interventions by insurers promise to reward those who make the grade and to refuse payment to those whose treatments cause complications like hospital-acquired infections.

I do not dispute the need for these interventions. There is no doubt that hospitals are powerful and dangerous places, that “best practices” are not always followed and that the so-called polypharmaceutical approach — a drug for every ailment a patient may have — offers endless opportunity for adverse reactions.

An accessible and informative electronic medical record might have prevented my near-miss just as effectively as my questions did. (Under the vanished health care system in which doctors were available for their own patients 24 hours a day, this particular kind of error would have been all but impossible.)

None of these interventions, however well meant, address a fundamental problem that is emerging in modern medicine: a change in focus from treating the patient toward satisfying the system. The effects of focusing physicians’ attention on benchmarks and check boxes are not, I think, to the patient’s advantage.

A close family member was recently hospitalized after nearly collapsing at home. He was promptly checked in, and an electrocardiogram was done within 15 minutes. He was given a bar-coded armband, his pain level was assessed, blood was drawn, X-rays and stress tests were performed, and he was discharged 24 hours later with a revised medication list after being offered a pneumonia vaccine and an opportunity to fill out a living will.

The only problem was an utter lack of human attention. An emergency room physician admitted him to a hospital service that rapidly evaluates patients for potential heart attacks. No one noted the blood tests that suggested severe dehydration or took enough history to figure out why he might be fatigued.

A doctor was present for a few minutes at the beginning of his stay, and fewer the next day. Even my presence, as a family member and physician, did not change the cursory attitude of the doctors and nurses we met.

Yet his hospitalization met all the current standards for quality care.

As a profession, we are paying attention to the details of medical errors — to ambiguous chart abbreviations, to vaccination practices and hand-washing and many other important, or at least quantifiable, matters.

But as we bustle from one well-documented chart to the next, no one is counting whether we are still paying attention to the human beings. No one is counting whether we admit that the best source of information, the best protection from medical error, the best opportunity to make a difference — that all of these things have been here all along.

The answers are with the patients, and we must remember the unquantifiable value of asking the right questions.

Dr. Dena Rifkin is a physician at the University of California, San Diego.

Read the original article and more>>click here

H1N1 "super flu" plague in Ukraine

NaturalNews.com

November 16 2009

H1N1 “super flu” plague in Ukraine sparks concern, conspiracy theories about origins

by Mike Adams, the Health Ranger, NaturalNews Editor

(NaturalNews) Here’s what we know with some degree of certainty about the H1N1 virus in Ukraine right now: nearly 300 people have died from the viral strain, and over 65,000 people have been hospitalized (the actual numbers are increasing by the hour). The virus appears to be either a highly aggressive mutation of the globally-circulating H1N1 strain, or a combination of three different influenza strains now circulating in Ukraine. Some observers suspect this new “super flu” might be labeled viral hemorrhagic pneumonia (meaning it destroys lung tissue until your lungs bleed so much that you drown in your own fluid), but that has not been confirmed by any official sources we’re aware of.

Ukrainian President Viktor Yushchenko has issued emergency quarantine orders for nine of the country’s regions and ordered the deployment of mobile military hospitals. He announced that the nation had been simultaneously hit with two different seasonal flu strains plus H1N1 — and then hinted that all three might have recombined into the deadly new Ukrainian super flu.

In his own words, as reported by Daily Mail, “Unlike similar epidemics in other countries, three causes of serious viral infections came together simultaneously in Ukraine: two seasonal flus and the Californian flu. Virologists conclude that this combination of infections may produce an even more aggressive new virus as a result of mutation.”

On November 6, Ukraine’s Deputy Health Minister Zinovy Mytnyk announced that over 600,000 citizens had already caught the new flu. British scientists are now conducting tests on the new viral strain to find out why it appears to be so deadly (http://www.dailymail.co.uk/news/wor…).

The mainstream media is blaming Ukraine’s poor health care system for the relatively high rates of hospitalization and death (http://www.nytimes.com/2009/11/14/w…), but they refuse to mention (yet again) the vitamin D deficiency found across this population living at high latitude in the winter, where sunlight is relatively scarce.

Here’s a useful blog for staying up to date on the Ukrainian plague:
http://ukraineplague.blogspot.com/

What we don’t know
Now here’s what we don’t know about the Ukraine outbreak:

What is the actual genetic composition of this mutated strain?

Scientists have not released any meaningful news about the genetic sequence of the Ukraine strain. For the moment, the WHO is somewhat quiet on the matter. The last WHO update was from November 3 (and the situation has become considerably worse since). (http://www.who.int/csr/don/2009_11_…).

Was this viral strain released as a bioweapon?

There are numerous reports circulating widely across the ‘net that cite aerial spraying across Kiev in the days before the new “super flu” outbreak. People are speculating that this was a bioweapon attack intentionally unleashed upon the Ukrainian population. So far, NaturalNews can find no credible information supporting this theory, but it remains a possibility to be researched further.

Does Baxter Pharmaceuticals have anything to do with the outbreak?

You may recall that earlier this year, Baxter shipped live avian flu viral material to labs in 18 countries, including one in the Ukraine. (http://www.naturalnews.com/025760.html) There is suspicion that Baxter could be tied to a planned outbreak of a weaponized virus as a population control bioweapon of some sort, but NaturalNews has not been unable to find any credible information sources supporting this theory. Lacking any better leads on this subject, as far as we can tell right now this remains an unproven conspiracy theory. (If anyone has more credible info on this, please send it our way for review.)

It is plausible that Baxter had something to do with this, but we just don’t have any convincing evidence to back it up at this point.

H1N1 vaccines likely offer little protect against the Ukraine super flu
People receiving H1N1 vaccine shots right now need to know that currently-available H1N1 vaccine shots may offer no protection whatsoever against the “Ukraine Strain.” That’s because once the virus mutates, changing it genetic structure, it can instantly render all existing vaccines obsolete.

Depending on the degree of genetic changes, there is a possibility that some level of immunity may be conferred to people who already have H1N1 antibodies, but here’s the dirty little secret the vaccine industry doesn’t want you to know: People who built their own natural immunity to H1N1 through exposure rather than vaccines have a much greater likelihood of exhibiting natural immunity to genetic variations of H1N1. In other words, people who overcame H1N1 exposure on their own, without being vaccinated, have a far stronger defense against H1N1 variations that might appear.

This is yet another reason why flu vaccines are so dangerous: The deny your immune system the important opportunity to exercise its own adaptive defenses and build stronger protections against future infections.

One possible scenario that could unfold with all this is that the Ukraine strain might spread around the world, wiping out those who got vaccinated against H1N1 because their immune systems suffer from a suppressed ability to naturally generate antibodies to a new strain. Meanwhile, drug companies will try to scramble and create a whole new batch of “super flu” vaccines, but they’re always too little, too late. Theoretically, millions of people could die around the world while waiting in line for yet another vaccine shot.

All they really need is vitamin D3, some herbal anti-virals, a healthy diet and plenty of rest, but no one is telling them that.

Even the Ukraine super flu is no match for a healthy immune system. Remember: Out of 65,000+ hospitalizations, fewer than 300 people have died so far. That’s still a very low mortality rate, even if the spread of the viral infection seems aggressive.

WHO cranking up anti-viral drug push
Meanwhile, the WHO is upping its push for anti-viral drugs, saying that drugs like Tamiflu should now be used earlier on swine flu victims (http://www.google.com/hostednews/af…).

They still won’t recommend anti-viral herbs, foods, supplements or natural remedies, of course. The WHO remains a faithful pusher of Big Pharma’s profit agenda, even while denying the People of the world the truth about how they can save their own lives with anti-viral natural remedies. To both the WHO and CDC, the swine flu pandemic has always been about pushing a pharmaceutical agenda at the expense of public health.

Had the public been informed about vitamin D and natural anti-virals like Lomatium, many lives could have already been saved. Instead, the drug pushers at the CDC and WHO have tens of millions of people standing in line waiting for vaccines instead of consuming natural supplements and remedies that could help protect them from influenza.

The profit agenda forces us to wonder: With the current H1N1 strain fizzling out — and yet billions of dollars worth of vaccines still needing to be sold — could the Ukraine strain have been engineered to scare up more demand and more sales of vaccines and anti-virals?

That’s a question that all thinking people need to be asking right now. But we also need to be careful in assessing what’s true here. Reading the postings about this on the ‘net, I’ve noticed way too many people leaping to assumptions about what’s happening in the Ukraine without any real evidence to back that up. The reports about Joseph Moshe, in particular, appear to be a complete hoax.

While it’s possible this was an engineered bioweapon of some sort, it’s not enough to just assume that’s true and then declare it to be so. More evidence is needed before NaturalNews would back a theory like that.

We’ll keep you posted on what we find. New documents tend to come our way after we post the first story on a subject like this, often leading to a follow-up story that benefits from more information.

Shëndeti dhe Mjekësia: Artikuj rreth Farmaci, Kirurgji, Terapi dhe Fitness

 

Nëse ambicja është rinia ethernal, bukuri e përsosur, e shëndetit të forta apo jetëgjatësi të gjatë, ne mund të shtetit që mjekësi, kirurgji dhe kurat, në forma të ndryshme dhe me prioritete të ndryshme, kanë qenë gjithmonë qendrore, si disiplina dhe si aftësia, në shqetësimet e çdo qytetërim. Kulturat e lashta na kanë përcjellë një trashëgiminë e madhe e njohurive tradicionale rreth herbs, masazhet, ointments dhe mjete të tjera natyrore (disa prej të cilave mbajnë potencial mbresëlënës). Këto zgjidhje janë ende popullore, të rëndësishme, të zbatuara dhe admiruar nga grupe të mëdha njerëzish në shumë vende, me rezultatet që ndonjëherë duket shumë pozitive edhe sipas standardeve moderne shkencore. Sigurisht, qasja bashkëkohore scientifical për problemet e kujdesit shëndetësor dhe Wellness ka zhvilluar dhe zgjeruar në mënyrë dramatike pafundësisht fuqi, ndikim, efikasitetin dhe prestigjin e punonjësve mjekësorë dhe mjekë të shoqërisë njerëzore, në sajë të aftësive të tyre për të zgjasin jetëgjatësi, për të hequr shqetëson , për të mposhtur sëmundjet dhe për të kuruar infeksionet, kufizimi dhimbje dhe shërohet energji.

References: plaster, pharmaceutical, myweight, addiction, dentalplan, tanningbed, madness, insane, nurse, antibiotics, lotions, hairloss, patient, drugrehab, diabetes, prevention, protection, sight, pharmaceutical, medicalinsurance, nursing, healthcareplan, healthplan,

Moshën e antibiotikëve, dhimbje-vrasësve, kirurgjia lazer, kërkimet gjenetike dhe chemiotherapy premton mrekulli për përmirësimin e cilësisë mesatare e jetës njerëzore, pra, e qartë, kryeqyteteve masiv dhe burimet e mëdha janë investuar vjetore nga vetëdijshëm qeveritë dhe multinationals të mëdha në fushën e e hulumtimit dhe zhvillimit për vaksinat, terapi dhe pharmacons. Edhe aspektet informative e mjekësisë dhe të kujdesit shëndetësor janë, në vetvete, një treg masiv, ku njerëzit dëshirojnë të dinë se cilat janë praktikat më të mira të ndjehen më mirë dhe cilat zgjidhje të ndihmojë për të jetuar më gjatë, këto zbulime të fundit dhe zgjidhje të reja. Duke pasur parasysh rëndësinë e temës, ne kemi përmbledhur një grup të pasur faqet e internetit të paraqitur nga http://www.thenew.com dhe http://www.euroserve.cn (me shërbimet dns http://www.esw3.eu ), qëllimi i tyre është, sigurisht, duke paraqitur materiale me vlerë për kirurgji plastike, terapite hormonale, receta farmaceutike dhe ndihmë mjekësore.

References: dentalinsurance, analcancer, bladder, blood, breastcancer, breastimplants, calculus, cardiac, cervicalcancer, cervix, cystectomy, davincicystectomy, denture, endoscopy, erectiledysfunction, fracture, genitals, genitalwarts, heartattack

Baby dies while doctor plays game online

A 5-month old baby died in hospital while the doctor was playing a game online, an investigation has found.

The boy was taken to the Nanjing Children’s Hospital last Tuesday with a serious eye infection that can lead to swelling inside the skull.

Though staff said the boy was doing fine in the afternoon, his condition worsened and he died about 1:30 the next morning.

Computer experts later found the ophthalmologist, Mao Xiaojun, had been playing a game of ‘go’ online, health officials said yesterday.

Mao will be dismissed from the hospital and deprived of his medical certificate. All other on-duty staff will be punished.

The incident came to light after an article posted on the Internet condemned Mao and the hospital, alleging he was playing online games.

The hospital initially said that Mao was writing his thesis that night.

However, health officials launched their own investigation.

“Mao lied to us a few days ago,” Li Shaodong, director of the healthcare reform office of the Jiangsu health department, told China Daily yesterday.

“He admitted to playing the game of ‘go’ online after our computer experts checked out evidence on his computer.”

He said Mao did not follow hospital regulations and his sluggish attitude toward patients led to the boy’s death.

The Jiangsu health department said on Wednesday that the hospital was responsible for the baby’s death as its workers did not recognize the baby’s serious condition and failed to give him timely treatment.

The hospital refused to make a statement yesterday and the victim’s family was not available for comment.

The incident has focused attention on negligence and malpractice in hospitals.

On Tuesday, officials at Zhongshan Ophthalmic Center at Sun Yat-sen University said that three of 10 patients who underwent procedures to correct myopia, or nearsightedness, on Oct 21 became infected because the center had used the same laser machine for experiments on animals.

Since 2002, more than 10,000 lawsuits over medical disputes have been filed in China each year. Health experts have called for medical staff to improve their skills, and for quicker healthcare reforms.

bron: www.chinadaily.com.cn

Swine flu deaths re-estimated, triple

The U.S. Center for Disease Control has revised its estimates of deaths caused by swine flu, using a more accurate method.

The CDC has updated its swine flu estimates with calculations by epidemiologists. They take detailed records from 62 counties and extrapolate them to the country as a whole. These figures include deaths such as pneumonia caused by the flu. The previous figures counted only laboratory-confirmed cases or “pure” swine flu deaths caused by fever, respiratory distress, and drowning in one’s own lung secretions.

With the new estimates, the number of deaths in the U.S. attributed to swine flu has thus tripled to 3900 people, including 540 children. This is the same method used to count deaths from the usual seasonal flu.

The CDC estimated that:

* 8 million children up to age 17 were stricken by swine flu; 36,000 were hospitalized and 540 died.

* 12 million adults ages 18 to 64 were infected; 53,000 were hospitalized and 2,900 died.

* 2 million people 65 or older were infected; 9,000 were hospitalized and 440 died. In a normal flu season, 90% of deaths occur in those over 65.

The new estimates do not include infections and deaths since Oct. 17, a period in which swine flu has been circulating at its highest rate.

Internet medicine up in arms while young woman suffers.

Defense of pharmaceuticals more important than suffering of Desiree Jennings.

Desiree is the NFL cheerleader for the Redskins who suffered a reaction two months after taking the seasonal flu shot. Huliq News is reporting that she may, thankfully, be recovering from her adverse flu shot reaction.

In August 2009, Desiree Jennings received her seasonal flu shot, something she had done several years before. This time, however, her reaction was severe and debilitating. Over the course of several weeks she lost the ability to walk or talk normally, and began to suffer violent seizures and recurrent blackouts.

Huliq News reports, “Jennings was misdiagnosed multiple times with a variety of diagnoses since receiving the influenza shot, which she thought would protect her from illness. She has since been diagnosed by her treating physician, Dr. Rashid A. Buttar, with a number of conditions including but not limited to Acute, Viral Post Immunization Encephalopathy and Mercury Toxicity with secondary respiratory and neurological deficits.”

Dystonia is a neurological movement disorder in which sustained muscle contractions cause twisting and repetitive movements or abnormal postures. The disorder may be inherited or caused by other factors such as birth-related or other physical trauma, infection, poisoning or reaction to drugs. It is known to be irreversible.

David H. Gorski—MD, PhD, FACS is a surgical oncologist specializing in breast cancer according to “Sceince Based Medicine” and whom nobody loves more than himself—has become a neurosurgeon and toxicologist weighing in on the matter of vaccination victim Desiree Jennings. He has an ongoing battle with the prominent web site, Age of Autism. In his Orac Knows blog, he calls them the “mercury militia” and other fun euphemisms.

He is, also, a well-documented holocaust denier, but is not on the no-fly list by DHS because of his firm support of eugenics. Or, as his mentor would say, “There are no morals in politics; there is only expedience. A scoundrel may be of use to us just because he is a scoundrel.” 1

Urologist Dr. Leigh Vinocur is spotlighted—on the Vitals Spotlight blog in an article entitled Dr. Leigh Vinocur Affirms Desiree Jennings Has Psychogenic, that it was a psychogenic disorder. “Psychogenic disorders originate in the mind or in mental or emotional processes; having a psychological rather than a physiological origin. This does not mean that a person is faking their symptoms. Rather, it means that the person truly believes that the symptoms are real.” She bases that on the Examiner.com blog article by Rene Najera in Baltimore. I suppose that is new-speak for hypochondria.

It is amazing that these holocaust deniers and eugenicists who complain about the Internet method of passing information used successfully by “truthers,” is the same method that they are using to get their name exposed to their new world order masters. Well, this guy in Boston heard from Orac who heard from the PR firm hired by the CDC, who was told by…. And, I mean, if you just look at the video it’s obvious that she’s not faking, but maybe it is all in her mind that—for the first time in four seasons of taking shots—she had a reaction. I guess there is a new, new-speak term. Deniers.

I mean, why didn’t she fake it before? Needing attention does not seem to be one of her downfalls. She marched in dutifully to take the shot she obviously had confidence in. I am no physician nor psychiatrist. But I fail to see what mental breakdown she could possibly have to generate such a reaction.

The Age of Autism Blog blog—a web site that explores the link between mercury in vaccines and autism—challenges these doctors on these accounts:

- Challenging Ms. Jennings’ original diagnosis of dystonia. Since when do doctors make long-distance video-only diagnoses? Don’t these doctors realize, by offering up potentially false commentary on the nature of Ms. Jennings diagnosis in a story that has captivated the world, that they will one day be called to task for such a glaring breach of medical ethics?

- Claiming Ms. Jennings condition is all in her head. For parents of children with autism, this one has a familiar ring. How on earth do Doctors like Gorski and Novella dare throw out a psychological diagnosis on a patient they have never examined? Thank God she found a doctor who knew it was all in her body.

- Claiming the flu shot couldn’t possibly cause her condition. Once again, how on earth does a long-distance doctor determine this? Vaccines cause a wide variety of side-effects, but Ms. Jennings’ condition just couldn’t be vaccine-induced? To hell with what doctors who did examine her actually determined, we are the only arbiters of truth. It’s nuts.

- Claiming she couldn’t possibly recover from a condition she didn’t even have. Forget the HBOT, chelation, B-12, vitamins, etc., Ms. Jennings couldn’t possibly recover, much like our kids never do, either.
Age of Autism Blog

This picture should give you an overall view of Obamacare in action. Physicians obviously have more interest in distancing their pharmaceutical masters from any liability to protect the stocks in which they own. And you are not even paying, yet, for what happened to this young, vibrant woman.

1 Vladimir Lenin; the father of the Obamanation.

Huliq News
Pat Sullivan Blog
Dr. David Gorski: King of the Quack’s

Homeopathic Herbal Remedies

Homeopathy is derived from two Greek words namely homeos meaning ‘like’ or ‘similar’ and pathos meaning ‘suffering’. Natural homeopathic herbal remedies are considered to be the complementary and balancing disease treatment system in which the patient is provided with the small amounts of natural and non-toxic substances. Although being natural, if these substances are given in large amounts, then they may increase the growth of the disease itself.

The homeopathic herbal remedies which are made at home by using natural components like vegetables, fruits and the herbs which are very important. These remedies are comparatively easy and there are no side effects because no chemicals have been added to prepare these herbal remedies. They are cheap and provide the enjoyment of getting cure by you. In order to make these homeopathic herbal remedies, start with the kitchen as you can find all most all the types of medicines that you require to make the common ailments.

Some of the homeopathic herbal remedies for the cold with fever are cold homeopathic remedies and aconite napellus, Belladonna, Bryonia, Cough homeopathic herbal remedies, Chamomilla and many more. They can be used in the early stages of the cold if the symptoms are not very severe. The symptoms may include dry nose along with hot thin discharge, scratchy throat, pressure on the cheat and throat choke up due to cough. All this is generally caused due to cold and wind or even due to the stressful and painful conditions.

These are just few homeopathic herbal remedies used for common ailments. If the symptoms get more serious, then you need to consult the doctor for fast treatment.

Businesses brought together by CONNECT North East

Introduction

Amongst the team at CONNECT North East, there is a quiet determination and sincerity to help our local high-growth technology sectors – by matching them up with funding.

There’s much beavering away in the background, so it’s good to get some feedback about the power of our growing network.

Curictus

By way of explanation, we are fortunate indeed to have in our wider team Gun-Marie Östedt-Axelsson: “since August 1, 2007 I’m the Swedish representative for the Regional Development Agency One NorthEast in NorthEast of England”

Gun-Marie recently reported:

As a result of the activities in the SEAGULL project the Swedish company Curictus – www.curictus.se – has now […] been brought into several concrete contacts at the universities in the North East. […] they have also received an additional contact at Sunderland University, where they run a stroke management course in collaboration with the NHS trust.

The background is that the inventor Martin Rydmark from Gothenburg University visited Newcastle in connection to the first Connect Northeast conference on April 23-25, 2008, where he was one of the 3 Swedish speakers. Martin and a colleague have also met Kenny Lang, Barry McLeer and Martin Cox from CELS in Gothenburg on October 2, 2008.

Curictus has now a new CEO, called Pehr-Johan Fager, who has started on August 1. Pehr-Johan has before worked as the deputy CEO for the Swedish company Reachin – www.reachin.se – which has been cooperating with the northeast company UK Haptics – www.ukhaptics.co.uk in the development of their product Virtual Veins and Clinical Skills Trainer. It means that Pehr-Johan knows the CEO and founder Gary Todd, who also was one of the speakers at the Connect conference in Newcastle in April 2008. Pehr Johan has also been to Northumbria University before and he had now also seen that one of the interesting university contacts had worked for UK Haptics before.

Curictus is just now developing their stroke rehabilitation product, which is called VRS Virtual Rehabilitation System, in different ways among other it will be CE-marked in the autumn. They are also just now discussing to go abroad with the product with the UK as the first country.

Pehr Johan has now taken contacts with all the five universities in the northeast and we are also discussing a visit in Newcastle in the beginning of December.

The Curictus website helpfully has a link to this video below:

Video explaining how Curictus works Info about the Seagull Project View this document on Scribd

btw, Caroline Theobald tells me that the SEAGULL Project has supported the recent “Digital Minds-The Nordic Light!” event in the historic city of Gävle, held at the end of October. This post by Georgia Rakusen gives more info.

What we thinks this shows

Arguably, Gun-Marie’s feedback speaks for itself, but to us, we think that

 

• CONNECT North East is increasingly becoming a powerful network
• It has an international dimension
• Networking takes time, but is worth the wait – i.e. the contacts were made in the Spring of last year
• It’s an interesting lead but we will keep our eye on this one and see where it goes!

Let us know what you think in the comments; if you want to get involved, contact us through the main website.

Technorati Tags: investment,conference,sweden,business,connect north east,medicine,rehabilitation,good news

นิติเวชศาสตร์

453483     นิติเวชศาสตร์     Forensic Medicine

ความหมายและวิวัฒนาการของวิทยาศาสตร์การแพทย์ ความสัมพันธ์ระหว่างวิทยาศาสตร์การแพทย์กับนิติศาสตร์ บทบาทของแพทย์และเจ้าหน้าที่ตำรวจในกระบวนการยุติธรรม การสืบสวนสอบสวนโดยวิทยาศาสตร์ทางการแพทย์ และศาลไทยกับการรับฟังพยานหลักฐานทางวิทยาศาสตร์

(Meaning and evolution of medical science, relationship between medical science and law, roles of medical doctor and police in judicial administration, investigation and inquiry by medical science, the acception of scientific evidences by Thai court.)

(453483 มหาวิทยาลัยเกษตรศาสตร์)

Blab on rehab?

For the past week I haven’t been able to blog about anything and  now that I’m starting to come out of my fog of trauma I’m wondering what I should blog about first.  I have wondered mostly if I should blog about my current state of rehab.  I had surgery a week ago on my right shoulder, which involved a procedure called manipulation under anesthesia.  Layman’s terms as well as how my doctor put it.  They would put me under long enough to move my frozen shoulder in all directions, ripping through the scarred adhesions that had formed on the capsule of my shoulder.  It would sound like ripping through velcro and for a week I thought I would be hearing that sound with my own ears but no, I would be out, with a twilight drug and shot in the neck to completely block my right arm.  The block worked as did the anesthetic but I was not crazy about the after effects of the anesthesia.  No matter how much I insisted that I would get sick from it they just didn’t quite believe me.  They gave me a shot but I knew that would not be enough.  I went home and proceeded to spend many hours shaking uncontrollably and dry heaving.  It’s somewhat of a hazy memory except I do recall my Mom and husband moving their feet quickly to the side when I chose to dry heave with nothing under me except air.

The block in my arm worked so well that when my arm fell out of the sling I was completely unaware of it.  So much so that my husband would say, “Honey, your arm is out and it’s banging against the cabinet.”  I think I was brushing my teeth.  When I say my arm was blocked, I mean it was completely blocked which is not a bad thing considering I just had tendons torn through and whether they were supposed to be there or not, they were still torn through and I don’t think my nerve endings were going to make an acception, on sending pain signals out.

When you get adhesive capsulitis or frozen shoulder as it is also called, scar tissue forms and along with that, the capsule starts shrinking until you cannot lift your arm.  Well you can to some degree, in my case about a 90 degree angle but the entire shoulder goes with it.  It’s not rotating and trust me, it’s pretty useless like that and very painful.

So, the surgery was successful I think and believe it or not, the physical therapy begins the day of surgery even though you can’t move your own arm.  Evidently they do it for you but I never made it  since I was busy dry heaving air.  I was to wear a sling until the block wore off so the first night in bed, I would lift my arm, moving it away so that I could prop a pillow under my elbow.  The problem was that I couldn’t then find my own arm in the dark!  I know you think I’m exaggerating buy I’m so not.  I finally found it up by my ear and although I didn’t think I had put it that far up, I evidently had and in the dark, I had no memory.  This happened more often than I would like to admit.  Setting something down in the dark is never easy, you have no visual aid, which means no memory.  Try sitting your flashlight down in the dark, during a blackout and then try finding it again, you’ll know what I mean.  I know in this case it was attached to me but since I couldn’t feel it, I had no memory of it.  Each time I reached in for it, through the sling it gave me the creepiest sensations.  It didn’t help that it was Halloween and I kept thinking of it like one of those bloody stumps people are always using for Halloween props.

So now to the really horrible part, the physical therapy.   I went for my first one the day after the surgery.  It hadn’t even been 24 full hours and I might add, I was on my first pain pill accompanied by a full dose of phenergan, which is for nausea and also makes you sleepy.  I took both meds around 6:30am and my appointment was for 9:30am.  My Mom took me because I am a lightweight, in the department of alcohol or medications and I mean an amoeba sized lightweight.  I walked in zombie like and was taken into a room to discuss how I’d like to pay for my rehab.  On a good day I hate medical insurance, but on this day I couldn’t follow up with a hello, nice to meet you too.

I just kept staring at my Mom and finally the woman took pity on me and said she didn’t want me to sign anything today.  Duh.  Monday came and I was feeling pretty good and ready for my p.t. to start.  I had diligently performed all my stretching exercises, just as prescribed so I new I’d get an A and be well on my way to recover.  Just typing that makes me shutter.  To say what they did to me was painful is such an understatement.  I went home and took my meds. and thought it would subside but it didn’t and I did good to get myself ready the next day, a full 24 hours later.

I was taking the pain meds, trying to keep my arm moving, fighting nausea, shaking from all the meds and feeling hideous but I went.  Maegan would be my personal Nazi on Tuesday and she even had one of her underlings come over and hold me down so she could use both her arms, the underlings hand and her own chin to manipulate my arm into doing something it so did not want to do.  She told me to breathe and I attempted to but instead I squeaked, “I can’t!”  She realized she went to far and I realized I was in big trouble.  I went home and started the whole thing again but this time I was in tears and that doesn’t happen easily for me.  I was expecting pain but I knew this wasn’t normal.  The next day I was beside myself at the thought of going to another p.t. treatment so I called my Dr’s office and spoke to his nurse.  I told her I didn’t think this was normal and could I have a shot of cortisone or something!  She agreed and told me to stop all p.t. for the week, that they were doing entirely too much.  I loved her!  I loved her and anyone she ever knew.  My doctor was gone until Monday but she was able to get me into another doctor at noon, the next day.  I would have loved it right then but I was so high on the thought that I didn’t need to be tortured for the rest of the week, I wasn’t going to complain anymore.  I sat at my desk and cried with relief.  I also called and canceled my p.t. appointments.  Maegan called within minutes of me doing so, to check on me.  To late!  I told her it was too much and my doctor said so!  She said she’d see me on Monday.

The thing is and I’ve learned this over the years. Doctors don’t really pay attention to what the other doctors are doing and saying.  Maegan hasn’t bothered to read my MRI report, which says I have a lot more going on in my shoulder than just tissue that needs to be stretched out again.  My surgeon didn’t think it was necessary to give me a steroid shot, to reduce swelling even though I have painful bursitis and tendonitis, along with a tear in the rotator and an impingement under it, as well.  The doctor that gave me the shot immediately said he always gave cortisone into the area to help with the rehab.  You have to be informed and you have to keep yelling, “But wait, what about…..”  Still, they don’t aways listen but from this point forward, they will and I am now in control.  Maegan and her team of torturers are not going to just start twisting me into a pretzel, for my own good, as she puts it.  I asked her how she knew when to stop pushing and she said I look at your face, to see the pain.  Great but she said this while she was NOT looking at my face and instead, rubbernecking the entire room.  The old lady getting her knee worked on didn’t look like she needed Maegan’s attention.

As of now, I’m off the pain meds. until Monday where I hope to switch to something that doesn’t have me feeling like I’m a heroin attack attempting to get clean.  You’ve seen those movies, I’m not far from that.  I guess its good to know I could never become a drug addict.  The nausea is lifting but not gone, I’m hoping I send it away today.  I have a headache that is making itself known and a rash on my face, from what I cannot say but I’m thinking I have a full weekend to rid myself of all these unwanted tremors, pains and side effects and I will start the fight over again Monday.  I might be going to this fight with one arm but I’ve got a full mental jacket to accompany me and that should be enough.

When the going gets tough...

There are days when you’re so tired you can barely even open your eyes, let alone think straight.

Your head is throbbing, your legs are sore, your hands are aching, and you feel like you’ve conquered Mount Everest simply for having the willpower to drag yourself out of bed in the morning.

The hours morph into each other, you can barely remember what you did 20 minutes ago, because so much has happened since then that you can no longer keep track of anything.

Work politics irritate you because much as you want to avoid them, you keep getting dragged in. Then there are the endless unnecessary bleeps which by some miracle of self-restraint you avoid cursing and swearing about. And of course, by the time you see the sixteenth oliguric patient of the day, you feel like screaming that YOU haven’t peed in the last 5 hours and why isn’t anyone worried about it.

But you’re tired, and overworked, and on the edge, so your behaviour is perfectly understandable.

Then, just when you thought things couldn’t possibly get any worse, they do- in true Murphy’s law fashion.

And that is when you find out what you’re truly made of. The bleak heart-stopping moment either summons stores of courage and strength and commitment you never even knew you possessed, or it shows you up as the pettily spiteful, shallowly selfish person you really are.

The more you do this, the easier it is to get into the Routine and treat everyone as a statistic, a job to do, a problem to be dealt with, an issue to sort out. It numbs you on some deep internal level, and you mentally divorce yourself from the raw emotions you’re confronted with, sometimes because they’re too complicated to deal with, but mainly because you’re too tired to care.

So plenty of doctors become little more than keyphrase-memorising, textbook-learning, exam-acing robots, dead inside with plastic smiles and mobile expressions of sympathy on cue. We’ve got our reliably effective phrases, our stockpile of nifty tricks, our vast previous experiences to draw from, but nothing that flows from a place of genuine care and sincere empathy.

We live in perpetual Auto mode, and have no idea how to react to a crisis that demands we switch to Manual, and start feeling and behaving like human beings again.

Occasionally, though, you meet someone who shows you what true greatness means. Someone with the courage to make hard decisions, the conviction to stick by them, the determination to carry out the task to completion without once wavering. And at the end of it all, through failure and grief and loss and pain, someone with the grace to acknowledge and admit their limitations, and the humility to show that vulnerability.

I think I needed that reminder. Thank you, sir.

News: Kari Lehtonen underwent the second back surgery

Kari Lehtonen underwent successful back surgery on Friday, Oct. 30 at Strong Memorial Hospital in Rochester, NY.  The procedure, which was performed by neurosurgeon, Dr. Paul Maurer, was to remove edges of bone that were applying pressure to nerve roots in his back at two locations that were different than that of his original disc surgery on July 20.   He will be sidelined for 6-8 weeks.

source

The full injury history is in the Lehtonen’s surgery recovery log

Thanksgiving--Health

     I am very thankful to have relatively good health. I had some health problems in the spring and early–problems severe enough that I feared I would become unable to work.  I saw my whole life turn upside down for several weeks.  I missed several days of work and worked despite feeling terrible on several other days. 

     Thanks to good medical treatment, I am doing quite well now.  I have bad days, but nothing as bad as the days I suffered in April, May and June. 

     For those who do not know or do not remember, I have atypical migraine.  Rather than getting the classic migraine headache, I get vertigo, nausea, tinnitus, and loss of hearing.  I sometimes get other migraine symptoms, including the throbbing headache, but each episode varies.  I have had these symptoms off and on for fifteen years without knowing what was wrong and without getting a correct diagnosis.

     Now I know how to prevent the attacks, and have had pretty good success in doing so.  I also am blessed to have found a drug that aborts the attacks if they become full blown.

     I have not missed a day of work so far this autumn.  For that I am very thankful.

Swine Flu Vaccine Linked to Deadly Neurological Condition

Ok its time to go to a more serious note people. I will continue to post all the usual videogame stuff but I feel that this issue is of the upmost importance. Anyone who may have any more information than what is contained here please tell me and I will be more than happy to rectify any mistakes.

The main reason for me picking up on this is twofold. Firstly my mother is a sufferer of  type-2 diabetes and as such would be one of the first in line for the vaccine and secondly I myself have been in and out of Preston’s neurological unit throughout my life and as such feel a certain kind of connection with these types of issues. I would however like to point out that I am not a doctor or even a medical student so it is possible that some errors may be present in this post.

First off the main condition which seems to be causing problems is Guillian-Barre Syndrome. As reported in the Daily Mail earlier this week certain additives of the vaccine specifically Squalene are suspected to have detrimental effects on patients.

This is mostly due to the fact that squalene is an adjuvant designed to fight the virus quickly and as a result decrease the time it takes for the body to become immune to the virus.

However issues have been raised as to whether this is safe. Squalene has thus far only been approved for use in three vaccines ever. This could well be due to the fact that GBS is such a large risk and can even result in death. Antibodies seem to turn on the host in this syndrome attacking nerves and thus disabling the functions of various parts of the body including the lungs.

Check out this story to see what I mean

http://www.dailymail.co.uk/news/article-1206807/Swine-flu-jab-link-killer-nerve-disease-Leaked-letter-reveals-concern-neurologists-25-deaths-America.html

Either way in my opinion here we have an issue that requires great attention and a great deal more thought than has been given to it so far.

Let me know your opinions and expieriences

One love