Monday, March 2, 2009

Relaxation therapy

Relaxation therapy


Relaxation and Anti Stress Therapy, Spa Resrot Upper Austria

Relaxation therapy

Relaxation techniques

  • Autogenic training
  • Progressive muscle relaxation
  • Tai Chi Chuan
  • Qi Gong exercises

Examination & consultation

  • Short medical examination
  • Short medical therapy planning
  • Blood test
  • Resting ECG

MVC Cardiac Catheterization

MVC Cardiac Catheterization


Cardiac catheterization is a procedure that can provide your cardiologist with a large amount of information about your heart. It is often considered the "gold standard" exam in regard to assessment of blockages in the arteries that feed the heart as well assessment of certain diseases which affect the aortic and mitral valves. Both blockages and valve problems can cause symptoms such as chest discomfort or shortness of breath and possibly swelling of the feet. Typically patients are scheduled for this procedure after a stress test or ultrasound of the heart is inconclusive or concerning for heart disease that may not benefit from medical therapy alone.

The procedure itself takes approximately 15-30 minutes. It is performed under local anesthesia with mild to moderate sedation but not general anesthesia. (General anesthesia will increase the risk for complications with the procedure).The patient is then placed on a table in the cardiac catheterization lab and local anesthesia is administered through a small small needle to the access site which is typically the top of the right leg. A tiny incision is made to access the femoral artery and a small (<2mm src="http://mvcardiology.com/Services/Cath/Cath%20Pix/Dr.AliPam.jpg" class="Testing_Right_sided_Pic_bordered" width="300" height="225">Nothing is felt in the chest, but the patient typically feels a light pushing at the top of the leg as the catheter is manipulated at the access site.

Once the catheter is placed into the arteries that feed the heart, a liquid dye ("contrast") is injected. A camera is then placed over the chest and takes a movie. The cardiologist may have the patient hold their breath to allow the diaphragm to get out of the way for the pictures. At one point when the left ventricle (pumping chamber) is imaged, the patient may feel a hot sensation throughout the body. After the procedure, a plug is often placed in the artery to stop the bleeding or otherwise the site is compressed for about 10 or 15 minutes by hand. It is not a painful test. There is a mandatory bed rest period after the procedure lasting from 2 – 6 hours. The nurses and cardiologist will talk the patient through it as it happens. Most patients report that overall the anticipation of the cardiac catheterization was much worse than the actual procedure.

Results of the test are known immediately and will be discussed with the patient and family members shortly after the exam is complete. Depending on the findings, recommendations may be made for a stent/angioplasty, open heart surgery ("bypass") or continued medical therapy. If no further are procedures are needed immediately, the patient typically goes home the same day of the procedure.

MADIT Trial

Tachycardia

MADIT Trial

Multi-center Automatic Defibrillator Implantation Trial

Protocol

Hypothesis

To study whether prophylactic therapy with an ICD as compared with conventional medical therapy (e.g., amiodarone, beta-blockers/sotalol and class I antiarrhythmics) will improve survival in this high-risk group.

Study Population

Target/actual number of subjects in the trial: 196 patients (95 received defibrillator and 101 received medical therapy). Age and age range: 62 + 9 years (defibrillator group), 64 + 9 years (medical therapy group). Gender: 92 male, 8 female (medical therapy group).

Inclusion Criteria

Previous (> 3 weeks) Q wave of enzyme-positive MI; had an episode of asymptomatic, documented unsustained ventricular tachycardia (a run of 3 to 30 ventricular ectopic beats at a rate of > 120 beats/min) unrelated to an acute MI; ejection fraction = 0.35 on angiography, radionuclide scanning or echocardiography; were in New York Heart Association functional class I, II or III; and had no indications for coronary bypass operation or coronary angioplasty within the past 3 months.

Exclusion Criteria

Previous cardiac arrest or ventricular tachycardia causing syncope that was not associated with an acute MI; symptomatic hypotension while in a stable rhythm; MI within the past 3 weeks; recent coronary bypass operation in the past 2 months or coronary angioplasty in the past 3 months; women of childbearing age who were not using medically prescribed contraceptives; patients with advanced cerebrovascular disease.

Primary Outcome

All-cause mortality.

Results

There were 15 deaths in the defibrillator group (11 from cardiac causes) and 39 deaths in the conventional-therapy group (27 from cardiac causes). There was a reduction of 54% mortality rate in the defibrillator group as compared to conventional therapy group. There was no evidence that amiodarone, beta-blockers, or any other antiarrhythmic therapy had a significant influence on the mortality curves.

References

  • Multicenter Automatic Defibrillator Implantation Trial (MADIT): design and clinical protocol. PACE 1991, 14:920-927.
  • Moss AJ, et al: Improved survival with an implanted defibrillator in patients with coronary disease at high risk for ventricular arrhythmia. Multicenter Automatic Defibrillator Implantation Trial Investigators. N Engl J Med 1996, 335:1933-1940.

Medical / Health Jobs

Medical / Health Jobs

Browse or search medical and health jobs from The New York Times including dental practitioner jobs, emt/paramedic jobs and healthcare aid jobs.

Medical / Health Jobs

Medical Art Therapy


Medical Art Therapy

Medical art therapy has evolved in hospitals working with people with various illnesses because it is apparent that negative emotions often co-occur with disease. So art therapy is now considered an alternative and complementary treatment even for such things as cancer and heart disease. The National Institute of Health, Office of Alternative Medicine, has declared art therapy a “mind-body intervention.”

Art expression has the uncanny ability to convey information about physiology and somatic problems in many patients. This information can then be used by patients and their practitioners to help with symptom management. Art helps by making visible thoughts, feelings and perceptions that may be contributing to the dis-ease.

The act of creativity makes people feel better. Creativity
is the best medicine for stress, anxiety, and terminal
illnesses.
- Simon Opher, MD

For more information on medical art therapy:
» American Art Therapy Association, www.arttherapy.org
» Beyond Ordinary Nursing, www.integrativeimagery.com
» Ganin, Barbara, (1998) Art and Healing: Using Expressive Art to Heal Your Body, Mind and Spirit, NY: Three Rivers Press.

Spa Trenčianske Teplice

Spa Trenčianske Teplice use sulphate, magnesium-calcareous, sulfur thermal springs and sulfur-mineral mud, as a supportive tool. The spa has five mineral springs with temperatures ranging from 35 to 40oC, three of which supply the pools. The magnesium-calcareous water also contain hydrogen sulfide and carbon oxide.


The relatively high temperatures of the water makes it possible to use it directly without heating or cooling. That water manipulation is not required means dissolvable gases in the water are proteced. The spa also uses sulfur mud and natural peat.

The healing properties of the mineral thermal water and the mineralized mud have been used for centuries at Trenčianske Teplice to treat patients with movements disorders.

Methods of treatments
  • complete balneotherapy
  • specialised medical care
  • baths in thermal pools
  • mud compressions
  • limoplast /combination of mud and parafine/
  • physiotherapy /hydro-electro-heat-therapy/
  • gas injections
  • rehabilitation
  • acupuncture
  • medical therapy
  • turf compressions
  • Kneip´s therapy
  • diet food

The Spa Facilities
The spa is equipped with devices for diagnostic and treatment of diseases of the motion apparatus which are on a clinical level.
The spa treatment is lead by a team of specialists in balneology, physiatry, rehabilitation, rheumathology, neurology, orthopaedy, manual therapy and acupuncture.

Travel Tips

Travel Tips

If you are traveling across multiple time zones, remember to keep your watch on home time until you arrive in Mexico. Jet lag can interfere with your internal “gauge,” and we always advise that you use insulin according to your original schedule back home, not based on how you feel. Remember to make frequent glucose checks as you adjust to your new surroundings and time zone.

When traveling to a foreign country, syringes and medications may raise suspicion among local authorities. Therefore, always carry documentation of your diabetes and form of medical therapy.

It is important that diabetic travelers be aware of the signs, symptoms, and causes of hyper-and hypoglycemia. You may exercise and walk more during a vacation, which can induce low blood sugar. Taking your medication on schedule, but skipping meals is another sure recipe for developing hypoglycemia. It is wise to carry small snacks with you to combat low blood sugar.

Physiologic stresses such as infection, dehydration, and diarrhea can cause high blood sugar. If you notice an unusual, unexplained, or persistent elevation in blood sugar, something serious may be going on in your body and you should visit a doctor. It may be useful to take additional insulin or medication during a bout of high blood sugar

Traveling with Medicines

Traveling with Medicines

Most medicines that regulate blood sugar are available in Mexican pharmacies without a prescription. There may be differences in the strength and preparation of insulin(s), so always confirm the dosage/concentration prior to use. Insulin users should always use caution in matching syringes with insulin concentrations (for example, use U40 syringes with U40 insulin) to avoid over-dosing or under-dosing.

Always pack two to three times more medicine than you think you will need. Take separate supplies stored in waterproof packages. Should you lose your luggage, you can avoid emergencies by keeping one supply with you at all times and keep the other(s) in your luggage. Similarly, if you take a day trip away from your base city, always remember to take a second supply of insulin or oral medication in case of loss or breakage. Remember to take adequate supplies of syringes, lancets, and glucometer supplies (test strips and extra batteries). Insulin in a vial will keep for about one month at room temperature.

A popular alternative to carrying and using vials and injectable syringes is the disposable Insulin Pen. Many remain effective for 7 to 14 days at room temperature. The newer basal insulin preparations last 28 to 42 days, without refrigeration. These offer distinct advantages for the frequent traveler with diabetes, and we recommend discussing these alternatives with your physician.

Traveling with Diabetes

Traveling with Diabetes

Having diabetes should not limit most people from traveling, yet some simple preparation can help prevent diabetes-associated complications. You will regulate diabetes most effectively by following a routine lifestyle of sleep, exercise, caloric intake, and medication dosage. Adjusting to time zone changes, unregulated meals, and irregular sleep-wake cycles are among the challenges diabetics face due to the unpredictable nature of traveling. Furthermore, since many diabetics have an impeded ability to heal infections, we offer the following suggestions about prevention and management of minor, common infections and when to seek medical attention.

Physical Therapy

Physical Therapy (183-447B © Jerry Atnip)

Physical Therapy

© Jerry Atnip / SuperStock

Photographer Number:

Stock Photography Category: Medical therapy

Image Keywords: Caucasian, challenge, challenging, device, health, indoors, machine, medical, medical personnel, monitor, monitoring, patient, personnel, physical, physical therapy, procedure, regain, regaining, rehab, rehabilitate, rehabilitating, rehabilitation, straightforward, strengthen, strengthening, struggle, struggling, supervise, supervising, therapist, therapy, treatment, try, trying, watching, Medical therapy

Transgender Subjectivities


Transgender Subjectivities: a clinician's guide
Eds: Ubaldo Leli and Jack Drescher

Transgender Care - Recommended Guidelines


Transgender Care - Recommended Guidelines, Practical Information and Personal Accountants
Gianna E. Israel and Donald E. Traver II ,M.D. Temple University Press, 1997

Key Elements: Using the contributing work of a number of authors this text provides the guidelines that professional should to be aware of when working with transgender individual, what family and friends need to know when supporting them, and what an individual needs to consider when contemplating transitioning.

Part One - Recommended Guidelines
Various topics are explored along with the recommended guidelines that are related to the topic covered in that chapter
Chapter One - The Vocabulary and The Issues, Transgender Populations
An introduction that defines the terms and vocabulary related to the topic of transitioning
Chapter Two - Mental Health
Explains the different types of mental health services, counseling and psychotherapy. The diagnosis used in the mental health field, crisis intervention, key mental health issues, and sexual orientation
Chapter Three - Transgender Hormone Administration
Contains the principles of hormone administration and its background, with specific information for male to female, female to male transsexuals
Chapter Four - Transgender Aesthetic Surgery
Cosmetic surgery and the list of the principles of transgender aesthetic surgery, the types of procedures, and the recommended guidelines
Chapter Five - Genital Reassignment Surgery and Gonad Removal
Castration and what it involves- the types of procedures, related topics like pain, discomfort, and costs, etc plus the recommended guidelines for genital reassignment surgery
Chapter Six - HIV and AIDS
Has some basic information related to HIV/AIDS although since the books publication there have been advances in research and treatment of HIV,AIDS. There are also intervals with transgender individuals who are living with HIV/AIDS. There are recommended guidelines in this chapter as well
Chapter Seven - Cultural Diversity
Looks at the ethnic, racial elements of the transgender experience
Chapter Eight - Transgender Youth
Transgender adolescence, the family's responses, and society's response to it, along with some recommended guidelines for working with transgendered adolescence
Chapter Nine - Support Tools
Ways of analyzing the issues associated with the transgendered identity, how to start up a support group, examples of correspondence for professional use and the gender identity profile originally developed by Gianna E. Israel
Chapter Ten - Support Sessions Answers to basic questions about gender identity issues

Part Two - Essays
All of the essays are by different authors discussing the issues that are mentioned in their respective titles
Chapter Eleven - Ethical Implications for Psychotherapy with Individuals Seeking Gender Reassignment
Chapter Twelve - Understanding Your Rights under The San Francisco Ordinance 190
Chapter Thirteen - From the Perspective of a Young Transsexual
Chapter Fourteen - You Are Not Alone: A Personal Quest for a Support System
Chapter Fifteen - A Midlife Transition
Chapter Sixteen - Insurance and the Reimbursement of Transgender Health
Chapter Seventeen - Facial Surgery for the Transsexual
Chapter Eighteen - What Is to Be Done? A Commentary on the Recommended Guidelines
Chapter Nineteen - Genital Reassignment Surgery: A Source of Happiness for My Patients
Chapter Twenty - Over and Out in Academe: Transgender Studies Come of Age
Chapter Twenty One - Transsexuality, Science, and Prophecy
Chapter Twenty Two - Hormones
Chapter Twenty Three - The Therapist versus the Client. How the Conflict Started and Some Thoughts on How to Resolve It
There is also an appendix and a section that contains details about the contributing authors.

Medical Therapy and Health Maintenance for Transgender Men

Medical Therapy and Health Maintenance for Transgender Men: A guide for health care providers
By Nick Gorton, Jamie Buth and Dean Spade

[this is available for free download by clicking on the cover]

medical therapy

Cardiologists Get Wake-up Call on Stents

Mike Mitka

JAMA. 2007;297(18):1967-1968.




NEW ORLEANS—Patients with stable coronary artery disease treated with stents and optimal medical therapy fare no better than those who receive optimal medical therapy alone, according to new findings from a large clinical trial.

For many cardiologists, the results serve as a wake-up call that they need to reevaluate how frequently they offer stenting (which has slight risks associated with the intervention itself as well as stent-associated thrombotic events) as a first option for relief of stable angina. The data come from the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial, reported here in March at the annual conference of the American College of Cardiology.


Figure 70050FA
Medical therapy, including drugs for hypertension, dyslipidemia, and clotting, along with lifestyle modification programs, should be the first treatment options for patients with stable coronary artery disease.

The COURAGE trial involved 2297 patients with at least one coronary artery that .

Enough medicine for 4,000 years, say hospital executives

Enough medicine for 4,000 years, say hospital executives
DİYARBAKIR - Like an overstuffed sack of potatoes, a university hospital in southeastern Turkey says its stores of drugs and medical equipment are piled so high supplies are virtually falling out the windows. Fingers are pointed as officials play the blame game, but in the end the Higher Education Board will have to decide who dropped the hot potato.

Enough medicine for 4,000 years, say hospital executives Laboratories and classrooms have become storage spaces at a university hospital where orders for dizzying amounts of drugs and medical equipment continue to flood the faculty.

The Dicle University Hospital in the southeastern province of Diyarbakır has purchased enough drugs to last decades, even centuries and in one case, for the next 4,000 years, the hospital administration said.

The purchases came to light after Professor Ayşegül Saraç was appointed as university rector in August and the hospital administration was replaced. The new hospital administration announced the excessive purchases.

A search of inventories at the depots uncovered medical supplies that would meet hospital needs for decades. Unfortunately, most of the drugs are passed their use-by-date.

Chief Surgeon Sait Alan, speaking to the Anatolia news agency on Tuesday, said they had converted many classrooms and laboratories into depots when stock continued to arrive after he took over. "We asked suppliers not to deliver any more of the orders, telling them we would order in the future as our stocks run out," he said.

He said some firms were trying to speed up their deliveries because they also did not have the room to store the stock from the orders.

Alan said stocks of some drugs were enough to last them for decades, but that most of them would expire well before that.

He said 4,000 boxes of a drug used as an anesthesia in heart operations had been purchased, even though only one was used in 2008. "In other words, we have enough Rapifen for 4,000 years," he said.

"Bactrim was used 74 times in 2008 but 2,000 boxes were purchased. We have plastic gloves totaling 2.4 million, 900,000 of which were sterilized gloves, have been purchased. We have canceled an order of another 1 million gloves that had not been delivered because the firm could not keep up with demand," he said.

There had been 850,000 bottles of serum purchased, according to Alan. "We have enough Karvezit, a blood pressure medicine, to last 152 years."

They made a list of expired drugs and found 14,000 boxes of drugs and 8,500 medical materials would need to be destroyed. "It is hard to calculate the total loss but we can be sure that it will be in the millions," he said.

The proper procedure for medical purchases is to work out the previous year’s usage and order 10 percent more or less than that. "That did not happen here. Instead of 100 boxes, 10 times that amount was purchased.

Alan said the faculty of medicine had initiated a formal investigation and would file a complaint.

The Diyarbakır Prosecutor’s Office announced yesterday they had launched an investigation into the matter.



Reporters not allowed in

A day after speaking to the Anatolia news agency about the excessive medical purchases, the chief surgeon of the hospital banned reporters attracted to the story from entering the hospital.

Doğan news agency reported that the decision was taken in order to prevent members of the hospital's former administration, who he has accused of the purchases, from making a statement in the hospital.

Hospital security officials told reporters they could not go in as per the directives of the chief surgeon.

Health Minister Recep Akdağ, when asked about the issue, said he trusted the current rector of the university, Professor Saraş, and her colleagues, but added that the ministry had no jurisdiction over university hospitals.

"We can conduct investigations but then refer our findings to YÖK (the Higher Education Board), which would decide what to do."

Case Medical Center Cancer Hospital

Case Medical Center Cancer Hospital Honored with American Architecture Award

Case Medical Center Cancer Hospital Honored with American Architecture Award

The University Hospitals, Case Medical Center Cancer Hospital has been recognized with an American Architecture Award by the Chicago Athenaeum: Museum of Architecture and Design, a program which honors and celebrates the most outstanding accomplishments for architecture designed and built in the United States by leading American and international design firms.

The Case Medical Center Cancer Hospital was among 65 distinguished buildings selected in this prestigious design competition.

Located on the University Hospitals Case Medical Center campus in Cleveland Ohio, the 320,000 sf Cancer Hospital triples the size of the existing hospital, consolidating activities previously dispersed among seven different locations, optimizing patient care, and fostering synergy among providers.

"Continuity with the surrounding campus fabric, connectivity with adjacent buildings, creation of a gateway to the campus, and clear patient wayfinding were all important design considerations," noted Design Principal George Z. Nikolajevich, FAIA, "as was the integration of healing gardens." Clinical pods for cancer treatment are designed to address specific patient populations.

Additional services include patient and public education programs, diagnostic imaging, infusion therapy, radiation oncology, an expanded breast center, and conference facilities.

Medical Park

Medical Park

Please pardon our appearance as we are undergoing routine maintenance.

Specter and Rendell came to ceremony
http://www.gaziantep27.net/uploadresimler/haberler/r_20080326155945_medical.jpg
Gov. Edward Rendell, Sen. Arlen Spector, and other political leaders were at hand for a ribbon cutting ceremony on Oct. 21, which marked the opening of Woman's Medical Hospital (WMH), the medical facility once known as MCP Hospital.
"This is a great day for this community, for this city, and for this state," Spector said. Over 100 physicians, staff, and supporters also attended the event, and red ribbon hung not only across the stage area, but also around the entire perimeter of the 12-acre site.
Dr. Nancy Pickering, a cardiologist at the former MCP Hospital who led the efforts to save the hospital, said, "Our beloved hospital has continued to remain open...in order to continue our mission, as well as to honor our heritage of being the first institution in the United States that allowed women from both this country as well as around the world to train and graduate.
"We have taken back our name," she said. "We will henceforth be called Woman's Medical Hospital."
The opening comes after Pickering recruited a coalition of physicians, staff, lawyers, politicians, and community leaders who fought to keep the medical facility in East Falls from closing when Tenet Healthcare Corp. announced plans to shut MCP in Dec. 2003.
At one point, Pickering went door-to-door to ask for the support of the community. Her efforts brought her to the doorsteps East Falls residents, Rendell and Spector.
"When Dr. Nancy Pickering came to my house in East Falls on one Saturday morning, I thought it was somebody to collect for paper delivery," Spector said. "She rang the doorbell, and I answered and listened to what she had to say, and I was very impressed by it."
In May, Rendell and Spector provided critical support when they endorsed the plan Pickering and others - the "doctor's group" - had developed. The parties worked together, negotiating with Tenet to arrange for the sale of the hospital facility and the 12-acre site on which it stands for $1. The transaction was made on Sept. 1, with the establishment of new state-affiliated nonprofit organization, WMCH Inc.
But as plans to save the hospital were being made, Tenet removed several expensive pieces of hospital equipment over the past few months, including a robot used to perform intricate surgical procedures, and television and video camera equipment from at least one operating room. The transition also caused the facility to lose its Level I trauma facility, at least for the time being.
Gov. Rendell recognized the risks many physicians took when deciding to stay aboard while Pickering and others worked to save the hospital and
"It would have been very easy - and you know because some of your colleagues did it - when trouble was apparent and this looked like it was going under, for all of you to cut and run," Rendell said. "But you believed in the mission of this great hospital and...you hung in there, and your resoluteness was what made it possible."
Rendell echoed statements he made when the transaction took place, praising the team effort that led to the accomplishment, but warning that the non-profit institution still has many hurdles to clear.
"A lot of struggles and a lot of our challenges and battles lie ahead," he said. "The efforts of all of us combined have given us the restoration of a pretty great hospital, if we can keep it. We all have to dedicate ourselves to do everything in our power to make sure that this hospital grows and this facility grows to have resources that serve people from all over Philadelphia."
One person who was somewhat overlooked in resuscitation of the hospital was publicly recognized at last Thursday's ribbon cutting ceremony - Ralph Winder, the 38th Ward Leader. Rendell said Winder could serve as an example of what a good ward leader should be, recognizing Winder's commitment as effective link between our community and Harrisburg.
Winder addressed the crowd, emphasizing the hard work done by all the parties involved. "None of us could have done this without all of us," he said. "We turned a nightmare into a dream...We must not ever forget the little people in the community and the people who walk the halls of this hospital who ignited and maintained this struggle."

HARTFORD -- Aetna (NYSE:AET) announced today a new program that provides consumers with discounts of 10 percent to 50 percent off the cost of routine health care expenses such as doctor visits and certain health care services, discounts of 10 percent to 40 percent off the average wholesale price of prescription medications, and a unique pre-paid debit card feature.

"We see this card as a positive for employers, consumers and physicians. Employers, who may not be able to offer certain employees health insurance, now have a low-cost way of attracting and rewarding employees, consumers have access to a broad network of health care providers at discounted rates, and physicians receive payment directly from the debit card at the time of service," said Chris Skelly, head of Aetna Health-Related Financial Solutions.

Vital Savings on Health is part of the Vital Savings by Aetna(R) family of programs, which also includes discounts on dental services, prescription drugs and long-term care. Vital Savings on Health subscribers receive access to: Significant discounts on the cost of routine health care such as doctor visits, wellness exams and preventive testing, when payments are made with the debit card, as well as discounts on generic and brand-name prescriptions; A convenient pre-paid debit card to pay for discounted services at Aetna participating health care providers that accept Visa; Discounts on other health-related products and services (for example, vision, fitness, alternative health care, hearing and oral health products);