A study to determine the role of one mental health integrator as she functioned on the instructional staff responsible for the teaching of fundamentals of nursing, Block III, in "X" University School of Nursing.

Thesis (M.S.)--Boston Universit

Research Pattern Classification using imaging techniques for Infarct and Hemorrhage Identification in the Human Brain

Medical Image analysis and processing has great significance in the field of medicine, especially in Non- invasive treatment and clinical study. Medical imaging techniques and analysis tools enable the Doctors and Radiologists to arrive at a specific diagnosis. Medical Image Processing has emerged as one of the most important tools to identify as well as diagnose various disorders. Imaging helps the Doctors to visualize and analyze the image for understanding of abnormalities in internal structures. The medical images data obtained from Bio-medical Devices which use imaging techniques like Computed Tomography (CT), Magnetic Resonance Imaging (MRI) and Mammogram, which indicates the presence or absence of the lesion along with the patient history, is an important factor in the diagnosis. The algorithm proposes the use of Digital Image processing tools for the identification of Hemorrhage and Infarct in the human brain, by using a semi-automatic seeded region growing algorithm for the processing of the clinical images. The algorithm has been extended to the Real-Time Data of CT brain images and uses an intensity-based growing technique to identify the infarct and hemorrhage affected area, of the brain. The objective of this paper is to propose a seeded region growing algorithm to assist the Radiologists in identifying the Hemorrhage and Infarct in the human brain and to arrive at a decision faster and accurate.¢Lp¤

Guidance on noncorticosteroid systemic immunomodulatory therapy in noninfectious uveitis: fundamentals of care for uveitis (focus) initiative

Topic: An international, expert-led consensus initiative to develop systematic, evidence-based recommendations for the treatment of noninfectious uveitis in the era of biologics. Clinical Relevance: The availability of biologic agents for the treatment of human eye disease has altered practice patterns for the management of noninfectious uveitis. Current guidelines are insufficient to assure optimal use of noncorticosteroid systemic immunomodulatory agents. Methods: An international expert steering committee comprising 9 uveitis specialists (including both ophthalmologists and rheumatologists) identified clinical questions and, together with 6 bibliographic fellows trained in uveitis, conducted a Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol systematic reviewof the literature (English language studies from January 1996 through June 2016; Medline [OVID], the Central Cochrane library, EMBASE,CINAHL,SCOPUS,BIOSIS, andWeb of Science). Publications included randomized controlled trials, prospective and retrospective studies with sufficient follow-up, case series with 15 cases or more, peer-reviewed articles, and hand-searched conference abstracts from key conferences. The proposed statements were circulated among 130 international uveitis experts for review.Atotal of 44 globally representativegroupmembersmet in late 2016 to refine these guidelines using a modified Delphi technique and assigned Oxford levels of evidence. Results: In total, 10 questions were addressed resulting in 21 evidence-based guidance statements covering the following topics: when to start noncorticosteroid immunomodulatory therapy, including both biologic and nonbiologic agents; what data to collect before treatment; when to modify or withdraw treatment; how to select agents based on individual efficacy and safety profiles; and evidence in specific uveitic conditions. Shared decision-making, communication among providers and safety monitoring also were addressed as part of the recommendations. Pharmacoeconomic considerations were not addressed. Conclusions: Consensus guidelines were developed based on published literature, expert opinion, and practical experience to bridge the gap between clinical needs and medical evidence to support the treatment of patients with noninfectious uveitis with noncorticosteroid immunomodulatory agents

Payment Reform: Creating a Sustainable Future for Medicaid

Outlines elements of Medicaid payment reform that saves costs while improving access to quality care, including accommodating patient acuity, encouraging data collection, and supporting medical homes, bundled payments, and accountable care organizations

Virginia Commonwealth University Professional Bulletin

Professional programs bulletin for Virginia Commonwealth University for the academic year 2018-2019. It includes information on academic regulations, degree requirements, course offerings, faculty, academic calendar, and tuition and expenses for graduate programs

Management of diversity in master classroom: an increasing challenge for science education in valencian universities

Comunicació presentada a INTED2018, 12th International Technology, Education and Development Conference. (March 5-7, 2018, Valencia, Spain).Currently, many foreign students study a Master degree at the Valencian Universities. We can find students, which have immigrated to Spain in the recent years, and then have partially or fully follow the Spanish curricula (High School and/or Grade), and others which have come specifically to study the Master, attracted by the reputation of the Universities and the job and way-of-life offered by the country, and then have achieved their Grade in their countries. This has increased the diversity of the students in the classrooms, related to the ethnic origin, mother language, study practices, background and integration in the society. The present work gives an overview on how students and teacher manage the heterogeneity and diversity in a Master classroom related to chemistry. The term “diversity” is first detailed prior to discussing explicit studies. Different aspects of diversity are stated. The personal experience of the foreign students to adapt to the Spanish courses and environment was investigated. The actions taken by the lecturer to take advantage of diversity and minimize its negative effects were examined. A comparison between the academic results obtained by international and national students is given. Finally, the attention will be focused on language, study practices and background, since these dimensions are frequently discussed in the Valencian context. The implications and opportunities that offer diversity for national but also for international science research are presented

Guidance on Noncorticosteroid Systemic Immunomodulatory Therapy in Noninfectious Uveitis : Fundamentals Of Care for UveitiS (FOCUS) Initiative

Supplemental material available at www.aaojournal.org. Supported by AbbVie, Inc., and the Fundamentals of Care for Uveitis Initiative National Faculty. This manuscript was developed subsequent to an AbbVie-sponsored literature review of noninfectious, nonanterior uveitis. The meeting was conducted to understand the available literature regarding the management of patients with noninfectious, nonanterior uveitis. The program involved a total of 139 experts from 28 countries, who were selected for participation by AbbVie. However, AbbVie was not involved in the development of the manuscript. The authors maintained complete control over the content and this manuscript reflects the opinions of the authors. AbbVie selected the discussion participants and reviewed the final manuscript draft for scientific accuracy, but the authors determined the final content. All authors made substantial contributions to the article or critically revised it for important intellectual content and approved the final manuscript. AbbVie provided funding to invited participants, including honoraria for their attendance at the meetings. Travel to and from the meetings was reimbursed. No payments were made to the authors for the development of this manuscript. Dhinakaran Sambandan, PhD, and Shula Sarner, PhD, of Lucid Partners, Burleighfield House, Buckinghamshire, United Kingdom, provided medical writing and editorial support to the authors in the development of this manuscript; financial support for these services was provided by AbbVie. AbbVie reviewed the manuscript, but was not involved in the methodology, data collection and analysis, or completion of this manuscript.Peer reviewedPublisher PD

Nuclear medicine procedures and the evaluation of male sexual organs: a short review

Sexuality consists of three aspects that are interrelated and inseparable, biological, physiological and social. The biological aspect considers the individual's capability to give and to receive pleasure. In consequence, it covers the functionality of the sexual organs and the physiology of human sexual response cycle. Diagnostic imaging modalities, such as single photon emission computed tomography (SPECT) and positron emission tomography (PET) have been used to evaluate clinical disorders of the male reproductive system. PET and SPECT procedures basically involve the administration of a radiopharmaceutical that has a higher uptake in a specific tumor or tissue. The aim of this brief review is to present some radiopharmaceuticals that have been used in the clinical evaluation of the male sexual organs (testes, prostate, seminal vesicles, penis) related with male sexuality. This information could be useful in better understanding the male sexual response cycle, as well as the sexual disorders, when considering the male sexual organs and the pelvic floor. Moreover, the findings obtained with PET and SPECT imaging could help to evaluate the efficacy of clinical results of therapeutic procedures. In conclusion, the knowledge from these images could aid in better understanding the physiology of the different organs related with sexuality. Furthermore, they could be important tools to evaluate the physiological integrity of the involved organs, to improve clinical strategies and to accompany the patients under treatment