...for my own personal curiosity and for assignments in health related classes. WebMD was founded in 1996 under the name Healthscape by Jim Clark and Pavan Nigam. In 1999, it underwent a name change to Healtheon/WebMD, but was eventually shortened to the current name, WebMD. This site is currently run by David J. Schlanger (CEO) and its president, Steven L. Zatz, M.D. The website also has many other doctors and medical officials who help run the site and tend to its articles and information. WebMD is financed by advertisements, sponsors, and third-party contributors. Historically, due to founder Jim Clark, the website has financial backing from Microsoft. It also receives funds from other websites it runs as part of its network such as, Medscape, MedicineNet, RxList, eMedicineHealth, and BootsWebMD. It also has its own magazine and newsletters of the same name and can often be found in Physicians’ offices. The information on WebMD comes from its own researchers, doctors, advertisements, and sponsors and is selected and reviewed by an Editorial Staff and doctors. The criteria information must pass before being published on the website are its relevance, clinical significance, and trends such as seasonal illness. From there, the Editorial Staff provides its integrity through making clear divisions between fact, research, and news. It also gives credit to those whose information is published on their website through disclaimers and honors. The information of WebMD has...
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...Acid-Base Balance Kelly Heffron Grand Canyon University NUR-614 September 16, 2015 Acid-Base Balance The acid base balance is a homeostatic process that aides the body in maintaining a pH in the arterial blood between 7.35-7.45 (Patient, 2015). The body works together through multi-systems to ensure that acidity or alkalinity never take over within the blood. The purpose of the following paper is define the classification of the acid-base balance, define the factors from the case study, explain the pathophysiology, describe the compensatory mechanisms, pharmacological interventions, and the educational needs of patients with an imbalance. Classification In the following case study, the patient presents with metabolic alkalosis. Metabolic acidosis is a state within the blood when sodium bicarbonate (HCO3) increases. This condition can arise when the there is an acid loss within the body and HCO3 in the blood increases (Merk Manual, 2015). This process can cause the intracellular shifting of hydrogen ions, thus causing HCO3 retention. In the case study it is identified that the kidneys have a higher content of HCO3 because of the volume depletions. Normally, the kidneys filter out the HCO3 and excrete it into the urine (Merk Manual, 2015). In the case study, compensatory mechanisms have not activated, because the PaO2 is still within normal range of 35-45mm Hg, with a level of 40mm Hg. When excretion does not occur, the acid-base balance shifts from homeostasis...
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...Running head: MEDSCAPE INDIA INC. Medscape India Inc. International Business BUS401 Table of Contents Abstract …………………………………………………………………………..3 Introductory Section……………………………………………………………...4 Purpose of Study........................................................................................6 Limitations of Study……………………………………………………...6 Definition of Terms………………………………………………………7 Review of Literature……………………………………………………………...7 Discussion..............................................................................................................13 Review of Findings……………………………………………………….13 Interpretation/Analysis of Findings………………………………………18 Summary and Conclusions……………………………………………………….27 References.......................................................................................................…...30 Abstract Medical tourism, where patients travel overseas for operations, has grown rapidly in the past decade. High costs and long waiting lists at home, new technology and skills in destination countries alongside reduced transport costs and Internet marketing have all played a role. With the best infrastructure and medical facilities, comparable with any of the western countries, accompanied with the most competitive prices, treatment can be done in India at the lowest charges. The research suggests that India represents the most potential as a medical tourism...
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...Retrieved June 1, 2014, from http://www.sciencedaily.com/releases/2013/08/130822142213.htm Massachusetts Institute of Technology. (2013, August 22). Drug delivery: Why gold nanoparticles can penetrate cell walls. ScienceDaily. Retrieved June 24, 2014 from www.sciencedaily.com/releases/2013/08/130822142213.htm Medicine. (2014, April 9). Managing Chemotherapy Side Effect. Chemotherapy's Effects on Organs / Body Systems. Retrieved May 18, 2014, from http://cancer.stanford.edu/information/cancerTreatment/methods/managing_effects/organs.html min, A. (2013, February 4). What Are Gold Nanoparticles Used For?. Charpan RSS. Retrieved June 10, 2014, from http://www.charpan.com/what-are-gold-nanoparticles-used-for Medscape. (2014, February 14). Medscape Log In. Medscape Log In. Retrieved June 5, 2014, from http://www.medscape.com/viewarticle/7703 noon, D. D. (2011, June 21). FDA Prepares for Nanomedicine Revolution. MedicineNet. Retrieved June 3, 2014, from...
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...patients and liability claims for physicians. The number of nurse practitioners continues to expand and their roles often overlap with those of the physician to meet the shortages of primary care. History of APRN and efforts to gain Prescriptive Authority In rural areas there was a rising demand for primary care services, which lead to the development of the nurse practitioner profession. Since physicians were unable to meet this demand, nurses stepped in and expanded their roles to meet the needs of individuals and families. Physicians began collaborating and mentoring with nurses who had clinical experience in the late 1950s and early 1960s (Medscape). The increased specialization of medicine led to a wide number of physicians out of primary care, which caused a primary physician shortage and left rural areas underserved (Medscape). In 1965, Loretta Ford and Henry Silver established the first nurse practitioner program that was focused on health promotion, disease prevention, and the health of children and families (Nurses, Nurse Practitioners: Evolution to Advanced Practice). Ford believed that the shortage of physicians provided the opportunity for the progression of the nurse practitioner...
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...Being a 54 year old chronic alcoholic, having gastrointestinal bleeding/mental deterioration, and showing signs of cirrhosis, F.C. is in a very dangerous position. It is concerning that he was found to have a .18 BAC because this is a potentially fatal level of alcohol in the blood (Be Responsible About Drinking, 2013). Some common manifestations of alcoholic cirrhosis that F.C. may experience include weight loss, loss of appetite/energy, edema/ascites, mood changes, and jaundice (WebMD 2012). Of these symptoms, ascites and jaundice are both secondary from hepatocellular failure, and weight loss and ascites are also secondary symptoms to portal hypertension (Copstead, pgs. 756-759). Unfortunately, with cirrhosis and portal hypertension also typically comes gastric or esophageal varices. These varices are pathways that open up when portal pressure becomes too high in order to redirect the blood flow back to the heart. When these pressures rise and these varices open up, it leaves the lining beneath the mucosa very susceptible for rupture, leading to major bleeding. Since F.C. has already had several incidents with GI bleeding, he is at an even greater risk for re-bleeding (Copstead, pg. 761). F.C’s mental deterioration is most likely caused by a disorder called hepatic encephalopathy. When cirrhosis occurs, the parts of the liver cannot function the way that they are supposed to. Since once of the major jobs of the liver is to clean out, or “detox” the blood, this function...
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...Communication Modalities in Health Care Jacquelyn Clemmer HCS 490 January 30, 2012 David Dye Communication Paper Health care is a wide growing industry, and it is no surprise that the use of technology is incorporated into many practices of the health care field today. The use of technology in the health care field poses many advantages and disadvantages, both to the consumer and the provider. One common modality for communication in health care is through e-mail. There are several patients and providers that communicate their needs through e-mail messaging. The Internet is a communicative tool that has become ever more popular today and is used in several ways. Consumers are using the internet for the purpose of research, purchasing goods or services, and to communicate with other people, among many other things. E-mail communication has become increasingly more popular among patients and providers. One advantage to using email communication for the patient is that it gives the patient and provider a private domain wherein private information pertaining to health-related information can be exchanged (Korus, 1999). This communication modality allows adequate time to form an appropriate response on behalf of the provider and is convenient for both parties involved. Although there are advantages with using email communication in health care, it also poses many risks. Patient confidentiality is still important. It is the legal and ethical obligation of the provider...
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...ferrous form to is ferric state, hemoglobin is converted to methemoglobin. Methemoglobin lacks the electron that is necessary to form a bond with oxygen. As a result, methemoglobin is not capable of oxygen transport (Wikipedia). The hexose-monophosphate shunt pathway and the enzyme systems of diaphorase I and diaphorase II are mechanisms that regulate levels of methemoglobin in the human body. Diaphorase I is the major regulatory system involved in keeping methemoglobin levels low, removing 95-99% of the methemoglobin that is produced in the body under normal circumstances. Diaphorase I relies of cytochrome b5 reductase to transfer electrons from NADH to methemoglobin while diaphorase II relies on G6PD to reduce methemoglobin to hemoglobin (Medscape). Disruption to methemoglobin regulation can be a serious medical issue. In some deficiencies, cytochrome B6 is absent in red blood cells or in all cells of the body. In other deficiencies, abnormal hemoglobin is present which allows for the oxidation of iron into the ferric state. Both of these deficiencies cause a decreased ability for oxygen to be released to tissues and can result in hypoxia due to a decreased...
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...Facility Planning-Floor Plan: Part 1 HCS446 June 6, 2016 Diane Moon Facility Planning-Floor Plan: Part 1 In designing the Kelly Family health Center (Appendix Fig 1) through the use of the Medscape application was both fun and eye opening. The level of detail and thought that one must consider when designing a facility came full circle. As the designer I was force to consider details such as layout of furniture, equipment to be used, storage spaces, layout patient care area, nurses’ station and administration space. The rules and regulation from federal, state and local agencies were also factored during the design process. Steps to Complete Floor Plan. All Facility design and construction projects must comply with all applicable state building code requirements and all applicable local, state, and federal agency regulations. Health care Facility Regulation (HFR), a division of the Department of Community Health (DCH), is responsible for health care planning, licensing, certification and oversight of various health care facilities and services in my home state of Georgia. Most government agencies expect health facilities to conform to the mandatory standard. According to The National Institute of Standards and Technology (NIST) “A mandatory standard is generally published as part of a code, rule or regulation by a regulatory government body and imposes an obligation on specified parties to conform to it” (The National Institute of Standards and Technology...
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...is various forms of treatment. According to Medscape, “for many years, surgical correction of deformities, physiotherapy, and the use of orthotic support and devices to assist mobility (eg, wheelchairs) were the primary means of treatment” (MedScape). With the help of technology and further research, the treatment options have grown and OI can be treated with a long list of drugs depending of the case. The most common drug used for treatment is called Bisphosphonate. This drug helps strengthen the bone density, reduce any type of bone pain from fractures, and provide cortical thickening. Other forms of treatment mentioned earlier include surgery. As far as severe cases go, one form of treatment include metal rod installation to replace the brittle bone. Due to the bone being soft, pins and wires are instead of plates or screws to reduce fractures. Medscape also states that “rodding of lower extremities is performed to correct deformities and provide preventive protection around the time of first attempts at standing” (MedScape). The most common bone that is replaced is the femur, and less commonly the tibia. Another form of treatment that is important for pediatric patients with OI include diet intake and physical activities. It is very important to properly nourish the infant/child and avoid any overweight bearing for the bones. The infant must also be sure to take in vitamins such as “calcium, phosphorus, and vitamin D” (Medscape) to help bone formation. Infants should be...
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...Nurses Journal Scan, September 2007 Laurie Scudder, MS, NP; Marilyn W. Edmunds, PhD, NP Authors and Disclosures Posted: 11/13/2007; Medscape Nurses © 2007 Medscape Print This The Journal for Nurse Practitioners The Joint Commission Journal on Quality and Patient Safety Policy, Politics and Nursing Practice Disaster Management & Response The Journal of the American Academy of Nurse Practitioners Information from Industry We can help you achieve your nursing educational goals For more than 27 years, University of Phoenix® College of Nursing has been educating nurses. Learn how you can become a nurse leader in your community The Journal for Nurse Practitioners Journal Scan is the clinician's guide to the latest clinical and research findings in Journal for Nurse Practitioners, The Nurse Practitioner: The American Journal of Primary Care, The Journal of the American Academy of Nurse Practitioners, Journal of Pediatric Primary Care, and selected other scholarly journals having articles of value to advanced practice nurses and other clinicians. Links to article abstracts are provided when they are available. Links to related articles on Medscape are available for readers seeking information that is more detailed. Plan B: Dual Label -- The Nurse Practitioners Role in Education and Provision Wadsworth P J Nurs Pract. 2007;3:470-474 Despite the growing availability of birth control throughout the last 50 years, unintentional pregnancy still occurs for...
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...National Society of Professional Engineers, in 2004 there were approximately 192,900 female engineers (62,000 were software engineers) throughout the United States, compared to the overwhelming number of men in this profession, at over 1,515,000. Women are more likely to get hired in the environmental, and chemical engineering fields than men are. However, women are less likely to get hired in the mechanical engineering, and electrical engineering professions than men. In 2006 females made up approximately one quarter of all engineers under the age of 25 in the United Stated. After researching the field of Anesthesiology I found that men are dominating this profession. According to a powerpoint presentation that I read from the Medscape Today News website (MSN), men make larger amounts of money, part of this is due to women willing to accept less pay and in exchange receive more reasonable, and family-friendly hours. The average yearly male earnings are 350-400,000 thousand dollars, compared to the female earnings that are...
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...ORGANIZATIONAL SYSTEMS & QUALITY LEADERSHIP Nursing Sensitive Indicators Nursing sensitive indicators are define as those indicators that capture nursing care or its outcomes most affected by nursing care (Medscape). These indicators have been defined due to the necessity for data to show proven links between nursing interventions performed, nurse staffing levels and patient outcomes. These nursing sensitive indicators help to identify the structures of care and care processes to which both influence and have major impacts on patient outcomes (Nursing). Nursing sensitive indicators are specific to the nursing process. Some examples are Patient satisfaction, Nurse Satisfaction, and quality of care (Medscape). The structure of nursing care can be reflected by the nurse/patient ratio and staffing needs and also by the education of that nursing staff. Process indicators are those such as nursing assessment, those interventions set into play as well as how satisfied an RN is with his/her job. Nursing sensitive patient outcomes are those that improve because of a higher quality of nursing care (Nursing). There are many ways in which an understanding of nursing sensitive indicators could assist the nurses in this scenario. Firstly, I believe education to be the main issue. Everyone who provides patient care must be aware of all nursing sensitive indicators and what impact it can have on patient outcomes. If the CNA was aware of the risk of pressure ulcers with the use of restraints...
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...Where Are Nurses In the Nursing Homes and Assisted Living Facilities? Assisted living facilities, one of the fastest growing housing options for older adults, represents a potentially new employment option for RN’s. When most people think of nursing homes, they think about nurses being responsible for the patients. However, most nursing homes and assisted living facilities in the United States do not have any RN’s employed. Most assisted living facilities have LPN’s, medical technicians, and certified nursing assistants. Why are there no nurses in nursing homes/ assisted living facilities? “Slightly fewer than 1 million people age 65 or older live in an estimated 33,000 assisted living facilities, private or shared units.”(Kovner) All assisted living facilities provide congregated meals, laundry and housekeeping services, and some social activities; all assisted living facilities provide health monitoring and assistance with activities of daily living (ADL’s). “Approximately 60% of residents need assistance with one to three ADLs; 75% need assistance with medications.”(Kovner) “Current estimates suggest that 50% of residents in assisted living have Alzheimer’s or Dementia, and the number is expected to grow.”(Kovner) Many assisted living facilities have a special locked down unit for residents with Alzheimer’s or Dementia. On average a nursing assistant will have 14-30 residents to tend to. This means making sure everyone is checked on every hour, changed, and making sure...
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...Annually, millions of Americans receive high-quality health care that restores their health to the best it can be and allows them to carry on functioning in society at their optimum best. Unfortunately this story does not resonate with some Americans who are far from happy about the level of care they received while sick. Quality problems are present in wide variation across board when talking delivery of health care services, in some instance, the issue could be with underutilization of a particular service, and other instances may include misuse of service which is generally preceded at onset by prior unacceptable level of errors. The purpose of this paper is to highlight medication errors as a health care safety issue. One solution involving automation would be explored since it has long been recognized as an important factor in reducing human errors in work processes. It is crucial to showcase this because numerous studies have substantiated the positive effects of health IT on quality and safety improvements, Slovenky & Menachemi (2011). A safety Initiative With new tools provided by the Affordable Care Act, hospitals can now aggressively implement programs with sole aim of assisting in the reduction of preventable errors. The act provides hospitals with incentives to improve the quality of health care, and provide real assistance to medical professionals, to support their efforts to reduce harm, McKinney & Zigmond (2011). The government predicted that this could save...
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