By L. Asaru. Christendom College.

The discursive paper will cover unusual clinical scenarios discount 0.25mg lanoxin overnight delivery heart attack lyrics demi, difficult patient consultations and aspects of good and bad communication buy lanoxin 0.25mg blood pressure young, possibly involving video clips. Online assessment through discussion boards and group work (wikis) will constitute the other 10% of the overall course grade and is taken to represent an assessment of learning throughout the programme. Online assessment through discussion boards and group work (wikis) will constitute the other 30% of the overall course grade and is taken to represent a formative assessment of learning throughout the programme (more details in programme proposal document). This is a written assignment critically reviewing a specific current global health problem. Online assessment in the form of discussion boards/ tutorials and group work and participation will constitute the other 50% of the overall course grade. This is taken to represent a formative assessment of learning throughout the programme. The written assignment should review aspects of palliative care management and should be considered in a specific clinical scenario. Summative works will be approximately 3,000 words in total and will be approved by the Health Informatics Programme Committee, on the recommendation of the Course Convener. This will be a reflective piece of around 2,000-2,500 words entitled, for example: "Take a learning outcome from your own clinical area and discuss how you would teach, assess and evaluate it; explaining and justifying the reason for your choices". This will be a written case assignment based on a particular patient- focused ethical situation and submitted online. Discussion boards and tutorial contributions will constitute the other 30% of the overall course grade which is also taken to represent a formative assessment of learning throughout the programme. Online assessment through participation in discussion boards, group work (wikis) and interactive materials will constitute the other 10% of the overall course grade and is taken to represent a formative assessment of learning throughout the programme. Within each specialty module students will be assessed by means of:  Critical appraisal of recent journal articles (50%) through a combination of online journal clubs and written online journal article appraisal forms. Students will be encouraged to produce either a short PowerPoint presentation, podcast or audio lecture that can be put online for peer and tutor assessment. This piece should be written in a style appropriate for a general medical (non-specialist) audience. The formatting should be suitable for formal publication and should contain an appropriate review of the literature. Tutors and fellow students will grade presentations with marks allocated in a 60% (tutor) to 40% (student) ratio. Writing skills, awareness of issues relating to plagiarism and referencing will be introduced. Students will be expected to actively use these tools throughout the course to create pieces of solo and group work, for example making presentations, reviewing journal articles and writing short review articles. The tools and resources available to perform thorough and accurate literature researching both within the University library services and on the internet will be introduced. How to conduct literature appraisal and the concept of evidence- based medicine will also be discussed. Students will receive some initial information on statistics that will be developed in later modules. The University’s librarians and a team for transferable skills will be working to tailor this module to students’ needs.

Ismail Determination of entrance and exit doses in vivo in radiotherapy photon beams — A simple approach A generic lanoxin 0.25mg with amex heart attack cover by sam tsui and chrissy costanza of atc. Malicki Dose from secondary radiation outside the treatment fields at different treatment distances with the use of multi-leaf collimators 0.25mg lanoxin fast delivery blood pressure normal low high, physical and enhanced dynamic wedges R. Melchor Operational health physics during the commissioning phase of the West German Proton Therapy Centre Essen B. Niemeyer Comparison of the energy dependence of two homemade ionization chambers in relation to a standard ionization chamber in low-energy kilovoltage X ray beams, therapy level F. Nyakodzwe Radioprotection of workers with head and neck cancer during radiotherapy L. Pylypenko Doses to critical organs following radiotherapy treatment of lung, larynx and pelvis M. Rahman Radioprotection of paediatric patients in the Department of Radiotherapy of Prof. Ribeiro da Rosa Implementation of safety culture in radiotherapy centers in Brazil L. Teixeira The Australian Clinical Dosimetry Service: A national audit in the Australian context I. Alnaaimi Pearls and pitfalls of the nuclear medicine radioprotection programme in Argentina M. Gil Stamati Dosimetric evaluation of extravasated activity in nuclear medicine scans J. Namías Radiation protection in diagnostic nuclear medicine in Argentina — Current status and recommendations for the future M. Namías Radiation doses to staff in the Nuclear Medicine Department (Szczecin, Poland) in years 2008-2011 H. Piwowarska-Bilska A 10-year retrospective study of radiation exposure of the staff at nuclear medicine department J. Ptáček Evaluation of effective doses for occupational staff and patients in examinations with Mo99-Tc-99m in nuclear medicine in Albania L. Qafmolla Optimization of cardiologic protocols in nuclear medicine examinations S. Desai Thermoluminescent in vivo dosimetry for patient protection in intraoperative radiotherapy — Applications in breast cancer treatment D. Menezes Radiobiological evaluation of Bi-213 and Tb-149 radioisotopes for targeted alpha therapy by computational methods S. Natouh Safety in brachytherapy: Source position indicator as a quality assurance tool in stepping source technology E. Oyekunle Prostate cancer and radiation protection — A future health and radiation protection issue in developing countries A. Pellizzon Monte Carlo treatment planning in nuclear medicine: Application in Y-90 microspheres therapy of liver cancer A. Petitguillaume A general view of radioisotope therapy and associated safety management D. Sarti Patient’s safety in the application of high dose rate superficial brachytherapy on the skin tumor and keloids — A retrospective study S. Soetopo Estimation of radiation dose to the caregivers/relatives of patients during the treatment of cancer thyroid and thyrotoxic patients in India P. Tandon The environmental dose measurement of high dose I-131 treated thyroid cancer patients during hospitalization period N.

The Image Wisely campaign is modelled purchase 0.25 mg lanoxin fast delivery hypertension uptodate, in part purchase lanoxin 0.25 mg without prescription pulse pressure over 80, on the Image Gently campaign and is focused on appropriate and safe use of medical imaging for adult patients [6]. This initiative is a cooperative effort of the American College of Radiology, American Association of Physicists in Medicine, American Society of Radiologic Technologists, and the Radiological Society of North America. The Choosing Wisely programme is an effort by the American Board of Internal Medicine Foundation to encourage physicians to be better stewards of finite health care resources, including the use of imaging procedures [7]. Instilling a culture of safety in an organization encompasses several processes and steps, many of which are outlined in this paper. Foremost, it requires leadership from the top of the organization, and recognition by all employees that safety is everyone’s responsibility. The radiation dose to the population of the United States of America from medical radiation is now almost equal to that of background radiation, and increased more than seven times in the 25 years from the early 1980s to 2006. There has been an inexorable rise in the range and numbers of minimally invasive interventional techniques being performed using fluoroscopy, and these techniques have offered enormous benefits to many patients who otherwise may not be candidates for more invasive surgery. The range of radionuclides that can be used in medicine has also increased and the types of specific radiotherapy have become more complex. Despite these huge benefits, health professionals have to accept that some procedures deliver high radiation doses to patients. Radiation injuries, in interventional radiology and cardiology, and accidental exposures in radiotherapy are fortunately not common compared to the number of procedures or treatments performed, but were increasingly reported in the 1990s and 2000s. It is now 11 years since the International Conference on the Radiological Protection of Patients in Diagnostic and Interventional Radiology, Nuclear Medicine and Radiotherapy was held in March 2001, in Malaga, Spain. This landmark conference is now often referred to simply as the ‘Malaga conference’ among radiological protection professionals, which is a reflection of the significance of the event. These included optimization with an emphasis on reducing doses and risks without compromising image quality or treatment effectiveness, recognition of high dose procedures, monitoring doses from multiple examinations, and the development of adequate infrastructures to support the safe use of ionizing radiation in medicine. The subsequent Action Plan addressed issues of education and training of health professionals; appropriate exchange of information, with wider dissemination of that related to protection of patients; and the provision of practice specific guidance documents in collaboration with professional bodies and international organizations. Many national and international organizations have worked on initiatives to improve patient safety. Guidance on the use of appropriate imaging investigations for a wide range of clinical problems have been produced to aid clinicians and to reduce the unnecessary irradiation of patients. A learning, no blame culture has been encouraged by the establishment of databases, e. Two campaigns in the United States of America have been established to raise awareness of radiation and to lower doses where possible. The Image 2 Gently campaign is an initiative of the Alliance for Radiation Safety in Pediatric Imaging aimed at lowering radiation dose in the imaging of children. Several subsequent publications have focused on providing guidance on specific topics, for example, Preventing Accidental Exposures from New External Beam Radiation Therapy Technologies [7], while others have been more general, for example, Radiological Protection in Medicine [8]. This training now needs to extend beyond those traditionally working in radiology departments as the number of non-radiological specialists using ionizing radiation is increasing, and this was addressed in Radiological Protection in Fluoroscopically Guided Procedures Performed outside the Imaging Department [10]. Working parties are reviewing areas of justification and reference levels for both diagnostic and interventional imaging. Technological developments in medicine continue at a great pace and it is a challenge to produce timely recommendations that deal with the associated radiological protection issues. In addition, there is an ongoing need to raise the awareness of radiological protection among the many health professionals who either use or request procedures involving ionizing radiation, often with little or no knowledge.