Category Archives: Hospitals & Clinics

7

Bourn Hall Clinics Guide to Intracytoplasmic Sperm Injection ICSI

The first pregnancies from a technique called Intracytoplasmic Sperm Injection (ICSI) were announced in 1992 in a paper by Palermo et al, published in the Lancet. Since then, ICSI has become a mainstream treatment option for male factor infertility.

In essence, the ICSI procedure involves the injection of an immobilised sperm directly into the central part (cytoplasm) of a mature egg. ICSI is performed in addition to an in vitro fertilisation (IVF) procedure, in which several eggs are recruited and extracted from the ovaries. The eggs have the protective cumulus and corona cells removed so that their maturity can be assessed, typically 75-80% of all eggs collected will be suitable for injection.

The ICSI procedure is carried out under high magnification (x200-400) using a special inverted microscope and micromanipulators, which convert the hand movements made by the operator into precise and minute adjustments of the sterile microtools used on the approximate 120 micron diameter egg and the approximate 4 micron sperm.

A holding pipette stabilizes the egg by gentle suction, while from the opposite side a thin (7 micron diameter), hollow glass needle is used for the actual injection. A dish is prepared containing a drop of carefully prepared sperm, and further individual drops for each egg. A single sperm is immobilised by breaking its tail with the point of the needle. After moving into the egg drop the injection pipette is used to pierce the outer shell (zona pelucida) and inner membrane (oolemma) of the egg so that the tip of the pipette sits in the inner part of the oocyte (cytoplasm). The sperm is then gently released into the oocyte and the needle slowly withdrawn. After the procedure, the injected eggs are placed back into the incubator and checked the following day for signs of fertilisation.

Although ICSI is an invasive procedure, only 10-15 % of injected eggs do not survive, however 60 – 80% of injected eggs will be fertilised normally.

ICSI is now carried out in approximately 60% of all IVF procedures worldwide and has been shown to be effective for the treatment of male factor infertility, including low sperm count (oligospermia), poor sperm motility (asthenospermia), poor sperm morphology (teratozoospermia), the presence of anti-sperm antibodies and sperm retrieved directly from the testes using surgical techniques. ICSI may also be used for patients who have had a previous failed or low fertilisation using conventional IVF.

The pregnancy rates following ICSI are as good, if not better, than those achieved using conventional IVF.

TO WATCH AN ICSI PROCEDURE AT BOURN HALL CLINIC, LOG ONTO WWW.WALLACE-ICSI.COM

13

Shifting Hospital Buying Criteria Are Transforming Medical Device Sales Strategies

Working as an executive coach and strategy consultant within the healthcare marketplace provides a unique perspective. Over the past couple of years Ive found myself engaged in projects with global, multi-billion dollar medical device corporations, leading teaching hospitals, information technology leaders, investor-driven start-ups, and regional hospital systems. It has delivered an interesting vantage point to witness the foreshadowing healthcare reform has donned across the landscape. While many of the changes are still yet to come, the impetus of change is already rippling through the sector.

Having the opportunity to see things unfold from both sides of the medical device/hospital, producer/consumer relationship does not go unappreciated. It is a privileged overlook that reveals not only the drivers behind a rapidly changing marketplace, but the initiatives both sides of this symbiotic relationship are scrambling to implement.

Two major shifts are occurring, one leading inevitably to the other. First, hospitals are moving towards evidence-based care. I know this may sound a bit odd and disconcerting to the lay person (i.e. patient) who looks towards medicine and the practice of it as science. Is not science always evidence-based? Well yes, of course it is, in the laboratory or clinical trial. But clinical medicine is delivered through a practice. While we all trust that surgeons and physicians are guided and steeped in the science of medicine, we must also appreciate that once theyre in practice medicine continues to evolve scientifically and technologically.

Medical science does not stand still. The nearly $30 billion in annual, research tax dollars invested by the National Institutes of Health is pushing the envelope forward at an ever-accelerating pace. And this figure doesnt include the private research and development dollars of biopharmaceutical and medical device companies. In fact, it has recently been projected that humankinds scientific knowledge is doubling every five years. How many peer-reviewed, clinical studies can we expect even the finest surgeons and medical practitioners to read every year? Surgeons and physicians do the best they can to keep pace with the state of the science, but traditionally, they practice medicine within a relatively small community of peers, institutions, and colleagues. The practice of clinical medicine, unlike many other technologically-driven industries, has been fragmented. All of the critical-to-quality variables that have been captured, analyzed, and applied in aeronautics, electronics, software, automotive engineering, pharmaceutical manufacturing, even the frying of the perfect fast-food french fry have been unattainable in clinical medicine. Until now.

The federal requirements for automating patient records is unleashing a new age in medicine. And patient records are just the beginning. The application of informatics, the ability to capture large, statistically significant pools of clinical data regarding demographics, genetics, presenting conditions, treatments, surgical procedures, peri-operative care, and patient outcomes is driving a seismic shift in how medicine will be practiced in the future. It is probably the last frontier, the last industry to benefit from transposing raw data into cogent information that will dramatically effect quality, costs, and the standardization of processes to optimize both of these factors simultaneously.

17

Family Hospitals In Florence, Italy

Family Hospitals. If a family member needs medical attention while the family is vacationing in Europe, you are better off if you happen to be in Florence, Italy. Italy has one of the best family hospitals in Europe. Almost every hospital has doctors for the newborn, infants, toddlers, older children and teenagers, adults and the elderly.

Florence hospitals have specialists for heart diseases, women’s diseases, injuries, and yes, beauty specialists. There is a doctor for each member of the family so there’s no need to fret when a family member needs a doctor. Take note that Florence is one of the oldest cities in the world – and the best medical universities are here.

Before your travel, it is best to assess and anticipate the medical needs of all family members. Your family doctor can make arrangements with a doctor or doctors in Florence, Italy. Also check your medical insurance.

If you have a universal medical insurance, you have the option to choose your doctor and hospital and there wouldn’t be any problem getting into hospitals when you show the insurance documents.

You can also visit your Embassy to make inquiries about reliable medical service for serious ailments. The Embassy can always recommend doctors who speak English if you are particular about this. Or you can ring the heath authorities of Florence for more particulars – whether you are a tourist, an expat, or working in Florence.

When traveling with the family, get advance information about hospitals in Florence. Discover which hospitals have the medical specializations you need, and which hospitals accept hospital emergency cards and universal health insurance. The information can ease your mind about the medical well-being of your family.

Where to Stay. Florence is a beautiful city and the tourist attractions continue to amaze and entertain locals and visitors. Tourists generally flock to hotels but those who have experienced the convenience and comfort of well-appointed holiday apartments prefer these apartments over hotels for one good reason – affordability. With the entire family in tow, a holiday apartment is a logical choice.

Whether you are on vacation or seeking medical attention in Florence, staying in holiday apartments during your treatment or recuperation, makes sense. The cost is lower comparable to hotels and you can choose apartments next door to family hospitals or book a holiday apartment online in quieter neighborhoods. These apartments may or may not have private swimming pools or rooms with fantastic views. It’s a matter of choice.

17

Hospital Mistakes, the Root Causes and the Cures

It has been nine years since the first news of the Institute of Medicine reporting that 100,000 people were being killed unnecessarily in hospitals each year. Moreover, it has been almost three years since Healthgrades, a private hospital rating service, reported that the annual death toll was 195,000. There was a flurry of rhetoric coming from hospital public relations people about patient safety programs, yet the statistics kept getting worse. What’s more, during the last three years,

Florida and several other states passed laws cutting lawyers’ contingency fees by more than half on all medical malpractice cases. The same states passed laws requiring full disclosure of medical mistakes. No one thought to require full disclosure of dangerous conditions that increases the risk of falling victim to negligence, like a shortage of nursing staff, or equipment in disrepair. Thus, in the final analysis, hospitalization keeps getting more and more risky and victims have more difficulty in finding a lawyer.The most astounding aspect of hospital mistakes is the commonality of them. We continue to see the same mishaps in different hospitals all over the world. Thus we must conclude that there is a major flaw in hospital design whereby that there are conditions that lend themselves to acts of negligence. The key word is “avoidable”. The hospital executives like to use the term “unfortunate but unavoidable” because it absolves the institution of liability. Therefore, in this series we shall examine the most common hospital errors and their root causes.

The Universal Hospital/Medical Errors Errors of Commission: Overt acts that deviate from accepted standards such as:

1. Invasive blunders 2. Traumatic transfers 3. Misapplication of forceps 4. Administering harmful medication or treatment 5. Withholding medication or treatment 6. Physical abuse

Errors of Omission: Failure to provide services resulting in an adverse event:

1. Failure to take a proper history 2. Failure to report changes in clinical condition 3. Failure to maintain safety protocols 4. Failure to provide and maintain pressure ulcer prevention 5. Failure to wash hands between patients 6. Failure to make risk assessments

Risks and Root Causes Risk Factors Predisposing to Medical/Hospital Errors

1. New Technology 2. Staffing Shortage 3. Teaching Hospital 4. High Patient Acuity 5. Patients with Mental Status Deterioration 6. Staff Members in ill health 7. Medical specialization “It’s not my job” 8. Poor listening skills 9. Arrogance

Root Causes

1. Poor Communication 2. Emergency Room Overcrowded with Long Waiting Times 3. Non-Disclosure of Risks to Patients and Family 4. Chronic Cash Flow Deficit 5. Operating Rooms Closed at Night 6. Ineffective Nurse Recruitment 7. Poor Labor Relations 8. Equipment and Building in Disrepair

4

Come across an Acupuncture Clinic in North Sydney

Acupuncture pre dates recorded historical past and is particularly an historic type of therapeutic and philosophy that is certainly rooted within the custom of the Taoist that dates back again lots of decades. Practitioners of this time frame would notice the energy stream with no and inside the overall body and noticed the human beings partnership with nature and the entire universe. Quite possibly the most famous sage of that point was Fu Hsi, who observed character in depth and went on to formulating the extremely first two symbols of which ended up the broken and unbroken line. These strains represented the universes two key forces, reception and generation (Ying and Yang) plus the interaction that types life, which was the essence on the application and theory of Chinese medicine. When the reception and generation fuses, this makes a 3rd component when this inventive motion occurs.

This fusion triggered the eight trigrams after which went onto sixty four hexagrams generating the I-Ching, to put it differently the ebook of improve. The I-Ching improved the way of thinking and to today this basic philosophy has played an influential component on Chinese Drugs. China is divided up into two time zones, the Previous Stone Age and also the new Stone Age. Knives have been manufactured from stone during the Old Stone Age which were being employed for medical procedures; even so, these stones then went on to starting to be wonderful needles in the new Stone Age which were being utilized as healing instruments. Dating back into the new age period, archaeologists excavated many bian stone needles from ruins which were used to address sickness. The bian stones had been replaced with 5 silver and four gold needles during the Warren Point out Era. China has taken the guide in acupuncture study, in spite of turning out to be modernized. Acupuncture Clinic North Sydney Eastwood features clients the relationship and expertise of the historical philosophy and clinical results of this historical subtle healing artwork. Solutions including acupuncture tend to be disregarded through the health care fraternity, as this observe can be an efficient alternate to medications. Scientific tests have proved that acupuncture will help persistent ache and is particularly utilized correctly to the therapy of serious illnesses and arthritis. Long-term back again soreness may be relived properly employing acupuncture remedy, which can be one particular of the primary main reasons why men and women take a look at clinics in Sydney. y.

6

Tips for Finding the Best Animal Hospital Willoughby

As pests are considered as a member of the family, it is very important to provide them the best care and treatments.

When planning to treat the pets, it is very important to look for a veterinarian who will be able to provide highest quality care and treatments. When it comes to picking up the right animal hospital Willoughby, one will come across numerous options. Therefore, it is very important to pick up the right clinic that can deliver exceptional care for the pets. A good and reliable veterinarian will also will not only provide good care for the pets, but also helps them to maintain a healthy lifestyle and stay safe. Apart from these, there are also some of the major factors that one should keep in mind to find the right veterinary clinic. Firstly, it is very important to ensure that the veterinarian is experienced and trained in the field. It is also necessary to perform a thorough research on the clinic and ensure they offer high quality care and treatments.

Additional Factors to Consider:

Apart from the experience and reputation of the clinic, there are also other additional aspects that one should keep in mind when looking for a veterinary clinic. For instance, a good and reliable clinic should also offer emergency services. This will help one to obtain the right treatment and care during an emergency situation. Moreover, it is also important to make sure that the veterinarian and staffs are experienced. This will ensure that the clinic will be able to understand the exact needs of the pets and provide them with the best care. As one will be able to find numerous options when looking for a vet clinic, choosing the right one should be done with proper care. One can visit different clinics and choose the best.

Internet to Find the Best Animal Hospital:

Looking on the web is considered as one of the best ways to find the right animal hospital Willoughby . This will not only save the time of the individual, but also help him or her to choose the best clinic from different options. As there are many websites on the net that offer comprehensive information on different clinics, one will be able to easily choose the right one that fits the needs and demands. Apart from the experience and ranking, it is also important to choose a clinic that offer compassionate services and care for the pets. This will help one to look for the right vet clinic that can offer exceptional treatment and care.

Author Bio:

Ethan Hunt writes informative and unique articles about pet vet willoughby . You’re probably thinking, everyone says that, so, what’s different here. It’s the commitment of quality, genuineness, and a guarantee that values your time and interest.

2

Main Points you should know about health care facilities and hospitals

Every country boasts of many hospitals that provide quality health care treatment to its patients. But you can’t rate every hospital as good as there are also many health care centers who have stated their shop just for monetary benefits. So before utilizing the services of any hospital one should go through following given points:- 1.Hospital Mortality Index: – It is an administrative tool to determine the performance of the hospital. This is done by evaluating the ability of the concerned hospital to keep their patients alive. Hospital mortality index is also used by insurance agencies to make decision about which hospital to include in their network. As no body wants to loose their money, that’s why these insurance companies generally provide their services in some of the best hospitals and health care centers. 2.A positive reputation among doctors: – Most of the doctors know about the reality behind any big named hospital. And they would never put at stake their respect at stake while suggesting anybody to go for a particular hospital. So it’s always better to consult any good doctor before making the final decision. 3.Infrastructure of the Hospital: – Check that the hospital is equipped with all the necessary facilities. Look around at whole hospital and check if all their facilities are in running condition or not. 4.Resident doctors: – It’s a fact that most of the hospitals utilize the services of senior visiting doctors. But these hospitals will also have resident doctors who work under some senior doctors and will take care of you in absence of these senior visiting doctors. So at the time of emergency these resident doctors are the immediate source of help which you will receive. So it becomes very important that you make yourself confident by going through their qualifications details. 5.Availability of advanced medical equipments: – Medical equipments come at a huge price cost. So no ordinary health care center can afford them if they don’t have the required knowledge, skill and expertise to use them. That’s why it’s advisable to check this factor by visiting the operation theatre and other important areas of the hospital. 6.Hospital’s experience in certain specialties: – Every hospital doesn’t specialize in all kind of human disease and issues. So consult with any concerned specialist before making your move. 7.The quality and ratio of nursing staff: – Check that the number of staff working in any particular hospital are adequate enough or not. Also enquire about their credentials and experience because they are the only one who will be taking care of you in the hospital. Before making the final choice, it’s better to go to the concerned hospital and self asses the hospital on these parameters. You can even consult your friends to get enough information about the hospitals.

16

The History of Hospital Food

Food within hospitals has for centuries played an important part in healing and recovery. Today, catering systems can be highly advanced mobile units which allow staff to prepare and feed patients right by their beds although this was not always the case.

In fact, however dubious the medical practices, in medieval Europe the value of hospital food was well understood by practitioners. Hospitals at this time were rarely operated by secular members of society and instead were the mainstay of the church, with many doctors doubling as clerics and many of the support staff being monks. It was these monks that usually prepared meals for patients.

In other parts of the world hospital food also played an important role, in some Islamic countries chroniclers speak of food which would have been suitable for nobles and kings. Many historians have argued that the high quality of care in the secular hospitals that were built in urban areas were a considerable achievement with medieval Islamic society.

Within Europe in later centuries the function of hospitals and those offering the care also changed. This was particularly the case in the eighteenth and nineteenth century where the monastery hospitals began to be replaced by more professional hospitals run by the military. Once again hospital food remained and important element within the recovery process although most hospital diets consisted of bread, beef and beer, although the serving of alcohol did diminish in the latter stages of this period.

Throughout the nineteenth and twentieth centuries a greater understanding of the role that food played in healing was gained. Termed nutritional science hospitals now comprehended that there was a direct correlation between the food given to a patient and healing times and meals had to be carefully planned to ensure patients received all of the nutrients they needed.

Today hospital food is as important as ever although tight budgetary restraints and pressures on staff mean that hospitals are now looking for evermore advanced and efficient methods of food preparation which do not sacrifice taste, presentation or nutritional value.

3

Hospitalists Are The Doctors Who Look After The Hospitals!

The medical field has always been a demanding one. A large number of people are regularly getting in touch with the clinics with regards to solving their health issues. This demand has made the field a necessity. There are several reforms taking place in this aspect, every now and then. Newer facilities are being launched with better changes. The medicine field is controlled by doctors, physicians and nurses, but since the last ten years there are novel faces emerging called the hospitalists. The job of a physician is to prescribe appropriate medicines to the diseased patients along with their regular practices. But there are individuals, who, due to their over loaded duties prefer to turn to hiring medical students for the hospitalist jobs. A hospitalist is a person who is selected by the physicians to assist them take charge of the patients in their absence. They are definitely more aware of the happenings at the hospitals and are probably more aware of the systems than the doctors that come on restricted rounds. They are after all, required to give the detailed report of the concerned patients to the doctors who are in-charge.

The hospitalist jobs are everything related to a doctor’s jobs sans the personal medical practice. They play an important role in the internal medicine jobs which are offered in an array of hospitals around the world where medical care has utmost importance. A hospitalist can also be an intensivist, or a pulmonologist. With the ever-improving specialties in the hospital arena, the need of the internal medicine jobs have become a must. They are well paid and respectful as well. All the internists who want to continue their career as the medico care taker and do not wish to practice further can pursue the hospitalist jobs. Their time of jobs differs from hospital to hospital. Some provide proficiency in choosing shifts while some make 24hour service mandatory. It is not a matter of concern, you are paid a handsome packet, on the contrary, so what is bad? This is the best career to go for, for the girls as well as they will have a responsibility of -home’ coming up in the future, so as to spend time with the family as well as having the hospitalist job. Being there in the hospital itself, completes your assignment for the day, you need not carry any work-pressures home.

So, once you are fortunate to get this job, you can make continue climbing the ladder of success, just be determined and confident.

For more information, please visit :

4

Areas For Fitness Training Recommended By The Mayo Clinic

A report has been released by the Mayo Clinic that identifies five (5) areas that need to be targeted for a balanced fitness program. The areas identified in the report include 1) aerobic fitness, 2) muscular fitness, 3) stretching, 4) core stability and 5) balance training. Each item will be discussed below.

1. Aerobic Fitness:
Aerobic fitness is often called cardiovascular fitness. Aerobic fitness is essential to weight loss and total fitness because it helps the lungs, heart and blood vessels move oxygen through the system more efficiently.

Aerobic or cardiovasculr exercise should be done at least two and one half (2-1/2) hours each week for a moderate aerobic activity or at least seventy five (75) minutes for vigorous exercise. Aerobic exercises should be spread throughout the week.

2. Muscular Fitness:
Muscular fitness exercise should be done at least two to three times during the week. Muscular exercises help with muscular fitness along with increasing bone strength. Muscular strength is necessary as we grow older.

Equipment is not necessary to maintain muscular fitness if you have a fitness program that includes body strengthening exercises like push-ups, chin ups and squats along with others.

3. Stretching:
Stretching is sometimes forgotten but it is critical for a well rounded program. All fitness coaches recommend that stretching be included in their fitness programs. All exercises make the muscles contract and flex so stretching of the muscles also needs to be included for a well rounded workout.

Stretching is especially important for the later years to keep the body flexible to avoid a lot of the injuries that accompany old age.

4. Core Stability:
Core muscles are those in the body and include the abdomen muscles, lower back and the pelvis area. They should be included in fitness programs because they are needed for upper and lower body movements.

5. Balance Training:
Balance is often forgotten in physical fitness programs but it needs to be included in a well rounded program. Balance is essential to everyday life functions and it tends to deteriorate with age so it imperative that a good program be maintained.

Developing a good balance training regimen will add quality to life.

Mayo Clinic has identified these five (5) areas as being essential to a complete fitness program so it is important that all the items be included in the fitness program. Incorporate all five (5) elements into everyday life and it will go a long way to insure better health.