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Exam Details for General Practitioner (GP) Doctor:
Number of Questions: The number of questions in the exam may vary depending on the country and regulatory body conducting the exam.
Time Limit: The time allocated for the exam varies depending on the format and structure of the exam. It may range from a few hours to multiple days, including practical assessments and written components.
Passing Score: The passing score also varies depending on the country and regulatory body. It is typically determined by the level of proficiency required to practice as a General Practitioner.
Exam Format: The exam format may include a combination of written tests, practical assessments, and clinical evaluations. The specific format will be determined by the regulatory body responsible for the certification.
Course Outline:
The course outline for becoming a General Practitioner typically includes the following areas of study:
2. Clinical Medicine:
- Internal Medicine
- Pediatrics
- Obstetrics and Gynecology
- Surgery
- Emergency Medicine
3. Preventive Medicine and Public Health:
- Epidemiology
- Health Promotion and Disease Prevention
- Environmental Health
- Occupational Health
4. Diagnostic Skills:
- History taking and physical examination
- Medical imaging interpretation
- Laboratory test interpretation
5. Communication Skills and Professionalism:
- Patient communication and counseling
- Ethics and medical professionalism
- Cultural competency
Exam Objectives:
The objectives of the General Practitioner (GP) Doctor exam typically include assessing the candidate's:
1. Knowledge and understanding of core medical sciences.
2. Diagnostic and clinical skills in various medical specialties.
3. Ability to effectively communicate with patients and provide appropriate counseling.
4. Proficiency in preventive medicine and public health principles.
5. Knowledge of medical ethics and professionalism.
Exam Syllabus:
The exam syllabus covers a wide range of medical topics and may include, but is not limited to, the following:
1. Anatomy and Physiology
2. Pathophysiology
3. Internal Medicine
4. Pediatrics
5. Obstetrics and Gynecology
6. Surgery
7. Emergency Medicine
8. Preventive Medicine and Public Health
9. Pharmacology
10. Medical Ethics and Professionalism
Please note that the specific exam details, course outline, objectives, and syllabus may vary depending on the country and regulatory body governing medical practice. It is essential to consult the relevant medical authority or educational institution in your region for accurate and up-to-date information on the certification process and requirements for becoming a General Practitioner (GP) Doctor.
General Practitioner (GP) Doctor Medical Practitioner outline
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http://killexams.com/pass4sure/exam-detail/GP-Doctor Question: 191
A 6-year-old boy fell in the playground and has been holding his forearm complaining of pain. Exam: no sign
swelling.
However, there is minimal tenderness on exam.
What is the diagnosis?
A. Green stick fx of distal radius
B. Fracture neck of humerus
C. Fracture mid ulnar
D. Fracture mid radius Answer: A Question: 192
An 82-year-old man has woken up with incoherent speech and difficulty in finding the right words. Exam: good
comprehension.
Which anatomical site is most likely to be affected?
A. Pons
B. Wernickes area
C. Brocas area
D. Midbrain
E. Parietal cortex Answer: C
Explanation:
A person with expressive aphasia will exhibit halting and effortful speech. Speech m important content words. Word
comprehension is preserved. The person may still be understood, but sentence grammatical. This contrasts with
receptive or Wernickes aphasia, which is distinguished by a patients inability comprehend language or speak with
appropriately meaningful words though fluency, may be preserved. Question: 193
A 14-year-old girl presents with primary amenorrhea and a short stature.
What is the most likely diagnosis?
A. Downs syndrome
B. Fragile X syndrome
C. Turners syndrome
D. Klinefelters syndrome
E. Normal finding Answer: C
Explanation:
Downs syndrome and Fragile x syndrome dont have primary amenorrhea. Klinefelters patients are tall males. So the
likely diagnosis is Turners syndrome. Question: 194
A 37-year-old woman presents with heavy bleeding. Investigation shows subserosal fibroid-4cm and intramu.
Which is the most appropriate treatment?
A. Abdominal Hysterectomy
B. Vaginal Hysterectomy
C. Abdominal Myomectomy
D. Hysteroscopic Myomectomy Answer: C
Explanation:
As patient is young we should go for myomectomy. As hysteroscopic myo mainly sub mucosal fibroids we should go
for abdominal myomectomy which will deal with both subserosal a fibroids. Question: 195
A new screening test has been devised to detect early stages of prostate cancer.
However, the test tends t of people with no cancer, although they do have cancer as diagnosed by other standard tests.
What is this flaw?
A. True Cve
B. False +ve
C. Poor specificity
D. True +ve
E. False -ve Answer: E Question: 196
A young girl presented to gynecologist for assessment with lower abdominal pain and per vaginal bleedin of
hysterosalpingograph as a part of her infertility treatment. Observation: BP=90/50mmHg, pulse-120bpm, and revealed
rigid abdomen.
What is the most appropriate next investigation?
A. Coagulation profile
B. Chest X ray
C. Ultrasound abdomen
D. X-ray erect and supine
E. CT SCAN Answer: C
Explanation:
Likely cause of bleeding and shock is ruptured fallopian tube for which appropriate ne is US abdomen. Question: 197
A middle aged woman has some weakness of hand after an injury.
Which vertebra will be the lowest to be x-ray to diagnosis the injury?
A. C7/T1
B. C5/C6
C. c8/T1
D. C6/C7 Answer: A Question: 198
Patient with major depression what is the first line treatment?
A. Tricyclic antidepressant
B. SSRIs
C. MAOI Answer: B
Explanation:
A SSRIs are the initial antidepressants of choice for uncomplicated depression because of their minimal anti-
cholinergic effects Question: 199
A 28-weeks pregnant woman presents with uterine bleeding after sexual intercourse.
What is the most appropriate diagnosis?
A. Placental abruption
B. Missed abortion
C. Placental previa
D. Ectropion Answer: D
Explanation:
Post coital bleeding can be either placenta previa or cervical ectropion. But as ectropion pregnancy so it is the option
here. Question: 200
Condition not associated with increased alpha fetoprotein:
A. Myelomeningocele
B. Down syndrome
C. Spina bifida
D. Gastroschisis Answer: B
Explanation:
Down syndrome associated with DECREASED levels of alpha fetoprotein. Not increased.
Reference: https://en.m.wikipedia.org/wiki/Triple_test Question: 201
A 64 years man believes a female newscaster is communicating directly with him when she turns a page.
Where is he suffering from?
A. Delusion of Reference
B. Nihilistic
C. Grandeur
D. Control
E. Persecutory Answer: A
Explanation:
A delusion of reference is a type of delusion wherein the individual perceives unrelated events or objects in his/her
surroundings to be of significance for himself/herself. For example, a person with schizophrenia might believe a
billboard or a celebrity is sending a message meant for them. Question: 202
A 48-year-old woman always socially withdrawn has stopped going out of the house. She is afraid to socialize fears
that people will criticize her.
What is the most probable diagnosis?
A. PTSD
B. GAD
C. Social anxiety
D. Agoraphobia
E. OCD Answer: C
Explanation:
Social anxiety disorder is a type of complex phobia. This type of phobia has a disrupt disabling impact on a persons
life. It can severely affect a persons confidence and self-esteem, interfere with relationships and impair performance
at work or school. Question: 203
Victim of RTA came with multiple injuries to abdomen, chest and limbs. BP is 80/ 50. upper limb has upper third near
amputation that bleeds profusely, what is your first thing to do:
A. Tourniquet the limb to stop the bleeding
B. Check the airway and breathing
C. Five IV fluid
D. Call orthopedic Answer: B
Explanation:
As rule ABC also in description near amputation so difficult to make tourniquet enough which stops bleeding. Question: 204
A 72years presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l.BP=130/80mm
cholesterol=5.7mmol/l. There is microalbuminuria.
What is the single most appropriate next management?
A. Statin and glitazone
B. ACEi and sulfonylurea
C. Statin and Biguanide
D. Statin and ACEi Answer: D
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https://killexams.com/exam_list/MedicalWhat Is a Functional Medicine Doctor?
Functional medicine doctors use specialized training and techniques to find the root causes of chronic illnesses. They work holistically, considering the full picture of your physical, mental, emotional, and sometimes even your spiritual health. They provide "patient-centered" care, which means they spend time learning about you, your lifestyle, your medical history, family history, and your needs in order to find a solution to your heath problems that's personalized to you.
Are functional medicine doctors MDs?
There are a wide variety of functional medicine âpractitioners,â but not all of them are Doctors of Medicine, or MDs. Physicians assistants and chiropractors might practice functional medicine, for example, but they havenât gone to medical school to earn an MD degree.Â
A Doctor of Osteopathic Medicine, or DO, is another type of medical professional that might practice functional medicine and be referred to as a functional medicine âdoctor.â Like MDs, DOs have similar education and credentials to practice medicine. They have done residencies, can prescribe medication, and they are licensed to practice medicine in their state. They may also become board-certified like doctors.Â
Both MDs and DOs â as well as functional medicine practitioners who arenât medical doctors â who practice functional medicine may take additional courses specific to functional medicine. The American Association of Family Physicians has accredited some, but not all, functional medicine courses.
Because the field of functional medicine isnât standardized like traditional medicine, itâs important to do your research when choosing a doctor. Some functional medicine practitioners who arenât medical doctors may provide treatment for chronic illness, but these methods often have little scientific evidence to support them. In some cases, they could also be dangerous for you. If you decide to go to a functional medicine doctor for treatment, make sure they have MD or DO credentials and are licensed to practice medicine in your state.Â
Functional medicine doctors look at your full history to identify the root causes of an illness. They collect detailed information about the disease and your overall lifestyle. Functional medicine doctors often spend more time with their patients in order to get all the information they need.
A functional medicine doctor may ask you about:
A timeline of symptoms
Sleep patterns
Exercise habits
Nutrition
Stressors
Personal relationships
Emotional well-being
Then, they come up with a treatment plan to manage the many factors that may be contributing to your chronic condition. Unlike traditional doctors, who might prescribe prescription medicine or surgical procedures as the main treatment, functional medicine doctors often first look to improve things like diet, exercise, sleep, and stress reduction. Of course, if there is an immediate medical need, your functional medicine doctor can also prescribe medication and recommend conventional medical procedures.Â
Finally, your functional medicine doctor will track your progress and make changes as needed. The approach is different for each person, since functional medicine is centered around personalized treatment plans.
Your relationship with your functional medicine doctor may also be different than with your primary care doctor. Functional medicine tends to be a more collaborative partnership between you and your doctor. Your doctor considers your input while still keeping you responsible for your choices as they relate to your condition and treatment.
Functional medicine vs. integrative medicine
Functional medicine and integrative medicine are very similar. For example, both use diet and nutrition as primary tools for fighting chronic illness and take a holistic, individualized approach to your health. Both are also often considered âalternative medicineâ by the mainstream medical community.Â
But there are a few key differences between the two. Functional medicine still relies on tools such as blood tests, allergy tests, and genetic testing. With integrative medicine youâre less likely to have those tests; instead, your health care provider focuses on the mind-body aspects of health. Integrative medicine doctors are more likely to recommend noninvasive treatments for you and are less likely to prescribe "non-natural" medications.Â
Functional medicine is based on the idea that every patient is unique and that many factors such as family history, lifestyle, and environment interact with each other. For example, if you are diagnosed with heart disease, this could be due to a combination of genetics, diet, stress, and other lifestyle factors. Your treatment plan would take all of these into consideration to get to the root cause of your disease.
Rather than just treating your heart disease with medication or surgery, your treatment plan would also try to treat the things that are causing your heart disease. That could be changing your diet, getting more exercise, and reducing your stress levels. While some mainstream doctors also incorporate these elements into their treatment plans, it is not as common. In functional medicine, this is central to your treatment.Â
To be a functional medicine doctor (MD or DO), you have to go through traditional medical school training. You can then choose to get additional certification from an organization such as The Institute for Functional Medicine. Then you can apply functional medicine teachings to your medical field of practice.
Additional certification does not give you any further legal status, but it shows that you have trained and are committed to working within this field of medicine.Â
Functional medicine doctors can treat a variety of health issues. They normally focus on chronic conditions that affect physical and mental health, such as:
If you do not have a chronic illness, you can still visit a functional medicine doctor. Many also focus on preventative care.
Seeing a functional medicine doctor might be right for you if:
You want a more personalized type of health care. Functional medicine doctors typically spend more time with you and more time assessing all the factors that affect your health. Functional medicine addresses each person individually. Using different methods than a conventional medical doctor, a functional medicine doctor will help you figure out which specific treatments are right for you.
You're interested in how things like genetics, mental health and lifestyle habits contribute to your illness. Your treatment will address all of these things individually, which will improve your whole health.
Your chronic illness hasn't responded well to traditional treatment. You might continue to receive conventional treatment, but functional medicine can open up other options that could be better than or work well with your existing treatment plan.
Functional medicine is not as widely practiced as regular medicine, and there are fewer functional medicine doctors to choose from. If you live far from a major city, it can be more difficult to find one.Â
A good place to start is with the The Institute for Functional Medicine's online provider search tool. You can put in your ZIP code and see which doctors are closest to you. You can also read reviews from patients that can help you decide whether the doctor is right for you.Â
Functional medicine seeks to treat patients holistically and individually. Many people find it to be a helpful approach to treating chronic conditions that conventional medicine hasn't been able to treat. But some of the foundational principles of functional medicine are not yet scientifically proven, and there is less standardization in the quality of care you might receive. For these reasons, you may wish to proceed cautiously when seeking functional medical care.Â
What does a functional medicine doctor do?
Functional medicine doctors use a more holistic approach to treat chronic conditions. This includes taking your lifestyle, genetics, mental health, and environment into account when making a treatment plan.Â
Are functional medicine doctors legitimate?
Functional medicine doctors need to go through conventional medical school training. They can then choose to practice functional medicine. Since the standards aren't as well established in the functional medicine field, people may pass themselves off as doctors without having the necessary credentials. It's important to do your research and check that your functional medicine doctor has legitimate education and licensure.Â
Functional medicine itself is sometimes questioned for its legitimacy. There isn't as much scientific research to prove that the methods it uses are effective. That's why many people prefer to stick to conventional medicine. In the future, there may be more studies that prove the effectiveness of functional medicine.Â
Of course, just because an approach hasn't been verified yet through rigorous research doesn't mean it's junk â but it does mean that you should be cautious if you decide to proceed with a functional medicine professional. Ask for their credentials and seek other treatment options if their suggestions raise any red flags.
Is a functional doctor the same as a holistic doctor?
While there is some overlap between a functional medicine doctor and a holistic doctor, there are also a couple of important differences. Both types of professionals try to treat patients by taking a multifaceted, individualized approach. However, holistic doctors typically avoid prescribing conventional medications or recommending surgery. Functional medicine doctors may be more open to these options.Â
Sun, 17 Dec 2023 10:00:00 -0600entext/htmlhttps://www.webmd.com/a-to-z-guides/what-is-a-functional-medicine-doctorGypsy Rose Blanchardâs Story Exposes The Horrors Of âMunchausen By Proxyâ
Gypsy Rose Blanchardâs release from Chillicothe Correctional Center in Missouri last week has sparked vast renewed interest in her caseâa profoundly sad story filled with dark twists and turnsâas well as the disturbing condition, Munchausen by proxy, at its center.
Upon her request on June 14, 2015, Gypsy Roseâs then-boyfriend, Nicholas Godejohn, stabbed her mother, Dee Dee Blanchard, to death. She received parole in September of 2023, and was ultimately set free after serving 85% of her 10-year sentence for second degree murder.
The murder of Dee Dee Blanchard is a case that is often referred to as âunprecedented,â with layers of abuse and trauma as well as years of lies and deceit. Research shows how Dee Deeâs tragic and avoidable death can be dissected and understood as well as the psychological warfare that led to it.
What Led Gypsy Rose Blanchard To Matricide?
Gypsy and Dee Dee Blanchard were loved, revered and cared for by their community. To the public eye, the Blanchards were a regular family that faced immense hardship, as Gypsy Rose suffered from a plethora of physical and mental disabilities.
According to a psychological and medical report of the case, Dee Dee reported that Gypsy Rose had suffered from:
Leukemia
Asthma
Epilepsy
Muscular dystrophy
Brain damage due to premature birth
Sleep apnea
Hearing and vision impairment
The combination of these illnesses led to Gypsy Rose living an incredibly difficult life. Her muscular dystrophy left her indefinitely bound to a wheelchair. Her brain damage left her with the mental capacity of a 7-year-old. The remaining illnesses required constant, large amounts of medication, surgery and treatment. Her requirement for around-the-clock care led to various forms of charity and philanthropy dedicated to Gypsyâs cause, aiding Dee Dee in caring for her.
After Dee Deeâs murder in 2015, 23-year old Gypsy Rose was declared missing from her Missouri home, and the world was left shocked as to why such a dedicated and caring mother would be killed. It came as an even more monumental surprise when Gypsy Rose walked into court in handcuffs, being charged with the murder of her own mother.
The murder trial revealed that Gypsy Rose never actually suffered from any of the illnesses that Dee Dee claimed she had, and she had gone through over 20 years of unnecessary medical treatment, had many unneeded surgeries and had taken many redundant medications. The slow realization of these factors led Gypsy Rose to fight against her motherâs wishes.
She longed for a normal and healthy life, for love and for freedom, but her mother did not allow her these rights and physically abused her when she expressed such desires or went against her will. She continued to misrepresent Gypsy Roseâs health while forcing her to do the same. Behind her motherâs back, Gypsy Rose entered an online relationship with Nicholas Godejohn. She begged him to save her from her situation, and he ultimately killed Dee Dee upon her request. Although Gypsy Rose has just been released, Godejohn is still serving life in prison.
What Was Wrong With Dee Dee Blanchard?
It eventually came to light that Dee Dee suffered from âfactitious disorder imposed on another,â formerly yet more commonly known as âMunchausen syndrome by proxy.â According to a study from the Journal of Clinical Psychology in Medical Settings, Munchausen by proxy refers to willfully committing abuse by intentionally and deceitfully feigning the physical, psychiatric or developmental disorder of another.
The researchers outline that this is often achieved by exaggerating, simulating, fabricating or even intentionally inducing physical or psychiatric illness. Munchausen by proxy, in the authorâs words, is often characterized by âa persistent and repetitive drive to place the victim in the sick role in order to satisfy a psychological need of the abuser, such as attention or to appear as a caring and competent parent.â
In Dee Deeâs case, Gypsy Rose was entirely healthy. However, due to inexplicable and untreated psychological factors, Dee Dee would repeatedly lie to medical practitioners regarding the state of her daughterâs health. She would report symptoms and illnesses that Gypsy Rose never experienced and forced her daughter to undergo relentless, invasive surgeries and treatments for no reason at allâmaking her look and feel more sickly than she wasâto satisfy her dysfunctional desires.
Being the victim of a parent with Munchausen by proxy can be incredibly traumatic, as their lives are filled with medical abuse from a young age. For Gypsy Roseâwho was forced to use a wheelchair, have her salivary glands surgically removed, take medication that made her severely ill and renounce eating orally in favor of a feeding tubeâher trauma ultimately became too large a burden to carry, leading her to believe that extreme measures were the only way she could free herself from the abuse.
Dee Deeâs murder was entirely preventable by an early diagnosis, making it all the more tragic. Although one physician noted that Dee Dee âwasnât a good historianâ and suspected she suffered from Munchausen by proxy, Dee Dee promptly changed doctors when she was met with probing questions about her daughterâs conditions.
She also successfully duped new doctors by claiming that Gypsy Roseâs medical history was lost, and her vast medical vocabulary gave her an air of credibility. Then thereâs the ethical dilemma medical practitioners faced in accusing Dee Dee of suffering from Munchausen by proxyâespecially when the family was supported and embraced by the community. All these factors partially explain how many medical practitioners that the Blanchards dealt with were unable (or unwilling) to identify and recognize the deceit, allowing it to persist for over two decades.
After serving her time in prison, Gypsy Rose reports she deeply regrets the actions she took: âShe was a sick woman, and unfortunately, I wasnât educated enough to see that. She deserved to be where I am, sitting in prison doing time for criminal behavior.â Gypsy Roseâs story underscores the crucial role that knowledge and awareness play in safeguarding vulnerable individuals from the effects of Munchausen by proxy.
Conclusion
Gypsy Rose and Dee Dee Blanchardâs tragic case serves as a chilling reminder of the devastating impact of Munchausen by proxy. The manipulation, abuse and deception she endured at the hands of her own mother highlight the need for increased awareness and education surrounding this form of abuse. By understanding the mechanism of the disorder, healthcare professionals, law enforcement and the public can work collaboratively to identify and intervene in such cases, potentially saving lives and preventing further suffering.
Tue, 02 Jan 2024 01:28:00 -0600Mark Traversentext/htmlhttps://www.forbes.com/sites/traversmark/2024/01/02/gypsy-rose-blanchards-story-exposes-the-horrors-of-munchausen-by-proxy/Doctors on the Use of Medical Cannabis
As a primary care doctor, I have been discussing, recommending and prescribing cannabis to my patients over my entire 25-year career. I have known it was a medicine since I saw it help my brother Danny during his unsuccessful battle with childhood leukemia.
My family procured it for him illegally in the early 1970s as they had heard about the benefits. It was transformational, as Danny could now hold down food and, importantly from my perspective, play with his little brothers during the time he had left.
As primary care doctors, we do not prescribe âperfectly safe medicationsâ ever. No drug or medicine comes with zero toxicity. Rather, we prescribe the medicine that we believe will have the least toxicity and that will alleviate whatever ailment we are treating.
I have found that having medical cannabis in my toolbox has vastly improved my ability to treat anxiety, insomnia and chronic pain, to give a few examples â problems that plague our older populations, and that are often unsafely and ineffectively treated by current pharmaceutical options.
It is difficult to argue that cannabis is more toxic, especially if used judiciously, than many of the pharma options we often provide.
It is no surprise to me that, as we roll back our ineffective war on drugs, and as older Americans increasingly have legal access to cannabis as an option, the usage in this population is increasing. In many cases, we are finding cannabis to be a more effective and safer alternative.
Peter Grinspoon Newton, Mass. The writer is the author of âSeeing Through the Smoke: A Cannabis Specialist Untangles the Truth About Marijuana.â
To the Editor:
I applaud this excellent article, which sheds light on the potential benefits of cannabis for seniors. As a geriatrician who has recommended cannabis to more than 2,000 older adults, I can attest to its benefits for many problems that plague them, including pain, anxiety, sleep disorders, spasticity, cancer-related nausea and even Alzheimerâs-related agitation.
Medical cannabis has also helped many of my patients (and my colleaguesâ patients) discontinue using dangerous medications, such as opioids or benzodiazepines, as well as cut down on other prescription drugs.
There is a desperate need for better and safer approaches for many geriatric syndromes. Cannabis can, in fact, safely treat many of these conditions. But, as the article pointed out, itâs important to use it correctly â especially by starting low and going slow â and getting good medical advice.
Unfortunately, accurate medical information is sorely lacking; most geriatricians and other health care providers are not educated about medical cannabis, and the media is often filled with hype and misleading information.
My colleagues and I are dedicated to providing evidence-based information to consumers, medical students and medical practitioners so they can make informed decisions about using or recommending cannabis.
Mikhail Kogan Washington The writer is a co-author of âMedical Marijuana: Dr. Koganâs Evidence-Based Guide to the Health Benefits of Cannabis and CBDâ and associate professor of medicine and associate director of geriatric fellowship at George Washington University.
Nicholas Kristof writes passionately about the horrifying deaths of so many Palestinian children. What he does not mention is the psychological trauma for surviving children and the possible consequences.
Some of those terrified boys and girls, covered in dust and blood frantically looking for family members, will struggle to ever become functioning, much less happy and successful, adults. Others will grow into hatred of Israel, eventually joining whatever terrorist group comes along to replace Hamas.
I fear that in this massive destruction Israel sows the seeds of its own future tragedies and wars.
Anne-Marie Hislop Chicago
To the Editor:
Nicholas Kristof devotes his column to decrying the number of child deaths in Gaza and the brutality of the Israeli campaign, but he offers nothing helpful about solving the larger problem of Hamas and terrorism. All he can suggest is an anemic âEvery bit of diplomatic pressure should be applied to Hamas to free those hostages.â
Diplomatic pressure will do zero to free the hostages. And the hostages are only a small part of the problem, with Hamas sending rockets throughout Israel and promising to repeat the Oct. 7 atrocities until it accomplishes its genocidal goals.
All decent people suffer with the death of each Gazan child. Until Mr. Kristof can provide a viable solution to removing an entrenched terrorist organization other than an air and ground campaign such as Israel is waging, he should refrain from such columns that imply that the Israel Defense Forces are acting unethically.
Jeffrey L. Rubenstein New York The writer is a professor of Hebrew and Judaic studies at New York University.
Serge Schmemannâs somber assessment of the state of local news â and the civic costs of its disappearance â was a timely wake-up call for anyone concerned about the state of our democracy. But Mr. Schmemann underestimates the promise of the creative solutions that are emerging to re-energize local news.
Chief among those solutions are partnerships between universities and local newsrooms. Such news-academic partnerships have been gaining momentum in recent years, and they offer a sustainable path forward for regions in danger of becoming news deserts. Perhaps most critically, these partnerships are also cultivating an appreciation among college students for the essential role that local news plays in a thriving democracy.
Building a strong future for local news will require more than just newsrooms; we also need generations of savvy news patrons who demand rigorous coverage of local civic life.
Meg Little Reilly Burlington, Vt. The writer is managing director of the Center for Community News at the University of Vermont.
First Iâve heard of this, since I confess to texting sparingly at best. But Iâm not surprised.
If weâre not killing one another over borders, riches, religion, politics, skin color/ethnicity or sexual orientation/gender identity â to name but a few â then weâre arguing over and grouping ourselves by preferred computer operating systems, applications, hardware, and, yes, even the color of our messaging bubble.
Is there no limit to our penchant for tribalization?
Sigh.
Marc Truitt Sackville, New Brunswick
Tue, 12 Dec 2023 10:00:00 -0600entext/htmlhttps://www.nytimes.com/2023/12/13/opinion/medical-marijuana.htmlHealth & Wellness Partners
About Health & Wellness Partners
Founded in 2005, Health & Wellness Partners provides pharmaceutical companies and health practitioners with educational materials, such as information about rare drug interactions and diagrams for doctorsâ offices. âI went through systems that created barriers to success because I was a woman. I knew there had to be greater opportunities,â says founder Jani Hegarty. âBy creating my own shop, guess what? Thereâs no ceiling.â The company is certified by the Womenâs Business Enterprise National Council for being women owned and operated and boasts a workforce that is 90% female.
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Tue, 26 Dec 2023 10:00:00 -0600entext/htmlhttps://www.forbes.com/companies/health-wellness-partners/Researchers outline AI blueprint to help tackle antimicrobial resistance on a global scale
Researchers from the University of Liverpool have outlined a framework for artificial intelligence (AI) to improve antimicrobial use and infection care, helping to address the global challenge of antimicrobial resistance (AMR).
Their blueprint is published in The Lancet Digital Health journal.
Lead author Dr. Alex Howard said, "Different forms of AI bring many opportunities to improve health care. AIs can harness complex evolving data, inform and augment human actions, and learn from outcomes. The global public health challenge of AMR needs large-scale optimization of antimicrobial use and wider infection care, which can be enabled by carefully constructed AIs."
The researchers noted that while AIs become increasingly useful and robust, health care systems remain challenging places for their deploymentâand an implementation gap exists between the promise of AIs and their use in patient and population care.
With this in mind, the group has outlined an adaptive implementation and maintenance framework for AIs to improve antimicrobial use and infection care as a learning system. This considers AMR problem identification, law/regulation, organizational support and data processing in relation to AMR-targeted AI development, assessment, maintenance, and scalability.
"Bridging the implementation gap between AI innovation and tackling AMR presents technical, regulatory, organizational, and human challenges. Learning systems built on integrated dataflows, governance, and technologies have the potential to close this gap. Translational expertise between AMR and AI fields will be essential to appropriately design, maintain, normalize, and globalize AMR-AIs in infection care and realize the potential for AIs to support clinician-driven AMR minimization strategies," Dr. Howard said.
The work articulates a vision of how data science can be leveraged to tackle antimicrobial resistance as part of the Centres for Antimicrobial Optimization Network program, a global collaborative bringing together world-leading multidisciplinary expertise in infection and health informatics.
More information: Alex Howard et al, Antimicrobial learning systems: an implementation blueprint for artificial intelligence to tackle antimicrobial resistance, The Lancet Digital Health (2023). DOI: 10.1016/S2589-7500(23)00221-2
Citation: Researchers outline AI blueprint to help tackle antimicrobial resistance on a global scale (2023, December 18) retrieved 5 January 2024 from https://medicalxpress.com/news/2023-12-outline-ai-blueprint-tackle-antimicrobial.html
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Sun, 17 Dec 2023 10:00:00 -0600entext/htmlhttps://medicalxpress.com/news/2023-12-outline-ai-blueprint-tackle-antimicrobial.htmlWomen's Health Nurse Practitioners in Liverpool, PANo result found, try new keyword!Nicole Dreibelbis is a women's health nurse practitioner in Mechanicsburg, PA, and is affiliated with Penn State Health Milton S. Hershey Medical Center. Hospitals: Penn State Health Holy Spirit ...Wed, 27 Dec 2023 13:41:00 -0600https://health.usnews.com/nurse-practitioners/womens-health-nurse-practitioners/pennsylvania/liverpoolPsychedelic treatment office for mental health has 90% client success rate
'Itâs groundbreaking and itâs incredible that itâs here in Sault Ste. Marie,' says social worker Julie Myers of ketamine therapy
One year after opening a Canadian Centre for Psychedelic Healing office in Sault Ste. Marie to treat those suffering from severe mental health issues, staff are encouraged with the results theyâve seen in their clients.
The centre works with people who have suffered long periods of anxiety and depression that stop them from living their lives to the fullest.
âItâs been the most fulfilling work Iâve done in 16 years of being a registered social worker. Weâve had folks who have considered medically assisted dying and weâve had folks who are extremely suicidal who have made attempts at taking their own life," said Ashley Irwin speaking to SooToday.
The local Canadian Centre for Psychedelic Healing office, located in Suite 303 at 390 Bay St., is the sole provider of ketamine-assisted psychotherapy (KAP) in the region.
âWeâve had almost 50 clients through the clinic. Weâve had an 88 per cent success rate reported by clients. In traditional psychotherapy you donât see those results in such a short term model. Itâs been lovely to see the large range of folks weâve been able to support. Suicidality has been dissipated and. People have shown a new sense of fulfillment and compassion toward themselves. Weâve had an individual with OCD, and the ritualistic OCD urges have completely gone away after just one session,â Irwin said.
âItâs the most exciting work. Itâs groundbreaking and itâs incredible that ketamine is here in Sault Ste. Marie,â said Julie Myers, a registered social worker for the past 15 years.
Clients can refer themselves for KAP treatment if they feel their mental health issues have not eased after two attempts at treatment with antidepressants and/or traditional counselling.
âA lot of times weâre working with folks whoâve been on several antidepressants that havenât really supported them to feel fulfilled, alive and participating in life, and theyâre reporting that ketamine is helping them come back to themselves. So thatâs been really neat to see the difference,â Irwin said.
KAP involves the use of ketamine, a pediatric anesthetic, to ease entrenched negative attitudes within the mind.
âWe use ketamine in low doses and it induces a psychedelic state. It can really assist in diminishing symptoms of treatment-resistant mental health issues,â Irwin said.
âKetamine acts as a catalyst in treatment. It really elevates the therapeutic process and acts as a catalyst to much more rapid change and shifts in perspective,â Myers said.Â
âBasically it allows clients to promote forgiveness toward self and others, to end something negative that might be causing intrusiveness in their life through symptoms of flashbacks and nightmares. A client may feel like there's been a weight lifted from them. They feel much more connected to themselves in mind and body and more connected to a sense of community, participating in events and daily living,â Irwin said.
The process begins with a phone call to a nurse administrator at the Bay Street office.
A nurse at the office will receive a client and measure their weight, examine their blood pressure and heart rate.
From there, an on-site nurse practitioner will decide if KAP is suitable for them.
The client then meets with social workers Irwin or Myers to outline their desired treatment goals.
A treatment session begins with a nurse practitioner administering a sublingual ketamine lozenge.
A few minutes later, the client is then guided by Irwin or Myers to a meditative, altered state.Â
âThey can go back and reprocess something that happened with a lighter, more pleasant emotion to be felt,â Irwin said.
âFor a lot of clients who may have struggled with traditional therapy who donât feel comfortable opening up, that psychedelic state is providing them with an enhanced comfort level and theyâre able to open up more. With ketamine itâs just a whole new ball game. People are willing to open up and the results of that are pretty incredible.â
Social workers will then use a process called integration, which is an attempt to instill new habits and healthy tendencies in a client, such as enjoying nature or taking up creative pursuits once the brain is at an optimal level of functioning.Â
âThere tends to be a really significant level of motivation after,â Myers said.Â
After a ketamine session with a social worker, the client will be checked by a nurse to verify if their overall state, including their mobility, is in check before they leave the office.
On average, prep time before a session with a social worker lasts for 30 to 45 minutes, the ketamine-induced altered state lasts for 45 to 60 minutes and post treatment integration with a social worker is approximately 45 minutes, a treatment session usually two and a half hours in duration.
Sessions are longer for clients who have been suicidal.
Clients are not left unattended.
The officeâs treatment course consists of six sessions, two per week for a three week period.Â
A post-treatment summary is written in which clients are asked if their treatment goals have been met or if they feel a need for further treatment.
âMost often there isnât,â Irwin said.
âTheir needs have been met and thatâs nice to see for a relatively short term model of treatment. Clients have the opportunity to come back for a consultation or further maintenance appointments if needed. They can ask for a monthly followup after a course of treatment."
The office has treated clients - from teens to seniors - from the Sault and Algoma District.
The Canadian Centre for Psychedelic Healing is monitored by Health Canada and the Ontario Ministry of Health.
In the past year the Centre has acquired Field Trip Health and has offices in Ottawa, Vancouver, Sault Ste. Marie, Thunder Bay and Toronto.
Treatment sessions are not covered by OHIP and cost approximately $3,700.Â
A good benefit plan can cover up to approximately $2,200 of that amount, Irwin said.
âItâs hard not to get extremely passionate about it because weâre seeing the results. We want to shout it from the rooftops, that itâs here in the Sault and itâs working so well. Traditional therapy can be a struggle and progress is sometimes slow but every one of these sessions feels groundbreaking,â Myers said.
Mon, 01 Jan 2024 03:00:00 -0600entext/htmlhttps://www.timminstoday.com/local-news/psychedelic-treatment-office-for-mental-health-has-90-client-success-rate-8034889Family Psychiatric-Mental Health Nurse Practitioner, Post-Master's Certificate
At Saint Louis University, future family psychiatric-mental health nurse practitioners learn to apply the nursing process and medical/medication management to promote optimal mental health while engaging in active, ongoing collaboration with clients, their families, significant others and the interprofessional team.
Students pursuing the family psychiatric-mental health nurse practitioner program at SLU work with children, adolescents and adults of all ages with acute or complex mental health needs or psychiatric diagnoses. SLU's family psychiatric-mental health nurse practitioner program encourages evidence-based, culturally sensitive, recovery-oriented and holistic care.
At Saint Louis University, we partner with our students on clinical placement. Besides being paired with a faculty mentor with expertise in students' desired field of study, SLU helps students obtain preceptors for their clinical rotations.
The Valentine School of Nursing is renowned for excellence in nursing education. U.S. News and World Report consistently ranks our MSN-NP program as a top program in their Best Graduate Schools survey.
Curriculum Overview
Saint Louis University's post-master's nurse practitioner certificate programs are conducted almost completely online, requiring only two visits to the St. Louis campus.
A minimum of 15 credits is required for completion of a post-master's nurse practitioner certificate program. The total number of credits varies, depending on the particular certificate pursued.
At the Valentine School of Nursingâs discretion, students may transfer three to six credits of graduate-level coursework to be applied toward their post-master's certificate program of study.
Student files are individually reviewed. Students may be able to petition for advanced standing in courses such as âAdvanced Health Assessment,â âAdvanced Pathophysiologyâ and âAdvanced Pharmacology.â
Careers
Upon completion of the post-master's nurse practitioner certificate program, you will qualify to take the certification exam through the Pediatric Nursing Certification Board.
According to a U.S. News & World Report ranking, the median salary of nurse practitioners in 2022 was $120,680. The best-paid 25% of NPs made $129,680 that year; the lowest-paid 25% made $99,540. The Bureau of Labor Statistics projects 52.2% employment growth for nurse practitioners between 2020 and 2030. In that period, an estimated 114,900 jobs are projected to open up in the NP profession.
Admission Requirements
A master's degree in a nursing specialty, preferably from a program accredited by a nationally recognized accrediting agency
A college cumulative grade point of 3.20 or higher
Completion of a graduate-level physiology or pathophysiology course and a beginning health assessment course, or the equivalent thereof
Experience in an advanced practice role in nursing is preferred
Proof of completion of an American heart care provider course is required after acceptance.
The Valentine School of Nursing adheres to the principles of a holistic admission process in which selection criteria are broad-based and linked to our Universityâs and schoolâs mission and goals. While we do consider academic metrics we also look at applicant experiences, attributes, potential for success, and how applicants may contribute to the schoolâs learning environment and to the profession.
The curriculum for this program meets the educational requirements for licensure as an Advanced Practice Registered Nurse (APRN) in the State of Missouri. Note that the Missouri Board of Nursing may impose additional requirements on candidates prior to granting a license; we encourage you to investigate these requirements.
The Trudy Busch Valentine School of Nursing has not determined whether the curriculum for this program meets the educational requirements for nursing licensure in any other states or territories. However, graduates of our APRN programs are eligible to sit for National Board Certification Exams in all states and territories. We encourage you to investigate the requirements in your state or territory prior to accepting an offer of admission.
Saint Louis University School of Nursing accepts applications to the pediatric primary care post-master's certificate program from students living in the following states: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Washington and Wisconsin.
Application Requirements
Please follow the five steps outlined below to apply:
Requirements for International Students
International students on F1 or J1 student visas are not eligible for admission, as these programs are conducted entirely online. For additional information, contact the Office of International Services.
Application Deadlines
Fall admissions: Priority admission is April 15 with an application deadline of June 1.
Spring admissions: Priority admission is October 15 with an application deadline of December 1.
If the application deadline has passed for your semester of interest, please contact gradnurse@slu.edu. Late applications may be accepted.
TuitionÂ
Tuition Per Credit
Tuition
Cost Per Credit
Graduate Tuition
$1,310
Additional charges may apply. Other resources are listed below:
Financing for this program may be available through grants, scholarships, loans (federal and private) and institutional financing plans. For price estimates, please review the SLU Cost Calculator. Â
The Valentine School of Nursing offers scholarship and graduate research assistantship opportunities to eligible graduate students. Additionally, most nursing students will participate in a tuition assistance program provided through their employer.
The Trudy Busch Valentine School of Nursing is fully approved by the Missouri State Board of Nursing.
The Bachelor of Science in Nursing, Master of Science in Nursing and Doctor of Nursing Practice at the Valentine School of Nursing are accredited by the Commission on Collegiate Nursing Education and approved by the Missouri State Board of Nursing. To achieve its educational objectives, the school uses the hospitals within SSM Health and many health care organizations in the greater St. Louis area.
Course List
Code
Title
Credits
NURSÂ 5040
Advanced Practice Nursing: Role Acquisition â
NURSÂ 5080
Advanced Pharmacology
NURSÂ 5110
Advanced Assessment and Clinical Decision Making
NURSÂ 5130
Clinical & Diagnostic Reasoning
NURSÂ 5140
Health Promotion
NURSÂ 5160
Principles of Practice Management â
NURSÂ 5170
Advanced Pathophysiology
NURSÂ 5900
Residency
NURSÂ 5340
Advanced Clinical Studies I: Psychiatric Mental Health Nursing
4
NURSÂ 5350
Advanced Clinical Studies II: Psychiatric Mental Health Nursing
5
NURSÂ 5400
Ecological Approach to Human Behavior
3
NURSÂ 5430
Psychopharmacology
2
NURSÂ 5510
Mental Health Care Family
2
NURSÂ 5550
Family and Child Development
3
NURSÂ 5810
Advanced Practice Nursing Clinical Practicum
4
Total Credits
23-40
Continuation Standards
Students must maintain a cumulative grade point average (GPA) of 3.00 in all graduate/professional courses.
Tue, 23 May 2023 02:47:00 -0500entext/htmlhttps://www.slu.edu/nursing/degrees/graduate/family-psychiatric-mental-health-nurse-practitioner-post-msn-cert.phpLudhiana: Medical practitioner, assistant held captive, robbed of âš45,000
Two masked miscreants allegedly held captive a medical practitioner and his assistant in his clinic and robbed them of âš45,000 at Bahadurke Road, police said on Tuesday.
The miscreants, who were laced with sharp-edged weapons, locked the medical practitioner and his female assistant in the clinic while escaping. Later, the locals rescued them.
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In his complaint, Rasik, a medical practitioner, stated that he was about to leave the clinic on Monday night when two masked men came there around 9.30 pm.
âThe miscreants held me and my assistant captive in the clinic. They brandished a sharp-edged weapon and threatened to kill me. The accused robbed âš45,000 kept in the clinic and fled, locking us inside the clinic,â Rasik said.
âAfter the miscreants left the spot, we raised an alarm following which the locals opened the gate and rescued both of us,â he added.
Inspector Gurmukh Singh, SHO at Jodhewal police station, said that the police have received a complaint and they are in the process of filing an FIR. The police have procured CCTVs footage of the spot. The police are trying to identify the miscreants.
Tue, 19 Dec 2023 21:28:00 -0600entext/htmlhttps://www.hindustantimes.com/cities/chandigarh-news/ludhiana-medical-practitioner-assistant-held-captive-robbed-of-45000-101703011250230.htmlOccupational Health Nurse Practitioners in Riverside, NJNo result found, try new keyword!Jennifer Smith is an occupational health nurse practitioner in Philadelphia, PA, and is affiliated with Jefferson Health-Thomas Jefferson University Hospitals. Maria Lanzi is an occupational ...Mon, 01 Jan 2024 15:29:00 -0600https://health.usnews.com/nurse-practitioners/occupational-health-nurse-practitioners/new-jersey/riverside