A comprehensive discussion of surgical treatments for equine colic Colic Surgery in the Horse presents a detailed exploration of surgical procedures in the horse abdomen. It is a state-of-the-art reference for equine surgeons, providing detailed descriptions of surgical treatments for colic in horses. The book offers step-by-step instructions for abdominal surgeries in the equine patient with accompanying photographs and illustrations. Covering all aspects of colic surgery, the book emphasizes a practical approach designed to improve outcomes after surgical treatment. Numerous illustrations accompany the discussions of colic surgery, diseases causing colic, treatment decision making, preoperative considerations, postoperative treatment, and other related topics. The book is an accessible, essential resource for all veterinarians engaged in the surgical treatment of colic in horses. Readers will also find: A thorough introduction to diseases of the stomach, small intestine, and large intestine that cause colic in horses Comprehensive explorations of the assessment of colic Practical discussions of owner-involved decision making in the treatment of equine colic Complete coverage of preoperative management and anesthesia and surgery preparation An emphasis on a practical approach designed to improve outcomes following surgery Written for equine surgeons, residents and interns, Colic Surgery in the Horse will also benefit equine veterinary practitioners with an interest in the treatment of colic in horses.

The COVID-19 pandemic was arguably the greatest disrupter health professional education (HPE) has ever experienced. To explore how lessons learned from this unprecedented event could inform the future of HPE, the Global Forum on Innovation in Health Professional Education of the National Academies of Sciences, Engineering, and Medicine convened a virtual workshop series in 2020 and 2021. The first workshop focused on identifying challenges faced by educators, administrators, and students amidst the pandemic and how the different stakeholder groups shifted and adapted in response. The second workshop explored how experts from various health professions might respond to hypothetical?but realistic?future world situations impacting HPE. The final two workshops contemplated the future of HPE post-COVID and explored next steps for applying lessons learned from the workshop series to allow educators to test and evaluate educational innovations in real time. This Proceedings of a Workshop summarizes discussions from the second, third, and fourth workshops in this series. Table of Contents Front Matter 1 Introduction 2 Scenario Planning 3 Challenges and Opportunities During the Pandemic 4 Exploring a Value Proposition for Making Changes 5 Preparing for the Future 6 Building the Bridge Forward Appendix A: Members of the Global Forum on Innovation in Health Professional Education Appendix B: Workshop Agendas Appendix C: Speaker Biographical Sketches Appendix D: Timeline of the Workshop Series Activities

The Board on Health Care Services of the National Academies of Sciences, Engineering and Medicine hosted a virtual workshop, funded by the Social Security Association, to examine disability associated with hematopoietic stem cell transplantation. The workshop, held on November 15, 2021, included presentations on the functional outcomes for individuals who have received hematopoietic stem cell treatment, as well as medical advances, developments, and research in this area. This Proceedings of a Workshop highlights the presentations and discussions that occurred in the workshop. Table of Contents Front Matter 1 Introduction 2 Overview of Hematopoietic Stem Cell Transplantation and Disability in the United States 3 Late Effects of Hematopoietic Stem Cell Transplantation 4 Hematopoietic Stem Cell Transplantation Survivorship 5 The Future Outlook for Stem Cell Transplantation and Disability Appendix A: References Appendix B: Workshop Agenda Appendix C: Biographical Sketches of Workshop Planning Committee Members and Speakers

On October 3, 2018, the Roundtable on Population Health Improvement of the National Academies of Sciences, Engineering, and Medicine and the Interdisciplinary Association for Population Health Science convened a joint symposium in Washington, DC to consider the current state of population health science in the United States. At the symposium, speakers and participants reviewed the status of population health in the United States, including current trends in health and mortality, and racial, ethnic, and socioeconomic disparities; explored the complexities of policy implementation with attention to evidence generation and to surfacing and mitigating negative unintended consequences of policies for population health; and shared perspectives on finding common ground to move population health forward. This publication summarizes the presentation and discussion of the workshop. Table of Contents Front Matter 1 Introduction 2 Population Health in the United States 3 Policy-Relevant Evidence for Population Health: Promise and Challenges 4 Effective Population Health Policy and Science: Finding Common Ground 5 Closing Remarks Appendix A: References Appendix B: Symposium Agenda Appendix C: Biosketches of Speakers and Moderators

how to succeed at revalidation Doctors in the UK are required to provide evidence of their fitness to practice--all doctors registered with the General Medical Council (GMC) need to revalidate to maintain their registration. How to Succeed at Revalidation contains up-to-date information on the current regulatory framework and step-by-step guidance for the entire revalidation process. Offering expert advice on how to undertake the process from the perspective of the appraisee, the appraiser, and the employer, this practical, quick-reference guide covers each of the Good Medical Practice (GMP) domains: Knowledge, Skills and Performance; Safety and Quality; Communication, Partnership and Team Work; and Maintaining Trust. Throughout the text, numerous examples describe different models of appraisal and reflection, identify activities that map to each domain, and demonstrate how revalidation requirements can be achieved in the course of daily practice. This much-needed guide: Covers regulatory processes in medicine and healthcare from both UK and international perspectives Reviews the background that led to the implementation of revalidation Discusses the new GMP requirements for all doctors in the UK Explores the possible future of revalidation How to Succeed at Revalidation is essential reading for all qualified and trainee doctors, undergraduate and postgraduate learners, tutors, and trainers seeking to navigate the revalidation process in the UK.

Dans cet ouvrage, nous avons evalue l'activite des Superoxides dismutases (SOD) et de la Glucose-6- phosphate deshydrogenase (G6PDH), enzymes dont les carences sont indicatrices du stress oxydatif, dans l'extrait globulaire, chez 50 sujets infectes par le VIH et compare aux resultats de 32 sujets temoins tous recrutes au laboratoire d'hematologie du Centre Hospitalier Universitaire (CHU) de Yaounde.

La chirurgie de l'oreille moyenne, et notamment celle des sequelles de l'otite chronique simple ou cholesteatomateuse, comprend le plus souvent un temps fonctionnel: l'ossiculoplastie. L'ossiculoplastie est la chirurgie reparatrice de la chaine des osselets qui a pour but de retablir la fonction acoustique de l'oreille moyenne. Cette chirurgie fonctionnelle, tres technique, represente le geste operatoire le plus spectaculaire pour le patient, le plus valorisant pour le chirurgien. Elle n'en reste pas moins assujettie a un vaste programme chirurgical: la tympanoplastie, dont elle n'est que l'etape ultime. Nous exposons ici une etude comparative retrospective des differents types de montage utilises dans notre service ces cinq dernieres annees. Le but de ce travail etant de tenter de definir le meilleur materiau pour chaque type d'ossiculoplastie, afin d'obtenir un resultat auditif le plus satisfaisant possible."

Dans une cellule normale, les telomeres coiffent l'extremite des chromosomes, tels les embouts des lacets de chaussures. Ils ont pour role la protection des extremites chromosomiques et la prevention contre une perte eventuelle de donnees a ce niveau, lors des divisions cellulaires. Les telomeres s'erodent avec le temps jusqu'a atteindre une taille critique et declenchent alors l'entree en senescence de la cellule. L'existence d'une enzyme transcriptase inverse, la telomerase, capable d'inverser le processus et de synthetiser de nouvelles sequences telomeriques, confere a la cellule le caractere immortel incrimine dans les cellules cancereuses. Et comme il a ete montre que dans les cellules tumorales, plusieurs mecanismes concourent a la reactivation de la telomerase, l'inhibition de cet enzyme s'est averee une voie prometteuse pour le traitement des cancers, par blocage du processus proliferatif."

Efforts to improve the quality of healthcare have failed to achieve a meaningful and sustainable improvement. Patients continue to experience fragmented, inconvenient, and unsafe care while providers are increasingly becoming overburdened with administrative tasks. The need for change is clear. Healthcare professionals need to take on new leadership roles in quality improvement (QI) projects to effect real change. The Quality Improvement Challenge in Healthcare equips readers with the skills and knowledge required to develop and implement successful operational improvement initiatives. Designed for healthcare providers seeking to apply QI in practice, this valuable resource delivers step-by-step guidance on improvement methodology, team dynamics, and organizational change management in the context of real-world healthcare environments. The text integrates the principles and practices of Lean Six Sigma, human-centered design, and neurosciences to present a field-tested framework. Detailed yet accessible chapters cover topics including identifying and prioritizing the problem, developing improvement ideas, defining the scope of the project, organizing the QI team, implementing and sustaining the improvement, and much more. Clearly explaining each step of the improvement process, this practical guide: Presents the material in a logical sequence, gradually introducing each step of the process with clearly defined workflow templates Features a wealth of examples demonstrating QI application, and case studies emphasizing key concepts to highlight successful and unsuccessful improvement initiatives Includes end-of-chapter exercises and review questions for assessing and reinforcing comprehension Offers practical tips and advice on communicating effectively, leading a team meeting, conducting a tollgate review, and motivating people to change Leading QI projects requires a specific set of skills not taught in medical school. The Quality Improvement Challenge in Healthcare bridges this gap for experienced and trainee healthcare providers, and serves as an important reference for residency program directors, physician educators, healthcare leaders, and health-related professional organizations.

Realisation d'une enquete prospective, comparant trois groupes de parturientes, le premier comprenant des femmes gardant la meme position pendant le travail (decubitus dorsal et/ou lateral), le deuxieme compose de parturientes alternant les positions sur la table d'accouchement, et le troisieme alternant les positions et utilisant le ballon et/ou la baignoire. Resultats: 110 dossiers ont ete etudies. Le premier interet obstetrical du changement de positions pendant le travail est l'amelioration du confort des parturientes. Puis c'est la diminution du temps de travail, avec une meilleure dynamique uterine et une meilleure dilatation cervicale. Conclusion: Le suivi des parturientes devrait s'accompagner d'une prise en charge de leur mobilite et de propositions de differentes positions a adopter au cours du travail. La sage-femme joue a ce niveau un role primordial, mais egalement en consultation ou en preparation a la naissance, ou elle encourage la femme a etre active quant a sa grossesse et son accouchement. Des moyens simples sont facilement utilisables pour le realiser, qui replacent la clinique avant la technique."