-
Psychiatric Interviews for Teaching: Psychosis
In this film, an on-call psychiatrist is assessing a young man who has been referred urgently by his GP. The psychiatrist takes a history in which she elicit...
-
Clinical history taking (with patient example)
Senior Lecturer Gemma Hurley uses a mock patient to take you through the principles of obtaining a clinical history for www.NurseLedClinics.com.
-
"Combat Bad Speech with Good Speech" - Ambassador Michael Kozak on Tolerance and Nondiscrimination
On October 4, 2012, on the sidelines of the OSCE Human Dimension Implementation Meeting (HDIM), the U.S. Mission to the OSCE interviewed Ambassador Michael K...
-
Stresemann Stiftung & BPE: Freedom of Expression is a Human Right
Side event held at OSCE / ODIHR Human Dimension Implementation Meeting, Warsaw, Poland, September 25th 2013
The OSCE considers freedom of expression a fundamental human right. This freedom may only be limited in order to safeguard other basic rights, such as human dignity, for a very good reason: freedom of expression is the foundation for other human rights, especially freedom of religion, freed
-
talk fusion español - mejor equipo - como ingresar.flv
http://tinyurl.com/6etq4ww ENTRA AL MEJOR EQUIPO DE TALKFUSION, ya veras por que te lo digo, aqui recibiras mas apoyo que en cualquier otro equipo. Encima mi...
-
FOX NEWS: Governing the Internet
Internet governance - Wikipedia, the free encyclopedia en.wikipedia.org/wiki/Internet_governance - Traduzir esta página This article describes how the Inte...
-
MediTouch Review - Dr. Taveau on Customer Support for MediTouch EHR from HealthFusion Inc.
Dr. Taveau talking about customer support he has received for MediTouch EHR from HealthFusion Inc. "Customer support has been absolutely great. I mean we cal...
-
Write-up / SOAP note in 5 minutes
automatically generates a full Write-up or SOAP note. You can bring your laptop/tablet to the interview so you can point-and-click instead of scribbling on a...
-
UPDATE: PERNILLA HAGBERG SWEDISH POLITICIAN ON CHEMTRAILS
Just a few words to say thank you to everyone who has joined the Facebook group with over 800 members now. Facebook group http://www.facebook.com/groups/117763471707274/?notif_t=group_r2j
Swedish Green Party politician Pernilla Hagberg has spoken out on Chemtrails, the aircraft aerial spraying toxic chemicals over Sweden and most countries on the planet. These are NOT contrails. These are Chemtrai
-
SWEDISH POLITICIAN CHEMTRAIL INTERVIEW. FreeTruth Show
Recorded 25th September 2012 Facebook group http://www.facebook.com/groups/117763471707274/?notif_t=group_r2j Swedish Green Party politician Pernilla Hagberg...
-
Birth Options
In this video I talk through my options for the birth of my second child due Feb 1st 2014.
Instagram @millyandaustin
-
Cranial Nerve Examination Example
http://www.liv.ac.uk/neurosciences-research-unit/neuropaces/
-
Sultan Medico Over-the-counter (OTC) medicines Episode 1
Sultan Medico Over-the-counter (OTC) medicines Episode # 1 Episode No. 1 Hi, welcome to this special SultanMedico episode. My name is Sultan Ahmed. Today we ...
-
Dual Diagnosis - Summarising
These videos have been made to provide you with an additional resource to help with your clinical skills practice. These have been designed as interactive le...
-
EHR Healthcare Case Study: Dr. Hague and Dr. Kim - Free iPad EMR | drchrono
Case Study: Dr. Hague and Dr. Kim from New York, NY talk about how to bring a medical practice digital with iPads, MACs and an EHR platform. ---- drchrono is...
-
PHAR10400 University of Manchester- Chlamydia screening and treatment
Produced by students from the University of Manchester as part of the undergraduate course PHAR10400 The Public.
A pharmacy setting provides many opportunities for the pharmacist to offer their services to an individual who may be at increased risk of chlamydia. For example, if an individual visits regularly for emergency contraception, a pharmacist can provide them with leaflets or a brief con
-
MCEM Part B course
Our next MCEM Part B course in on 27-28 January 2015. Watch this short video to find out more.-- Created using PowToon -- Free sign up at http://www.powtoon.com/join -- Create animated videos and animated presentations for free. PowToon is a free tool that allows you to develop cool animated clips and animated presentations for your website, office meeting, sales pitch, nonprofit fundraiser, pro
-
HPI for Multiple Chief Complaints
"From the February 2015 Coding Certification Q and A Webinar": Free for all! Get CEU's!"
HPI for Multiple Chief Complaints.
Click here to get more cpc exam tips, coding certification training, and ceu credits. http://www.codingcertification.org/freetips-yt
Q: (HPI for Multiple Chief Complaints) “If the patient presents with 3 complaints not chronic illness and there are 1-3 elements documented
-
Free and Nonviolent Elections 2013 Trailer
The project "Free and Nonviolent Elections 2013" is implemented by Civil -- Center for Freedom, financially supported by the Swiss Agency for Development and...
-
Pass The Police Written Test
http://www.copuniversity.com - Here is a tip towards passing the police written test. Be sure to check out our FREE blog for more. In order to become a cop, ...
-
Prathinidhi Movie Scenes - Manchodu Srinu Beating To Minister Son - Nara Rohith
Prathinidhi Movie Scenes - Manchodu Srinu Beating To Minister Son Movie: Prathinidhi, Cast: Nara Rohith, Shubra Aiyappa, Kota Srinivasa Rao, Vishnu, Jaya Prakash Reddy, Director: Prashanth...
-
OBAMA at UN on UKRAINE & RUSSIA - Attacks Russia Involvement in Ukraine
I NEED YOUR HELP! - Please Support Us To Help Awaken The Masses http://www.Patreon.com/EliteNWOAgenda
SUBSCRIBE to ELITE NWO AGENDA for Latest Updates - http://www.youtube.com/user/elitenwoagenda?sub_confirmation=1
OBAMA at UN on UKRAINE & RUSSIA - Attacks Russia Involvement in Ukraine
In speeches to the U.N. General Assembly less than two hours apart, each leader said he embraced a foreign po
-
what is the definition of Acoustic neuroma (Medical Dictionary Online)
what is the definition of Acoustic neuroma: A benign tumor that may develop on the hearing and balance nerves near the inner ear. The tumor results from an overproduction of Schwann cells -- small sheet-like cells that normally wrap around nerve fibers like onion skin and help support the nerves. When growth is abnormally excessive, Schwann cells bunch together, pressing against the hearing and ba
Psychiatric Interviews for Teaching: Psychosis
In this film, an on-call psychiatrist is assessing a young man who has been referred urgently by his GP. The psychiatrist takes a history in which she elicit......
In this film, an on-call psychiatrist is assessing a young man who has been referred urgently by his GP. The psychiatrist takes a history in which she elicit...
wn.com/Psychiatric Interviews For Teaching Psychosis
In this film, an on-call psychiatrist is assessing a young man who has been referred urgently by his GP. The psychiatrist takes a history in which she elicit...
Clinical history taking (with patient example)
Senior Lecturer Gemma Hurley uses a mock patient to take you through the principles of obtaining a clinical history for www.NurseLedClinics.com....
Senior Lecturer Gemma Hurley uses a mock patient to take you through the principles of obtaining a clinical history for www.NurseLedClinics.com.
wn.com/Clinical History Taking (With Patient Example)
Senior Lecturer Gemma Hurley uses a mock patient to take you through the principles of obtaining a clinical history for www.NurseLedClinics.com.
- published: 21 Mar 2012
- views: 74451
"Combat Bad Speech with Good Speech" - Ambassador Michael Kozak on Tolerance and Nondiscrimination
On October 4, 2012, on the sidelines of the OSCE Human Dimension Implementation Meeting (HDIM), the U.S. Mission to the OSCE interviewed Ambassador Michael K......
On October 4, 2012, on the sidelines of the OSCE Human Dimension Implementation Meeting (HDIM), the U.S. Mission to the OSCE interviewed Ambassador Michael K...
wn.com/Combat Bad Speech With Good Speech Ambassador Michael Kozak On Tolerance And Nondiscrimination
On October 4, 2012, on the sidelines of the OSCE Human Dimension Implementation Meeting (HDIM), the U.S. Mission to the OSCE interviewed Ambassador Michael K...
- published: 05 Nov 2012
- views: 163
-
author: usosce
Stresemann Stiftung & BPE: Freedom of Expression is a Human Right
Side event held at OSCE / ODIHR Human Dimension Implementation Meeting, Warsaw, Poland, September 25th 2013
The OSCE considers freedom of expression a fundamen...
Side event held at OSCE / ODIHR Human Dimension Implementation Meeting, Warsaw, Poland, September 25th 2013
The OSCE considers freedom of expression a fundamental human right. This freedom may only be limited in order to safeguard other basic rights, such as human dignity, for a very good reason: freedom of expression is the foundation for other human rights, especially freedom of religion, freedom of the press, freedom of assembly as well as academic freedom. Without the freedom to voice opinions publicly and freely receive information, all other freedoms would not exist.
The side event addressed the constitutional implementation of freedom of expression in the OSCE region. The primary focus was on the treatment of freedom of expression as a negative and individual right, which with respect to the "Universal Declaration of Human Rights" (UNDHR) can only be granted to humans. Competing concepts of group rights as well as hate speech and blasphemy laws were considered in light of the UNDHR and individual rights.
wn.com/Stresemann Stiftung Bpe Freedom Of Expression Is A Human Right
Side event held at OSCE / ODIHR Human Dimension Implementation Meeting, Warsaw, Poland, September 25th 2013
The OSCE considers freedom of expression a fundamental human right. This freedom may only be limited in order to safeguard other basic rights, such as human dignity, for a very good reason: freedom of expression is the foundation for other human rights, especially freedom of religion, freedom of the press, freedom of assembly as well as academic freedom. Without the freedom to voice opinions publicly and freely receive information, all other freedoms would not exist.
The side event addressed the constitutional implementation of freedom of expression in the OSCE region. The primary focus was on the treatment of freedom of expression as a negative and individual right, which with respect to the "Universal Declaration of Human Rights" (UNDHR) can only be granted to humans. Competing concepts of group rights as well as hate speech and blasphemy laws were considered in light of the UNDHR and individual rights.
- published: 07 Nov 2013
- views: 220
talk fusion español - mejor equipo - como ingresar.flv
http://tinyurl.com/6etq4ww ENTRA AL MEJOR EQUIPO DE TALKFUSION, ya veras por que te lo digo, aqui recibiras mas apoyo que en cualquier otro equipo. Encima mi......
http://tinyurl.com/6etq4ww ENTRA AL MEJOR EQUIPO DE TALKFUSION, ya veras por que te lo digo, aqui recibiras mas apoyo que en cualquier otro equipo. Encima mi...
wn.com/Talk Fusion Español Mejor Equipo Como Ingresar.Flv
http://tinyurl.com/6etq4ww ENTRA AL MEJOR EQUIPO DE TALKFUSION, ya veras por que te lo digo, aqui recibiras mas apoyo que en cualquier otro equipo. Encima mi...
- published: 17 Oct 2011
- views: 116
-
author: andinhei
FOX NEWS: Governing the Internet
Internet governance - Wikipedia, the free encyclopedia en.wikipedia.org/wiki/Internet_governance - Traduzir esta página This article describes how the Inte......
Internet governance - Wikipedia, the free encyclopedia en.wikipedia.org/wiki/Internet_governance - Traduzir esta página This article describes how the Inte...
wn.com/Fox News Governing The Internet
Internet governance - Wikipedia, the free encyclopedia en.wikipedia.org/wiki/Internet_governance - Traduzir esta página This article describes how the Inte...
MediTouch Review - Dr. Taveau on Customer Support for MediTouch EHR from HealthFusion Inc.
Dr. Taveau talking about customer support he has received for MediTouch EHR from HealthFusion Inc. "Customer support has been absolutely great. I mean we cal......
Dr. Taveau talking about customer support he has received for MediTouch EHR from HealthFusion Inc. "Customer support has been absolutely great. I mean we cal...
wn.com/Meditouch Review Dr. Taveau On Customer Support For Meditouch Ehr From Healthfusion Inc.
Dr. Taveau talking about customer support he has received for MediTouch EHR from HealthFusion Inc. "Customer support has been absolutely great. I mean we cal...
Write-up / SOAP note in 5 minutes
automatically generates a full Write-up or SOAP note. You can bring your laptop/tablet to the interview so you can point-and-click instead of scribbling on a......
automatically generates a full Write-up or SOAP note. You can bring your laptop/tablet to the interview so you can point-and-click instead of scribbling on a...
wn.com/Write Up Soap Note In 5 Minutes
automatically generates a full Write-up or SOAP note. You can bring your laptop/tablet to the interview so you can point-and-click instead of scribbling on a...
- published: 31 Jan 2012
- views: 7298
-
author: MD Hero
UPDATE: PERNILLA HAGBERG SWEDISH POLITICIAN ON CHEMTRAILS
Just a few words to say thank you to everyone who has joined the Facebook group with over 800 members now. Facebook group http://www.facebook.com/groups/1177634...
Just a few words to say thank you to everyone who has joined the Facebook group with over 800 members now. Facebook group http://www.facebook.com/groups/117763471707274/?notif_t=group_r2j
Swedish Green Party politician Pernilla Hagberg has spoken out on Chemtrails, the aircraft aerial spraying toxic chemicals over Sweden and most countries on the planet. These are NOT contrails. These are Chemtrails. Chemical trails. The government- media will not report on these operations, often carried out by air forces that are not of the country over which they spray.
EXCLUSIVE INTERVIEW WITH SWEDISH POLITICIAN PERNILLA HAGBERG ON CHEMTRAILS
http://www.youtube.com/watch?v=RXer7kZeOAw
CHEMTRAILS PUBLIC TALK by PATRICK LYNCH 2012
http://www.youtube.com/watch?v=H3VvXOkCI4k&list;=UUpNILs70YOAVh24OK9oK58Q&......
The effect on people's health is devastating and the damage to crops and the environment is as yet in calculable. Independent air, water and soil samples have found aluminium, barium and strontium levels sometimes hundreds of times the normal amount. These are highly carcinogenic. Toxic. Trees are dying back in many countries. Bee and butterfly populations have dropped to never before seen levels.
Arsenic, titanium, bacteria, molds, fungus and even red bloods cells are routinely found in samples.
ROYAL AIR FORCE SPOKEN TO ON CHEMTRAILS
http://www.youtube.com/watch?v=jtgfwh4jfKA
ARTICLES WITH SWEDISH POLITICIAN
http://www.medievarlden.se/nyheter/2012/09/strimmor-i-skyn-kom-langt-i-cyberr...
http://www.aftonbladet.se/nyheter/article15478012.ab
http://aircrap.org/politicians-cia-injects-toxins-sweden/335427/#comment-50104
GREEN PARTY SWEDEN. EMAIL WITH YOUR SUPPORT FOR THIS ISSUE.
http://www.mp.se/templates/Mct_177.aspx?number=177681&T;=2&ID;=655
MORE ARTICLES. PERNILLA HAGBERG . POLITICIAN. SWEDEN, CHEMTRAILS
http://kkuriren.se/nyheter/vingaker/1.1554491?sortOrder=descending#extraComments
http://metabunk.org/threads/791-Swedish-Politician-Pernilla-Hagberg-raises-qu...
CHEMTRAILS SWEDEN WEBSITE
http://chemtrailsweden.wordpress.com/
CHEMTRAILS PROJECT UK
http://www.facebook.com/pages/Chemtrails-Project-UK/321477711219892
Who is paying for this? You are, with your taxes and your lives.
Help spread the word today. Help this video go viral. Click like, comment and share.
Thank you for watching.
TWITTER. PERNILLA HAGBERG'S SUPPORT PAGE TWITTER
https://twitter.com/GOSWEDENCHEMTRA
CHEMTRAIL RALLY ENGLAND
http://www.youtube.com/watch?v=Eho08CiyLX8
CHEMTRAILS. 20,000 PEOPLE HEAR THE TRUTH
http://www.youtube.com/watch?v=KMO0Ie5FpBc
TREATY ON OPEN SKIES
http://www.osce.org/library/14127
HOUSE OF COMMONS GEOENGINEERING REPORT
http://www.publications.parliament.uk/pa/cm200910/cmselect/cmsctech/221/221.pdf
Bill Gates backs climate scientists lobbying for large-scale geoengineering http://www.guardian.co.uk/environment/2012/feb/06/bill-gates-climate-scientis...
Weather as a Force Multiplier:
Owning the Weather in 2025
http://csat.au.af.mil/2025/volume3/vol3ch15.pdf
Policy Implications of
Greenhouse Warming
http://www.nap.edu/openbook.php?isbn=0309043867
CHEMTRAILS PROJECT UK
http://www.facebook.com/pages/Chemtrails-Project-UK/321477711219892
KENT MESSENGER ARTICLE MENTIONED IN INTERVIEW
http://www.facebook.com/photo.php?fbid=470401809660814&set;=a.346406298727...
H.A.A.R.P. OFFICIAL WEBSITE
http://www.haarp.alaska.edu/
OPEN SKIES TREATY
http://www.ntip.navy.mil/open_skies/index.shtml
http://cuttingthroughthematrix.com/
TESTS OF CHEMTRAIL FALL OUT
http://www.carnicominstitute.org/
ROYAL INSTITUTE INTERNATIONAL AFFAIRS
http://www.chathamhouse.org/
wn.com/Update Pernilla Hagberg Swedish Politician On Chemtrails
Just a few words to say thank you to everyone who has joined the Facebook group with over 800 members now. Facebook group http://www.facebook.com/groups/117763471707274/?notif_t=group_r2j
Swedish Green Party politician Pernilla Hagberg has spoken out on Chemtrails, the aircraft aerial spraying toxic chemicals over Sweden and most countries on the planet. These are NOT contrails. These are Chemtrails. Chemical trails. The government- media will not report on these operations, often carried out by air forces that are not of the country over which they spray.
EXCLUSIVE INTERVIEW WITH SWEDISH POLITICIAN PERNILLA HAGBERG ON CHEMTRAILS
http://www.youtube.com/watch?v=RXer7kZeOAw
CHEMTRAILS PUBLIC TALK by PATRICK LYNCH 2012
http://www.youtube.com/watch?v=H3VvXOkCI4k&list;=UUpNILs70YOAVh24OK9oK58Q&......
The effect on people's health is devastating and the damage to crops and the environment is as yet in calculable. Independent air, water and soil samples have found aluminium, barium and strontium levels sometimes hundreds of times the normal amount. These are highly carcinogenic. Toxic. Trees are dying back in many countries. Bee and butterfly populations have dropped to never before seen levels.
Arsenic, titanium, bacteria, molds, fungus and even red bloods cells are routinely found in samples.
ROYAL AIR FORCE SPOKEN TO ON CHEMTRAILS
http://www.youtube.com/watch?v=jtgfwh4jfKA
ARTICLES WITH SWEDISH POLITICIAN
http://www.medievarlden.se/nyheter/2012/09/strimmor-i-skyn-kom-langt-i-cyberr...
http://www.aftonbladet.se/nyheter/article15478012.ab
http://aircrap.org/politicians-cia-injects-toxins-sweden/335427/#comment-50104
GREEN PARTY SWEDEN. EMAIL WITH YOUR SUPPORT FOR THIS ISSUE.
http://www.mp.se/templates/Mct_177.aspx?number=177681&T;=2&ID;=655
MORE ARTICLES. PERNILLA HAGBERG . POLITICIAN. SWEDEN, CHEMTRAILS
http://kkuriren.se/nyheter/vingaker/1.1554491?sortOrder=descending#extraComments
http://metabunk.org/threads/791-Swedish-Politician-Pernilla-Hagberg-raises-qu...
CHEMTRAILS SWEDEN WEBSITE
http://chemtrailsweden.wordpress.com/
CHEMTRAILS PROJECT UK
http://www.facebook.com/pages/Chemtrails-Project-UK/321477711219892
Who is paying for this? You are, with your taxes and your lives.
Help spread the word today. Help this video go viral. Click like, comment and share.
Thank you for watching.
TWITTER. PERNILLA HAGBERG'S SUPPORT PAGE TWITTER
https://twitter.com/GOSWEDENCHEMTRA
CHEMTRAIL RALLY ENGLAND
http://www.youtube.com/watch?v=Eho08CiyLX8
CHEMTRAILS. 20,000 PEOPLE HEAR THE TRUTH
http://www.youtube.com/watch?v=KMO0Ie5FpBc
TREATY ON OPEN SKIES
http://www.osce.org/library/14127
HOUSE OF COMMONS GEOENGINEERING REPORT
http://www.publications.parliament.uk/pa/cm200910/cmselect/cmsctech/221/221.pdf
Bill Gates backs climate scientists lobbying for large-scale geoengineering http://www.guardian.co.uk/environment/2012/feb/06/bill-gates-climate-scientis...
Weather as a Force Multiplier:
Owning the Weather in 2025
http://csat.au.af.mil/2025/volume3/vol3ch15.pdf
Policy Implications of
Greenhouse Warming
http://www.nap.edu/openbook.php?isbn=0309043867
CHEMTRAILS PROJECT UK
http://www.facebook.com/pages/Chemtrails-Project-UK/321477711219892
KENT MESSENGER ARTICLE MENTIONED IN INTERVIEW
http://www.facebook.com/photo.php?fbid=470401809660814&set;=a.346406298727...
H.A.A.R.P. OFFICIAL WEBSITE
http://www.haarp.alaska.edu/
OPEN SKIES TREATY
http://www.ntip.navy.mil/open_skies/index.shtml
http://cuttingthroughthematrix.com/
TESTS OF CHEMTRAIL FALL OUT
http://www.carnicominstitute.org/
ROYAL INSTITUTE INTERNATIONAL AFFAIRS
http://www.chathamhouse.org/
- published: 27 Sep 2012
- views: 1730
SWEDISH POLITICIAN CHEMTRAIL INTERVIEW. FreeTruth Show
Recorded 25th September 2012 Facebook group http://www.facebook.com/groups/117763471707274/?notif_t=group_r2j Swedish Green Party politician Pernilla Hagberg......
Recorded 25th September 2012 Facebook group http://www.facebook.com/groups/117763471707274/?notif_t=group_r2j Swedish Green Party politician Pernilla Hagberg...
wn.com/Swedish Politician Chemtrail Interview. Freetruth Show
Recorded 25th September 2012 Facebook group http://www.facebook.com/groups/117763471707274/?notif_t=group_r2j Swedish Green Party politician Pernilla Hagberg...
Birth Options
In this video I talk through my options for the birth of my second child due Feb 1st 2014.
Instagram @millyandaustin...
In this video I talk through my options for the birth of my second child due Feb 1st 2014.
Instagram @millyandaustin
wn.com/Birth Options
In this video I talk through my options for the birth of my second child due Feb 1st 2014.
Instagram @millyandaustin
- published: 21 Nov 2013
- views: 311
Cranial Nerve Examination Example
http://www.liv.ac.uk/neurosciences-research-unit/neuropaces/...
http://www.liv.ac.uk/neurosciences-research-unit/neuropaces/
wn.com/Cranial Nerve Examination Example
http://www.liv.ac.uk/neurosciences-research-unit/neuropaces/
- published: 07 Jun 2012
- views: 79968
-
author: Neuro PACES
Sultan Medico Over-the-counter (OTC) medicines Episode 1
Sultan Medico Over-the-counter (OTC) medicines Episode # 1 Episode No. 1 Hi, welcome to this special SultanMedico episode. My name is Sultan Ahmed. Today we ......
Sultan Medico Over-the-counter (OTC) medicines Episode # 1 Episode No. 1 Hi, welcome to this special SultanMedico episode. My name is Sultan Ahmed. Today we ...
wn.com/Sultan Medico Over The Counter (Otc) Medicines Episode 1
Sultan Medico Over-the-counter (OTC) medicines Episode # 1 Episode No. 1 Hi, welcome to this special SultanMedico episode. My name is Sultan Ahmed. Today we ...
Dual Diagnosis - Summarising
These videos have been made to provide you with an additional resource to help with your clinical skills practice. These have been designed as interactive le......
These videos have been made to provide you with an additional resource to help with your clinical skills practice. These have been designed as interactive le...
wn.com/Dual Diagnosis Summarising
These videos have been made to provide you with an additional resource to help with your clinical skills practice. These have been designed as interactive le...
- published: 28 Oct 2010
- views: 462
-
author: sgulcso
EHR Healthcare Case Study: Dr. Hague and Dr. Kim - Free iPad EMR | drchrono
Case Study: Dr. Hague and Dr. Kim from New York, NY talk about how to bring a medical practice digital with iPads, MACs and an EHR platform. ---- drchrono is......
Case Study: Dr. Hague and Dr. Kim from New York, NY talk about how to bring a medical practice digital with iPads, MACs and an EHR platform. ---- drchrono is...
wn.com/Ehr Healthcare Case Study Dr. Hague And Dr. Kim Free Ipad Emr | Drchrono
Case Study: Dr. Hague and Dr. Kim from New York, NY talk about how to bring a medical practice digital with iPads, MACs and an EHR platform. ---- drchrono is...
- published: 01 Mar 2012
- views: 356
-
author: DrChronoTV
PHAR10400 University of Manchester- Chlamydia screening and treatment
Produced by students from the University of Manchester as part of the undergraduate course PHAR10400 The Public.
A pharmacy setting provides many opportuniti...
Produced by students from the University of Manchester as part of the undergraduate course PHAR10400 The Public.
A pharmacy setting provides many opportunities for the pharmacist to offer their services to an individual who may be at increased risk of chlamydia. For example, if an individual visits regularly for emergency contraception, a pharmacist can provide them with leaflets or a brief consultation to create awareness of chlamydia and screening services. If the individual is concerned, chlamydia testing kits are available from the pharmacy free of charge and the pharmacist will be able to counsel them on how to use it and also the procedure that follows.
For more information please visit: http://www.nhs.uk/chlamydia
References:
NHS, 2013. Chlamydia. [Online]
Available at: http://www.nhs.uk/conditions/Chlamydia/Pages/Introduction.aspx
[Accessed October 2014].
Public Health England, 2013. NCSP:What are the symptoms?. [Online]
Available at: http://www.chlamydiascreening.nhs.uk/ys/haveit.html
[Accessed October 2014].
Dr Knott, L., Original:Dr Kenny, T., 2013. Patient.co.uk:Genital Chlamydia. [Online]
Available at: http://www.patient.co.uk/health/genital-chlamydia
[Accessed October 2014].
FPA, 2014. Chlamydia. [Online]
Available at: http://www.fpa.org.uk/sexually-transmitted-infections-stis-help/chlamydia
[Accessed October 2014].
Blood splatter (2014). [image]
Available at: http://4e7221.medialib.glogster.com/media/001df47679f2096c8862ec0a42f6ce2311a6740265fad5642b73d0adc795b4c9/animatedblood-splatter.gif
[Accessed October 2014].
Fire image. (2014). [image]
Available at: http://getfireplan.com/wp-content/themes/xhtmlchop_4588/images/hm/fire.jpg [Accessed October 2014].
Lerin, M. (2014). Polka dots overlay. [image].
Available at: https://www.pixelscrapper.com/legacy/sites/default/files/imagecache/resize_300_nocrop/templates/user-1/node-3364/image/marisa-lerin-polka-dot-overlay-13-template-dots-commercial-use.png
[Accessed October 2014]
Sore throat image. (2014). [image]
Available at: http://1.bp.blogspot.com/_8txjAYMWL5k/SPBDKyRLKNI/AAAAAAAABzk/kEhjQLEoplU/s200/sore_throat.jpg [Accessed October 2014].
wn.com/Phar10400 University Of Manchester Chlamydia Screening And Treatment
Produced by students from the University of Manchester as part of the undergraduate course PHAR10400 The Public.
A pharmacy setting provides many opportunities for the pharmacist to offer their services to an individual who may be at increased risk of chlamydia. For example, if an individual visits regularly for emergency contraception, a pharmacist can provide them with leaflets or a brief consultation to create awareness of chlamydia and screening services. If the individual is concerned, chlamydia testing kits are available from the pharmacy free of charge and the pharmacist will be able to counsel them on how to use it and also the procedure that follows.
For more information please visit: http://www.nhs.uk/chlamydia
References:
NHS, 2013. Chlamydia. [Online]
Available at: http://www.nhs.uk/conditions/Chlamydia/Pages/Introduction.aspx
[Accessed October 2014].
Public Health England, 2013. NCSP:What are the symptoms?. [Online]
Available at: http://www.chlamydiascreening.nhs.uk/ys/haveit.html
[Accessed October 2014].
Dr Knott, L., Original:Dr Kenny, T., 2013. Patient.co.uk:Genital Chlamydia. [Online]
Available at: http://www.patient.co.uk/health/genital-chlamydia
[Accessed October 2014].
FPA, 2014. Chlamydia. [Online]
Available at: http://www.fpa.org.uk/sexually-transmitted-infections-stis-help/chlamydia
[Accessed October 2014].
Blood splatter (2014). [image]
Available at: http://4e7221.medialib.glogster.com/media/001df47679f2096c8862ec0a42f6ce2311a6740265fad5642b73d0adc795b4c9/animatedblood-splatter.gif
[Accessed October 2014].
Fire image. (2014). [image]
Available at: http://getfireplan.com/wp-content/themes/xhtmlchop_4588/images/hm/fire.jpg [Accessed October 2014].
Lerin, M. (2014). Polka dots overlay. [image].
Available at: https://www.pixelscrapper.com/legacy/sites/default/files/imagecache/resize_300_nocrop/templates/user-1/node-3364/image/marisa-lerin-polka-dot-overlay-13-template-dots-commercial-use.png
[Accessed October 2014]
Sore throat image. (2014). [image]
Available at: http://1.bp.blogspot.com/_8txjAYMWL5k/SPBDKyRLKNI/AAAAAAAABzk/kEhjQLEoplU/s200/sore_throat.jpg [Accessed October 2014].
- published: 09 Dec 2014
- views: 26
MCEM Part B course
Our next MCEM Part B course in on 27-28 January 2015. Watch this short video to find out more.-- Created using PowToon -- Free sign up at http://www.powtoon.co...
Our next MCEM Part B course in on 27-28 January 2015. Watch this short video to find out more.-- Created using PowToon -- Free sign up at http://www.powtoon.com/join -- Create animated videos and animated presentations for free. PowToon is a free tool that allows you to develop cool animated clips and animated presentations for your website, office meeting, sales pitch, nonprofit fundraiser, product launch, video resume, or anything else you could use an animated explainer video. PowToon's animation templates help you create animated presentations and animated explainer videos from scratch. Anyone can produce awesome animations quickly with PowToon, without the cost or hassle other professional animation services require.
wn.com/Mcem Part B Course
Our next MCEM Part B course in on 27-28 January 2015. Watch this short video to find out more.-- Created using PowToon -- Free sign up at http://www.powtoon.com/join -- Create animated videos and animated presentations for free. PowToon is a free tool that allows you to develop cool animated clips and animated presentations for your website, office meeting, sales pitch, nonprofit fundraiser, product launch, video resume, or anything else you could use an animated explainer video. PowToon's animation templates help you create animated presentations and animated explainer videos from scratch. Anyone can produce awesome animations quickly with PowToon, without the cost or hassle other professional animation services require.
- published: 08 Jan 2015
- views: 64
HPI for Multiple Chief Complaints
"From the February 2015 Coding Certification Q and A Webinar": Free for all! Get CEU's!"
HPI for Multiple Chief Complaints.
Click here to get more cpc exam ti...
"From the February 2015 Coding Certification Q and A Webinar": Free for all! Get CEU's!"
HPI for Multiple Chief Complaints.
Click here to get more cpc exam tips, coding certification training, and ceu credits. http://www.codingcertification.org/freetips-yt
Q: (HPI for Multiple Chief Complaints) “If the patient presents with 3 complaints not chronic illness and there are 1-3 elements documented for each complaint that this would support an EPH HPI.”
The question was basically asking for an authoritative source regarding pulling HPI element for multiple chief complaints. Not talking about chronic illnesses, we’re just talking about patients like me when I go to the doctor, I like to save all of my so that he gets more bang for his buck, when I go; so he has a lot to choose from when I go to the doctor.
So, people who are like me who may want to go in there complaining about knee pain and then they want to complain about ringing in the ears – that type of thing. So, the only authoritative source that you’re going to be able to find is going to be whatever carrier that you’re billing for. CMS isn’t even going to be the authoritative service on this because every carrier can set their guidelines that they want to use for determining their HPI. I can give you some rule of thumb but you’re still going to have to go back to that carrier.
The question there was the statement that said the coder must choose elements in HPI based on one chief complaint, whichever chief complaint has the most HPI elements and that benefit physician the most – I, probably a lot of other auditors out there do not like that statement. One, I don’t like blanket statement and the statement isn’t completely right and the statement isn’t completely wrong either.
So, I think what I disagree with this is just the wording and I didn’t want to sit here and go, “Yes, I agree with that,” and then you think that that’s the way it is, it is a blanket statement. So, really, truly, I don’t like a blanket statement.
wn.com/Hpi For Multiple Chief Complaints
"From the February 2015 Coding Certification Q and A Webinar": Free for all! Get CEU's!"
HPI for Multiple Chief Complaints.
Click here to get more cpc exam tips, coding certification training, and ceu credits. http://www.codingcertification.org/freetips-yt
Q: (HPI for Multiple Chief Complaints) “If the patient presents with 3 complaints not chronic illness and there are 1-3 elements documented for each complaint that this would support an EPH HPI.”
The question was basically asking for an authoritative source regarding pulling HPI element for multiple chief complaints. Not talking about chronic illnesses, we’re just talking about patients like me when I go to the doctor, I like to save all of my so that he gets more bang for his buck, when I go; so he has a lot to choose from when I go to the doctor.
So, people who are like me who may want to go in there complaining about knee pain and then they want to complain about ringing in the ears – that type of thing. So, the only authoritative source that you’re going to be able to find is going to be whatever carrier that you’re billing for. CMS isn’t even going to be the authoritative service on this because every carrier can set their guidelines that they want to use for determining their HPI. I can give you some rule of thumb but you’re still going to have to go back to that carrier.
The question there was the statement that said the coder must choose elements in HPI based on one chief complaint, whichever chief complaint has the most HPI elements and that benefit physician the most – I, probably a lot of other auditors out there do not like that statement. One, I don’t like blanket statement and the statement isn’t completely right and the statement isn’t completely wrong either.
So, I think what I disagree with this is just the wording and I didn’t want to sit here and go, “Yes, I agree with that,” and then you think that that’s the way it is, it is a blanket statement. So, really, truly, I don’t like a blanket statement.
- published: 10 Apr 2015
- views: 25
Free and Nonviolent Elections 2013 Trailer
The project "Free and Nonviolent Elections 2013" is implemented by Civil -- Center for Freedom, financially supported by the Swiss Agency for Development and......
The project "Free and Nonviolent Elections 2013" is implemented by Civil -- Center for Freedom, financially supported by the Swiss Agency for Development and...
wn.com/Free And Nonviolent Elections 2013 Trailer
The project "Free and Nonviolent Elections 2013" is implemented by Civil -- Center for Freedom, financially supported by the Swiss Agency for Development and...
Pass The Police Written Test
http://www.copuniversity.com - Here is a tip towards passing the police written test. Be sure to check out our FREE blog for more. In order to become a cop, ......
http://www.copuniversity.com - Here is a tip towards passing the police written test. Be sure to check out our FREE blog for more. In order to become a cop, ...
wn.com/Pass The Police Written Test
http://www.copuniversity.com - Here is a tip towards passing the police written test. Be sure to check out our FREE blog for more. In order to become a cop, ...
Prathinidhi Movie Scenes - Manchodu Srinu Beating To Minister Son - Nara Rohith
Prathinidhi Movie Scenes - Manchodu Srinu Beating To Minister Son Movie: Prathinidhi, Cast: Nara Rohith, Shubra Aiyappa, Kota Srinivasa Rao, Vishnu, Jaya Prakas...
Prathinidhi Movie Scenes - Manchodu Srinu Beating To Minister Son Movie: Prathinidhi, Cast: Nara Rohith, Shubra Aiyappa, Kota Srinivasa Rao, Vishnu, Jaya Prakash Reddy, Director: Prashanth...
wn.com/Prathinidhi Movie Scenes Manchodu Srinu Beating To Minister Son Nara Rohith
Prathinidhi Movie Scenes - Manchodu Srinu Beating To Minister Son Movie: Prathinidhi, Cast: Nara Rohith, Shubra Aiyappa, Kota Srinivasa Rao, Vishnu, Jaya Prakash Reddy, Director: Prashanth...
OBAMA at UN on UKRAINE & RUSSIA - Attacks Russia Involvement in Ukraine
I NEED YOUR HELP! - Please Support Us To Help Awaken The Masses http://www.Patreon.com/EliteNWOAgenda
SUBSCRIBE to ELITE NWO AGENDA for Latest Updates - http:...
I NEED YOUR HELP! - Please Support Us To Help Awaken The Masses http://www.Patreon.com/EliteNWOAgenda
SUBSCRIBE to ELITE NWO AGENDA for Latest Updates - http://www.youtube.com/user/elitenwoagenda?sub_confirmation=1
OBAMA at UN on UKRAINE & RUSSIA - Attacks Russia Involvement in Ukraine
In speeches to the U.N. General Assembly less than two hours apart, each leader said he embraced a foreign policy approach that respects international norms that are essential to global stability. territorial sovereignty of countries are “flagrantly violated”. Referring to Russia’s action in Crimea and Ukraine, the US president said the sanctions imposed against Russia are a direct consequence for not respecting other nations sovereignty and are to set an example across the world
With Q3 of the 2015 fiscal year just around the corner, one cannot help but notice unprecedented unease in both financial and social spheres, and perhaps with good reason; with alternative media forecasters, national banks, and supranational institutions alike heralding the coming of “global depression” by the end of 2016, this consensus of seemingly strange bedfellows almost universally agree that something wicked this way comes.
These dire economic prognostications exist simultaneously in a world in which energy and development prospects, both nationally and transnationally, are being reworked – with equally profound implications as the aforementioned financial trend analysis. Be it the Obama Administration’s “Clean Power Plan” or the EU and China’splanned Neomalthusian 2030 carbon emission cutbacks, national entities the world over are positioning themselves for profound shifts in energy, development, trade, and even currency ahead of COP21 in Paris this December, or as some have deemed it, “Agenda 2030.”
The convergence of both engineered economic crisis and an engineered “sustainable development” crisis in late-2015 are hardly coincidental, nor are they insignificant. While the alternative finance community seems destined to eternally squabble about the mechanics of a coming global depression, few have set themselves to the task of projecting what the character of such a post-depression society will look like – and the “New World Economic Order” it has the potential to initiate.
It is this author’s contention that the character of this coming era can only be understood when financial calamity is viewed in tandem with Agenda 21’s faux-ecological insidiousness; and you, Reader, deserve the knowledge and documentation of this sagacious plot. It’s pervasive, it’s global, and has existed (in its modern form) since at least the 1970s.
If you didn’t like “Agenda 21″, then you really are not going to like “The 2030 Agenda”. Next month, the United Nations is going to launch “The 2030 Agenda” at a major conference that will be held from September 25th to September 27th in New York City. The Pope is actually traveling to New York to deliver an address which will kick off this conference. Unlike Agenda 21, which primarily focused on the environment, the 2030 Agenda is truly a template for governing the entire planet. In addition to addressing climate change, it also sets ambitious goals for areas such as economics, health, energy, education, agriculture, gender equality and a whole host of other issues. As you will see below, this global initiative is being billed as a “new universal Agenda” for humanity. If you are anything like me, alarm bells are going off in your head right about now.
russia ukraine speech meeting UN "united nations" challenge battle economy history historic future leadership leader nation 2015 2016 world global power control finance "forex trading" media entertainment trends trendy journalist politics people humanity europe "european union" savings forex "russian ruble" diplomat relationship friendship peace international "elite nwo agenda"
worldwide money debt consumer sale africa disease rfid chip big brother illuminati dollar per day united nations mosquito moral rights justice tomorrow land planet george orwell pope blood moon david icke end game slums documentary alex jones infowars trends in the news gerald celente global warming scam education jsnip4 montagraph china asia
25 September 2015 – The 193-Member United Nations General Assembly today formally adopted the 2030 Agenda for Sustainable Development, along with a set of bold new Global Goals, which Secretary-General Ban Ki-moon hailed as a universal, integrated and transformative vision for a better world. The UN chief’s address came ahead of the Assembly’s formal adoption of the new framework, Transforming Our World: the 2030 Agenda for Sustainable Development, which is composed of 17 goals and 169 targets to wipe out poverty, fight inequality and tackle climate change over the next 15 years. bilderberg group george soros
wn.com/Obama At Un On Ukraine Russia Attacks Russia Involvement In Ukraine
I NEED YOUR HELP! - Please Support Us To Help Awaken The Masses http://www.Patreon.com/EliteNWOAgenda
SUBSCRIBE to ELITE NWO AGENDA for Latest Updates - http://www.youtube.com/user/elitenwoagenda?sub_confirmation=1
OBAMA at UN on UKRAINE & RUSSIA - Attacks Russia Involvement in Ukraine
In speeches to the U.N. General Assembly less than two hours apart, each leader said he embraced a foreign policy approach that respects international norms that are essential to global stability. territorial sovereignty of countries are “flagrantly violated”. Referring to Russia’s action in Crimea and Ukraine, the US president said the sanctions imposed against Russia are a direct consequence for not respecting other nations sovereignty and are to set an example across the world
With Q3 of the 2015 fiscal year just around the corner, one cannot help but notice unprecedented unease in both financial and social spheres, and perhaps with good reason; with alternative media forecasters, national banks, and supranational institutions alike heralding the coming of “global depression” by the end of 2016, this consensus of seemingly strange bedfellows almost universally agree that something wicked this way comes.
These dire economic prognostications exist simultaneously in a world in which energy and development prospects, both nationally and transnationally, are being reworked – with equally profound implications as the aforementioned financial trend analysis. Be it the Obama Administration’s “Clean Power Plan” or the EU and China’splanned Neomalthusian 2030 carbon emission cutbacks, national entities the world over are positioning themselves for profound shifts in energy, development, trade, and even currency ahead of COP21 in Paris this December, or as some have deemed it, “Agenda 2030.”
The convergence of both engineered economic crisis and an engineered “sustainable development” crisis in late-2015 are hardly coincidental, nor are they insignificant. While the alternative finance community seems destined to eternally squabble about the mechanics of a coming global depression, few have set themselves to the task of projecting what the character of such a post-depression society will look like – and the “New World Economic Order” it has the potential to initiate.
It is this author’s contention that the character of this coming era can only be understood when financial calamity is viewed in tandem with Agenda 21’s faux-ecological insidiousness; and you, Reader, deserve the knowledge and documentation of this sagacious plot. It’s pervasive, it’s global, and has existed (in its modern form) since at least the 1970s.
If you didn’t like “Agenda 21″, then you really are not going to like “The 2030 Agenda”. Next month, the United Nations is going to launch “The 2030 Agenda” at a major conference that will be held from September 25th to September 27th in New York City. The Pope is actually traveling to New York to deliver an address which will kick off this conference. Unlike Agenda 21, which primarily focused on the environment, the 2030 Agenda is truly a template for governing the entire planet. In addition to addressing climate change, it also sets ambitious goals for areas such as economics, health, energy, education, agriculture, gender equality and a whole host of other issues. As you will see below, this global initiative is being billed as a “new universal Agenda” for humanity. If you are anything like me, alarm bells are going off in your head right about now.
russia ukraine speech meeting UN "united nations" challenge battle economy history historic future leadership leader nation 2015 2016 world global power control finance "forex trading" media entertainment trends trendy journalist politics people humanity europe "european union" savings forex "russian ruble" diplomat relationship friendship peace international "elite nwo agenda"
worldwide money debt consumer sale africa disease rfid chip big brother illuminati dollar per day united nations mosquito moral rights justice tomorrow land planet george orwell pope blood moon david icke end game slums documentary alex jones infowars trends in the news gerald celente global warming scam education jsnip4 montagraph china asia
25 September 2015 – The 193-Member United Nations General Assembly today formally adopted the 2030 Agenda for Sustainable Development, along with a set of bold new Global Goals, which Secretary-General Ban Ki-moon hailed as a universal, integrated and transformative vision for a better world. The UN chief’s address came ahead of the Assembly’s formal adoption of the new framework, Transforming Our World: the 2030 Agenda for Sustainable Development, which is composed of 17 goals and 169 targets to wipe out poverty, fight inequality and tackle climate change over the next 15 years. bilderberg group george soros
- published: 29 Sep 2015
- views: 372
what is the definition of Acoustic neuroma (Medical Dictionary Online)
what is the definition of Acoustic neuroma: A benign tumor that may develop on the hearing and balance nerves near the inner ear. The tumor results from an over...
what is the definition of Acoustic neuroma: A benign tumor that may develop on the hearing and balance nerves near the inner ear. The tumor results from an overproduction of Schwann cells -- small sheet-like cells that normally wrap around nerve fibers like onion skin and help support the nerves. When growth is abnormally excessive, Schwann cells bunch together, pressing against the hearing and balance nerves, often causing gradual hearing loss, tinnitus (ringing in the ears), and dizziness. If the tumor becomes large, it can interfere with the facial nerve, causing partial paralysis, and eventually press against nearby brain structures, becoming life-threatening.
The early diagnosis of an acoustic neuroma is the key to preventing its serious consequences. Unfortunately, early detection of the tumor is sometimes difficult because the symptoms may be subtle and may not appear in the beginning stages of growth. Once the symptoms do appear, a thorough ear examination and hearing test are essential for diagnosis. Computerized tomography (CT) scans and magnetic resonance imaging (MRI) are helpful in determining the location and size of a tumor and also in planning its microsurgical removal.
If an acoustic neuroma is surgically removed when it is still very small, hearing may be preserved and accompanying symptoms may go away. As the tumor grows larger, surgical removal is often more complicated because the tumor may become firmly attached to the nerves that control facial movement, hearing, and balance.
The removal of tumors attached to hearing, balance, or facial nerves can make the patient's symptoms worse because sections of these nerves must also be removed with the tumor. As an alternative to conventional surgical techniques, radiosurgery may be used to reduce the size or limit the growth of the tumor. Radiosurgery, utilizing carefully focused radiation, is sometimes performed on the elderly, on patients with tumors on both hearing nerves, or on patients with a tumor growing on the nerve of their only hearing ear. If the tumor is not removed, MRI is used to carefully monitor its growth.
There are two types of acoustic neuroma: unilateral and bilateral. Unilateral acoustic neuromas affect only one ear. They account for approximately 8 percent of all tumors inside the skull. Symptoms may develop at any age but usually occur between the ages of 30 and 60 years.
Bilateral acoustic neuromas, which affect both ears, are hereditary. Inherited from one's parents, this tumor results from a genetic disorder known as neurofibromatosis-2 (NF2). Affected individuals have a 50 percent chance of passing this disorder on to their children. Unlike those with a unilateral acoustic neuroma, individuals with NF2 usually develop symptoms in their teens or early adulthood. Because NF2 patients usually have multiple tumors, the surgical procedure is more complicated than the removal of a unilateral acoustic neuroma. Further research is needed to determine the best approach in these circumstances.
In addition to tumors arising from the hearing and balance nerves, NF2 patients may develop tumors on other cranial nerves associated with swallowing, speech, eye and facial movement, and facial sensation. NF2 patients may also develop tumors within the spinal cord and on the brain's thin covering.
Both types of acoustic neuroma occur following a loss of the function of a gene on chromosome 22. A gene is a small section of DNA responsible for a particular trait like hair color or skin tone. This particular gene on chromosome 22 suppresses the growth of Schwann cells. When this gene malfunctions, Schwann cells can grow out of control. This gene may help suppress other types of tumor growth. In NF2 patients, the faulty gene on chromosome 22 is inherited.
Acoustic neuroma is also called an acoustic neurinoma or a vestibular schwannoma.
medical terminology, medical dictionary, medical dictionary free download, medical terminology made easy, medical terminology song
wn.com/What Is The Definition Of Acoustic Neuroma (Medical Dictionary Online)
what is the definition of Acoustic neuroma: A benign tumor that may develop on the hearing and balance nerves near the inner ear. The tumor results from an overproduction of Schwann cells -- small sheet-like cells that normally wrap around nerve fibers like onion skin and help support the nerves. When growth is abnormally excessive, Schwann cells bunch together, pressing against the hearing and balance nerves, often causing gradual hearing loss, tinnitus (ringing in the ears), and dizziness. If the tumor becomes large, it can interfere with the facial nerve, causing partial paralysis, and eventually press against nearby brain structures, becoming life-threatening.
The early diagnosis of an acoustic neuroma is the key to preventing its serious consequences. Unfortunately, early detection of the tumor is sometimes difficult because the symptoms may be subtle and may not appear in the beginning stages of growth. Once the symptoms do appear, a thorough ear examination and hearing test are essential for diagnosis. Computerized tomography (CT) scans and magnetic resonance imaging (MRI) are helpful in determining the location and size of a tumor and also in planning its microsurgical removal.
If an acoustic neuroma is surgically removed when it is still very small, hearing may be preserved and accompanying symptoms may go away. As the tumor grows larger, surgical removal is often more complicated because the tumor may become firmly attached to the nerves that control facial movement, hearing, and balance.
The removal of tumors attached to hearing, balance, or facial nerves can make the patient's symptoms worse because sections of these nerves must also be removed with the tumor. As an alternative to conventional surgical techniques, radiosurgery may be used to reduce the size or limit the growth of the tumor. Radiosurgery, utilizing carefully focused radiation, is sometimes performed on the elderly, on patients with tumors on both hearing nerves, or on patients with a tumor growing on the nerve of their only hearing ear. If the tumor is not removed, MRI is used to carefully monitor its growth.
There are two types of acoustic neuroma: unilateral and bilateral. Unilateral acoustic neuromas affect only one ear. They account for approximately 8 percent of all tumors inside the skull. Symptoms may develop at any age but usually occur between the ages of 30 and 60 years.
Bilateral acoustic neuromas, which affect both ears, are hereditary. Inherited from one's parents, this tumor results from a genetic disorder known as neurofibromatosis-2 (NF2). Affected individuals have a 50 percent chance of passing this disorder on to their children. Unlike those with a unilateral acoustic neuroma, individuals with NF2 usually develop symptoms in their teens or early adulthood. Because NF2 patients usually have multiple tumors, the surgical procedure is more complicated than the removal of a unilateral acoustic neuroma. Further research is needed to determine the best approach in these circumstances.
In addition to tumors arising from the hearing and balance nerves, NF2 patients may develop tumors on other cranial nerves associated with swallowing, speech, eye and facial movement, and facial sensation. NF2 patients may also develop tumors within the spinal cord and on the brain's thin covering.
Both types of acoustic neuroma occur following a loss of the function of a gene on chromosome 22. A gene is a small section of DNA responsible for a particular trait like hair color or skin tone. This particular gene on chromosome 22 suppresses the growth of Schwann cells. When this gene malfunctions, Schwann cells can grow out of control. This gene may help suppress other types of tumor growth. In NF2 patients, the faulty gene on chromosome 22 is inherited.
Acoustic neuroma is also called an acoustic neurinoma or a vestibular schwannoma.
medical terminology, medical dictionary, medical dictionary free download, medical terminology made easy, medical terminology song
- published: 06 Sep 2014
- views: 1