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CPG Management of Thalassaemia 100%

Management of Transfusion Dependent Thalassaemia GUIDELINES DEVELOPMENT The development group for these guidelines consisted of paediatricians, paediatric haemato-oncologists, paediatric endocrinologists, haematologists, pathologists, public health physicians, a clinical geneticist, a family medicine specialist, a radiologist, a pharmacist and a nursing sister from the Ministry of Health and Ministry of Higher Education, Malaysia.


dtlin燦 85%

Associate Professor, Department of Pediatrics, National Cheng-Kung University, Aug.1986-Now Associate Professor, Department of Laboratory Medicine and Pediatrics, College of Medicine, National Taiwan University, Aug.1999-Now Board Certification: Taiwan Society of Pediatrics, 1989, re-certified 1995 Taiwan Society of Hematology, 1987 Taiwan Society of Cardiology , 1989 Taiwan Society of Clinical Pathology,1994 , re-certified 2007 Formosan Association of Blood Purification, 1998 Taiwan Society of Blood and Bone Marrow transplantation, 2007 Professional Experience: Secretary General, Society of Blood Transfusion, R.O.C.


CV Chu 20100112 朱 for CP 72%

1990 Undergraduate, School of Medicine, China Medical College 1996 Clinical and research fellow, National Health Institute Transfusion Medicine Laboratory, Mackay Memorial Hospital, Taipei, Taiwan 2005 Elite Leadership Program, John F.


LAC FINAL Report on April 1st demo 71%

He was infected with HCV in a blood transfusion he received in a hospital in 1981 after having been shot by a cop at a crime scene in which a cop was shot by someone before Mumia arrived on the scene.


WaterworksEssayFinalDraft 67%

FINAL DRAFT      Waterworks Essay  Final Draft  Ryan Moore    Medical Morality in the Gilded Age    The Gilded Age was a time of radical change in America, right on the cusp of the  Industrial Revolution. Americans living in urban regions had no choice but to adapt to the  changes that came with obstacles such as rapid urban expansion, violent gang activity in major  cities, and sub­standard hygiene. E.L. Doctorow’s novel, ​ The Waterworks​ , is a book that depicts  an accurate historical view of New York in this time period. In this book, the character of Dr.  Sartorius serves two purposes: Sartorius shines a light on some of the beneficial advancements in  Gilded Age medicine, in order to gain the reader’s trust; then, he provokes the issue of medical  morality in his twisted experiments using deceased street­orphan children to prolong the lives of  rich old men. The role of Dr. Sartorius in ​ The Waterworks​  brings up a very relevant question: at  what point does the pursuit of medicinal knowledge become immoral? Well, based on simple  laws of ethics, one can easily deduce that the pursuit of medical knowledge becomes immoral if  the patients, or people close to the patients, experience physical or emotional trauma as a direct  result of your practice. What truly matters in deciding medical morality is the intention of the  doctor: did the doctor intend to cause harm, or was the doctor doing the best they could with the  knowledge available in that time period? Some doctors in the Gilded Age adhered to some sort  of ethical code, while some did not. Both ends of this moral spectrum deserve to be examined,  and the morality of the actions of Dr. Sartorius deserve the same scrutiny.  For every medical advancement made during the Gilded Age, an outdated (and often  terrifying) medical procedure would be eliminated from the average doctor’s arsenal of “normal  medical procedures”. Many people know of the classic “horror movie” medical procedures, such  as electroshock therapy, or the use of leeches for bloodletting. These practices might not have  been common but they were most certainly used at one time. Those living in the Gilded Age saw  the brief rise and fall of medical practices far more concerning than the aforementioned, such as  the lobotomy, which was thought to “cure” homosexuality (4). In 1898, Heroin  (diacetylmorphine) was manufactured and distributed by pharmaceutical companies to treat  common symptoms like coughs, colds, and pain (4). “Radium therapy”, or the consumption of  radioactive radium­infused water, was thought to cure a number of illnesses such as arthritis and  rheumatism, but actually led to far more serious health complications (4). Another periodic table  element, mercury, was used as a treatment for syphilis until the early 20th century, until it was  discovered that mercury led to very painful symptoms, including stomach ulcers and sometimes  death (4).   Doctors that performed these bizarre procedures did not always have ill intent; a great  deal of these doctors simply did not know any better because they were going about their  business based on the knowledge that was available to them in that time period. Dr. Sartorius is  an example of a doctor operating without any regard for morals or ethical medicine; he had the  potential to launch Gilded Age medicine years into the future, but instead he conducted his  experiments in secret, knowing that he would be in trouble if he got caught. The actions of Dr.  Sartorius are best described in this chilling quote from Doctorow’s novel: “I saw him transfuse  blood from one living being to another. I saw him with a hypodermic tube inject cellular matter  into deadened brains. I saw first one, then another, of the orphan children begin to age, like  leaves turning yellow.” (​ Waterworks​  pg. 198).  In contrast to the horrors of pre­contemporary medicine, the Gilded Age was also a time  of great growth in safe, benevolent medical practices. The most groundbreaking and well­known  change in medicine during this time was the creation of the condom for males around the turn of  1840 (6). During a time period when the concepts of abortion and “free love” were in direct  insubordination of the “word of God”, this invention was a topic of great debate, and caused  quite a stir. The invention of the condom was thought to promote sinful activity in the eyes of the  predominantly­Catholic community of the Gilded Age, and were often condemned by local  church preachers. However, the condom played a key role in drastically reducing the number of  cases of venereal disease in sexually active people. The condom serves as a prime example of a  harmless, victimless medical invention, quite contrary to the medical proceedings of Dr.  Sartorius.  Medical schools were also in desperate need of reformation due to substandard hygiene  conditions and ill­informed doctors. In 1910, Abraham Flexner did a study on American medical  colleges which led to the closing of various shoddy medical schools; this sparked great changes  in the medical curriculum as well as the teaching methods they used (1). The use of ether as a  surgical anesthetic was introduced in 1846 which allowed surgeons to conduct their work  without any screaming, thrashing, or unbearable pain being inflicted on their patients (2). This  was particularly necessary during a time period when a crushed limb or a bullet wound could  easily lead to a fatal systemic infection. Amputations before the introduction of ether were  obviously very gruesome. As for Dr. Sartorius, his procedures were not all as deranged as his  experiments with the orphan children; he actually created a brilliant machine used for measuring  brain activity, an invention far ahead of his time. “Afterward he showed me what he said was a  graphic representation of the electric impulsings of my brain...a fairly regular figuration similar  to the path of the sine and cosine in mathematics. This remarkable picturing device was of his  own invention.” (​ Waterworks​  pg. 196)  After examining the foundation of medical reforms of the Gilded Age, one can easily  make an educated guess as to where Dr. Sartorius falls on the moral spectrum. At what point  does the pursuit of medicinal knowledge become immoral? The facts of the matter are clear: Dr.  Sartorius harvested the life force of orphan children in order to prolong the lives of rich men, in  exchange for financial gain. Martin Pemberton described the nightmarish blood transfusions in  an earlier quote, but Sartorius himself goes on to describe the zombie­like state that became of  the rich benefactors as well: “...They did not agree to give themselves to my care in a uniform  condition, you understand. The illnesses varied, the ages, the prognoses. Though all the illnesses  were fatal. Yet I had them conformed to a degree of existence I could lower or raise by my  application, as you quicken or dampen a gas flame with a turn of the wrist. I reached only this  early stage, that I could keep them biomotive, that is, where they did not stop breathing, to the  extent that I did not overendow them with self­sustaining energies. This, of course, was not what  they had dreamed of for themselves...” (​ Waterworks​  pg. 215)  Sartorius was obviously indifferent about the fates of those he experimented with. Martin  comments on the absence of empathy in Sartorius, saying that, “...everything was Sartorius’s  triumph. Though he scrupulously fulfilled his part of the contract, he was entirely without care or  concern for his patients except as they were the objects of his thought. What he warranted was  only his scientific attention. But this was all!” (​ Waterworks​  pg. 200) Furthermore, when Martin  was questioned by Dr. Hamilton on his observations of Dr. Sartorius conducting his experiments,  Martin described how the orphan children were used, dead or alive. “Children died in their  place.” “Never by his hand.” “What?” “Not from any of his procedures. Either he took them after  an accidental death...or, if he worked with living...donors, as he did subsequently...those who  died, died of fear. Of an undetectable...infirmity in their spirits of the...survival instinct.”  (​ Waterworks​  pg. 233) The pursuit of medical knowledge becomes immoral if your practice  causes physical or emotional trauma to your patients or people close to your patients, and Dr.  Sartorius certainly did a good enough job of causing trauma to his victims as well as the people  in his community.  This time period was monumental in the progress of American civilization. Doctors have  always been held to the highest esteem for their indispensible skills, and rightly so; on the other  hand, there have always been doctors that were either mentally unstable or just unaware of the  “proper” way of doing things. Dr. Sartorius fell into the category of the former, despite the  benevolent advances he made in blood transfusion and recording brain activity. Doctorow  suggests that Sartorius is a medical genius who invented various surgical techniques, but is only  concerned with the pursuit of medical knowledge, nothing else. Sartorius pays no mind to any  pain or suffering that he inflicts on his patients. The facts are plain and simple: this character was  conducting grisly experiments using orphan children and tried to keep it a secret. If Dr. Sartorius  wanted to, he could have conducted his research the right way, and he could have applied his  genius to a much more nobler goal. Instead, he fell under the persuasion of money and potential  glory, and lost his sense of humanity in the process. The pursuit of medical knowledge should


Sri-Chitra-Prospectus 2017 62%

MD in Transfusion medicine Joint Programmes:


PC Short Bio 2016 59%

He is also a Chief Investigator on leading clinical quality registries including the Victorian State Trauma Registry, the Victorian Orthopaedic Trauma Registry, the Victorian Cardiac Arrest Registry, the Massive Transfusion Registry, the Aus-ROC Epistry and the Burns Registry of Australia and New Zealand (BRANZ).


Melbourne Bookfair 2017 Catalogue 57%

In this book the author becomes the first ever to discuss blood transfusion and demonstrates how to do it.


Form - Patient Consent 56%

CONSENT FORM ___________________________________________ _______________________________ __________________________ Patient Name Account Record Date ____________________________________________________________________________ __________________________ Proposed Procedure Surgeon _________________________________________ _________________________________ __________________________ Date of Birth Age Sex CONSENT TO OPERATION, ADMINISTRATION OF ANESTHETICS AND RENDERING OF OTHER MEDICAL SERVICES, INCLUDING CONSENT FOR TRANSFUSION(S) AND RELEASE OF RECORD(S).


ST5 parental consent Leisure Centre 55%

Declaration I/we agree to my/our son/daughter receiving medication as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present.


SW Provider Directory 2018 1ST QTR 55%

Available at Saint John’s, Transfusion Free Medicine &


310812900-Final-Announcement-ROICAM-4 52%

Immunotherapy on Cancer Management, problems in health service on The National Health Insurance (JKN) era, Bone Marrow Transplantation, Stem Cells, also advancement in cancer supportive treatment, such as blood component transfusion, anemia, thrombosis, cancer pain, and updates on systemic therapy, including newest medications on the treatment of most frequent cancers;


55 (4) 51%

Thai Journal of Hematology and Transfusion Medicine 1994;4:307-319.


ER1054 51%

Page 3 Course Co-Directors Hillard Lazarus, MD Division of Hematology and Oncology University Hospitals Cleveland Medical Center Keith McCrae, MD Department of Hematology/Oncology Cleveland Clinic Guest Faculty Shruti Chaturvedi, MD Department of Medicine Johns Hopkins Hospital Baltimore, MD David Vesole, MD Co-Division Chief, Myeloma Hackensack Meridian Health Hackensack, NJ Cleveland Faculty Dana Angelini, MD Cleveland Clinic Suzanne Bakdash, MD, MPH Cleveland Clinic Paolo Caimi, MD Sudipto Mukheijee, MD Cleveland Clinic Yogen Saunthararajah, MD Cleveland Clinic Alvin Schmaier, MD University Hospitals Cleveland Medical University Hospitals Cleveland Medical Center Center Krista Dobbie, MD Cleveland Clinic Matt Kalaycio, MD Cleveland Clinic Page 4 Agenda January 24,2018 InterContinental Hotel and Conference Center 8:00 Registration 8:30 Welcome BENIGN HEMATOLOGY 8:35 Introduction/ASH Highlights Keith McCrae, MD 8:45 Thrombotic Disorders - Dana Angelini, MD 9:15 Transfusion Medicine - Suzanne Bakdash, MD, MPH 9:45 Platelet Disorders - Shruti Chaturvedi, MD 10:15 Break 10:30 Bleeding Disorders Alvin Schmaier, MD MALIGNANT HEMATOLOGY 11:00 Introduction/ASH Highlights - Hillard Lazarus, MD 11:05 Chronic Myeloid Leukemia - Sudipto Mukherjee, MD 11:40 Lunch 12:15 Healing Hooves:


#1 Surgical Management of Congenital Heart Disease 50%

Massive blood transfusion - large load of acidic blood  Packed red blood cells - small amount of clotting factors - bleeding diathesis/tendencies  Platelets - aggregate in the lungs - impair gas exchange Since there is hemolysis of blood as it passes through the heart-lung machine.


ForObsidian 50%

Not two days ago, Cheryl Daniels was admitted to St. Thomas Midtown Hospital in Nashville, TN,  suffering from acute liver failure brought on by Hepatitis C, which she originally contracted via a  blood transfusion. Currently unable to eat or drink normally, she requires infusion of fluid and  nutrients from expensive IV “banana bags,” as she holds out for a liver transplant. She's also in  immediate danger of losing both her home and her car.


1318 nyttcv.docentur 49%

Associate professor (Docent) Medical faculty, Lund University, April 2010 Clinical proficiency Junior resident (underläkare) Dep of Blood chemistry and transfusion, Malmoe University Hospital, 2 months 1984.


Changn SH Notes 48%

• • IV drug use – 0.1-1/1000 acts Transfusion – risk approaches 100% In healthcare:


Affordable Medical Questionnaire 48%

Hepatitis Chickenpox Influenza MMR Measles, Mumps, Rubella List any medical problems that other doctors have diagnosed Surgeries Year Reason Hospital Polio Other hospitalizations Year Reason Hospital Have you ever had a blood transfusion?


Summer Fall 2016 48%

Shannon Billings of ASCLS-AK and current ASCLS Region IX director did an excellent talk on Transfusion-Related Acute Gut Injury (TRAGI).


curriculum 007927 (1) 48%

Clotting activation after blood transfusion in patients receiving 5-fluorouracil and mitomycin -C treatment.


doucumetsoftrials 47%

July 23, 2017) No Changes Posted The change in Doppler velocity indices, [ Time Frame: 24 week till 35 weeks ] Fetal growth velocity [ Time Frame: weekly till time of delivery ] Gestational age at delivery, [ Time Frame: at time of delivery ] APGAR score [ Time Frame: at 1 and 5 min of life ] Neonatal complication rates [ Time Frame: The first 28 day of delivery ] respiratory distress syndrome, intraventricular hemorrhage (IVH), neonatal necrotizing enterocolitis (NEC), neonatal anemia, and neonatal blood transfusion Neonatal ICU admission rate [ Time Frame: The first 28 day of delivery ] the interval between the diagnosis and delivery [ Time Frame: at time of delivery ] Original Secondary Outcome Measures Current Other Outcome Measures ICMJE Original Other Outcome Measures Same as current ICMJE ICMJE Not Provided Not Provided   Descriptive Information Brief Title ICMJE Sildenafil Versus Low Molecular Weight Heparin in Fetal Growth Restriction Treatment Official Title ICMJE Sildenafil Versus Low Molecular Weight Heparin in Fetal Growth Restriction Treatment Brief Summary comparing the effect of using sildenafil citrate and LMWH in treatment of cases of IUGR due to placental insufficiency Detailed Description One hundred pregnant women with documented intrauterine growth restriction due to placental insufficiency at 28-35 weeks of gestation will be distributed into two groups:


Hoover family 46%

and, unless there is continued transfusion of new ideas to adjust to new times, they die.” You can reach Repository writer Tim Botos at (330) 580-8333 or e-mail: