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Columbia PowerPoint

Transcript: Jacxenie Espinal Computer Graphics Class Majors The Major I would like to take is Child Education or Biology in order to become either a veterinarian or a teacher. You have to submit an application in order to get into the college. You need a GPA of about 4.0 in order to get into Columbia and an SAT score of 2000. It depends on the major to see how many credits you will get. Other Support Architecture» School of Arts & Sciences Business » Physicians and Surgeons » Columbia College » Dental Medicine » Engineering » Faculty of Arts & Sciences » General Studies » Columbia University Financials It costs a lot of money to go to college, even in Columbia. In addition to the tuition, dorm and application, you need to pay for textbooks and supplies. -The cost of the tuition - Financial Aid -Different Majors -Qualifications to enter college - Passing Grades for all classes -Amount of work to do in that college - Size of the college Columbia University has a PawPrint program which allows for students to edit and print from their device. They also have computer labs with good technology and free wifi About Columbia The School Buildings Theres many different buildings in Columbia, such as the Teachers College, the University Hall, the Low Library, the mathematics building, the dorm rooms, and the Dodge Miller Theater. Address: 116th St & Broadway, New York, NY 10027 # of Students: 29,870 Columbia Tuition: $48,646 Dorm Price: $7,418 Application Fee: $85.00 Columbia University has libraries in order for students to study. There are also guidance counslers to help out students with any difficulties at the school. There are tutoring programs in case you need help with a class 8 Credits of English 8 Credits of Social Stuies 6 Credits of Science 6 Credits of Math 2 Credits of Foreign Language 2 Credits of Art/Dance/Music/Theater 4 Credits of Physical Education 1 Credit of Health 7 Credits of Electives Concerns and Questions Programs in This College High School Graduation Expectation = 44 Credits I chose this college because it is a very good school. It is an Ivy League school in New York City in Manhattan. It is a very calm campus and it has many students and people there each day. Technical Support International & Public Affairs » Jewish Theological Seminary » Journalism » Law » Nursing » Professional Studies » Public Health » Social Work » Teachers College » Union Theological Seminary »


Transcript: Eduard Heinrich Henoch (1820–1910) Johann Lukas Schönlein (1793–1864) William Heberden (1710–1801) Robert Willan (1757–1812) What is Henoch-Schönlein purpura (HSP)? What are the causes of HSP? What are the symptoms of HSP? What are the complications of HSP? How is HSP diagnosed? How is HSP treated? What is the prognosis of a patient with HSP? Can HSP be prevented? Rash (95-100% of cases), especially involving the legs; this is the hallmark of the disease Abdominal pain and vomiting (35-85%) Joint pain (60-84%), especially involving the knees and ankles Subcutaneous edema (20-50%) Scrotal edema (2-35%) Bloody stools In all patients, urinalysis and blood pressure monitoring to evaluate for renal involvement should be continued for up to 6 months after presentation, even if initial urinalysis results were normal. Once the initial course of prednisone is administered, additional prednisone appears to have no role. When terminal renal failure develops, long-term hemodialysis should be instituted until a kidney is available for transplantation. Mesangial deposits of IgA are common in the graft, but they rarely lead to clinical manifestations of recurrent glomerulonephritis. Children who have demonstrated renal manifestations in the acute phase and continue to have hematuria or proteinuria should be examined every 3-6 months because renal failure or hypertension can develop up to 10 years after disease onset. Dietary restrictions have no clear role in the management of HSP. Activities can be performed as tolerated it is often preceded by an infection, such as a throat infection. The prognosis (outlook) for patients with HSP is generally excellent. Nearly all patients have no long-term problems. The kidney is the most serious organ involved when it is affected. Rarely, patients can have serious long-term kidney damage or an abnormal bowel folding called intussusception. Some patients have recurrences of symptoms, particularly skin rash, for months to a year after the onset of the illness. Intussusception Anaphylactoid Purpura HSP igA Supportive Management palpable purpurA rashes starts to appear at the buttocks down the lower extremities presents 3rd WEST WING The exact cause of HSP is not known. MPLICATIONS D HSP occurs more often in children than in adults, and usually follows an upper respiratory tract infection. Half of affected patients are below the age of six, and 90% are under ten. It occurs about twice as often in boys as in girls. The incidence of HSP in children is about 20 per 100,000 children per year, making it the most common vasculitis in children. Fever G in a small proportion of cases, the kidney involvement proceeds to chronic kidney disease. symptomatic Tx Approximately two-thirds of the cases of HSP occur days after symptoms of an upper respiratory tract infection develop. CAUSES OF HSP HENOCH-SCHONLEIN PURPURA Kidney impairment (15%) cont... TREATMENT pain in GI & joints It usually resolves within several weeks and requires no treatment apart from symptom control NURSING CONSIDERATIONS HSP steroids What is the prognosis for patients with HSP? I cont... 8TH MANDATORY IN-SERVICE CONTINUING EDUCATION 2014 hematuria TREATME T Surgery may be undertaken to treat severe bowel ischemia. Kidney transplantation may be indicated in patients with severe renal disease that is resistant to medical therapy it is an autoimmune disease S self-limited ensuring adequate hydration and monitoring for abdominal and renal complications S is a disorder that causes inflammation and bleeding in the small blood vessels in your skin, joints, intestines and kidneys. Some cases of HSP have been linked to vaccinations for typhoid, cholera, yellow fever, measles, or hepatitis B; foods, drugs, chemicals, and insect bites. Symptomatic approach Plasmapheresis may be effective in delaying the progression of kidney disease use of acetaminophen, elevation of swollen extremities, eating a bland diet Blood Tests N Management of HSP includes adequate hydration; immediate discontinuance of any exposure to antigenic stimulants (eg, drugs); and follow-up each week for the first month, every other week for the second month, and monthly thereafter until abnormal urinary findings subside. Skin Biopsy Analgesics Pain control is essential for quality patient care. Analgesia with nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen may reduce joint and soft tissue discomfort. Can HSP be prevented? Urinalysis most common cause of non-thrombocytopenic purpura in children Vascular Purpura I is a disease that most commonly affects children. Anorexia Headache Nephropathy is treated supportively. Patients’ fluid and electrolyte balance should be monitored, their salt intake should be restricted, and antihypertensives should be prescribed when needed. Various drugs (eg, corticosteroids, azathioprine, and cyclophosphamide) and plasmapheresis have been used to prevent renal disease from progressing. The results have been inconsistent. No

University Medical Center

Transcript: Provides healthcare to Southern Nevadans. Founded in 1931 as a 20 bed facility when Las Vegas only had a population of 4,000. Non-profit organization. Only Clark County state run hospital. Currently 564 patient beds. Only level 1 trauma center in NV. Only burn care facility in NV. UMC is a teaching hospital and serves as the major clinical site for the University of Nevada School of Medicine. Named Best Hospital by the Las Vegas Review Journal in 2013 and 2014. Mission: "To serve our community by providing patient-centered care in a fiscally responsible and learning focused environment". Values: "Compassion. Accountability. Integrity. Respect". Vision: "To be the premier academic health center". About us. (2014). Retrieved from Core characteristics and key indicators. (2014). Retrieved from University medical center of southern nevada. (2014). Retrieved from -A commitment to improving community healthcare -Clearly defined goals and objectives -Great Leadership -Effective Organizational Structure -Effective Partnerships -Success of Hospital Programs -Performance Improvement -The indicators to success might be measured using surveys to both patients and employees. Important Measures for Success Key Stakeholders Work Cited Overview External Factors Internal Stakeholders External Stakeholders -UMC employees -State government -Volunteers -Insurance companies -Board of Trustees -Patients -UMC Governing Body -Community of Southern NV -Lawrence Barnard-CEO -Joan Brookhyser-Chief Medical Officer -Stephanie Merrill-Chief Financial Officer -John A. Espinoza-Chief Human Resources Officer -Gregg Fusto-Chief Nursing Officer -Ernie Mckinley-Chief Information Officer -Dale Carrison, DO-Chief of Staff -Dr. Meena Vohra-Medical Director, Children's Hospital of NV -Rose Coker-Director Managed Care -Danita Cohen-Executive Director Strategic Development and Marketing University Medical Center Technical -Transitioning from hard copy medical records to paperless electronic records. Social/Cultural -UMC not only serves Southern Nevadans but also many tourists. Political/Regulatory -Obamacare Economic -Only state run hospital, so many of their patients cannot pay for services. Though they get reimbursed UMC tries to save/make money in other places so the state doesn't have to repay them as much money. Competitive -UMC has to compete with private hospitals for patients who have insurance.

Vanderbilt University Medical Center

Transcript: Midtown Cont'd... VUMC Cont'd Tri-Star (HCA) Hospitals - Centennial - Summit - Skyline - Southern Hills - StoneCrest - Hendersonville St. Thomas Hospitals - Midtown - West - Rutherford (MTSU) - Hickman Vanderbilt University Medical Center Nashville General Hospital - Compare and contrast VUMC's local competitors on three main scoring areas: - Rankings - Admissions per year - Progressive/patient care From this, hopefully you will gather that Vanderbilt University Medical Center is your best choice as your health care provider here in Nashville, TN. - 541 beds - 21,388 total admissions per year - 32,000 ER visits per year - 100 Top Hospitals by Truven Health Analytics in February 2014 - 50 Top Cardiovascular Hospitals by Truven Health Analytics in February 2014 - Placed 2nd in the "Top Tennessee Hospitals" Your Healthcare Leader! Michael Coffee Your Main Choices: - October 2012 once again named the Best Place to Have a Baby by Nashville Parent and Williamson Parent. This marked the 12th year in a row for the hospital. - First Chest Pain Center in Middle Tennessee and Accreditation Chest Pain Center with PCI by the Society for Chest Pain Centers - First in Tennessee to earn The Joint Commission Gold Seal of Approval for Total Hip and Knee Replacement - HealthGrades ranked second in Tennessee for treatment of stroke (2011, 2012) and among top 10 percent in the nation (2011, 2012); five-star rated and recipient of Stroke Care Excellence Award (2011, 2012). St. Thomas Midtown - largest not-for-profit community hospital in Middle Tennessee - 683 beds - 30,397 total admissions per year - 47,146 ER visits per year - Recognized in April 2013 as one of only 18 care facilities in seven states by the American Society of Healthcare Engineering (ASHE) for reducing energy consumption more than 10 percent. Tri-Star Centennial - 657 beds - 2011 Top Performer on Key Quality Measures - Leapfrog "A" Score - 2011 Thomson Reuters 100 Top Hospitals - 25,830 admissions - 9,853 annual inpatient and 15,867 outpatient surgeries - 38,774 ER visits - Ranked #7 in Tennessee - #2 in Nashville metro area - Comprehensive Cancer Center for adults and children - Level 1 Trauma Center - Level 4 Neonatal Intensive Care Unit Regional Burn Center - Largest and most comprehensive transplant program in the region - Vanderbilt has hospitals, clinics, physician practices and affiliates covering 172 counties - 9 hospital systems and 48 hospital locations Tri-Star Skyline VUMC has taken on the reputation of being Tennessee's leading healthcare provider because of its commitment to being a teaching hospital and remaining on the cutting edge of discovery and breakthrough. - #1 Hospital in Tennessee - #1 Health Care Provider in Nashville - #1 Audiology program in America - 100 Top Hospitals - One of “100 Great Hospitals in America” - "A" Hospital score by Leapfrog - Nation’s 100 “Most-Wired” hospitals 9 years in a row by AHA VUMC Why Vanderbilt? Objective: - Tennessee's first comprehensive stroke center - 213 beds - Level II Trauma Center - Leapfrog "A" Score - 2013 Thomson Reuters 100 Top Hospitals - Designated as a Blue Distinction Center for Spine Surgery St. Thomas West Cont'd - Became the only hospital in Tennessee to earn Joint Commission Certification for its hip fracture program in April 2013. - Named among the 100 Great Hospitals in America by Becker’s Hospital Review in April 2013 - First Comprehensive Center for MS Care in Tennessee - Ranked first in Tennessee in 2012 for treatment of stroke and among top 5 percent in the nation. - First in Middle Tennessee to earn the Gold Seal of Approval from The Joint Commission for Cardiac Ventricular Assist Device (VAD) Destination Therapy St. Thomas West What Makes VUMC different Vanderbilt University Medical Center - Vanderbilt Nurses are the only group so honored in Middle Tennessee by the Magnet Recognition Program - Middle Tennessee’s Healthiest Employer -966 beds - 51,000 surgeries - About 51,000 admission - 1.6 million ambulatory visits - Over 114,000 ER visits - One of the nation's premier teaching universities

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