Aweil, South Sudan: Seasonal Emergencies and Reproductive Health

The Médecins Sans Frontières (MSF) project in Aweil in Southern Sudan’s Northern Bahr el Ghazal (NBEG) state is a comprehensive emergency response to a confluence humanitarian crises including access to healthcare for the population, and the ongoing emergencies of nutrition and reproductive health.

RECONSTITUTING BODIES, RECONSTITUTING LIVES

Dr. Joe Mamlin consults with medical staff and a patient at the Moi Hospital in Eldoret, Kenya. Photo: Karl Grobl

The initial partnership agreement has led to a host of programs that have impacted hundreds of thousands of Kenyans and the Americans who come into contact with them. In 1990 three medical students and a handful of residents participated in the partnership program’s exchange. Since then, more than 800 have participated, says Einterz, associate dean for international programs at the IU School of Medicine and the Indianapolis-based director of the IU-Kenya partnership.

Several other universities have joined the IU-Kenya partnership, both independently and through the ASANTE Consortium (America/sub-Saharan Africa Network for Training and Education in Medicine). Other partners include Brown University, University of Utah, Duke University, University of Toronto, and the resident training programs in Portland-Providence, Ore., and Lehigh Valley, Penn.

“It has grown quite a bit over the past 15 years,” says Einterz, who served as the program’s first physician-in-residence. “We have invited other universities to join with us in Kenya in large part because we envision a rich network of medical schools linking with counterparts in Africa. We love to see other U.S. medical schools developing partnerships with Moi University.”

Then there’s AMPATH (Academic Model for the Prevention and Treatment of HIV/AIDS), the rural AIDS program inspired by Daniel Ochieng’s recovery that IU started as an extension of the initial partnership agreement. Its three vital components are care programs that foster HIV treatment and prevention, research programs that enable development of “best-practices” strategies for prevention and treatment, and education programs for health professionals and outreach workers.

AMPATH treats more than 33,000 people each year and feeds more than 30,000, adding about 2,000 new patients per month. It is the largest and most comprehensive HIV-control system in all of Africa. Through its extension programs, AMPATH has created pediatric facilities for children, done HIV-prevention outreach, fostered agricultural training and created factories to further sustainable living options, and built shelters for women and children with AIDS.

Ochieng himself is actively involved with AMPATH, running the patient-adherence outreach program and happily married to another former patient treated for AIDS at the clinic.

Government funding for AMPATH came in the form of an emergency AIDS-relief program known as PEPFAR, the President’s Emergency Plan for AIDS Relief, a U.S.-sponsored grant for large populations. The program has been sustained by numerous other grants, foundations, and individual donations. Today it has expanded to 18 sites, extending from Kenya’s Rift Valley to the Uganda border, and is on track to treat 50,000 people a year by the end of 2007.

Citing the widespread influence of AMPATH and Mamlin’s role in the program, two Hoosier professors, Scott Pegg of IUPUI and David Mason, PhD’78, of Butler University, have nominated AMPATH for the 2007 Nobel Peace Prize. The professors suggested in their letter to the Norwegian Nobel Committee that it would be “perfectly fitting to recognize [Mamlin] as a co-recipient of the peace prize.”

Challenges unique to the African medical system have inspired innovative treatment solutions. In America, says Mamlin, a doctor writes prescriptions and sends patients on their way.

“Forget that in Africa,” he says. Treating HIV among the poor people of western Kenya, Mamlin says, “extends beyond offering drugs to reconstitute the damaged immune system to offering solutions that reconstitute people’s lives.

“You have to care about the food of their children. And find a way to pay the rent if they have any hope of going back to work. And create an infrastructure so they can heal themselves. The list goes on and on.”

AMPATH has its own farms with support from the World Food Programme, a United Nations agency, headed until April by former IU trustee Jim Morris, BA’65, that supports economic and social development. Mamlin says the program’s distribution system “would be the envy of Wal-Mart.” Its food program is the first in the world to offer full food support along with HIV care — for the patient’s entire family.

“You can’t just feed the patient,” says Mamlin. “Can you imagine having an impoverished mama with HIV who has no food, and you give her food and say, ‘This is for you, not your children’? We feed everyone in the house so that everyone comes up together.”

AMPATH’s services extend beyond treatment to prevention. The program will screen 30,000 pregnant women for HIV this year, cutting the transmission rate of the virus from 50 percent to less than 5 percent. Programs are also being developed around each of AMPATH’s health centers, which offer orphans a place to sleep, clothing, and food, as well as a chance to continue their education and acclimate themselves into society.

“Otherwise, it’s going to be another wave of disaster — this large number of young people growing up who never had any boundaries or training or schooling,” says Mamlin.

President SBY will scrutinize U.S. Hospital Ship USNS Mercy T-AH19 The Co Bithday Banda Sail 2010

Hospital Ship USNS Mercy USA T-AH19

President Susilo Bambang Yudhoyono (SBY) will review the largest hospital ship Navy of the United States (U.S.), USNS Mercy T-AH19 to be anchored at the Ambon, Maluku. The presence of a proud American ships in Ambon other not to participate enliven Banda Sail 2010 event which was held from July 27 until August 8.

"At the peak of an event held on August 3, 2010, all hospital ships from five countries will be anchored at the Ambon's main port, the port Yos Sudarso. And that's when the President will tour around the ship for inspection, "said Secretary of the Coordinating Ministry for People's Welfare Association Oseanologi sekaligusb Chairman Prof. Dr. Indroyono Soesilo Indonesia, in Jakarta, Thursday (27 / 5).

Ship USNS Mercy is scheduled to arrive in Ambon on July 29, 2010.

According to Prof. Indroyono, the ship will participate in the program Baskara Jaya Surya Operations in Maluku, which is part of a series of events Sail Banda in 2010. Besides Americans, there's also a hospital ship KRI dr Soeharso Indonesia itself, a unit of landing ship tanks (LST) of Singapore, and two units of heavy landing craft (LCH) Australian owned. Besides America, Australia and Singapore, Malaysia and New Zealand will be planned that will also participate.

Emergency Hospital: 1920

Washington, D.C., circa 1920. "Emergency Hospital, interior." The latest in lab facilities. Harris & Ewing Collection glass negative

Georgetown's ED Earns High Marks from Patients

In the last 18 months, Georgetown University Hospital's Emergency Department has increased staffing, revamped processes and added services. The hard work has paid off, as evidenced by two important measures of success-high patient satisfaction and strong relationships with physicians.

The Level I, 18-bed ED offers a full range of emergency services for pediatric and adult patients. As part of its service-excellence initiative, Georgetown has made a hospital-wide effort to assess patient satisfaction, using the PRC Patient Satisfaction Monitoring System. The Georgetown ED now rates among the top 10% nationally for patient satisfaction. "The PRC data clearly demonstrates that patients rate us very highly for ED services," says John DeSimone, MD, clinical chief, Emergency Medicine.

Process, Process, Process
That satisfaction begins with ED registration. When the department began collecting data a year ago, patient satisfaction was in the 30th percentile. Now satisfaction is in the 98th percentile. Similarly, patients rate the ED in the 90th percentile for promptness of evaluation of medical condition on arrival.

The large increase in patient satisfaction is a result of the hard work of everyone in the ED. The staff has worked together to revamp the registration and evaluation process to expedite patient care. First, they changed the type and quantity of information that is required upon registration. Second, registration personnel begin to collect information as soon as patients enter the department.

Depending on patient flow and acuity, registration then is finished at triage or bedside. The result is elimination of a bottleneck. Not surprisingly, total patient time in the ED has been improved as well. Now about 65% of patients leave the ED in three hours or less. This is especially noteworthy since the patient volume has increased significantly, climbing from about 22,000 two years ago annually to 30,000 today.

New Services
The department also has added hazardous materials (hazmat) areas to care for patients in the event of biological or chemical terrorism. There now is a fixed hazmat area within the ED, with expansion into an adjacent area outside the hospital to handle multiple casualties. A new decontamination unit can decontaminate up to 160 people an hour. As part of the hospital-wide Emergency Preparedness Plan, emergency staff members receive inservice training about how to evaluate and treat disaster victims.

Integration
As volume has increased, so has staffing. The ED now has more physician coverage. In addition, the department's medical staff is integrated with its counterpart at Washington Hospital Center.

In a joint initiative between Georgetown's emergency and pediatric departments, two new pediatricians are joining the medical staff in July. They will help care for children in the ED as well as pediatric inpatients, working eight hours a day, seven days a week.

"This demonstrates that we are serious about taking care of kids at Georgetown," Dr. DeSimone says. "The intent is to optimize the care for children throughout the hospital."

Physician Outreach
The department places a strong emphasis on working closely with physicians. "We want to keep clear communication channels with community physicians," Dr. DeSimone adds. "Collaboration improves patient care."

Physicians are encouraged to call the ED when a patient is en route
to discuss the incoming patient with the ED physician. Physicians also can call Physician Access, a Georgetown service that coordinates referrals of acute and non-acute patients from outlying hospitals. The "one call does it all" service can help arrange transportation by a MedStar Transport Services' helicopter or ambulance.

Top 5 must-have features for your hospital’s website

Let the website be connected with the patient in as much sense as possible.
If the site is connected with the hospital patients at home, surely it will be the best website of a hospital. This would mean your hospital services are one click away and at your desktop.

First of all, for all those paitents under follow up treatment get a section devoted in giving their follow up history published, accessible from home. Let this feature be more interactive by adding some tools of communication that get the doctor connected to respond any inquiry – instant. All the diagnosis reports, prescriptions and history be kept to each patient profile.

The next feature could be for those patients who generally have a planned medication and treatment. Store all the information for them to decide why they should not go to other hospital and why thinking on deciding to go another hospital is too bad for them. This section must contain information that guide those patients of planned medication and treatments.

Get a feature introduced in your site to hold a hand with those patients who had been to the hospital and for sure not going to come back very soon. Yes, hold a connection with those sound and good health people before they fall sick. Illustrate them your doctors, technicians, equipments pool facilities broadly and make them confident on the hospital.

Financing options should be structured and presented as such that it covers all most all popular webbased payment methods and financing options. How about getting all the medical financers in a common platform at your site. You be secured, patients be secured.

Dominate the contents with more visual presentations of the hospital along with some other regular hospital websites sayings. What did the competitor say in his website? Respond to it as well.

It is just a complete business plan for a hospital in web. The site need be to a medium of communication and should be accessed as such that it reaches the most remote patient instantly. Think all persons related to the hospital as a community and the website is set to establish a medium of being connected. People love to be taken care off, the site must address all of it.

Nurses strike looms at New York Hospital Queens in Flushing

A Queens hospital could soon be facing a strike by more than 700 of its registered nurses after a new round of contract talks hit an impasse, the Daily News has learned.

New York Hospital Queens in Flushing and 722 of its registered nurses returned to the bargaining table April 22, following a cooling-off period that elected officials brokered in February to avert a planned three-day strike.

But the latest round of talks appear to have broken off after a committee of nurses - whose contract expired Oct. 31 - walked out of a bargaining meeting Friday.

"The committee was just disgusted," said Clare Thompson, who is leading the negotiations for the nurses' union, 1199 SEIU.

"They just got tired of management saying, 'No. We don't have anything,' even though it's just crumbs left on the table right now."

The impasse comes amid a wave of school closings in Queens, which has emerged as the epicenter of the nation's swine flu outbreak.

Prior to the planned three-day strike in February, the hospital had signed a contract to provide fill-in nurses.

Hospital spokesman Scott Sieber would not say whether it had done so this time around, saying only, "We consider this to be an active negotiation and we are looking forward to coming to a resolution."

However, Thompson said the union has not scheduled another meeting with hospital management.

The union has yet to ask members to vote on whether to strike, she said, though it began polling nurses Tuesday to see what they say the next move should be.

She refused to say whether she thought a strike was imminent.

In the initial round of talks, the union had asked hospital management to contribute toward pension and benefits funds - arrangements already provided to about 700 service workers at the hospital, Thompson said.

The union has since dropped that demand, but the sticking point appears to be the length of the contract.

The hospital wants five years, but the union wants only three, Thompson said.

Following the closure of two Queens hospitals in March due to bankruptcy, New York Hospital Queens saw patient volume jump by some 150 visits per week, CEO Stephen Mills had previously said.

When the swine flu outbreak first hit last month, Mills said hospital volume increased by an additional 100 to 120 patients per day.

Read more: http://www.nydailynews.com/ny_local/queens/2009/05/20/2009-05-20_nurses_strike_looms_at_ny_queens_hosp.html#ixzz0vuxifXj2

One Cheer for Socialized Medicine

Ezra Klein writes about what “socialized medicine” would really look like:

    Socialized medicine is a system in which the government owns the means of providing medicine. Britain is an example of socialized system, as, in America, is the Veterans Health Administration. In a socialized system, the government employs the doctors and nurses, builds and owns the hospitals, and bargains for and purchases the technology. I have literally never heard a proposal for converting America to a socialized system of medicine. And I know a lot of liberals.

Not that I think we should make this a near-term legislative priority, but I actually think there’s a very strong case on the merits for a limited form of socialized medicine. Which is to say that I think it would be smart for the government to directly provide a certain class of relatively cheap, not-very-interesting preventive services. You would have clinics in neighborhoods where medical personnel (mostly nurse-practitioners and dental hygenists, I would think) directly employed by the government could provide things like vaccinations, regular tooth cleaning, prostate exams, etc. Obviously, you would want actual medical doctors and public health researchers to determine what the appropriate list of services is rather than a blogger. But the general aim would be to identify a list of preventive health services where it’s not desirable for people to be economizing and then we’d bring the services to the people directly as a public service. And the upshot would be a kind of National Health Service but not one that, UK-style, aspires to comprehensively meet all medical needs. Instead, it would have a limited mission to provide basic preventive care.

Now needless to say, we’re not going to build a system like that. But we can try to make sure that health reform strengthens the position of community health centers that do some of this kind of stuff.

Louisiana Medical Center & Heart Hospital completes $40 million expansion

The Louisiana Medical Center & Heart Hospital near Lacombe will open on Wednesday its $40-million expansion, a four-story addition that triples the facility's bed capacity and signals to north shore residents that it is a general acute-care hospital, not just a heart hospital.

Staff members say the 109,000-square-foot expansion will allow the hospital to further meet the needs of St. Tammany Parish's enlarged post-Hurricane Katrina population, a surge that spurred the hospital to begin "generalizing" its services several years ago, expanding itself beyond the cardiac and spinal-care specialties that had been its sole purview when it opened in February 2003.

Lynne Black, the hospital's director of business development, said the addition's bells and whistles, such as a new outpatient reception area on the first floor "will allow quicker through-put, helping patients get to see their doctors and get out faster."

The hospital's emergency room director, Dr. Lloyd Gueringer, said the wait for emergency care is much less than at other St. Tammany Parish facilities. That fact coupled with the expansion - which increases the number of emergency room beds from 10 to 20 - should draw more patients to the hospital, he said.

Gueringer said they are less busy, in part, because the community still thinks of the facility as solely a heart hospital.

"I think there's a big misconception that all we do is cardiac care," Gueringer said.

Originally named the Louisiana Heart Hospital, it has since re-christened itself the Louisiana Medical Center and Heart Hospital to better reflect its more generalized focus.

The newly completed expansion supports a corporate-wide effort by MedCath, the Charlotte, N.C.-based health care company that operates the hospital, to bolster its non-heart acute care services.

New operating rooms, holding and recovery beds and radiology facilities - complete with a new MRI machine - along with the new waiting area and emergency room will be located side-by-side in the expanded facility, allowing easier interplay between the various sections, according to Glenda Dobson, the hospital's vice president of clinical services.

The original hospital building is two stories and 101,000 square feet, so the expansion more than doubles its size.

It adds patient rooms to the new unit's second, third and fourth floors, increasing the hospital's capacity from 58 to 177 rooms.

While the hospital will only open on Wednesday the 39 patient rooms on the second floor, it now has the proper licensing and space to open an additional 40 rooms on its third floor at any time. It also has the 40 more rooms on the fourth floor whenever increased patient loads justify applying for the additional licensing required, according to staff members.

The only services the hospital does not now offer are obstetrics and pediatrics. O. Edwin French, the president and chief executive officer of MedCath Corp., has said that if demand later warrants those specialties, "we will certainly have the space to do that."

French also has said the tripling of the Lacombe facility's capacity would make it the largest MedCath facility in the nation and that the expansion would help the surrounding area, boosting the development of the Louisiana 434 corridor. The hospital is on Louisiana 434, just north of Interstate 12.

While bemoaning the current unstable economy and proposed cuts to hospitals by the state Legislature, Louisiana Hospital Association President John Matessino said during an interview on Thursday that the north shore is a unique economic climate for hospitals, one that has been cushioned by its post-Hurricane Katrina population surge.

In terms of the Lacombe hospital, Matessino added that its push towards generalization also makes sense in that context, "to be a more full-service hospital for the people who are moving to the area."

The St. Tammany Parish Hospital in Covington is planning a $60 million expansion "to meet the growing demand for healthcare in St. Tammany Parish and surrounding areas," according to its literature. It will expand its bed capacity from 237 to 321 by adding fifth and sixth floors with 42 rooms each, its literature states.

Black, the Lacombe hospital's business development director, speculated that perhaps the larger percent of baby boomers on the north shore, and their aging, will lead to continued demand for hospital services in the area.

The Lacombe hospital had been owned 49 percent by physicians and 51 percent by MedCath Corp., but as MedCath paid for the recent expansion, the physicians now only own 10 percent, staff members said.

Benjamin Alexander-Bloch can be reached at bbloch@timespicayune.com or 985.898.4827.

Iowa Heart Center and Mercy

Iowa Heart Center  and Mercy combine the region’s leading cardiologists and surgeons with the state’s leading cardiovascular hospital.

Video LinkIts aim is to provide a seamless system of heart and vascular care for Mercy patients and their families, from screenings and outpatient clinic visits to advanced hospital care and rehabilitation.

As the largest cardiac provider in Iowa, Iowa Heart Center and Mercy continue to be leaders in clinical heart research. Patients are able to take advantage of the latest, leading-edge therapies—including new drugs, medical devices and surgical procedures.

Pediatric CardiologyProviding the safest, most advanced care for our smallest heart patients
Iowa Heart Center and Mercy offer central Iowa’s only pediatric heart surgery program. Pediatric cardiologists from Pediatric Cardiology P.C., working with Iowa Heart Center surgeons, perform 100 heart surgeries each year on children, many in their first year of age.

Pregnancy - Delivery Time! Packing For Your Hospital Stay

Having a baby is an exciting time in any woman's life. One important thing is having a bag packed and ready for your stay at the hospital. Many women only stay a night or two if they are having a natural childbirth; however, if you need a c-section, you can expect to spend about five nights in the hospital. You need to pack what you will need for your labor including your birth plan, if you have one.

Here are some things you should pack in your bag:

o Toiletries, including toothpaste, toothbrush, hairbrush, shampoo and conditioner. The hospital supplies soap, toilet paper and towels.
o Snacks - you only get meals at the hospital and they are not always nutritious or filling, so bring some nutritional snacks to sustain you between meals.
o Crossword books and magazines to read and keep you entertained.
o Pajamas, you only get a smock at the hospital;
o Clean underwear - many pairs;
o Slippers;
o Socks
o Comfy lounge pants;
o Lip balm
o Pillows;
o Digital camera or camcorder;
o Clothes for the baby including a few changes of jimmies, a hat and socks or booties and a car seat;
o Bra pads for breast milk leakage;
o Super absorbent pads, because you bleed heavily for about two weeks after child birth;
o Something to tie your hair up with if you have long hair;
o Comfortable shoes to wear home;
o iPod loaded up with your favorite music;
o Diapers for baby - the hospital gives you an allotment each day, so If you need more, you should bring extras.
o Something to wear home - don't expect to fit into your skinny clothes after child birth, it's not going to happen. Bring something comfortable like a sweatshirt and sweat pants.
o Thank you cards - if you had your baby shower before you went to the hospital, you could spend some time writing out your thank you cards while baby is sleeping;
o Any medications you are currently taking;
o Laptop

If you are only having a short stay at the hospital, you most likely won't need most of these things on the list. Picture yourself at the hospital and make a list before you pack. Think of what items you will most likely need or want and go from there. Most hospitals will provide you with small storage cupboard for your personal items. Don't leave valuables in the cupboard, have your partner take them home for you - wallet, id, credit cards, etc.

Elysse Biaca has been writing articles on a wide range of topics. Come and visit her latest post providing information on selecting Color Changing Lights, in particular several models of a Color Changing Lamp made by Philips.

Pleasant Bed in the Hospital

Most of the patients absolutely need the comfortable hospital bed that really influences their healing process. If they have a pleasant bed in the hospital, they would never feel stuck in the hospital. Even though many people think that living in the hospital would be a miserable experience, but you could make an easy effort by decorating the hospital bed into a wonderful place to stay.

Commonly, to create a great decoration of the bed in your hospital, you need to apply some bright colors and cheerful decor into a dreary room. Some tips below would lead you to the effective way to decorate an amazing bed in the hospital that extremely needs a minimal cost. It would be efficient because it is something that could afford to do on a budget.

Step 1

The first thing you should do is choosing vibrantly colored linens and putting it onto the bed. It would be really great if you choose the solid, bright colors or sheets with a pleasant pattern. In addition, you have to consider the frequently of the staff of the hospital would might change the sheets and how often they have the extra sets on hand. You need to add a hypoallergenic linens if your patients have some allergy problems.

Step 2

Next, you could add a comfort pillows into the bed. The regular pillows that include two throw items would be suitable for the patients because they usually have a small size. The small size pillows are eligible for the patients because they could help the patients especially who require to safe a limb elevated for a long period.

Step 3

To create a cheerful atmosphere, it is possible for you to apply stuffed animals on the bad. It does not mean that this decoration is specifically for children, because in fact some adults are also love animals as well. Stuffed animals could offer comfort especially when the patients feel unpleasant.

No matter the age of the patients, the pleasant atmosphere with animal decor would really change their feeling. To avoid the crowded impression on the hospital bed, you should select the appropriate animals. Put only the small one on the bed so that they would disturb their comfort.

Step 4

Choose using a throw cover the bed which usually is really amazing with a colorful image on it. It would be really attractive and most patients love the cover with image better than the regular one. A certain image such as a famous football team image would be the cheerful thing for a patient who is a fan of it. This cheerful atmosphere would lead the patients into the most comfortable please as well as at home.

Step 5

Such an attractive picture onto the headboard would really be amazing, especially if you keep the picture nearby. It extremely could please the patients who could not see the pictures that too far. The power of pictures is really great because it could motivate the patients to go struggle against their disease. It could remind them about the support and love they have got during their healing process in the hospital.

Preparing some high technology medical office equipment in your hospital or clinic would be really useful for your patients. However it is the time for you to find information about medical office supplies and massage table heating pad.

Dr Foster health & medical guides

Dr Foster health & medical guides
Take control of your health

Dr Foster is the UK's leading provider of comparative information on health and social care services.

Dr Foster's online tools and consumer guides enable both health and social care users and providers to make better informed decisions.

Dr Foster produces unique consumer guides to health services, the first of which was published in 2001 - the first time that comparative adjusted death rates for all NHS hospital trusts had ever been published.

The mortality data is produced by the Dr Foster Unit at Imperial College, Hospital Standardised Mortality Ratios (HSMRs) are now also published on Dr Foster's Hospital Guide.

Healthcare

Bronson Healthcare Group

    * 2010 Thomson Reuters' annual 100 Top Hospitals ranking among the best in America for its performance and clinical quality
    * 2009 American Hospital Association-McKesson Quest for Quality Prize
    * 2009 Distinguished Hospital for Clinical Excellence™ from HealthGrades
    * 2008 Thomson Reuters 100 Top Hospital® for Heart Care
    * UnitedHealth Premium cardiac specialty center 
    * 2005 Malcolm Baldrige Award Winner 
    * Named "One of the Best Places for Working Moms" by Working Mother magazine
    * The Heart Hospital at Bronson named "Best in Southwest Michigan" by earning the highest scores from HealthGrades
    * Named one of FORTUNE's 100 Best Companies to Work For
    * Awarded JCAHO Primary Stroke Center Certification
    * Governor's Award of Excellence for Improving Care

Borgess Health

    * 2010 One of the 101 Best & Brightest Companies To Work For by the Michigan Business & Professional Association
    * 2009 Women's Health Excellence Award
    * 2009 Top Spine Treatment Facility by NeuStrategy and the SpineMark Corporation
    * UnitedHealth Premium cardiac specialty center
    * Governor's Award of Excellence for Improving Care
    * Certified as a Primary Stroke Center by The Joint Commission
    * One of the 20 Great Workplaces in the world by Gallop, 2008
    * Stroke Center of Excellence designation by NeuStrategy, 2008
    * Hospitals for a Healthy Environment Award
    * Partners in Children's Health / Affiliation with DeVos Children's Hospital
    * Winner of a Five-Star Community Investor and a Five-Star Investor awards from the American Cancer Society

Kalamazoo Center for Medical Studies

The Kalamazoo Center for Medical Studies is a university and community partnership driven by a team of dedicated professionals committed to provide excellence in graduate, undergraduate, and continuing medical education, knowledgeable and caring service, and research.

Jerry L Pettis Memorial Hospital Leads the Way In Caring for Military Veterans

The Jerry L Pettis Memorial Hospital adalah rumah sakit umum besar berlokasi di California. Terletak di Benton Street di Loma Linda, itu adalah rumah sakit umum terkenal karena jumlah organisasi dan cinta yang terjadi di rumah sakit. Rumah sakit ini bekerja dari pukul delapan pagi sampai empat tiga puluh sore dengan layanan darurat 24 jam. Rumah sakit ini juga menawarkan berbagai layanan termasuk alkohol dan narkoba pusat pengobatan dan obat perilaku. Rumah sakit ini juga terkenal untuk perawatan diabetes dan neurologi tersebut. Rumah sakit ini adalah salah satu dari sedikit yang dikenal untuk pekerjaan dalam melayani para veteran militer. Mereka telah diberikan penghargaan yang tak terhitung dalam keunggulan mereka dalam perawatan pasien, dan tunjangan veteran. Rumah sakit ini memiliki program besar yang berhubungan dengan gangguan stres pasca dramatis dan inovasi baru mereka telah sangat bermanfaat bagi para veteran bangsa kita dan untuk orang lain yang menghadapi masalah serupa. Post traumatic stress disorder telah tampak lebih banyak dan lebih sering karena pertempuran skala besar yang sedang dilakukan atas laut. Gejala-gejala seperti kenangan mengganggu pertempuran dan kilas balik mengerikan kadang-kadang dapat kita ingat dengan detail begitu banyak yang mereka tampaknya hampir nyata. Rumah sakit ini melakukan pekerjaan yang sangat baik dan tentu saja layak pujian untuk semua pekerjaan yang mereka lakukan untuk membantu meningkatkan standar hidup bagi para veteran di luar negeri.

Raffles Hospital Singapore

Raffles Hospital Singapore

Raffles Hospital - Hospital which was built to meet patient needs.

Raffles Hospital has 380 rooms, and is a tertiary care hospital under the flag of the Raffles Medical Group, provider of the leading private healthcare in Singapore and in Southeast Asia since 1976. Backed by 30 years of experience in providing quality medical services, the Raffles name is synonymous with trust and quality and offers patient-centric approach in providing health care.

Something that makes a different Raffles Hospital is a specialist physician practice model that is "Group Practice". Benefits of the model is Raffles Hospital provides services through a holistic approach and group-based treatment practices for patients. Furthermore, patients can benefit from a range of care from general service to specialist services in one multi-disciplinary management and collaboration of existing specialists at Raffles Hospital. With a commitment on the quality of Raffles Hospital, you can bet that the services provided will be integrated and can be medically justified through a rigorous medical audit.

Raffles Hospital provides preventive services for early detection, outpatient services and hospitalization, intensive care unit (ICU), a day care (day surgery), angiography, pelyanan center international patient information (RIPC) and units of the accident and emergency and medical services evacuation to meet patient needs.
Raffles Specialist Centres

Our specialist personnel organized in a series of major specialties that provide added convenience for patients with one stop service that is:

Raffles anesthetic Centres

    * Beauty and plastic surgical reconstruction
    * Mamoplasty and breast reconstruction
    * Surgical lasers for cosmetic (aesthetic)
    * Rejuvenation of the skin (IPL, Botox, Chemical peels)
    * Early detection of the aging process

Raffles Cancer Centre

    * Check-cancer tumor marker (tumor marker), examination of genetic detection
    * Surgical and medical oncology
    * Radiation therapy and hormone

Raffles Children's Centre

    * Assessing the child development
    * Problems and growth hormone
    * Respiratory problems and asthma

Raffles Counseling Centre

    * Medical Psychology
    * Problem habits of children and adults

Raffles Dental

    * Orthodontic and Prosthodontik
    * Oral and maxillofacial surgery
    * Periodontics

Raffles Eye Centre

    * Cataract Surgery (Phacoemulsification, IOL)
    * Cornea Disorders
    * Retinopathy dibetik and detection of diabetic eye
    * Surgical strabismus (crossed eyes)

Raffles ENT Centre

    * ENT child
    * Inspection of head and neck
    * Food allergies
    * Sleep disturbances

Raffles Heart Centre

    * Angiogram, angioplasty & stent
    * Heart Surgery (CABG and congenital abnormalities and heart valve surgery)
    * Pacemakers & installation of automatic defibrillators
    * Elektofisiology and ablation catheter

Raffles Internal Medicine Centre

    * Gastroenterology (stomach), Hepatology
    * Endocrinology
    * Problem geriatric (aging)
    * Infectious diseases
    * Neurology (brain)
    * Nephrology (kidney disorder)
    * Pulmonology (Lung)
    * Rheumatology
    * Management of weight loss

Raffles Japanese Clinic

    * All medical services are handled by doctors, nurses and staff from Japan

Raffles Orthopaedic Centre

    * Operation knee and groin, pain, spine and spinal problems
    * Handling of sports injuries
    * Operations on hand injury
    * Kyphoplasty, artificial disc replacement Nucleoplasty and

Raffles Surgery Centre

    * General Surgery
    * Urology
    * Neuro surgery
    * Clinical Breast
    * GI Surgery
    * Vascular surgery
    * Bariatric surgery

Raffles Women's Centre / Raffles Fertility Centre

    * Minimal invasive gynecologic surgery
    * Gynecology onkologik
    * Uro-gynecologic
    * Normal and abnormal births
    * IVF (test tube baby)

Raffles International Patient Centre

For all international patients, our professional staff will always help the patient during a visit or during stay at Raffles Hospital

Our services include:

    * Receive patient referrals and to schedule consultations
    * Care and details of hospital treatment costs of administration
    * Plan trips and visitor information (tickets, residence, accommodation)
          o The medical evacuation and repatriation (repatriation)
          o Pick-up at the airport and transfer service
          o Interpretation and secretariat services
          o Administrative Services

Please contact RIPC (+65) 63 111 666

Raffles Health Screeners

One-stop offering health screening services in several package options that komprehenship for all ages that aims to identify risk factors and early detection of disease

Packages offered include:

    * Raffles Life style / Sport (<30 yr)
    * Raffles Deluxe / Ladies Deluxe (30-40 yr)
    * Raffles Executive / Ladies Executive (40-50 yr)
    * Raffles Elite / Ladies Elite (> 50 yr)

We also have a specially package of Premier and Raffles Raffles Platinum

Ambulance Transport in Changi airport

Raflles Hospital has a clinic at the Changi Airport terminals 1,2 and 3 are complete with professional medical staff and is always ready for 24 hours. For patients requiring further care, the clinic is coordinated directly with the Raffles Hospital

Location

Raffles Hospital is in the heart of the city, just 15 minutes from Changi International Airport and offers plenty of comfort for patients

    * Cafeteria (halal food)
    * Studio room (accommodation)
    * Hotel near Hospital
    * Shopping malls
    * Restaurant

Welcome to Veterinary Regional Referral Hospital, Decatur Alabama

Welcome to Veterinary Regional Referral Hospital, Decatur Alabama

Dr. Michael Newman and his professional team work closely with your general practice veterinarian to insure that your pet’s surgical and diagnostic needs are met. We are dedicated to helping you and your pet enjoy each other’s company for years to come.

General Surgery

Our Hospital is equipped to perform most major soft tissue surgeries, particularly of the abdomen and chest. Surgeries involving neoplasia(cancer) are frequently performed. Follow-up chemotherapy is also available in appropriate cases.

Orthopedic Surgery

This includes joint and fracture repair using the latest equipment and techniques. All forms of fixation devices are available for use in the most complicated orthopedic cases.

Hips

Examinations and surgical recommendations are part of our hip evaluation program. We are presently emphasizing early detection and treatment where necessary for hip dysplasia in puppies. Routine examinations start at four months of age.

Spinal Column

Our caseload has evolved into a major referral center for spinal column disease. This includes intervertebral disc herniations, infections, neoplasia (cancer), and degenerative changes. Evaluations include plain and contrast radiography and cerebrospinal fluid analysis.

Critical Care

Many times a critically ill patient needs continuing care. The Veterinarians who provide our emergency services also provide critical care after-hours.

Advanced Imaging

Our capabilities include digital imaging and computerized tomography (CT). With these advanced techniques, we are better able to diagnose diseases in dogs and cats. Our state-of-the-art in-house lab is another capability that speeds the diagnostic process.

Continuing Education

Our service offers additional help to area veterinarians in the form of case reviews, second opinions, hands-on assistance with surgical cases, scheduled rounds as well as phone and radiographic consultations.

Emergency Services

We have veterinarians on staff who handle after-hours emergencies. Our emergency care service, that is care for a situation needing immediate attention, does not require a referral and is available only after-hours.

Respiratory

Respiratory

The equine referral hospital offers a comprehensive medical and surgical referral service to veterinary surgeons in general practice that covers all aspects of respiratory disease. Clinics are run daily from Monday to Friday with an emergency service available 24 hours a day. The service is supervised by senior academic staff. Residents work under supervision whilst studying to obtain post graduate qualifications.

Clients can expect to have full investigations of their horse’s problems. Depending on the nature of the problem, horses may be seen as day patients or admission to the Hospital may be required to facilitate a complete work¬up. This might include clinical pathology (laboratory tests), radiography (x-rays), ultrasonography, endoscopy or respiratory function tests. Where appropriate, if surgery is felt to be necessary, this can also be undertaken.
Diagnostic and Treatment Facilities Include:

    * Flexible video endoscopy for the investigation of the upper respiratory tract including the nasal passages, pharynx, larynx, guttural pouches and trachea. This can be performed at rest in the standing horse or, where necessary, the horse can be trained to gallop on a high speed treadmill to allow visualisation of problems that occur during exercise.
    * Samples can be obtained from the lungs and submitted to the laboratory for the identification of infectious, inflammatory and neoplastic conditions.
    * Radiography of the head and thorax
    * Ultrasonography of the thorax
    * CT scanning of the head and neck
    * Intensive therapy unit for emergency and critical care
    * A fully equipped theatre allows any surgical procedure that is felt to be necessary to be performed under general anaesthesia.

Special Clinical Interests Include:

    * Investigation of upper respiratory tract problems that cause the horse to make a noise at exercise or poor performance
    * Investigation of acute onset respiratory distress
    * Investigation of more chronic conditions such as coughing or nasal discharges.

CT Scan showing a section through the head of a horse with a tumour in the sinuses.

Abnormalities of the larynx visualised using endoscopy

Performing endoscopy on the treadmill to evaluate the airways at exercise