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Dr.Ravichandra Karkal

WORKUP AND DIAGNOSIS OF A SOLITARY THYROID NODULE from Townsend: Sabiston Textbook of S... - 3 views

  • Rapid growth and signs of possible invasion, such as pain or hoarseness, are most suggestive, but not conclusive of malignancy
  • Clinical groups with the highest risk for malignancy in a thyroid nodule are children, males, adults younger than 30 or older than 60 years, and those exposed to radiation therapy, especially during childhood
  • history of specific endocrine disorders
    • Dr.Ravichandra Karkal
       
      medullary carcinoma, MEN 2, or papillary thyroid cancer (PTC), or a history of familial polyposis, including Gardner's syndrome.
  • ...9 more annotations...
  • Serum Tg has been reported as useful in predicting a well-differentiated carcinoma
  • Radioisotope Scanning
  • radionuclide scans allow assessment of thyroid function.
  • Technetium pertechnetate (99mTc) is taken up rapidly by the normal activity of follicular cells. It is trapped by follicular cells, but not organified. 99mTc has a short half-life and low radiation dose. Its rapid absorption allows quick evaluation of increased uptake (so-called hot) or hypofunctioning (so-called cold) areas of the thyroid.
  • 123I and 131I iodine scintigraphy is also used to evaluate the functional status of the gland
  • Advantages of scanning with 123I include a low dose of radiation (30 mrad) and short half-life.
  • 123I is a good choice for evaluating suspected lingual thyroids or substernal goiters.
  • 131I has a longer half-life (8 days) and emits higher levels of β-radiation. 131I is optimal for imaging thyroid carcinoma.
  • screening modality of choice for the evaluation of distant metastasis.
Roger Steven

A Basic Understanding of Shipyard Workplace Safety - 0 views

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    A Basic Understanding of Shipyard Workplace Safety Shipyard Workplace Safety is a high importance, high criticality area for safety regulation. This is so because shipyards are among the most hazardous of places to work in. it is estimated that at any point of time, the number and incidences of injuries and fatalities in the shipyard industry is at least twice that of the next most hazardous industry, construction. This calls for urgent and important Shipyard Workplace Safety regulations. Present Shipyard Workplace Safety Regulations OSHA has a number of Shipyard Workplace Safety regulations for this industry. These need to be read with CFR Title 29 Code of Federal Regulations (CFR) Part 1915, which not only lay out regulations, but also prescribe codes and methods of implementation of these regulations. Why these two regulations need to be implemented together is that there may be a few hazards not covered by Shipyard Industry standards set out by OSHA. These gaps are covered by the regulations set out in CFR 1915, making these a well-rounded set of regulations for Shipyard Workplace Safety. The need for Shipyard Workplace Safety regulations The need for Shipyard Workplace Safety is acutely felt because of the sheer variety of hazards that present themselves in shipyards. Shipyards, which employ between a few dozen and a few thousand employees each, are a site of potentially serious accidents. Even if accidents do not occur, the very nature of work done at these shipyards can be dangerous and hazardous. Shipyard Workplace Safety is a core requirement that employers in this industry have to keep in mind and put in place. The nature of their work could range from and include any or many of these: Scrapping Demolition Electrical Fabrication Creating large and heavy steel or iron plates, sheets, beams, pipes and related items Soldering Drilling Dealing with propulsion systems Welding Shipyard Workplace Safety has to begin with an understanding of these issue
Jessica Parker

Revenue Cycle Management (RCM) hits Home Medical Equipment's (HME) - 0 views

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    In the business world as well as in the healthcare field growth is good. However, with growth comes a unique challenge; which may or may not be solved. Even though an evolving or growing medical facility services may not change, the internal processes related to claims submission, income cycle, billing and coding and revenue cycle management need a serious overhaul in order to stay efficient and sustainable as they scale up the operation.
fnfdoc

Habits That Ruin Your Weight Loss Plan | Health Blog - 0 views

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    Some Habits That Ruin Your Weight Loss Plan. Although we may follow a strict diet plan and hit the gym.., sometimes it becomes nearly impossible to get rid of those extra pounds... The problem lies with the seemingly harmless everyday habits that we have nurtured over the years and...
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    While most of us are aware that eating cheesy sausages every day for breakfast is not really good for the waistline, there are many other subtle bad habits that keep on adding more pounds to our bodies. These habits are harmful because they have the potential to sabotage our weight loss plan.
manu1234515

Botox in Mumbai - Apollo Hospitals - 0 views

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    Botulinum toxin is one of the most important substance to hit the field of facial rejuvenation.
P3 Healthcare Solutions

8 Health IT Leadership Mentions in 2020 - 0 views

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    Although the year twenty-twenty was full of surprises, COVID-19 being the most apparent, it had its fair share of health IT changes. There were switches in HIT companies in their top leadership, while others furnish with prominent mentions.
Dianne Rees

The Health Care Blog: Health IT: The Year In Review - 2 views

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    "incentives plus information equals transformation"
seth morris

A Different Kind of Euphoria with a Legal Pot - 2 views

Looking for a legal pot that is totally intense without getting a hangover the next day is hard to find. But with Herbal Highs Online, we have found the right one. As we were browsing through the p...

Kronic

started by seth morris on 08 Jun 11 no follow-up yet
P3 Healthcare Solutions

5 Things to Remember Before Outsourcing Medical Billing Services - 0 views

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    Medical billing services are more of a conundrum in present times because the process has gotten complicated with time. The government has set value-based criteria for the providers to follow, for ensuring a productive health system while cutting costs.
pepgra

Medical Editing "Tips and Techniques" before you hit "Publish" - 0 views

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    A medical editor, who ensures the consistency of facts, data and scientific units and makes the manuscript clear and precise, should be technically meticulous more than general editing on spelling, grammar and punctuation errors in a manuscript. Contact us at : UK: +44-1143520021 US/Canada: +1-972-502-9262 India: +91-8754446690 info@pepgra.com www.pepgra.com
P3 Healthcare Solutions

MedBikini Becomes A Symbol of Unity Among Young Doctors - 0 views

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    The August 2020 edition of the Journal of Vascular Surgery published an article, "Prevalence of Unprofessional Social Media Content Among Young Vascular Surgeons," that incited an uproar among young doctors. It compelled us to stand in support of these young professionals, the lifeline of American medicine.
P3 Healthcare Solutions

P3 Stands United with Vascular Surgeons on Social Media - 0 views

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    It was titled, "Prevalence of Unprofessional Social Media Content Among Young Vascular Surgeons," after which we saw many female physicians and surgeons from around the country posting pictures of themselves in a bikini, posing during relaxed evenings, or sitting beside the pool.
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