McMenamin - Slidedeck for Slideshare - Therapist AI & ChatGPT- How to Use Leg...Marlene Maheu
This document discusses some of the legal and ethical issues involved in using AI systems like therapist AI and ChatGPT. It outlines that while AI shows promise in areas like information retrieval, diagnosis, and treatment planning, there are also significant risks regarding privacy, bias, lack of explanation for results, and lack of empathy. The document also discusses regulatory issues involving licensure of AI systems, FDA oversight of clinical decision support tools, potential tort liability for harms caused by AI, and whether patients could establish a standard of care for AI. Overall it aims to help mental health professionals minimize ethical risks when using AI tools.
Cybersecurity is important for medical practices. In 3 sentences or less, the document discusses 5 actions a practice can take in the morning to improve cybersecurity including enabling multi-factor authentication, updating software, backing up data, training staff, and having an incident response plan.
7 Tips for Educating Patients/ Clients for Telehealth & Teletherapy Best Prac...Marlene Maheu
This professional training will give concise suggestions for optimally approaching 7 key issues related to client/patient education for safe, effective clinical interventions.
Need CME(s), CNE(s), or CE(s)?
Register for full CME, CNE, or CE credit(s) for multi-modal, 100% online, on-demand telehealth professional training programs. Registration gives you access to slides, handouts, course materials, and course completion certificates for your licensing board: http://telehealth.org/course-catalog.
Read our 700+ no-cost blog posts at https://blog.telehealth.org, and register for one of our 55+ no-cost telehealth newsletters at https://telehealth.org/signup. If you are seeking telehealth-specific vendors to provide technology, visit https://guide.telehealth.org.
802b_Lesson 5_Developing eBooks Audio Books_Kindles and More for Maximum Prof...Marlene Maheu
The document discusses five easy strategies for writing an eBook in 3 months or less. The strategies are: 1) Write your own eBook by outlining 10 chapters of 10 pages each for a 100 page eBook. 2) Transcribe a webinar you have recorded into an eBook. 3) Conduct an expert interview and transcribe it into an eBook. 4) Hire help from sites like Fiverr to assist with writing, layout, or recording content. 5) Look for contributors to write portions or chapters of the eBook.
802b_Lesson_4_Developing Webinars & Podcasts for Maximum Profit.pptxMarlene Maheu
This document provides information on developing webinars and podcasts for profit, including tips for structuring, recording, marketing, and monetizing webinars and podcasts. It discusses choosing a webinar platform, the difference between webinars and podcasts, interview tips, making recordings accessible, and legal and ethical considerations for program development and marketing.
201 Telehealth Law and Ethical Issues Finished 6.7.23.pptxMarlene Maheu
This document provides an overview of telehealth law and ethical issues related to practicing telehealth across state lines in accordance with HIPAA, malpractice, billing, and other considerations. The presenter, Marlene Maheu, is the executive director of Telehealth.org and founder of the Journal of Technology in Behavioral Science. She has over 100 hours of training in telebehavioral health clinical, legal, and ethical risk management and has published extensively on telehealth topics. The presentation will discuss informed consent, HIPAA compliance, interstate practice licensure issues, cultural awareness, telesupervision, and reimbursement among other topics over the course of a three hour training.
Developing Webinars & Podcasts for Maximum ProfitMarlene Maheu
This document provides information on developing webinars and podcasts for profit, including tips for structuring, recording, marketing, and monetizing webinars and podcasts. It discusses choosing a webinar platform, the difference between webinars and podcasts, legal and ethical considerations, and places to market online content, such as various social media sites. The document is a guide for professionals looking to create and profit from webinars and podcasts.
Advanced Telehealth Clinical Best Practices: Crisis Planning.pptxMarlene Maheu
Crisis planning is an important part of telehealth and should be addressed during the initial contact and consent process. Providers must understand involuntary hospitalization laws and emergency procedures for the patient's location. For unsupervised patients, consent should include contact information for a support person and plans for involuntary hospitalization or if the support person is uncooperative. Providers must also consider any limitations patients have in accessing transportation during a crisis.
Maheu & Armstrong - 2023 - Using Apps for Clinical Care 5 Steps to Legal, Eth...Marlene Maheu
The document provides an overview of 5 steps for using mental health apps in clinical care legally, ethically, and with evidence-based practices. Step 1 discusses the differences between self-help apps and clinical apps. Step 2 covers understanding client needs when selecting apps. Step 3 reviews clinical and ethical issues. Step 4 discusses legal issues. Step 5 identifies free, evidence-based resources for finding appropriate apps. The document provides guidance on app selection, implementation, privacy, security, and ongoing evaluation for clinical use.
Understanding Fundamentals of Behavioral Legal & Ethical MarketingMarlene Maheu
This document discusses legal and ethical marketing fundamentals for behavioral health professionals. It covers existing ethics codes from various professional organizations and provides guidance on developing a business plan and website that adhere to regulations. Homework assignments include continuing work on a business plan, listening to a marketing podcast, and participating in online discussion forums. The document emphasizes delivering services ethically and honestly, obtaining proper licensure, and substantiating any claims made to clients or in advertising.
For a full-service telehealth training segment associated with this topic, see https://telehealth.org/legally-ethically-marketing-your-telehealth-services/
Need CME(s), CNE(s), or CE(s)?
Register for full CME, CNE, or CE credit(s) for multi-modal, 100% online, on-demand telehealth professional training programs. Registration gives you access to slides, handouts, course materials, and course completion certificates for your licensing board: http://telehealth.org/course-catalog.
Read our 700+ no-cost blog posts at https://blog.telehealth.org, and register for one of our 55+ no-cost telehealth newsletters at https://telehealth.org/signup. If you are seeking telehealth-specific vendors to provide technology, visit https://guide.telehealth.org.
This document discusses legal and ethical considerations for telehealth jobs that can be done from home. It identifies several key issues, including:
1. Legal issues like ensuring proper licensure for the state where clients are located, complying with zoning laws, and addressing questions from insurance companies.
2. Ethical issues like maintaining appropriate boundaries and preventing interruptions, ensuring informed consent addresses the home setting, and protecting privacy and limiting distractions.
3. Technical issues like ensuring adequate bandwidth and connectivity for video sessions and protecting virtual waiting areas from other home occupants.
The document provides guidance on addressing these issues, such as developing clear protocols for sessions, notifying family of appointment times, and checking insurance policies for
Lesson 5 Developing eBooks Audio Books, Kindles, and More for Maximum ProfitMarlene Maheu
This document provides strategies for writing and publishing an eBook in 3 months or less. It discusses 5 strategies: 1) writing your own eBook by outlining 10 chapters of 10 pages each and writing 1 page per day, 2) transcribing a webinar, 3) conducting an expert interview, 4) hiring help from online platforms, and 5) finding contributors. It also covers costs of publishing an eBook, designing covers and formatting, using titles/images/keywords effectively, and reasonable pricing between $4.95-$10.58. Legal and ethical considerations for marketing are also addressed.
Lesson 4 - Marketing Your Telehealth Services Successful, Legal and Ethical O...Marlene Maheu
This document provides information and guidance about marketing telehealth services through webinars and podcasts. It discusses that the goal is educational and recommends seeking legal and ethical advice specific to one's practice. Various topics are covered like how to structure webinars and podcasts, finding people to help with production, legal and ethical considerations, marketing strategies, and monetization options. Throughout, it emphasizes the importance of compliance with all applicable laws and standards.
The document discusses optimizing websites and monetizing online content. It provides tips on choosing a domain name and content management system for creating and publishing website pages. The document also outlines various ways to generate revenue from a website or blog, such as creating an email newsletter, publishing content on social media platforms, developing videos, and writing press releases. Overall, it offers strategies for establishing an online presence and marketing professional services through a website, blog, and social media engagement.
767W Redo_Telehealth Jobs from Home.pptxMarlene Maheu
This document discusses legal and ethical considerations for clinicians working from home via telehealth. It covers topics like ensuring proper licensure, complying with HIPAA, maintaining clear boundaries, and addressing potential issues with payers, employers or family members. Specific ethical issues that can arise working from home include maintaining boundaries to avoid distractions, ensuring proper informed consent discusses the remote nature of services, and protecting privacy. Legal issues that may need attention include verifying any zoning rules for home businesses and complying with credentialing and licensure requirements in the patient's location. The document provides guidance on optimizing the benefits of home telehealth work while avoiding common mistakes.
The document discusses telehealth assessments for autism diagnoses and the development of new observation-based instruments. Key points:
1. The BOSCC is introduced as a new brief observation-based instrument for measuring social communication behaviors in autism. Initial studies found it was valid, reliable, and sensitive to treatment effects.
2. Telehealth assessments like the BOSA are being developed to allow for remote administration of autism evaluations, as in-person assessments are not always possible due to COVID-19 restrictions. Preliminary studies found the BOSA performed well at detecting autism symptoms.
3. Emory University discusses their use of telehealth for autism assessments. Their NODA platform previously
This document provides instructions for taking a post-test on the Telehealth.org website. It states that the post-test allows three attempts to achieve a score of 80% or higher, and if a score below 80% is achieved, a non-CME certificate will be issued. Test-takers have unlimited time to complete the open-book post-test, and the instructions describe how to start the post-test, navigate questions during the test, submit answer sets for scoring, and access scores.
this presentation is all about vital force . this is the useful information for the students of homeopathy streamhyddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjvgggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggg .
All the information you need to know about Hypothyroidism - Introduction,
Etiology, clinical manifestations, complications, pathophysiology,
diagnosis, treatment, precautions.
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptxAloy Okechukwu Ugwu
This picture test will help medical students preparing for their final exams.
It will also be useful for resident doctors preparing for part 1 exam of National Postgraduate medical college of Nigeria and West African college of surgeons in Obstetrics and Gynaecology
As a leading rheumatologist in Chandigarh, Dr. Aseem specializes in the diagnosis and management of a wide range of rheumatic conditions, including but not limited to:
Rheumatoid Arthritis: An autoimmune disorder that causes chronic inflammation of the joints.
Osteoarthritis: A degenerative joint disease characterized by the breakdown of cartilage.
Lupus: A systemic autoimmune disease that can affect the skin, joints, kidneys, and other organs.
Ankylosing Spondylitis: A type of arthritis that primarily affects the spine, causing pain and stiffness.
Gout: A form of arthritis characterized by sudden, severe attacks of pain, redness, and tenderness in the joints.
Psoriatic Arthritis: A type of arthritis that affects some people with psoriasis.
Vasculitis: An inflammation of the blood vessels that can cause a variety of symptoms.
Sjogren’s Syndrome: An autoimmune disorder characterized by dry eyes and mouth.
Accurate diagnosis is crucial for effective treatment. Dr. Aseem Goyal utilizes advanced diagnostic techniques to identify the underlying causes of rheumatic conditions. Our state-of-the-art facility is equipped with the latest technology to provide comprehensive diagnostic services, including:
Blood Tests: To check for markers of inflammation and autoimmune activity.
Imaging Studies: Such as X-rays, MRI, and ultrasound to assess joint and soft tissue damage.
Joint Fluid Analysis: To examine the fluid in the joints for signs of inflammation or infection.
Biopsy: In certain cases, a small tissue sample may be taken for further examination.
Treatment Approaches
Dr. Aseem Goyal adopts a holistic and patient-centered approach to treatment. Depending on the specific condition and its severity, treatment options may include:
Medications
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): To reduce inflammation and relieve pain.
Disease-Modifying Antirheumatic Drugs (DMARDs): To slow the progression of rheumatic diseases.
Biologic Agents: Targeted therapies that block specific pathways in the immune system.
Corticosteroids: To control severe inflammation quickly.
Lymphoma Made Easy , New Teaching LecturesMiadAlsulami
This lecture was presented today as part of our local Saudi Fellowship program. After three years of direct interaction with trainees and hematologists, I have started to develop an understanding of what needs to be covered. This lecture might serve as a roadmap for approaching and reporting lymphoma cases.
These lecture slides, by Dr Sidra Arshad, offer a comprehensive look into cardiac arrhythmias.
Learning objectives:
1. Summarise how an electrocardiogram is read
2. Discuss the electrocardiographic interpretation of:
3. Abnormal voltages of the QRS complex
4. Abnormal sinus rhythms
5. Heart blocks
6. Myocardial ischemia and infarction
7. Electrolytes abnormalities
8. Explain the following terms: reentry, and circus movement
9. Describe the electrical alteration in conduction responsible for fibrillation and flutter
10. Differentiate between fibrillation and flutter based on ECG findings
11. Describe the significance of defibrillation in emergency cardiac situations
Study Resources:
1. Chapter 12, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, https://geekymedics.com/how-to-read-an-ecg/
These lecture slides, by Dr Sidra Arshad, offer a simplified description of the physiology of insulin and glucagon.
Learning objectives:
1. Describe the synthesis and release of insulin
2. Explain the mechanism of action of insulin
3. Discuss the metabolic functions of insulin
4. Elucidate the effects of insulin on adipose tissue, skeletal muscle, and liver
5. Enlist the factors which stimulate and inhibit the release of insulin
6. Explain the mechanism of action of glucagon
7. Discuss the metabolic functions of glucagon
8. Elucidate the role of insulin and glucagon in glucose homeostasis during the fasting and fed states
9. Discuss the role of other hormones in the glucose homeostasis
10. Differentiate between the types of diabetes mellitus
11. Explain the pathophysiology of the features of diabetes mellitus
12. Discuss the complications of diabetes mellitus
13. Explain the rationale of oral hypoglycemic drugs
14. Describe the features of hyperinsulinemia
Study Resources:
1. Chapter 79, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 24, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 39, Berne and Levy Physiology, 7th edition
4. Chapter 19, Human Physiology, From Cells to Systems by Lauralee Sherwood, 9th edition
5. Chapter 3, Endocrine and Reproductive Physiology, Bruce A. White and Susan P. Porterfield, 4th edition
6. Insulin and Insulin Resistance, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1204764/
7. Complications of diabetes mellitus,
https://pdb101.rcsb.org/global-health/diabetes-mellitus/monitoring/complications
An exciting session emphasizing the timely intervention and management of obstetric sepsis for better patient outcomes.
This presentation highlights risk factors, diagnosis, management, and some interesting cases of obstetric sepsis.
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...NephroTube - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/akgMSyA06Qg
- Video recording of this lecture in Arabic language: https://youtu.be/HAR3QLj0Q5A
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
A medical treatment that uses high doses of radiation to kill cancer cells or shrink tumors by damaging their DNA. When the DNA is damaged, cancer cells can no longer divide and grow, and they eventually die.
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...Osvaldo Bernardo Muchanga
MALE CIRCUMCISION consists of the surgical act of removing the foreskin (skin that covers the glans of the penis), leaving the glans more prominent and better cleanable.
MALE CIRCUMCISION itself has medical as well as sociocultural implications, as it has been proven to be an act that can minimize SEXUALLY TRANSMITTED INFECTIONS (STIs), especially HIV, but it also represents the SOCIOCULTURAL IDENTITY of some people, respectively.
Now, in a SERO-EPIDEMIOLOGICAL PROFILE like that of Mozambique where the prevalence of HIV is around 12.5% which corresponds to approximately 2 million people living with HIV, where the province of GAZA is the most seroprevalent with a positivity rate of 21% (INSIDA, 2021), it is extremely necessary to THOROUGHLY scrutinize all possibilities for preventing or minimizing the spread of HIV and other STIs.
Introduction to Dental Implant for undergraduate studentShamsuddin Mahmud
Introduction to Dental Implant
Dr Shamsuddin Mahmud
Assistant Professor, Department of Prosthodontics
Nortth East Medical College (Dental Unit)
Definition of Dental Implant
A prosthetic device
made of alloplastic material(s)
implanted into the oral tissues beneath the mucosal and/or periosteal layer and
on or within the bone
to provide retention and support for a fixed or removable dental prosthesis.
Classification of Dental Implant
According to placement within the tissue
Blade/Plate form implant
According to Material Used
A) METALLIC IMPLANTS
Commercially pure Titanium
Cobalt chromium molybdenum
Titanium aluminum vanadium
Stainless steel
B) NON-METALLIC IMPLANT
Zirconium
Ceramic
Carbon
According to the ability of implant to stimulate bone formation
A) Bio active
Hydroxyapatite
Tri Calcium Phosphate
B) Bio inert
Metals
Parts of Dental Implant
Implant fixture
Implant mount
Cover screw
Gingival former/healing screw/healing abutment/permucosal extension
Impression post/impression transfer abutment
Implant analogue
Abutment
Fixation screw
Implant Fixture
Implant Mount
Connected to the fixture
Function: used to carry implant from its vital to the prepared osteotomy site either by hand or with a ratchet/ handpiece adaption
Cover Screw
component that is used to cover the implant connection during the submerged healing of the implant
Function: preserves the patency of the connection by preventing any soft tissue ingrowth in the connection
Gingival former/ Healing Abutment/ Healing screw
Screw/ abutment used to create the soft tissue emergence profile around the implant.
Time of placement:
During 1st surgery – One step surgery
After Osseointegration – Two step/stage surgery
Gingival former/ Healing Abutment/ Healing screw
Placed in the site 2-3 weeks for soft tissue healing
Function:
Create gingival emergence profile
Formation of biological width
Impression post/impression transfer abutment
component that is used to trans- fer the implant Hex position and orientation from the mouth to the working cast.
Types
Closed tray
Open tray
Implant analogue/
component which has a different body but its platform and connection are exactly similar to the implant. The analogue is used to replicate the implant platform and connection in the laboratory mode.
Abutment
Abutments
Advantages of Dental Implant Retained Prosthesis
Maintain bone height and width by preventing bone resorption
Maintain facial esthetics
Improve masticatory performance
Improve stability and retention of prosthesis
More esthetics
Increase survival times of prostheses
There is no need to alter adjacent teeth
Improve psychological health
Disadvantages of Dental Implant Retained Prosthesis
Very expensive.
Cannot be used in medically compromised patients who cannot undergo surgery.
Longer duration of treatment
Requires a lot of patient co-operation because of repeated recall visits are essential
INDICATION OF DENTAL IMPLANT
Dental implants can successfully restore all
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...MARIALUISADELROGONZL
CD160 is a member of the immunoglobulin superfamily with a pattern of expression
mainly restricted to cytotoxic cells. To assess the functional relevance of the HVEM/
CD160 signaling pathway in allogeneic cytotoxic responses, exon 2 of the CD160
gene was targeted by CRISPR/Cas9 to generate CD160 deficient mice. Next, we
evaluated the impact of CD160 deficiency in the course of an alloreactive
response. To that aim, parental donor WT (wild-type) or CD160 KO (knock-out) T
cells were adoptively transferred into non-irradiated semiallogeneic F1 recipients,
in which donor alloreactive CD160 KO CD4 T cells and CD8 T cells clonally
expanded less vigorously than in WT T cell counterparts. This differential proliferative
response rate at the early phase of T cell expansion influenced the course of CD8 T
cell differentiation and the composition of the effector T cell pool that led to a significant
decreased of the memory precursor effector cells (MPECs) / short-lived effector
cells (SLECs) ratio in CD160 KO CD8 T cells compared to WT CD8 T cells. Despite
these differences in T cell proliferation and differentiation, allogeneic MHC class I
mismatched (bm1) skin allograft survival in CD160 KO recipients was comparable
to that of WT recipients. However, the administration of CTLA-4.Ig showed an
enhanced survival trend of bm1 skin allografts in CD160 KO with respect to WT recipients.
Finally, CD160 deficient NK cells were as proficient as CD160 WT NK cells in
rejecting allogeneic cellular allografts or MHC class I deficient tumor cells. CD160
may represent a CD28 alternative costimulatory molecule for the modulation of
allogeneic CD8 T cell responses either in combination with costimulation blockade
or by direct targeting of alloreactive CD8 T cells that upregulate CD160 expression
in response to alloantigen stimulation
Anthelmintics or antihelminthics are a group of antiparasitic drugs that expel parasitic worms and other internal parasites from the body by either stunning or killing them and without causing significant damage to the host. They may also be called vermifuges or vermicides
