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Medical Tourism/Travel in India: A Cost Comparison of Procedures with the United States
Published in Frederick J. DeMicco, Ali A. Poorani, Medical Travel Brand Management, 2023
Frederick J. DeMicco, Jackie Guzman
Those suffering from arrhythmia (an abnormal heartbeat) may need an implantable pacemaker or defibrillator. A pacemaker helps keep the heart rate consistent, while a defibrillator monitors the heartbeat and kicks in when it detects a dangerous rhythm (https://medlineplus.gov/pacemakersan-dimplantabledefibrillators.html). In the U.S., having a pacemaker or defibrillator inserted costs about $58,281 (https://www.cbsnews.com/pictures/ most-expensive-medical-procedures-without-insurance/) while in India, the procedure costs about $1,800–$4,500 (http://www.indiahealthcaretourism. com/average_cost_of_treatment.php).
Health and safety in duty of care
Published in R. C. Richard Davison, Paul M. Smith, James Hopker, Michael J. Price, Florentina Hettinga, Garry Tew, Lindsay Bottoms, Sport and Exercise Physiology Testing Guidelines: Volume II – Exercise and Clinical Testing, 2022
S. Andy Sparks, Kelly Marrin, Craig A. Bridge
Appropriate provision for first aid equipment and a suitably qualified first aid-trained individual are minimum requirements. Given the nature of much of the work in sport and exercise physiology, it may also be a reasonable expectation that there is access to an automated external defibrillator (AED). A full assessment of the first aid needs of specific locations and procedures should be part of a risk assessment. Any event or ‘near miss’ should be formally documented under the regulations of the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR: – www.hse.gov.uk/riddor), and the current risk assessments should then be reviewed to ensure they are effective.
Health and safety in duty of care
Published in R. C. Richard Davison, Paul M. Smith, James Hopker, Michael J. Price, Florentina Hettinga, Garry Tew, Lindsay Bottoms, Sport and Exercise Physiology Testing Guidelines: Volume I – Sport Testing, 2022
S. Andy Sparks, Kelly Marrin, Craig A. Bridge
Appropriate provision for first aid equipment and a suitably qualified first aid– trained individual are minimum requirements. Given the nature of much of the work in sport and exercise physiology, it may also be a reasonable expectation that there is access to an automated external defibrillator (AED). A full assessment of the first aid needs of specific locations and procedures should be part of a risk assessment. Any event or ‘near miss’ should be formally documented under the regulations of the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR: www.hse.gov.uk/riddor), and the current risk assessments should then be reviewed to ensure they are effective.
Vericiguat for the treatment of heart failure: mechanism of action and pharmacological properties compared with other emerging therapeutic options
Published in Expert Opinion on Pharmacotherapy, 2021
Jean-Sébastien Hulot, Jean-Noël Trochu, Erwan Donal, Michel Galinier, Damien Logeart, Pascal De Groote, Yves Juillière
Available pharmacological therapies in HFrEF consist of renin-angiotensin-aldosterone system (RAS) blockers (either angiotensin-converting-enzyme inhibitor [ACEI] or angiotensin receptor blockers [ARB]) or angiotensin receptor-neprilysin inhibitors (ARNIs, such as sacubitril/valsartan) and mineralocorticoid receptor antagonists (MRAs), that are combined to beta-blockers and diuretics including loop diuretics [7]. When required, a cardiac resynchronization therapy ± implantable cardioverter defibrillator are used. While these therapies address the main pathophysiological mechanisms activated in HF, the WCHF population remains at risk of high event rates despite their effectiveness. Consequently, there is a clinical unmet need to provide more therapeutic options investigating new pathways for patients with WCHF.
A STEMI mimic (Brugada ECG pattern) unveiled by influenza fever
Published in Journal of Community Hospital Internal Medicine Perspectives, 2020
Parminder Kaur, Snigdha Reddy Bendaram, Balraj Singh, Sherif Elkattawy, Anuraag Sah, Muhammad Noori, Raja Pullatt, Fayez Shamoon
Treatment is primarily focused around prevention of sudden cardiac arrest and the termination of any ventricular arrhythmias. Implantable Cardiac Defibrillator device placement is the first line of therapy in cases that need intervention and is indicated in those who have survived sudden cardiac arrest or those with a history of syncope due to ventricular tachyarrhythmias. For those refusing ICD implantation or are not a candidate for ICD implantation due to reduced life expectancy/significant comorbidities or having recurrent arrhythmias, treatment with antiarrhythmics (quinidine and amiodarone) is recommended [9,10]. In patients who do not meet the criteria for ICD placement or antiarrhythmic at the time of initial diagnosis, an electrophysiologic study would be beneficial to further evaluate the condition. In patients with asymptomatic Brugada ECG pattern but with no personal history of syncope, arrhythmias or family history of sudden cardiac death, no specific treatment would be needed except for avoiding the triggers mentioned earlier [9,10]
Factors associated with college students’ willingness and readiness to act in a food allergic emergency (WilRAFAE)
Published in Journal of American College Health, 2020
The training of unlicensed personnel is an important step in increasing the number of individuals capable of helping in anaphylactic emergency, especially when licensed healthcare providers are unavailable. In addition to dining halls, FAEs may occur inside dormitories, during on- and off-campus activities, athletics events, as well as social and celebratory campus gatherings involving foods. Some public organizations that call upon individuals who have knowledge and willingness to serve a fellow citizen in a critical emergency, facilitate quick action by making resources available. The second important step is to have EAIs widely available in public places for use in an anaphylactic emergency by trained individuals. For example, having automatic external defibrillators (AEDs) available in public spaces such as airports, is intended to reduce death by cardiac arrest. An anaphylactic emergency is a comparable life-threatening event that requires tools for rapid action in a crisis situation.