NTA Level 4 Semester Two

CRT04207 Radiology Informatics, Diagnostic Radiography NTA Level 4, Diagnostic Radiology Notes, NTA Level 4 Semester Two

Assessing Radiology Image Quality Using Computers

DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER TWO Assessing Radiology Image Quality Using Computers CRT04207 · Radiology Informatics START READING NOTES Study Assessing Radiology Image Quality Using Computers using the sections below. Use the topic navigation to continue through Radiology Informatics. Contents of This Topic SESSION 7:Apply computer application Utilize computer skill in adjusting image contrast and resolution 1. Using Image Editing Software: 2. Programming with OpenCV (Python): Use computer application in Assessing Radiology Image Quality Using Computers ASSIGNMENT 1 PRACTICAL Visual analysis critiquing images SESSION 7:Apply computer application skills in assessing radiology and images quality Learning objective: Utilize computer skill in adjusting image contrast and resolution Use computer application in labeling images Use computer application in assessing and critiquing images Utilize computer skill in adjusting image contrast and resolution To utilize computer skills in adjusting image contrast and resolution, you'll need to leverage image editing software or coding/programming languages. You can adjust contrast and resolution using software tools like Adobe Photoshop or online image editors. Alternatively, you can programmatically adjust these parameters using libraries like OpenCV with Python 1. Using Image Editing Software: Photoshop or similar software: Photoshop provides tools like "Brightness/Contrast" to adjust these settings. You can also use "Curves" or "Levels" for more precise control over contrast. Online image editors: Many online image editors offer similar tools for adjusting contrast and resolution. 2. Programming with OpenCV (Python): OpenCV Library: OpenCV (Computer Vision) is a library that enables image processing tasks, including contrast and resolution adjustment. Python: Python is a popular programming language used with OpenCV for image manipulation. Example: You can use Python code with OpenCV to adjust brightness, contrast, and even perform histogram equalization to enhance contrast. Use computer application in labeling images Image labeling is the process of identifying and marking various details in an image. Image labeling is useful when automating the process of generating metadata or making recommendations to users based on details in their images Assessing Radiology Image Quality Using Computers To effectively label images in a document, use captions to provide descriptions and context. In Microsoft Word, you can insert a caption by selecting the image, going to the References tab, and clicking "Insert Caption". You can choose a standard label like "Figure" or create a custom one. When citing images, include a figure or table number and a caption or title, along with an appropriate citation if the image is sourced from elsewhere ASSIGNMENT 1 PRACTICAL LABEL THE FOLLOWING PART USING COMPUTER APPLICATION SOFTWARE Use computer application in assessing and critiquing images Evaluating/Assessing of an image involves understanding the visual elements, the context it's used in, and potentially the source and intended message. It's a process of critically analyzing the image to discern its intended meaning and impact Visual analysis How is the image composed? What is in the background, and what is in the foreground? What are the most important visual elements in the image? How can you tell? How is color used? Can the image be looked at different ways? What meanings are conveyed by design choices? critiquing images It's about translating a personal experience into a visual story. And like any story, feedback can help refine and improve our narrative. Why Critiques Matter: 🤔 Critiques aren't just about pointing out what's “wrong” in a photograph. They are collaborative sessions, designed to help us see our work through fresh eyes. There are four basic steps: describing, analyzing, interpreting, and evaluating. ← PREVIOUS TOPICNEXT TOPIC →VIEW ALL MODULE NOTESVIEW SEMESTER NOTESVIEW ALL LEVEL NOTESALL DIAGNOSTIC RADIOLOGY NOTES Need These Notes as PDF? Need a clean, well-formatted PDF copy for offline study, revision or printing? Request the complete notes directly through WhatsApp. GET WELL-FORMATTED PDF NOTES

CRT04207 Radiology Informatics, Diagnostic Radiography NTA Level 4, Diagnostic Radiology Notes, NTA Level 4 Semester Two

Managing Radiology Data with DICOM, RIS and PACS

DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER TWO Managing Radiology Data with DICOM, RIS and PACS CRT04207 · Radiology Informatics START READING NOTES Study Managing Radiology Data with DICOM, RIS and PACS using the sections below. Use the topic navigation to continue through Radiology Informatics. Contents of This Topic SESSION 5:Use computer application Definition Managing Radiology Data with DICOM, RIS and PACS Use computer application skills in Benefits of Using Computer Applications for Patient Data Entry: Improved Decision-Making: Types of Computer Applications Used in Healthcare: Medical Data Entry Software: Skills Required for Effective Use of Computer Applications in Patient Data Entry: Data Accuracy and Integrity: Use computer application skills to Here's a breakdown of how computer applications are used to retrieve patient data: 2. Hospital Information Systems (HIS): 4. Data Visualization and Reporting: 6. Clinical Decision Support Systems: SESSION 5:Use computer application skills in managing radiology data Learning objective: Define DICOM, RIS and PACS Use computer application skills in entering patient data Use computer application skills to retrieve patient’s data Definition DICOM (Digital Imaging and Communications in Medicine) is an international standard for storing, transmitting, and managing medical images and related information. It defines how medical imaging devices, such as X-ray machines, MRIs, and ultrasound machines, can communicate and share data in a standardized way. Managing Radiology Data with DICOM, RIS and PACS DICOM is used in almost every radiology, cardiology, and radiotherapy device, and its use is increasingly expanding into other medical domains like ophthalmology and dentistry. RIS – In medical imaging, it stands for Radiological Information System, which is a software system used to manage patient data, scheduling, and billing in radiology departments. PACS stands for Picture Archiving and Communication System. It's a medical imaging technology that enables the digital storage, retrieval, and sharing of medical images like X-rays, MRIs, and CT scans. This system eliminates the need for traditional film storage and provides a more efficient, secure, and accessible way to manage medical images. Use computer application skills in entering patient data Using computer applications for patient data entry enhances efficiency, accuracy, and accessibility in healthcare. This involves using software and systems to record, update, and retrieve patient information, like medical history, diagnoses, and treatment plans. These applications also facilitate tasks such as billing, scheduling, and accessing clinical knowledge. Benefits of Using Computer Applications for Patient Data Entry: Efficiency: Computer applications streamline the process of entering and updating patient data, saving time and resources. Accuracy: Data entry software often includes features like data validation and auto-fill, reducing the risk of errors. Accessibility: Electronic health records (EHRs) allow authorized healthcare professionals to easily access patient information from various locations, promoting better coordination of care Improved Decision-Making: By providing quick access to relevant data, computer applications enable healthcare providers to make informed decisions about patient care. Data Analysis and Reporting: Many data entry systems offer tools for analyzing patient data, which can be used to identify trends, improve quality of care, and conduct research. Types of Computer Applications Used in Healthcare: Electronic Health Records (EHRs): These systems store and manage comprehensive patient information, including medical history, diagnoses, treatment plans, and other relevant data. Hospital Information Systems (HIS): HIS manage various aspects of hospital operations, including registration, billing, and inventory management. Medical Data Entry Software: These programs are specifically designed to facilitate the accurate and efficient entry of patient data into electronic records. Clinical Decision Support Systems (CDSS): CDSS provide clinical information and guidance to healthcare professionals, helping them make informed decisions about patient care. Skills Required for Effective Use of Computer Applications in Patient Data Entry: Computer Proficiency: Basic computer skills, including typing, navigating software, and using data entry tools, are essential. Knowledge of EHR Systems: Familiarity with specific EHR platforms used in a healthcare setting is crucial. Data Management Skills: Understanding how to organize, store, and retrieve data effectively is important. Data Accuracy and Integrity: Ensuring that data is entered correctly and maintained accurately is vital. Privacy and Confidentiality: Understanding and adhering to regulations regarding patient data privacy and security is essential. Use computer application skills to retrieve patient’s data To retrieve a patient's data using computer applications, healthcare professionals often utilize Electronic Health Records (EHRs) or Hospital Information Systems (HIS). These systems allow authorized users to access patient demographics, medical history, vital signs, test results, and other relevant information. The specific applications and methods for retrieving data may vary depending on the institution's chosen system and the user's role Here's a breakdown of how computer applications are used to retrieve patient data: Electronic Health Records (EHRs): EHRs are comprehensive digital records that store a patient's medical history, diagnoses, treatments, and other important health information. Healthcare providers can access these records from various locations and devices, making it easier to retrieve information when needed. 2. Hospital Information Systems (HIS): HIS are integrated software systems that manage various aspects of a hospital, including patient registration, admission/discharge, billing, and medical records. These systems often include features for accessing and retrieving patient data. Search and Retrieval Tools: EHRs and HIS typically offer search functionalities that allow users to quickly locate specific patient information based on keywords, patient ID, or other identifiers. 4. Data Visualization and Reporting: Some computer applications offer tools for visualizing patient data and generating reports, which can be helpful for analyzing trends and patterns in patient care. Remote Access and Mobility: Many healthcare organizations utilize mobile devices and remote access technologies to allow authorized personnel to retrieve patient data from anywhere, ensuring access to information even when away from the office. 6. Clinical Decision Support Systems: Some applications integrate clinical decision support tools that help healthcare professionals make informed decisions based on available patient data. In summary, computer applications like EHRs and HIS have revolutionized patient data management by providing efficient and secure access to information, enhancing patient care and decision-making processes. ← PREVIOUS TOPICNEXT TOPIC →VIEW ALL MODULE NOTESVIEW SEMESTER NOTESVIEW ALL LEVEL NOTESALL DIAGNOSTIC RADIOLOGY NOTES Need These Notes as PDF? Need a clean,

CRT04207 Radiology Informatics, Diagnostic Radiography NTA Level 4, Diagnostic Radiology Notes, NTA Level 4 Semester Two

Computer Applications for Record Keeping

DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER TWO Computer Applications for Record Keeping CRT04207 · Radiology Informatics START READING NOTES Study Computer Applications for Record Keeping using the sections below. Use the topic navigation to continue through Radiology Informatics. Contents of This Topic ©Radiology Informatics Learning objective: FEATURES OF COMPUTER APPLICATIONS FEATURES OF MICROSOFT WORD FEATURES OF MICROSOFT EXCEL FEATURES OF STATISTICAL PACKAGES SCOPE OF COMPUTER INFORMATION SYSTEM CORE FUNCTIONS Computer Applications for Record Keeping BENEFITS OF CIS Cost reduction: by automating tasks, reducing errors and improving efficiency, can help organizations reduce costs CHALLENGES OF CIS Advantage of computer Packages Improved Data Management: Reduced Development Costs: Disadvantages of computer Packages Limited Customization: Dependency: Training: ©Radiology Informatics SESSION 2: Apply word processing program in keeping records Learning objective: Describe features of Microsoft excel, Microsoft access and statistical packages Demonstrate computer application in (excel, MS excel worksheet, charts) Describe the scope of Computer information system, functional support, benefits and challenges Discuss advantages and disadvantages of computer packages in information communication ©Radiology Informatics FEATURES OF COMPUTER APPLICATIONS Computer features encompass a wide range of capabilities, from basic functionalities like user interface elements and file management to advanced features like data analysis, multimedia integration and online collaboration. ©Radiology Informatics FEATURES OF MICROSOFT WORD Microsoft word is a versatile word processing program with features like: Text formatting Grammar and spelling check Image insertion and Advanced page layout ©Radiology Informatics FEATURES OF MICROSOFT EXCEL Microsoft excel is the powerful spreadsheet program with numerous features for data organization, analysis and visualization. Key features are: Formulas Chart tables Pivot tables Along with functionalities for sorting, filtering and conditional formatting ©Radiology Informatics FEATURES OF STATISTICAL PACKAGES Statistical packages are software suites designed for performing statistical analysis, data management and visualization, Key features: Data entry and data management Descriptive and inferential statistics Hypothesis testing Data visualization Reporting ©Radiology Informatics ©Radiology Informatics ADDING NEW COLUMN/ ROW OR WORKSHEET Click on a Column(S) heading/ Row(s) heading or Worksheet name beside a new one. Click on “Insert” menu. Click on the option you want. E.g. Columns, Rows or Worksheet. Note: New column(s) is added at the left side of a selected column. New row(s) is added above a selected row(s) New worksheet(s) is added at the left side of a selected worksheet(s) ©Radiology Informatics REMOVING COLUMN/ ROW OR WORKSHEET Click on a Column(s) heading/ Row(s) heading or Worksheet name(s) you wish to remove. Click on “Edit” menu. Click on “Delete” command. OR: Click on “Delete Sheet” command, then click on “Yes” button to confirm. Note: When you remove a Worksheet, it is permanently deleted i.e. you can’t restore. ©Radiology Informatics RENAMING A WORKSHEET Click on the sheet name you wish to rename. Click on ‘Format’ menu Select ‘Sheet’ command Click on ‘Rename’ option Type a new name. Press ‘Enter’ key REARRANGING WORKSHEETS Press and hold down left mouse button over the sheet name you wish to rearrange. Drag to a new position and then release the mouse button. ©Radiology Informatics HANDS ON PRACTICE Copy the data as shown on the worksheet above and answer all the question on the next slide ©Radiology Informatics HANDS ON PRACTICE CONT… Insert a new Column between Name and Residence Column and name it Age type any numbers Insert a new row between Maimuna and Zakaria ,and type any entries as per columns headings Copy all the contents and paste in the sheet number 2 ©Radiology Informatics CHANGING TEXT ALIGNMENT Select the text you wish to change alignment. Click on ‘Format’ menu. Click on ‘Cells’ command. Click on ‘Alignment’ tab. Under “Orientation” text box, set an angle you want. Click on ‘Ok’ button when you are done Note: Under “Text Control” text box you can apply a “Wrap text” effect in a Cell. ©Radiology Informatics ©Radiology Informatics WORKING WITH CHARTS A Chart is the graphical representation of data. Using Microsoft Excel, you can represent numbers in a chart, by choosing from a variety of chart types. When you change your data, your chart will automatically update. You can use Microsoft Excel's Chart Wizard to take you through the process step-by-step to accomplish creating your chart. ©Radiology Informatics CREATING A CHART Select the range of data in your spreadsheet that you wish to include in the chart. Click on ‘Insert’ menu. Click on ‘Chart’ command. Note: Chart Wizard dialog box will appear Select a Chart Type and Subtype, then click ‘Next’ Select data Series for the chart. Click ‘Next’ button Click on “Titles” tab, type Chart Title, Category (X) axis, Value (Y) axis, and then click ‘Next’ button. Select a location to place your chart. E.g. “As new sheet” or “As Object in…” option. Click ‘Finish’ when you are done. ©Radiology Informatics FORMATTING CHARTS You can modify your chart by using the Chart toolbar. Click on a down arrow beside “Chart Object” tool Select the object you wish to format. E.g. Legend Click on “Options” tool Select the tab you want, E.g. Pattern, Font e.t.c. Note; Under Pattern Tab, select the options you want, E.g. Border Style, Border Color, Border Weight, Shadow, Area (Fill) color or using Fill Effects colors. Click on “Ok” button when you are done. ©Radiology Informatics Hands on Practice Use the data above to create a 3D bar chart type Format the chart as much as you can ©Radiology Informatics Hands on Practice Copy the data as shown below and create a pie chart then answer the questions on the next slide ©Radiology Informatics Hands on Practice Using the data and the chart above do the following. Change the chart above to Cylinder chart type. Remove the data for UCC-Dodoma. Does the data in the chart changes? Change the data label of pie chart to percentage values SCOPE OF COMPUTER INFORMATION SYSTEM Computer information system(CIS) encompasses the broad fields of using technology to manage and process information for business and organizational purposes. Essentially CIS focus on how technology can be leveraged to improve efficiency, decision making and strategic initiatives with organizations. ©Radiology Informatics

CRT04207 Radiology Informatics, Diagnostic Radiography NTA Level 4, Diagnostic Radiology Notes, NTA Level 4 Semester Two

Introduction to Computer

DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER TWO Introduction to Computer CRT04207 · Radiology Informatics START READING NOTES Study Introduction to Computer using the sections below. Use the topic navigation to continue through Radiology Informatics. Contents of This Topic Session 1: Learning Objectives General definition of computer Data Information Examples Summary ICT The 'C' in ICT stands for communications Computer cont…. TYPES OF COMPUTER Types of computers Types of computers cont…. Mini computer Mainframe Super computer HYBRID COMPUTER Ways Computers Are Used in Medicine Network computer CHARACTERISTICS OF COMPUTER CHARACTERISTICS OF COMPUTER cont… Reading Assignment Factors that Impact a Computer’s Performance Factors that Impact a Computer’s Performance cont ….. Computer Use in Hospitals DISCUSSION QNS References Session 1: INTROCTION TO COMPUTER Learning Objectives Define the term computer How computer works? Describe types of computer Differentiate between data and information Describe factors that Impact a Computer’s Performance General definition of computer Computer Is an electronic machine that takes data, store it, processes that data and produce information. A computer is an electronic device which is capable of receiving the inputs (data from the user), storing it for a desired period of time, manipulating it according to the set of instructions (called program) and producing the output to the user in desired form. It performs a variety of operations in accordance to the set of instructions. Data Data are raw facts and figures that on their own have no meaning These can be any alphanumeric characters i.e. text, numbers, symbols Data Is anything enter in the computer for the purpose of getting output Types of data Alphanumeric –numbers, letters, symbols etc. Images-graphic images, pictures Audio-sound, noise, tones Video-moving pictures Information Information-Is the result obtained after data has been entered and processed OR Data that has been processed into a form that gives it meaning. Examples What information can then be derived from the data? Summary Information Data Context Meaning = Processing Data – raw facts and figures Information – data that has been processed (in a context) to give it meaning ICT ICT stands for Information Communications Technology. ICT refers to any device or system that allows the storage, retrieval, manipulation and transmission of digital information. For example, personal computers, digital television, email, robots. ICT ICT hardware include: Computers Scanners Digital cameras ICT ICT software include: Standard Office Applications: (Word processor, Spreadsheets, database, graphics etc) Accounting packages Computer Aided Design The 'C' in ICT stands for communications Covers all the communications technologies such as:- digital TV digital radio e-mail Internet broadband networks (wired and wireless) ICT mobile phones GPS (global positioning systems) videoconferencing instant messaging fax Computer cont…. Fig. 1.1: Personal Computer TYPES OF COMPUTER Types of Computer can be categories/classes depending upon: the size efficiency memory and Number of users. Types of computers Micro computer Mainframe computer Mini computer Super computer Network computer Hybrid computer Workstation computer Types of computers cont…. Micro computer A person computer designed to meet the computer needs of an individual. Five types of Microcomputers: Desktop Computers Notebook Computers/Laptop Computers Tablet PCs Personal Digital Assistants Mini computer This is designed to support more than one user at a time. It possesses large storage capacity and operates at a higher speed. The mini computer is used in multi-user system in which various users can work at the same time. This type of computer is generally used for processing large volume of data in an organisation. They are also used as servers in Local Area Networks(LAN) Mainframe A powerful computer used by large scale organization to manage large amount of computerized data and programs. Example Hospital, Banks, ets They are also used as controlling nodes in Wide Area Networks (WAN). Super computer Are those computer which are designed for scientific job like whether forecasting and artificial intelligence. They are the fastest and most expensive machines. They have high processing speed compared to other computers. Supercomputer Super computer…. Supercomputers are mainly being used for : weather forecasting biomedical research remote sensing aircraft design and other areas of science and technology. HYBRID COMPUTER Are those computer used in hospitals to measure the heartbeat of the patients Ways Computers Are Used in Medicine CT scanning machines are run and monitored by computers. Sample to be tested by spectroscopy. Computer measuring patient's statistics. Computers used during surgery. Research using computers. Network computer A computer allows you to connect two or more computers together. Allows sharing of resources. Example, instead of each PC requiring its own Printer, you can have single printer shared amongst, many network PCs CHARACTERISTICS OF COMPUTER Speed Computer can work very fast. It takes only few seconds for calculations that we take hours to complete. Accuracy Suppose some one calculates faster but commits a lot of errors in computing. Such result is useless. CHARACTERISTICS OF COMPUTER cont… Diligence A computer is free from tiredness, lack of concentration, fatigue, etc. It can work for hours without creating any error. If millions of calculations are to be performed, a computer will perform every calculation with the same accuracy. CHARACTERISTICS OF COMPUTER cont… Versatility It means the capacity to perform completely different type of work. You may use your computer to prepare payroll slips. Next moment you may use it for inventory management or to prepare electric bills. CHARACTERISTICS OF COMPUTER cont… Power of Remembering Computer has the power of storing any amount of information or data. Any information can be stored and recalled as long as you require it, for any numbers of years. CHARACTERISTICS OF COMPUTER cont… No Feeling It does not have feelings or emotion, taste, knowledge and experience. Thus it does not get tired even after long hours of work. It does not distinguish between users. Reading Assignment Discuss Advantages and Disadvantage of using computers? What are the functions of computer? Computer Performance Factors that Impact a Computer’s Performance The higher the processor speed, the faster the computer. The more memory you have (RAM), the faster the PC will appear to operate. The more programs which are

CRT04209 Medical Professional Ethics, Diagnostic Radiography NTA Level 4, Diagnostic Radiology Notes, NTA Level 4 Semester Two

Strategies For Interactively Communication

DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER TWO Strategies For Interactively Communication CRT04209 · Medical Professional Ethics START READING NOTES Study Strategies For Interactively Communication using the sections below. Use the topic navigation to continue through Medical Professional Ethics. Contents of This Topic OBJECTIVES EFFECTIVE COMMUNICATION IMPORTANCE OF EFFECTIVE COMMUNICATION STRATEGY 3: DIALOGUE AND ACTIVE LISTENING STRATEGY 4: EVALUATE PATIENT UNDERSTANDING How to build rapport: BARRIERS TO COMMUNICATION IN HEALTHCARE HOW TO OVERCOME BARRIERS SESSION 11: 26/04/2025 SESSION NAME: INTERACTIVELY COMMUNICATION OBJECTIVES At the end of the session, you should be able to: Define the meaning of communication and effective communication Identify components of communication system Describe benefits /importance of effective communication Describe strategies for interactively communication Identify barriers for effective communication Identify methods of overcoming barriers for effective interaction INTRODUCTION COMPONENTS OF COMMUNICATION PROCESS EFFECTIVE COMMUNICATION Effective communication is a communication between two or more persons wherein the intended message is successfully delivered, received and understood For a radiographer, the ability to communicate is a very important skill and a vital part of the job Radiographers speak to people of varying educactional, cultural and social backgrounds and must do so in an effective, caring and professional manner- especially when communicating with patients and their family IMPORTANCE OF EFFECTIVE COMMUNICATION ASSIGNEMENT 01: Briefly describe seven (07) importance of effective communication of a radiographer to a patient in the radiology department CHANNELS OF COMMUNICATION Strategies for interactively/effective communication STATEGY 1: USE OF SIMPLE AND CLEAR LANGUAGE STRATEGY 2: USE OF NUMBERS AND VISUAL AIDS STRATEGY 3: DIALOGUE AND ACTIVE LISTENING Use open-ended questions to initiate dialogue Encourage questions with prompts like “What questions do you have” Use empathetic listening: Acknowledge emotions and concerns Why it matters: Builds rapport Encourages shared decision-making STRATEGY 4: EVALUATE PATIENT UNDERSTANDING Apply the teach-back method- ask patients to repeat the information in their own words Use checklists or mini-quizzes to verify understanding Observe non-verbal cues (confusion, nodding without engagement) Why it matters: Detects gaps in understanding Reduces miscommunication risks BUILDING RAPPORT How to build rapport: Shake hands Introduce yourself Use same language as patient Show patience Do not interrupt Make eye contact Do not attend to other patients while busy with another Say ‘yes’, ‘um-hum’ or use a non-verbal gesture so they know you are interested BARRIERS TO EFFECTIVE COMMUNICATION Consequences of negative non-verbal communication BARRIERS TO COMMUNICATION BARRIERS FROM THE SENDER BARRIERS FROM THE SENDER CONT… BARRIERS FROM THE RECEIVER BARRIERS TO COMMUNICATION IN HEALTHCARE Advice-giving and moralizing Arguing Preaching Storytelling Showing discomfort, embarrassment if patient is upset Not respecting patient’s beliefs or way of life Not creating trust or rapport HOW TO OVERCOME BARRIERS Using the appropriate channel Creating good rapport Being attentive both verbally and non-verbally Using a common language Avoiding medical terminology and jargon Being self-aware Using feedback from from each other Asking questions for clarification in order to understand feedback H/M REFERENCES ← PREVIOUS TOPICNEXT TOPIC →VIEW ALL MODULE NOTESVIEW SEMESTER NOTESVIEW ALL LEVEL NOTESALL DIAGNOSTIC RADIOLOGY NOTES Need These Notes as PDF? Need a clean, well-formatted PDF copy for offline study, revision or printing? Request the complete notes directly through WhatsApp. GET WELL-FORMATTED PDF NOTES

CRT04210 Ultrasound Imaging, Diagnostic Radiography NTA Level 4, Diagnostic Radiology Notes, NTA Level 4 Semester Two

Ultrasound Transducers and Scanning Modes

DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER TWO Ultrasound Transducers and Scanning Modes CRT04210 · Ultrasound Imaging START READING NOTES Study Ultrasound Transducers and Scanning Modes using the sections below. Use the topic navigation to continue through Ultrasound Imaging. Contents of This Topic THE ULTRASOUND BEAM BEAM SHAPE PULSED ULTRASOUND Beam intensity BEAM WIDTH AND SLICE THICKNESS FOCUSING THE BEAM IMAGE RESOLUTION AXIAL AND LATERAL RESOLUTION AXIAL RESOLUTION SPATIAL PULSE LENGTH LATERAL RESOLUTION Ultrasound Transducers and Scanning Modes FACTORS AFFECTING BEAM WIDTH INTRODUCTION OF USS THE ULTRASOUND BEAM CHARACTERISTICS BEAM SHAPE The path which the ultrasound waves travel from the transducer is called the ultrasound beam. It is divided into two regions. The near field (or Fresnel zone) which is shaped like a cylinder. The far field (or Fraunhofer zone) where it becomes cone shaped. NOTE: Increasing the frequency will give a longer near field and less far field divergence. PULSED ULTRASOUND Instead of a continuous output of waves from the transducer face, most transducers use a series of short pulses of sound energy. These short pulses form the ultrasound beam. This is important, as we will see later, in giving good axial resolution. Beam intensity The intensity of the beam is the power (measured in watts) flowing through a unit area of the ultrasound beam. Increasing the output power to the transducer produces high intensity sound pulses, which make returning echo signals from all reflectors appear brighter. BEAM WIDTH AND SLICE THICKNESS Beam width means the measurements of the beam in the scan plane. This will vary according to distance from the transducer and what focusing is applied to the beam. The width of each pulse of sound will therefore change with depth. The beam width affects the spatial resolution of the image (the ability to differentiate small structures). The narrower the beam width the better the spatial resolution. Slice thickness is the measurement of the beam at 90 degrees to the scan plane FOCUSING THE BEAM The ultrasound beam can be focused to improve image quality. This is mostly done electronically. The depth of the focal zone and the length of the focal zone can be changed by the operator on modern ultrasound machines. IMAGE RESOLUTION Spatial resolution is the ability of an ultrasound system to display two closely spaced reflectors as separate structures. This depends upon the wavelength of the sound used to produce the image. For example, the wavelength of a 5MHz ultrasound beam is about 0.3mm, so it could not resolve (display separately) objects less than 0.3mm apart AXIAL AND LATERAL RESOLUTION Axial resolution is resolution along the axis of the direction of the ultrasound beam. Lateral resolution is resolution at right angles to the direction of the ultrasound beam. Axial resolution depends on the spatial pulse length. Lateral resolution depends on the ultrasound beam width. AXIAL RESOLUTION A short pulse length gives good axial resolution and the best resolution that can be achieved is half the spatial pulse length Therefore if the pulse length is 1mm, then structures along the axis which are less than 0.5 mm will not be resolved. Axial resolution is affected by the frequency of the ultrasound beam and damping applied to the piezoelectric crystal SPATIAL PULSE LENGTH Each ultrasound pulse is about two wavelengths long, and therefore a shorter wavelength will reduce the pulse length. Since wavelength is related to frequency, we can see that a high frequency beam will result in a shorter pulse length and better axial resolution. Pulse length also depends upon the amount of damping applied to the piezoelectric crystal. Increasing the damping shortens the pulse length and improves axial resolution. LATERAL RESOLUTION A narrow ultrasound beam gives best spatial resolution and the best resolution that is achieved is equal to beam width at the focus of the beam. The beam width determines the size of the echoes displayed and the structures must be separated by a distance greater than the beam width for them to be resolved. That is, the beam must fit into the gap between the two structures so that is can return “no echoes” from that position. Ultrasound Transducers and Scanning Modes Reflector separation is less than beam width in fig A and B but greater than beam width in Fig C and D. Fig A The beam first encounters the left reflector, then both reflectors, then the right reflector. Fig B This results in continuous reflection from one or both reflectors. Fig C The beam encounters the left reflector, then fits between both, and then meets the right reflector. Fig D Separate echoes are shown and the reflectors are resolved. FACTORS AFFECTING BEAM WIDTH As the diameter of the piezoelectric crystal increases so does the beam width near the crystal face. Higher frequency beams have a longer near field and less divergent far field. The amount of focusing and the length of the focal zone. Divergence of the beam increases beam width further from the crystal face. The best lateral resolution is at the focal point of the beam. ← PREVIOUS TOPICNEXT TOPIC →VIEW ALL MODULE NOTESVIEW SEMESTER NOTESVIEW ALL LEVEL NOTESALL DIAGNOSTIC RADIOLOGY NOTES Need These Notes as PDF? Need a clean, well-formatted PDF copy for offline study, revision or printing? Request the complete notes directly through WhatsApp. GET WELL-FORMATTED PDF NOTES

CRT04210 Ultrasound Imaging, Diagnostic Radiography NTA Level 4, Diagnostic Radiology Notes, NTA Level 4 Semester Two

Formation of the Ultrasound Beam

DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER TWO Formation of the Ultrasound Beam CRT04210 · Ultrasound Imaging START READING NOTES Study Formation of the Ultrasound Beam using the sections below. Use the topic navigation to continue through Ultrasound Imaging. Contents of This Topic ULTRASOUND PHYSICS LECTURE 2 THE PIEZOELECTRIC EFFECT Dipolar Molecules The piezoelectric crystal as a transmitter of sound The piezoelectric crystal as a receiver of sound TRANSDUCERS ELECTRONIC ARRAY TRANSDUCERS CONTROLLING THE ULTRASOUND BEAM ELECTRONIC BEAM STEERING TYPES OF ELECTRONIC ARRAY TRANSDUCER Linear Array: elements are arranged in a straight line allowing for a rectangular field of view ULTRASOUND PHYSICS LECTURE 2 FORMATION OF THE ULTRASOUND BEAM THE PIEZOELECTRIC EFFECT This is the ability of a material to generate an electric charge in response to applied pressure. When a piece of piezoelectric material is compressed a potential difference is generated across opposite faces- the one becomes positive, the other negative. Conversely, if an electric field is applied across the crystal, it changes its shape. This property is natural to certain crystals such as quartz and man made materials such as zirconate titanate. Piezoelectric materials are crystals composed of dipolar molecules, which are positive at one end and negative at the other Dipolar Molecules Normally dipolar molecules have a random arrangement within the material, and they are unable to align themselves with an electric field. However, when heated to a high temperature in the presence of an electric field the molecules align themselves with that field, and will maintain that alignment when they have cooled. The piezoelectric crystal can now be used as an ultrasound transducer to transmit or detect sound. The piezoelectric crystal as a transmitter of sound In this case the crystal is converting electrical energy into mechanical energy. A voltage is applied across the conducting plates causing the molecules to twist in the direction of the electric field, and this causes the crystal to become thicker. If the voltage is reversed, the molecules will twist back in the opposite direction making the crystal thinner. Applying an alternating voltage to the crystal will cause it to expand and contract (oscillate) at the same frequency as the voltage, producing a continuous sound wave of that frequency. The amplitude of the sound wave will depend upon voltage applied and the natural resonant frequency of the crystal. The piezoelectric crystal as a receiver of sound In this case the crystal is converting mechanical energy into electrical energy. When a sound wave makes contact with the piezoelectric crystal the changing pressures cause the crystal to contract and expand. This twists the dipolar molecules, and causes the conducting plates to become charged. These small signals from the conducting plates are used to create a two dimensional image of the returning echoes. The strength of an echo determines the size of the voltage signal produced, which in turn determines the brightness of the echo display on the image TRANSDUCERS Ultrasound transducers act as both a sender and receiver of sound. The essential parts of a transducer assembly are: Piezoelectric element Electrical connections Backing material Acoustic lens Impedence matching layer Physical housing assembly Components of an electronic array transducer ELECTRONIC ARRAY TRANSDUCERS Electronic array transducers consist of a row of rectangular piezoelectric crystals. They all have backing material, to shorten the pulse length, and matching layers on the front surface to improve the sound transmission into the patient. Normally there are between 128 to 256 piezoelectric elements across the face of these transducers. Each element is connected so that small groups of elements can be fired together and in sequence. FIRING ONE GROUP OF ELEMENTS CONTROLLING THE ULTRASOUND BEAM Each single element in an electronic array transducer can produce a small wave front which joins with other small wave fronts to form a larger ultrasound beam. By using time delays, and activating each element in a sequence, the beams shape and direction can be controlled to focus and direct the beam. Focusing the ultrasound beam improves the image quality (resolution) by making the beam thinner within the focal zone. Directing the ultrasound beam ELECTRONIC BEAM STEERING The ultrasound beam can also be steered (directed) using time delays. An image is formed as each group of elements is directed to form a wider wave front, or wide sector field of view. Transducers used today are of three main types: Linear array transducers Curvilinear array ( also called curved linear array or sector) transducers. Phased linear array transducers TYPES OF ELECTRONIC ARRAY TRANSDUCER Linear array transducers transmit parallel scan lines at right angles to the transducer face producing a rectangular field of view. These are high frequency transducers used for superficial structures Curved linear (curvilinear) array is similar but the face of the transducer is curved giving a wider, diverging field of view. These are low frequency transducers used to image deep lying structures. Phased array transducers are similar to linear array with a rectangular, flat face. However, the beam is electronically steered to produce a wide field of view similar to a curved linear array. These have a smaller area of contact with the advantage of a wide field of view, making them suitable for applications with a small acoustic window such as cardiac scans . They also use lower frequencies like the curved array. Linear Array: elements are arranged in a straight line allowing for a rectangular field of view Curvilinear Array: elements are arranged in a curved line resulting in a wider field of view Sector Array: elemnts are arranged in a sector shape, providing a wider field of view at the expense of a smaller footprint NEXT TOPIC →VIEW ALL MODULE NOTESVIEW SEMESTER NOTESVIEW ALL LEVEL NOTESALL DIAGNOSTIC RADIOLOGY NOTES Need These Notes as PDF? Need a clean, well-formatted PDF copy for offline study, revision or printing? Request the complete notes directly through WhatsApp. GET WELL-FORMATTED PDF NOTES

CRT04209 Medical Professional Ethics, Diagnostic Radiography NTA Level 4, Diagnostic Radiology Notes, NTA Level 4 Semester Two

Medical Ethics and Professionalism – Extended Notes – Consent in Medical Practice

DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER TWO Medical Ethics and Professionalism – Extended Notes – Consent in Medical Practice CRT04209 · Medical Professional Ethics START READING NOTES Study Medical Ethics and Professionalism – Extended Notes – Consent in Medical Practice using the sections below. Use the topic navigation to continue through Medical Professional Ethics. Contents of This Topic Medical Ethics and Professionalism – Extended Notes – Consent in Medical Practice Sub-Enabling Outcome • Implied Consent Medical Practice General Issues Case Study Key Points /PMC2840885/ IMPLIED VS. EXPRESSED CONSENT INFORMED CONSENT DISCLOSURE OF INFORMATION PRE-REQUISITES EXCEPTIONS TO DISCLOSURE BLANKET CONSENT DOCUMENTATION INFORMED REFUSAL CONCLUSION Medical Ethics and Professionalism – Extended Notes – Consent in Medical Practice Consent in Medical Practice Learning Tasks Define consent in medical practice Describe the forms of consent in medical practice Mention requirements for true consent in medical practice Mention legal implications from lack of consent in medical practice Sub-Enabling Outcome 2.3.4 Apply principles of medical ethics in obtaining clients’ consent a) Define the term informed consent b) Explain types of consent c) Describe clinically significant of consent d) Describe informed consent for minors and adolescents e) Describe exceptions to consent f) Obtain clients’ consent Definition of Terms Consent: The clinical principle that each person has a right to self determination and is entitled to have their autonomy respected finds its expression in law through the notion of consent. Any intentional touching of a person without lawful justification or without their consent amount to the tort of battery and may also constitute a criminal offence. The law relating to consent is one of the most important to medical law, serving as the means of protecting and preserving the right of the patient to decide what is to happen to him/her. Consent can be in the form of expressed or implied. Expressed consent: Is when the patient explicitly agrees to what is proposed by the doctor, it does not need to be set out in any specific form and it does not need to be in writing. The vast majority of time when a patient is touched, it is done in the examination rooms where none of apparatus of consent is present. Consent forms: Have been part of hospital procedure for a long time. The form usually covers statements like ‘I confirm that I have explained the operation, investigation or treatment, and such appropriate options as are available and the type of anaesthetic, if any proposed to the patient in terms which in my judgement are suited to the understanding of the patient and/or to one of the parents or guardians of the patient’. The form is signed by both the doctor and the patient. Most of forms have a statement saying ‘I understand that any procedure in addition to the investigation or treatment described on this form will only be carried out if it is necessary and in my best interests and can be justified for medical reasons.’ • Implied Consent Consent may just be implied meaning the client did not expressly authorize the doctor to conduct a procedure. Actions often speak louder than words. Holding up one bare arm to a doctor at a vaccination point is as clear as agree as if it were expressed in words. Even silence and inaction may, in some circumstances, be interpreted as expression of willingness. Failure to resist or protest indicates consent if a reasonable person who is aware of the consequences and capable of protest or resistance would voice his objection. A girl who is silent to an amorous proposal, cannot, afterwards complain of assault. Requirements for a True Consent in Medical Practice • There are three relevant issues which have to be determined: Did the patient have capacity in law? (Was the patient competent to give consent?) Was the person giving consent appropriately informed before hand? Was the consent voluntarily given? Each of these issues may be analyzed by reference to the nature and extent of the doctor’s duty, that is, to inform or to ensure voluntariness and competence. The need for consent derives from the law’s respect for patient’s right to decide. Consent, therefore, has a positive and a negative property. This means it is an exercise to make one’s own decisions to say ‘yes’ (consent) or to say ‘no’ (refuse). It is also a right to change one’s mind. Hence the patient may withdraw their consent to treatment. Obviously, this could be done before the procedure but it may also be done during the procedure. General Issues In court issues, responsibility of proving absence of consent rests on the patient. Liability in trespass results in responsibility for all the consequence of the trespass and may be concurrent with criminal liability for assault. Consent must be to the actual physical ‘invasion’ in issue. It is a battery if the patient consents to removal of his left leg and the surgeon removes the right leg. Surgery may be authorized either by a provision in a standard consent form or by defence of necessity. Further treatment must be shown to be necessary at the time of the original operation. Doing surgery for removing woman’s ovaries without express consent, or any nonconsensual treatment may constitute serious professional misconduct. It is not sufficient that the doctor believes that what she/he does is in patient’s best interests or that 99% of patients would have consented. Advance directive of the patient must be respected. Failure to provide adequate information is actionable. It is the doctor’s duty to provide not just competent treatment, but competent advice as well. Consent for detained mental patients must be obtained for nonmental problems. Which medical procedures require informed consent? Treatment with high-risk medications, such as opioids. Tests and medical interventions that go inside your body, such asendoscopy. Childbirth interventions, such as forceps delivery or episiotomy. Surgery. Biopsy. Medical implants. Use of anesthesia. Use of radiation. Chemotherapy. Blood transfusions. Genetic testing. Clinical trials involving human research subjects (including psychology research). Procedures involving medical students. Certain

CRT04209 Medical Professional Ethics, Diagnostic Radiography NTA Level 4, Diagnostic Radiology Notes, NTA Level 4 Semester Two

Medical Ethics and Professionalism – Extended Notes – Confidentiality in Medical Practice

DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER TWO Medical Ethics and Professionalism – Extended Notes – Confidentiality in Medical Practice CRT04209 · Medical Professional Ethics START READING NOTES Study Medical Ethics and Professionalism – Extended Notes – Confidentiality in Medical Practice using the sections below. Use the topic navigation to continue through Medical Professional Ethics. Medical Ethics and Professionalism – Extended Notes – Confidentiality in Medical Practice Confidentiality in Medical Practice Learning Objectives Define confidentiality Explain the principles of confidentiality in medical practice Describe the importance of confidentiality in medical practice Identify limitations of confidentiality in medical practice Definition of Terms What is confidentiality? Confidentiality: The ethical principle that requires non-disclosure of private or secret information with which one is entrusted. In research, confidentiality refers to the researcher’s assurance to participants that information provided will not be made public or available to anyone other than those involved in the research process without participants consent. The obligation to respect confidentiality applies when a person has information in confidence. Principle of Confidentiality in Medical Practice The medical practitioner’s duty to keep patient information confidential has been a cornerstone of medical ethics since the time of Hippocrates. Hippocratic Oath states: ‘What I may see or hear in the course of treatment or even outside of the treatment in regard of life of men, which in no account one must spread abroad, I will keep to myself holding such things shamefully to be spoken about’. The World Medical Association International Code of Medical Ethics requires that: ‘A physician shall preserve absolute confidentiality on all he knows about his patient even after the patient has died’. However, other codes reject this absolutist approach to confidentiality. The high value that is placed on confidentiality has three sources: autonomy, respect for others and trust. Autonomy relates to confidentiality in that personal information about an individual belongs to him or her and should not be known to others without his or her consent. When an individual reveals personal information to another, a medical practitioner or nurse for example, or when information comes to light through a medical test, those who have access to the information are bound to keep it confidential unless authorized to divulge it concerned. Confidentiality is also important because human beings deserve respect. One important way of showing them respect is by preserving their privacy. In addition, the basis of trust between the patient and healthcare professionals is the ethical and legal standard of confidentiality that healthcare professionals are expected to uphold. Without an understanding that their disclosures will be kept secret, the patient might withhold personal information. This will hinder medical providers in their efforts to provide effective interventions or to obtain public health goals. Case Study A medical practitioner was playing pool with his colleague, while in the process they were discussing about the seriousness of a tumour of one school teacher. This conversation was overheard of the patient and the patient was informed. Questions Was the practitioner right to discuss this issue at that location? Do you think the patient will prefer again being attended by this doctor? Why? The Importance of Confidentiality in Medical Practice A confidential relationship arises whenever one person entrusts confidential information of another person. Confidential information is known as secrets. Where the person to whom the information has been entrusted or conveyed is a medical practitioner, the patient has the right to believe that this confidential information will not be conveyed to others without the patient’s consent and that it will only be used for the purpose for which it has been given. The Importance of Confidentiality in Medical Practice cntd The trust which the patient places in the medical practitioner can be viewed as the basis of a healthy practitioner-patient relationship. Two important aspects of confidentiality are identified: To limit access to information To make provision for communication on intimate and other sensitive, personal matters Vulnerable patients, and in this instance particularly the dying patient, would be more willing to reveal personal information and secrets and personal information of the patient should not be shared unnecessarily. The Importance of Confidentiality in Medical Practice cntd Confidentiality should be viewed as the basis of a confidential relationship in which the practitioner is accountable for her/his practice. In the execution of this professional accountability she/he will not disclose any information which is obtained during the care of the patient, except with the consent of the patient or a person who may make decisions on behalf of the patient, or if the court requires such a disclosure. The Importance of Confidentiality in Medical Practice cntd Professional Pledge of Service for medical professional states in as follows; ‘I will hold in confidence all personal matters coming to my knowledge’. Dispute Relating to Confidentiality Health care personnel are obliged both legally and ethically to maintain strict confidentiality in respect of the patient. If this obligation is not met, it may be viewed as a serious ethical offence and disciplinary actions may be taken. Most institutions lay down strict policy measures in respect of the confidentiality of patient information It is the practitioner’s duty to acquaint him or herself with these measures to prevent being held accountable for the disclosure of confidential information. Anyone who feels that the disclosure of confidential information in certain instances is morally justifiable or even obligatory bears a burden of proof which cannot be denied. Limitations/Challenges to the Requirement to Maintain Confidentiality Routine breaches of confidentiality occur frequently in most healthcare institutions, for example: Many individuals, i.e. doctors, nurses, laboratory technicians, and students, require access to patient’s health in order to provide adequate care to that person and, for students to learn how to practice medicine. When patients speak a different language than their caregivers, there is a need for interpreters to facilitate communication. In cases of patients who are not competent to make their own medical decisions, other individuals have to be given information about them in order to make decisions on their behalf and

CRT04209 Medical Professional Ethics, Diagnostic Radiography NTA Level 4, Diagnostic Radiology Notes, NTA Level 4 Semester Two

Medical Ethics and Professionalism – Extended Notes – Ethics in Special Situations

DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER TWO Medical Ethics and Professionalism – Extended Notes – Ethics in Special Situations CRT04209 · Medical Professional Ethics START READING NOTES Study Medical Ethics and Professionalism – Extended Notes – Ethics in Special Situations using the sections below. Use the topic navigation to continue through Medical Professional Ethics. Contents of This Topic Medical Ethics and Professionalism – Extended Notes – Ethics in Special Situations Medical Ethics Medical Research Health Management Organizations Case Study Key Points York: Thomson. Medical Ethics and Professionalism – Extended Notes – Ethics in Special Situations Ethical Issues in Special Situations Learning Objectives Describe several special situations with implications in medical ethics Explain approaches in addressing special situations based on medical ethics Special Situations with Implication in Medical Ethics list some special medical situations In medical practices there are various situations that can be encountered and found to be a dilemma to the performance of medical duties. Medical research Torture to human being Capital punishment Abortions Prisoners Disaster & emergency situations. HIV and AIDS and other infectious diseases Medical examination required by employer Publicity and advertisement Diagnosis of death (Brain dead) Health management organizations Practitioners appearance, presentation and attire Approaches to Special Situations Based on Medical Ethics Health care providers face different issues that require some ethical solutions. The kind of solution is normally determined by nature and situation of the task as follows: Medical Research Familiarity with research methods is essential for competent medical practice and the best way to gain this familiarity is to take part in research projects. The most common method of research for practicing clinicians is clinical trial. In conducting research, the ethical values of the medical practitioner compassion, competence, autonomy, dignity apply to medical researcher as well as long as the medical practitioner understand and follow the basic rules of research ethics There are several procedures required to make the research legal and this shall be dealt with in Research Module. Torture of Human Being It is the obligation of the practitioner in the service of humanity, to preserve and restore physical and mental health of the client. The practitioner shall: Not participate in any way in the practice of torture of human being or other forms of cruel, inhuman or any form of degrading procedures no matter whether such practice or procedure is ordered after due process of law. Not provide any premises, instrument, substance or knowledge to facilitate the practice of torture or other forms of cruel, inhuman or degrading treatment, or to diminish the ability of the victim to resist such treatment. Abortion Medically induced abortion is not allowed by the laws of the country. Abortion is not legal in Tanzania; only in some medical conditions where mother’s health is compromised by the presence of the pregnancy. Prisoners The practitioner while attending a client held in prison or detention is urged to provide professional services to the best interest of the health of the prisoner or detainee and the general community of that prisoner. The practitioner shall: Draw to the attention of the responsible authority of an existing or impending unhealthy environment or condition. Take all necessary steps to preserve dignity of the prisoner or detainee. Disaster and Emergency Situation In disastrous and emergency situations like floods, road accidents, earth quakes, and fire outbreak, practitioner shall practice the profession with conscience and dignity, and the health of the clients shall be paramount. The practitioner shall have an obligation during life threatening emergencies to take immediate steps to ensure that necessary treatment is given to the victim without discrimination and undue delay. HIV& AIDS and other Infectious Diseases In the management of HIV and AIDS and other infectious diseases, the practitioner may encounter ethical problems embodied in the special nature of the disease, its fatality, and absence of cure, public stigma and imminent danger to the society. The practitioner shall: Balance the need to observe confidentiality and save human life against deliberate acts likely to infect potential victims. Acquire adequate knowledge and skills on counselling related to the special aspects of HIV&AIDS other infectious diseases including prevention and transmission. Ensure that individuals infected with HIV or suffering from AIDS and other infectious diseases are informed or supportive measures available. Ensure that individuals infected with HIV&AIDS or any other chronic disease are afforded opportunity to agree or decline from being research subjects and to the method applied for scientific research, teaching, and taking of photographs, video or film. Medical Examinations Requested by Employer Practitioners shall ensure that an employee is fully aware and consent to medical or dental examination requested Publicity and Advertisement Sound relationship between a practitioner and colleagues is essential for fostering the esteem and truthfulness of the medical profession. Practitioners shall be aware that matters of general interest are paramount and practitioner shall refrain from adopting methods aimed at advertising a particular person, institution, remedy or technique. Diagnosis of Death A situation may arise whereby the human body is controlled which is damaged to an uncertain degree and poses ethical dilemma for termination of life. In such a situation a patient shall be considered dead when there is irrevocable establishment of brain stem death. Death shall be clinically ascertained by not less than two physicians and one of them shall be the doctor in charge of the care and another one should be an experienced and clinically independent of the first. In any case the examination must be done over twenty four hours at eight hourly intervals. Health Management Organizations Health Management Organizations (HMOs) have their basis, profit making by ‘managing’ health funds. This, at times, leads to unreasonable exclusion from key investigations, drugs therapy, surgical procedures and others and interference in the confidentiality of the clients. Practitioners must have interest of their clients at heart and should not barge to HMO’s pressures. In every aspect of practice the patient’s welfare remains the practitioner’s responsibility irrespective of the influences of the health agents. Practitioner Appropriate Presentation and Attire

banner
Scroll to Top