Here are some more information for Medical Guide:

Ok. So, you just landed a job at a company that manufactures, distributes or sells durable medical equipment, or DME. If this is your first time in this field, you have undoubtedly noticed the sea of new words, abbreviations and acronyms. Treading your way from day to day the first few weeks can be overwhelming...as if you were in a foreign country.

Lucky for you, this article is your proverbial life preserver. So grab hold my friend. Soon you will be doing the equivalent of synchronized formations impressing your new boss, associates, colleagues, friends, family and maybe even your significant other.

DME Durable Medical Equipment

DME is defined as any medical equipment or device that is intended to be reusable or "durable." DME is almost exclusively prescribed by a doctor, physician, chiropractor or physical therapist and is primarily for home use. Therefore DME is often interchangeable with HME.

HME Home Medical Equipment

HME is defined as any medical equipment or device for use in the home. It is almost always of the "durable" nature. Thus HME is often interchangeable with DME. In fact many times when professionals reference such equipment they will use the term HME/DME or HME/DMEPOS.

DMEPOS Durable Medical Equipment, Prosthetics, Orthotics and Supplies

We have already covered DME. Prosthetics is the medical term for an artificial limb such as a leg or an arm. Orthotics is the term to describe the medical field that deals with the manufacture and application of orthotic devices. It can also encompass the practice of working with the torso.

O&P Orthotics and Prosthetics

Same as above abbreviated differently.

AMA American Medical Association

The American Medical Association is the nation's largest and most powerful association of physicians and medical students. It publishes the Journal of American Medical Association (JAMA) which is the world's largest weekly medical publication.

HCPCS Healthcare Common Procedure Coding System

HCPCS is commonly pronounced as "hick-picks." It is a set of health care procedural codes that, as described on Wikipedia, standardizes the coding system for describing the specific items and services provided in the delivery of health care. It is based on the AMA's current procedural terminology (CMT) and is, as of 1996, mandatory. They help agencies such as Medicare, Medicaid and insurance companies efficiently track and reimburse claims. Codes for durable medical equipment are considered level II and are alphanumeric.

CMS Centers for Medicare and Medicaid Services

The Centers for Medicare and Medicaid Services is a federal agency within the United States Department of Health and Human Services (DHHS). Its purpose is to administer the Medicare program. It also works with state governments to help administer Medicaid, the State Children's Health Insurance Program (SCHIP) and health insurance portability standards. CMS was formerly called HCFA (Health Care Financing Administration).

MAC Medical Administrative Contractor

The abbreviation "MAC" is often used directly following DME. A DME MAC is a durable medical equipment medical administrative contractor. Their sole function is to process medical claims for Medicare. There are four DME MACs jurisdictions in the US, each serving a different geographical region-Noridian Administrative Services, CIGNA Government Services, National Government Services and NHIC (National Heritage Insurance Company). These DME MACs are referred to as durable medical equipment regional carriers, or DMERCs

Conclusion

Of course there are many other words and abbreviations you will run into in this industry, but the ones covered above will definitely get you going. Future articles will tackle more intricate terms in the DME industry.

Michael W. Harris
Marketing Director
Spinal Rehab Solutions, Inc.
DME Wholesale Provider of LSO Back Braces, Electric Stim Products, etc.
http://www.spinalrehabsolutions.com/

Acitretin Drug Information - Uses, Side Effects for Acitretin Medication

How to Take Acitretin

Take Acitretin exactly as prescribed by health care provider. For inhalation or direct instillation into bronchial tree. Not for parenteral administration. Acitretin is available in form of Capsules 10 mg, Capsules 25 mg.

Contraindications of Acitretin

Pregnancy; severe liver or kidney function impairment; chronic abnormal elevation in blood lipid values; concurrent use of methotrexate or tetracyclines; hypersensitivity to other retinoids or any component of the product.

Interactions of Acitretin with other drugs

Ethanol: Concurrent use of alcohol and acitretin may lead to the formation of etretinate, which increases the duration of teratogenic potential in women.

Glyburide: The glucose-lowering effect of glyburide may be potentiated.

Methotrexate: Because the risk of hepatitis may be increased, concurrent use is contraindicated.

Phenytoin: Protein binding of phenytoin may be reduced.

Progestin "minipill": Acitretin may interfere with the contraceptive effect.

Tetracyclines: Because acitretin and tetracyclines can cause increased intracranial pressure, concurrent use is contraindicated.

Vitamin A, oral retinoids: Because the risk of hypervitaminosis A is increased, concurrent use is contraindicated.

What are the Side Effects of Acitretin -

Like other medicines, Acitretin can cause side effects. Some of the more common side effects of Acitretin include

* headache, pain, depression, insomnia, somnolence (1% to 10%); myopathy with peripheral neuropathy, aggressive feelings and/or suicidal thoughts,

* Alopecia, skin peeling (60% to 75%); dry skin, nail disorder, pruritus (25% to 50%); erythematous rash, hyperesthesia, paresthesia, paronychia, skin atrophy, sticky skin (10% to 25%); abnormal skin odor, abnormal hair texture, bullous eruption, cold/clammy skin, dermatitis, increased sweating, psoriasiform rash, purpura, pyogenic granuloma, rash, seborrhea, skin fissures, skin ulceration, sunburn, infection (1% to 10%); skin thinning, skin fragility and scaling .

* Increased phosphorus, potassium, sodium, magnesium, decreased magnesium (10% to 25%); increased calcium, chloride, decreased calcium, chloride, phosphorus, potassium, sodium (1% to 10%).

* Arthralgia, spinal hyperostosis (10% to 25%); arthritis, arthrosis, back pain, hypertonia, myalgia, osteodynia, peripheral joint hyperostosis (1% to 10%).

* Increased triglycerides (50% to 75%); increased CPK, fasting blood glucose (25% to 50%); decreased fasting blood sugar, high occult blood (10 to 25%); anorexia, edema, fatigue, hot flashes, increased appetite, gingival bleeding, gingivitis, increased salivation, thirst, infection, decreased and increased iron, flushing (1% to 10%).

Warnings and precautions before taking Acitretin :

* Acitretin must not be used by women who are pregnant or intend to become pregnant during therapy or at any time for at least 3 yr following discontinuation of therapy. Acitretin must not be used by women who may not use reliable contraception while undergoing treatment or for at least 3 yr following discontinuation of treatment. Women must sign a Patient Agreement/Information Consent Form that contains warnings about the risk of potential birth defects. An acitretin medication guide must be given to patients each time acitretin is dispensed, as required by law. If pregnancy occurs during therapy or at any time for at least 3 yr after stopping therapy, the prescriber and patient should discuss the possible effects on the pregnancy.

* The safety and efficay of Acitretin medicine have not been studied in children and adolescents.

* Ensure before using Acitretin that sexually active women who are not clearly postmenopausal or have undergone a hysterectomy are using 2 reliable forms of contraception beginning 1 mo before starting therapy, during therapy, and understand the need to continue effective contraception for 3 yr following cessation of therapy.

* Advise patient before using Acitretin that psoriasis may worsen during the initial treatment period but that gradual improvement should follow and max benefit may not be noted for 2 to 3 mo. Advise patient to notify health care provider if symptoms do not improve as expected or continue to worsen.

* Advise women before using Acitretin of childbearing potential to notify health care provider immediately if pregnant, miss a period, or have sex without using 2 effective forms of birth control either while taking acitretin or for 3 yr following cessation of therapy.

What if Overdose of Acitretin ?

If you think you or anyone else taken overdose of Acitretin , immediately telephone your doctor or contact your local or regional Poisons Information Centre Seek medical attention immediately. You may need urgent medical attention. Identical to acute hypervitaminosis A (headache, vertigo) may be the overdose symptoms of Acitretin.

What if Missed Dose of Acitretin ?

If you miss a dose of Acitretin medicine and you remember within an hour or so, take the dose immediately. If you do not remember until later, skip the dose you missed and go back to your regular schedule. Do not double doses.

Storage Conditions for Acitretin :

Store capsules at controlled room temperature (59° to 77°F). Protect from light. Avoid exposure to high temperatures and humidity after bottle is opened.

By: ashu

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I am Medical Student. Can any old medical student guide me about the practicals with dead body during MBBS?

I am Medical Student. Can any old medical student guide me about the practicals with dead body during the MBBS degree program in details?? Because it is important for me and other medical students like me.
thanks.

We don't get a lot of "Official Doctors" in this section, they all have jobs (I work from home), I might suggest posting this question latter at night, again.

I have found some links that might help till later. But you might have seen them. Worth a shot.

http://www.aiims.edu/aiims/academic/aiims-syllabus/Syllabus%20-%20MBBS.pdf

http://www.tnmmu.ac.in/mbbs2-0506.pdf

This is for II MBBS. http://www.muhsnashik.com/syllabus/MBBS/Phase2_151107.pdf

Best Wish's,
Nolwe

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