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The Honest Doctor and the Hopeful Patient

David Schiff, M.D. (Department of Neurology, University of Virginia) outlined the difficult issues surrounding the disclosure of "bad news" and the need for creating a right setting and manner. David M. Bailey, Musician (Earlysville, Virginia) who was diagnosed with cancer ten years ago, intertwined his music (guitar and singing) along with his thoughts, experience, and lessons of being hopeful, discovering what hope is and is not, and asking questions such as "Why me?" and "What do I do now?"
Health Sciences (Rare Shelves)

Communicating Evidence for Informed Decision Making

Ronald Epsten, M.D. (Departments of Family Medicine and Psychiatry, University of Rochester School of Medicine and Dentistry) described the importance of communicating medical information. Dr. Epstein developed five points: (1) Information transfers into an ethical act, (2) Information transfer is inefficient with little concordance, (3) Information needs to be evidence-based , (4) Information is not enough and needs interpretation, and (5) Information transfer is a mutual responsibility between physician and patient. David Slawson, M.D. (Department of Family Medicine, University of Virginia) discussed and defined information mastery and its components: usefulness, validity, relevance, patient oriented evidence versus disease oriented evidence, and two important tools (a first aler [...]
Health Sciences (Rare Shelves)

NYD [electronic resource]: Not Yet Diagnosed

Chloe Atkins' medical history runs more than 500 pages. She has been hospitalized repeatedly with visibly life-threatening symptoms-yet no doctor has been able to diagnose her illness. Is it Munchausen Syndrome? Is it a psychosomatic disorder? Or is it something unknown to medical science? In this provocative program, hosted by renowned actress Margot Kidder, Chloe and medical experts examine her symptoms, her pursuit of a medical or psychological solution, and her image in the eyes of an antagonistic medical community that apparently would like to silence her.
2005; 1997

Birth Defects [electronic resource]: Causes and Prevention

This program explores the most common types of birth defects, covering the major classifications: malformations present at birth, inborn errors of metabolism, blood disorders, and prenatal damage. The video also includes information on the prevention of birth defects, with an emphasis placed on the importance of good prenatal care.
2005; 1990

Radioactivity [electronic resource]: How Much Can the Body Take?

In a millisecond, on July 16, 1945, the evolution of the human species took a remarkable turn. Until the explosion of the world's first nuclear weapon, the human body coexisted, if uneasily, with natural sources of radioactivity from the sky, rocks, and other unavoidable sources. Now, with x-rays and nuclear medicine a part of our daily lives, the issue has become just how much radioactivity our bodies can safely absorb. This program explores the question, and whether there is really such a thing as a healthy dose.
2006; 1997

Prevention and Screening [electronic resource]: New Cancer Defenses

This program highlights prevention models that have led to reductions in the incidence of cancer by prompting changes in behaviors and medical procedures. Correlating the discontinuation of tobacco and alcohol use with a lower susceptibility to throat cancer, the program also demonstrates the effectiveness of the PSA test in screening for prostate cancer, and how test results may suggest a variety of options. Efforts in the manufacturing sector to protect workers from carcinogens, and ways in which scientists link carcinogenic risk to environmental substances, are also examined in this engaging final episode of the Cancer Story series. A Dartmouth-Hitchcock Medical Center Production.
2006; 2004

The Medical Imaging Revolution [electronic resource]

With advances in genetics and pharmacology capturing much of the public's attention, it's easy to overlook another rapidly evolving area of health science: medical imaging. This program fully explores that topic, spotlighting technologies which enable doctors to visually render the body's interior at an astonishing level of detail. New possibilities for surgical precision are also featured. Filmed at French facilities on the leading edge of the global wave of medical imaging innovation, the video illustrates the benefits of MRI and PET scan technology in diagnosing trauma-related injuries, breast cancer, prenatal and infant health problems, and potential heart attacks. Endoscopic procedures for detecting intestinal and colon cancers, including an orally administered video capsule, ar [...]
2010; 2005

H1N1 [electronic resource]: A Resilient Enemy

What did the 2009 swine-origin H1N1 outbreak teach us about how to prepare for future pandemics? This program addresses the issue by traveling to viral hot spots around the world and interviewing high-ranking disease-prevention experts. Viewers learn about the basics of influenza microbiology, the factors that distinguish swine-origin H1N1 from a seasonal virus, its mechanisms for spreading, its possible mutations, and its potential global impact. Tools used to fight it, including proper hygiene, quarantines, vaccines, and antivirals, are also discussed. Experts include Dr. Sylvie Briand of the World Health Organization, Dr. M. L. Gougeon of the Pasteur Institute, and Dr. Jean-Paul Gonzalez of the French-administered Institute for Research Development.
2010; 2009

Nanos on the Inside [electronic resource]: The Promise of Nanomedicine

Nanomedicine holds immense promise for enabling doctors to intervene in an illness or injury directly at the cellular level. Filmed in Europe, Asia, and the United States, this program shows viewers oncologic nanomarkers that can identify even tiny tumors with pinpoint precision; injectable intelligent delivery systems that can evade bodily and pathogen defenses to deliver targeted nanodoses of medicine without harming surrounding tissue; regenerative nanotherapies, as illustrated by an experiment in which a mouse's optic nerve is severed and then repaired; nanoscale lab-on-chip devices that will one day automate continual monitoring/dosing cycles; and more. Produced by La Compagnie des Taxi-brousse in partnership with UER/EBU, EEC DG Research, CNC, Region L-R, PROCIREP-ANGOA, France [...]
2010; 2009

Preventing Health Care-Associated Infections in Long-Term Care [electronic resource]

Also known as nosocomial infections, health care-associated infections usually develop after a patient's admission to a long-term care facility. This program describes the causes of and prevention strategies for health care-associated infections in hospitals and other medical facilities. Outlining a hypothetical chain of infection (pathogen, reservoir, portal of exit, mode of transmission, portal of entry, and host), the video identifies the pathogens most commonly associated with nosocomial infections and promotes thorough and regular hand hygiene, disinfection procedures, and adherence to CDC prevention guidelines. In-depth sections cover best practices for catheters, respirators, suction tubes, and wound sites so as to prevent transmission of urinary tract infections, pneumonias, [...]
2010; 2004

Nutrition for the Older Adult [electronic resource]

This program explains what it means to "eat right," examines the special nutritional requirements of older adults, and considers food-related health concerns that can affect nutritional status later in life. In addition to detailed food and fluid guidelines for healthy living, the following are addressed: nutrient deficiencies common to the aging adult; malnutrition-related conditions such as osteoporosis, anemia, and dehydration; and physical and mental factors that may contribute to an unhealthy decrease in food intake. Ideal for nursing assistants in long-term-care facilities and for home health aides. Designated for 2 contact hours of continuing nursing education.

Diabetes [electronic resource]: A Comprehensive Update

Once a feared and fatal disease, diabetes is today a serious but largely manageable condition?if quality care is available. This program presents key knowledge and strategies that will help nurses administer diabetes medications effectively and support their patients in managing their condition. Viewers learn to distinguish between type 1 and type 2 diabetes, identify its signs and symptoms, understand how it is diagnosed, gain skills needed for glucose monitoring, create blood glucose-level goals, advise in diet and nutrition choices, and assist in implementing stress-reduction measures. Helpful discussions of prevention, medication, medical complications, and sick-day management are also included. Designated for 3 contact hours of continuing nursing education.

What Is Diabetes? [electronic resource]

Focusing mostly on type 2 diabetes, this program is designed to help the layperson-especially patients who have been newly diagnosed-understand the physiological impact of the illness, complications associated with it, and important steps to prevent or decrease the risk of complications. The video explains the links between type 2 diabetes and factors such as obesity, advanced age, physical inactivity family history, impaired glucose tolerance, and other criteria. Diabetes specialist Susan C. Ward helps viewers understand why the disease is frequently diagnosed even if a person is "feeling fine" and how patients can take action to manage it-clinically as well as through improved nutrition and exercise.

Osteoporosis [electronic resource]: What Every Woman Needs to Know

This program introduces viewers to osteoporosis through a scenario involving a post-menopausal Caucasian woman who has never given birth and has a family history of severely depleted bone density. Topics include the wide spectrum of risk factors, diagnostic procedures, and approaches to osteoporosis management through dietary supplements, moderate weight-bearing exercise, hormone replacement therapy, and bone-restorative medications. Measures that can be taken by younger women who have not yet reached peak bone mass are discussed as well.
2011; 2005

Hepatitis C [electronic resource]: A Silent Epidemic

Hepatitis C is a chronic viral infection of the liver that can lead to cancer, liver failure, and even death. Millions of Americans are believed to be infected by the virus, and the shocking fact is that many don't even know it. In this program viewers hear stories from patients who did not know they had hepatitis C, and learn how they discovered their condition. Experts tell about the importance of seeking a specialist to discuss medical options after a patient is diagnosed. The program also explains why anyone who is at risk for the disease should see a health professional and be tested.

The Trouble With Tests [electronic resource]

We spend billions of dollars on medical tests each year. But these tests could get you on the medical treadmill and you may never get off. Doctors are ordering millions of pathology tests each year and that number is growing. This video clip asks how necessary these tests are and, more importantly, if the results are trustworthy enough to justify their costs.

TEDTalks [electronic resource]: Joseph DiRisi - ViroScan, a High-Tech Tool for Solving Medical Mysteries

Joseph DiRisi is a molecular biologist and biochemist on the hunt for the genomic basis of illness. His lab at UCSF is focused on the cause of malaria and he also works to understand other new diseases as they crop up, such as SARS and the avian flu. His approach combines scientific rigor with a nerd's boundary-breaking enthusiasm for new techniques - one of the qualities that helped him win a MacArther "genius" grant in 2004. A self-confessed computer geek, DeRisi designed and programmed a groundbreaking tool for finding and fighting off viruses called the ViroChip, a DNA microarray that tests for the presence of all known viruses in one step. In this interesting TEDTalk, DeRisi talks about amazing new ways to diagnose viruses (and treat the illnesses they cause) using DNA.

Tumor Trouble [electronic resource]: Body Hits, Series 3

Dr. John Marsden takes a no-nonsense look at whether our habits and lifestyles as youths can have a big impact on getting cancer in later life. He introduces three people with very different attitudes toward the disease. Darius, a smoker, is 25 and does not take the threat of lung cancer seriously. This episode shows him what those poisonous chemicals in the cigarettes are doing to his body. Juliet is worried about her weird-looking moles. Viewers join her at a mole clinic as she faces her fear of skin cancer. After witnessing three generations of breast cancer in her family, Vicky has had a double mastectomy. Dr. Marsden asks her how she has coped with recovery from the operation.

Fats [electronic resource]: Friends or Foes?

Fats are arguably the most misunderstood of all the main food groups. This program aims to separate fact from fiction, and to give the good fats a fair evaluation. Clear graphics illustrate the differences between saturated and unsaturated fats, in terms of both their chemical structure and their impact on health. Graphics also help to explain how the body uses and stores fat, and how diets high in saturated fats can cause cardiovascular diseases. Foods containing specific kinds of fats are identified and linked to their vital role in a healthy, balanced diet, and we learn about an interesting study involving premature babies and a polyunsaturated fat. This program is filled with practical advice on ways to manage our intake of good and bad fats so that our health doesn't suffer.

OBQI Through the Use of Clinical Pathways [electronic resource]

Under the Outcome-Based Quality Improvement system, quality of care is measured using the most effective and relevant benchmark available - patient outcome data. This program shows how the principles of OBQI apply to individual patient care and to developing an understanding of the patient's specific needs. It explains how restorative nursing techniques and complementary and alternative therapies (CAM) fit into the equation of patient care, while also helping to clarify the relationship between clinical pathways and a specific diagnosis. Diseases and disorders used to illustrate the episode's concepts include Parkinson's disease, diabetes, COPD, and clinical depression.