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BDMS and OHSU collaborate to improve human health in Southeast Asia

Bangkok Dusit Medical Services is teaming with Oregon Health & Science University, Portland, Oregon, U.S.A., to improve health in both countries through shared knowledge and skills and the creation of centers of excellence focused on key challenges. The effort will engage faculty, health professionals and students from OHSU’s schools of medicine, nursing, pharmacy, dentistry and public health.

“At BDMS, we have been exploring the possibilities of aligning ourselves with a prominent academic hospital like Oregon Health & Science University which has a recognized international reputation for clinical quality, research innovation and educational excellence,” said Prasert Prasarttong-osoth , M.D., BDMS President & Group CEO. “Our hope is, together with OHSU, to become a leader and center of excellence in occupational health in Southeast Asia and around the world.”

To ensure a seamless, comprehensive program reaching as many people as possible, Mahidol University and its medical school, Siriraj Hospital, will also play an important role in the collaboration. Mahidol University will sign a separate agreement with OHSU.

The three organizations will develop comprehensive education, research and health promotion plans that will improve the quality of health care in Thailand. This collaboration will also benefit OHSU by providing opportunities for faculty and staff to innovate, educate and learn from each other while working together across differing cultures.

“For OHSU, collaboration and innovation are in our DNA. When we are willing to work with others to solve problems in the name of the public good, the opportunities are limitless. We are taking collaboration to the next level. This initiative will serve both Oregon and Thailand as a platform for education and research and cross-cultural scientific exchange,” said Joe Robertson, M.D., M.B.A., President, Oregon Health & Science University.

On Oct. 29, OHSU and BDMS will sign a five-year memorandum of understanding that will establish the “BDMS-OHSU International Health Alliance”. The agreement calls for the creation of “Centers of Excellence” built on an interprofessional approach. The first of these will focus on occupational health and informatics. OHSU is one of only four Total Worker Centers of Excellence recognized by the United States Centers for Disease Control. OHSU is also a leader in informatics innovation and research.

“International exchange is vital to today’s health care education and research,” said Jeanette Mladenovic, M.D., M.B.A., Executive Vice President and Provost, Oregon Health & Science University. “Every nation faces unique health challenges and develops a distinct knowledge base that could be successfully applied to other problems. Our plan—comprising education, research, and health promotion—incorporates international standards and develops our own talent base. And more importantly, it provides an essential opportunity for our students and faculty to be inspired by learning from other cultures.”

Through these efforts, BDMS, Siriraj/Mahidol and OHSU will establish a trend for reciprocal sharing of expertise across international boundaries based on the mutual pursuit of research breakthroughs, clinical innovations and emerging technology.

“We are proud that OHSU has entrusted BDMS with their very first international collaboration center in Asia. With guidance from our U.S. collaborator, OHSU, we can quickly chart a course to achieve the highest standard of quality care to benefit not only our patients, but the country of Thailand,” said Chatree Duangnet, M.D., BDMS EVP/GCOO-Med Affairs.

AbouT Bangkok Dusit Medical Services

Bangkok Dusit Medical Services Public Company Limited (BDMS) (http://www.bangkokhospital.com) is an operator of the Bangkok Hospital and a network of Healthcare Subsidiaries in Thailand and abroad. The BDMS has been contributed by a network of six major hospital groups including Bangkok Hospital, Samitivej Hospital, Phyathai Hospital, Paolo Memorial Hospital, BNH Hospital, and Royal Hospital which together will further fortify our driving force towards ever greater success in the future. The Company is committed to be the leading network healthcare provider by meeting the needs of Thai and foreign patients with high quality, value services together with the state-of-the art medical technology and internationally-accepted standards. The network has grown to include 37 hospitals of international standard, both at home and abroad – 14 of which have received Joint Commission International Accreditation (JCI) of the United States.

AbouT Mahidol University /Siriraj Hospital

Faculty of Medicine Siriraj Hospital, Mahidol University (http://www.si.mahidol.ac.th) Established in 1888 by H.M. King Chulalongkorn, the Faculty of Medicine Siriraj Hospital at Mahidol University is the first medical school in Thailand. Enriched with “SIRIRAJ” culture and traditions for more than a century, the Faculty has produced medical graduates and allied health personnel with distinctive character, vision and ability to serve the health care system around the country. The university has been consistently ranked at the top in the nation for research with increasing amounts of funding and publications each year. As a leading medical institute accredited with international standards in Thailand, the Faculty of Medicine Siriraj Hospital has attracted many foreign universities to share global perspectives on education, health care and research. With a capacity of more than 2,200 beds and more than 3 million outpatient visits per year, Siriraj is one of the largest and busiest medical centers in South East Asia. Each year the medical school accepts about 300 new medical students and more than 1,000 doctors and approximately 400 graduate students for postgraduate training and education in various specialties. Due to her excellent reputation, Siriraj Hospital continues to be the major referral center for all hospitals in Thailand.

AbouT Oregon Health & Science University

Oregon Health & Science University (http://www.ohsu.edu) is a prominent U.S. research university and the state of Oregon’s only public academic health center. It trains health professionals through its schools of medicine, nursing and pharmacy, which all rank highly in research funding. OHSU is home to nationally ranked OHSU Hospital and Doernbecher Children’s Hospital, and dental clinics, which are among the busiest providers in the state. OHSU’s Knight Cancer Institute helped pioneer personalized medicine through a discovery that identified how to target and destroy cancer cells without harming healthy ones. OHSU Brain Institute scientists are nationally recognized for discoveries that have led to a better understanding of Alzheimer’s disease and new treatments for Parkinson’s disease, multiple sclerosis and stroke. OHSU’s Casey Eye Institute is a global leader in ophthalmic imaging, and in clinical trials to find cures for eye diseases, including those which cause blindness. OHSU is also a leader in promising research aimed at creating a vaccine to prevent HIV/AIDS.

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Fever and Temperature Measurement in Children

General Information:

Fever is an abnormal elevation of body temperature that occurs as part of a specific biologic response. The temperature elevation that is considered “abnormal” depends upon the age of the child and the site of measurement. The temperature elevation that may prompt clinical investigation for infection depends upon the age of the child and the clinical circumstances.

Measurement method Normal temperature range
Rectal 36.6°C to 38°C (97.9°F to 100.4°F)
Ear 35.8°C to 38°C (96.4°F to 100.4°F)
Oral 35.5°C to 37.5°C (95.9°F to 99.5°F)

 

Age Recommended Technique
Birth to 2 years
  1. Rectal (definitive)
Over 2 years to 5 years
  1. Rectal
  2. Tympanic
Older than 5 years
  1. Oral
  2. Tympanic
  3. Axillary

How to measure the temperature from different areas of the body

  • Wash your hand before and after the procedure.
  • Clean the thermometer with alcohol before and after use.

Rectal Temperaturerectal

  • The child or infant should lie down on his or her stomach across an adult’s lap.
  • Apply a small amount of petroleum jelly (eg, Vaseline) to the end of the thermometer.
  • Gently insert the thermometer into the child’s anus until the silver tip of the thermometer is not visible (1/4 to 1/2 inch inside the anus)
  • Hold the thermometer in place. Digital thermometers need less than one minute or until it alarms.

Oral Temperature

  • Do not measure the temperature in a child’s mouth if he or she has consumed a hot or cold food or drink in the last 30 minutes.
  • Clean the thermometer with cool water and soap. Rinse with water.
  • Place the tip of the thermometer under the child’s tongue toward the back. Ask the child to hold the thermometer with his or her lips.
  • Keep the lips sealed around the thermometer. Digital thermometers need less than one minute.

Axillary or Armpit Temperature

  • Place the tip of the thermometer in the child’s dry armpit.
  • Hold the thermometer in place by holding the child’s elbow against the chest for four to five minutes.

Ear Temperatureear

Ear thermometers are not as accurate as rectal or oral thermometers. If the child has been outside on a cold day, wait 15 minutes before measuring the ear temperature. Ear tubes and ear infections do not affect the accuracy of an ear temperature.

  • To measure temperature accurately in the ear, the parent must pull the child’s outer ear backward before inserting the thermometer
  • Hold the ear probe in the child’s ear for about two seconds.

Changes in Body Temperature

temperature

Management of Fever

  • Drink a lot of fluid. Call or see the doctor if your child won’t or can’t drink fluids for more than a few hours.
  • Bed Rest
  • Give sponge baths using plain water then dry immediately with towel
  • Paracetamol or Ibuprofen can help lower the temperature
  • If you do not know how best to handle your child’s fever, see a doctor

NEVER GIVE ASPIRIN TO A CHILD YOUNGER THAN 18 YEARS OLD. ASPIRIN CAN CAUSE A DANGEROUS CONDITION CALLED REYE SYNDROME.

Reference:
www.ncbi.nlm.nih.gov
www.uptodate.com
RPH 20102016

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