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This interactive tutorial focuses on the baroreceptor
reflex, which maintains blood supply to the brain,
particularly during postural changes. It covers concepts
of feedback control and the regulation of blood
pressure. The tutorial complements lectures and
practical classes for medical, health sciences,
physiology and physiotherapy students. It aims to
improve understanding of:
- the mechanisms used by the body to monitor blood
pressure and relay this information to the brain,
- how the brain processes this information, and
- how an appropriate response is produced in the
heart and blood vessels.
The tutorial begins with a short case study of
prolonged bed rest, which forms the basis for more
discussion later in the tutorial.
In the first section, you familiarise yourself with the
cardiovascular control centre in the brain, zooming in
on a functional view of the vasomotor areas of the
medulla - the cardiovascular pressor centre,
cardiovascular depressor centre, and input region. More
anatomical detail and a structural view of the caudal
ventrolateral medulla (CVLM), nucleus of tractus
solitarius (NTS), rostral ventrolateral medulla (RVLM)
and nucleus ambiguus (NAm) are also provided. Feedback
mechanisms in the regulation of blood pressure by the
autonomic nervous system are revised, and then you look
at signal inputs and ouputs. Click on the "stimulate me"
buttons for animations of afferent neurones, efferent
neurones and neuronal circuits, and compare bursts of
action potentials using the "listen to me" buttons.
Your next task is to build a simple neuronal circuit.
From a palette you create receptors and neurones
(afferent neurones, sympathetic efferent neurones,
parasympathetic efferent neurones, excitatory interneurones, inhibitory interneurones), and position
them on a simplified template to build a functioning
negative-feedback neuronal circuit. Click "raise BP" at
any stage to begin the animation and see the action
potentials moving around the system you have designed.
Context-sensitive hints and feedback guide you in your
choices. Watching the animated outcome is quite
entertaining, and setting up an unworkable arrangement
and watching it unfold to its logical conclusion helps
to build stronger understanding and problem-solving
skills.
Your main practical task is to build a model of the
arterial baroreceptor reflex control of blood pressure.
You select receptors and neurones as before and place
them on a functional template that includes: the
cardiovascular pressor centre, cardiovascular depressor
centre and input region of the medulla; peripheral blood
vessels; carotid sinus; carotid artery; aortic arch;
vena cava; heart; parasympathetic ganglion; cervical
sympathetic ganglion; thoracic sympathetic ganglion; and
the cervical/thoracic, lumbar and sacral sections of the
spinal cord. When you complete the model you can observe
its operation and use it to answer questions from the
Tasks sheet supplied. You can also get the human to
stand up and see how the system maintains blood supply
to the brain when posture changes, which brings us back
to the initial case study.
Authors: Debbi A. Weaver,
Lea Delbridge, Peter J. Harris, Tom Petrovic, Robert E.
Kemm
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This interactive tutorial focuses on how the transport
of solutes occurs in the proximal tubule of the kidney and
how these systems are regulated by hormones and nerves.
The tutorial complements lectures and practical classes
for medical, health sciences, physiology and physiotherapy
students. It aims to improve understanding of:
- functional and structural relations between parts
of the nephron
- filtrate composition and solute movements across
the proximal tubule epithelium
- cellular mechanisms at work in a proximal tubule
epithelial cell
- how transport of solutes may be limited
- how hormones can regulate solute transport.
The tutorial begins with the anatomy of the kidney
and nephron. You can explore photographs and diagrams of
the kidney and nephron and view enhanced
electron micrographs of the proximal tubule.
Analysis of proximal tubule transport is introduced with
explanations of the use of inulin and creatinine as
markers for water reabsorption and how their clearance
can be used to estimate glomerular filtration rate (GFR).
You take samples to determine concentrations in tubular
fluid and compare TF/P ratios along the proximal tubule
of sodium, potassium, chloride, bicarbonate, glucose,
amino acids, inulin, and osmotic concentration to decide
whether each is reabsorbed or secreted or not reabsorbed
or secreted.
You are then asked to construct a functioning proximal
tubule epithelial cell capable of reabsorbing sodium,
chloride, bicarbonate, glucose, amino acids and water by
placing membrane transporters and channels on a cell
template. Click "start cell" at any stage to begin the
animation and see the ions and solutes move according to
your design. Context-sensitive hints and feedback guide
you toward the correct positioning of the Na+K+ATPase,
Na+H+ exchanger, K+ channel, Na+HCO3- cotransporter,
solute (X) transporter and Na+X cotransporter. Putting
transporters in incorrect positions and watching the
animated outcome is quite entertaining, and setting up
an unworkable arrangement and watching it unfold to its
logical conclusion helps to build stronger understanding
and problem-solving skills.
You investigate the saturation of transporters in the
proximal tubule through an interactive animation of the
renal threshold for glucose. Various rates of glucose
filtration are applied to illustrate the concept of
maximum transport. The tasks include questions on
diabetes.
To view an example of a control mechanism for sodium
reabsorption, you apply angiotensin II to your model of
a proximal tubule cell with an AT1 receptor in place.
You investigate the effect of applying an AT1 blocker.
Part A of the tutorial ends with a look at the relation
between filtration and reabsorption in a superficial
proximal tubule.
In Part B, you investigate the control by various
hormones and neurotransmitters of reabsorption of water
and solutes in the proximal tubule using the cell model
you constructed. The model now has basolateral receptors
for ANF (atrial natriuretic factor), endothelin,
insulin, angiotension II and noradrenaline. You can
apply these hormones, and also AT1 antagonist
(AT1-receptor blocker) and amiloride, to the cell to
investigate the effects on sodium reabsorption,
specifically its suppression.
Authors: Debbi Weaver,
Robert Kemm, Lea Delbridge, Tom Petrovic, Peter Harris
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Sample Screen for this program can be
found in the Medical Student Section |
The 'Kidney: glomerular filtration' CD-ROM is a
tutorial program designed to complement medical and health
sciences courses that focus on human and animal kidney
functions. The tutorial program offers interactive
simulations that actively engage students and accelerate
understanding of the factors influencing glomerular
filtration.
Students can investigate the effects of six factors that
commonly alter the rate of glomerular filtration, namely:
blood pressure; sympathetic nervous activity; hormones,
especially angiotensin II; the effectiveness of the
filtration barrier; plasma protein content; pressure in
the proximal tubule and Bowman's capsule.
Authors: Tom Petrovic,
Cobern Ott and Peter J. Harris
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This interactive tutorial focuses on the cellular
transport processes involved in the production of
secretions by different organs of the body. It is
designed to complement a medical or health science
course. The five independent sections may be completed
separately or worked through in sequence.
The first section is an introduction to secretion and
covers the basic process of 2-stage secretion and the
effect of flow rate on secretory fluid composition.
The section on sweat includes an interactive exercise
building a cell model and control mechanisms, and covers
the generation of a transepithelial current loop.
The section on saliva includes an interactive exercise
on flow rates and fluid composition, and animated
demonstrations of cell transport processes and control
mechanisms.
Pancreatic secretions are covered in a section which
includes introductory functional anatomy and animated
demonstrations of cell transport processes and control
mechanisms.
The final section describes cystic fibrosis as an
example of a genetic mutation which produces different
changes in secretions at different sites in the body. It
includes introductory information on cystic fibrosis
mutations, and animated demonstrations of cell transport
processes in airway epithelia, both with and without
cystic fibrosis. (Cystic fibrosis is used as a recurrent
example of impaired secretion throughout all modules.)
All chapters include questions designed to revise and
extend the material covered in the tutorial.
Authors: Debbi A. Weaver,
Robert E. Kemm, David Cook, Peter J. Harris, Tom
Petrovic
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A
Pharmacokinetics Tutorial
Pharmacokinetics Tutorial manages to introduce pharmacokinetics in an
approach that is at once user-friendly and socially responsible. The
on-screen tutorial begins with a case study that has an all too familiar
theme, "An Evening at the Pub". You are invited to join our fictional
subject and also be "breathalysed"; results are shown based on the values
you enter for body weight, timing, meals eaten, and number of standard beers
consumed.
The concepts of dose, volume of distribution and clearance are introduced
and explained using meaningful analogies. You are challenged at various
stages by interactive questions. Feedback and hints are given. Topics
include: routes of administration and types of preparations; fastest entry
into the plasma; conceptual calculations of dose, volume of distribution and
plasma concentration; correlation between volume of distribution and where a
drug is distributed in the body; calculations of volume of distribution for
heparin, alcohol and digoxin; conceptual calculations of clearance rate.
The section on pharmacokinetic models uses the interactive simulator, which
allows you to vary the dose, volume of distribution and clearance and then
plots graphs for you of plasma concentration versus time.
You undertake three investigations on first-order kinetics. First you alter
the dose of a drug given intravenously to observe its effect on the change
in plasma concentration with time. Then you investigate the effects of
altering volume of distribution and clearance. In each of the investigations
you select initial values, obtain graphs of plasma concentration, and answer
questions based on your interpretation of the graphs. You should achieve a
good understanding of the relationship between half-life, dose, volume of
distribution and clearance.
Zero-order kinetics returns us to the case study. You track our fictional
subject's blood alcohol concentration through the night and then use the
simulator to investigate the effect of varying the dose of ethanol. The
Tutorial ends with a comparison of first-order and zero-order kinetics and
the relationship between rate of elimination, plasma concentration and
half-life.
Authors: Dr James Ziogas and Dr Michael Lew, Dr Gregor Kennedy and Kevin Sweeney
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An ability to access and analyse biologically relevant
data is essential for biomedical scientists - there are
few, if any, experiments undertaken these days that do not
involve some element of online data analysis, ranging from
literature and DNA sequence searches to 3D molecular
modelling. However, even simple analysis tasks often
require many different software packages and databases to
be used in a co-ordinated manner.
Students begin by exploring a "virtual laboratory" where
they are presented with a microbiological problem - a
suspected case of smallpox. Background information is
included in the program but in order to solve the problem
students much investigate DNA sequences using global
biology databases. DNA explorer provides a framework for
students to access the relevant databases, interpret their
findings and consider their implications.
Authors: Richard Strugnell,
Brendan Crabb, Carol Ginns, Terry Judd, Gregor Kennedy and
Mike Keppell
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Introduction to Cardiac Arrhythmias is designed to help
you to develop beginning level skills in interpreting and
analysing cardiac rhythm disturbances (cardiac
arrhythmias).
The program was originally developed for students enrolled
in subjects within the human sciences discipline.
Therefore, you should note that all rhythm strips
contained in the program have been recorded in adult
humans in the acute care setting.
Animations have been used to link the altered
electrocardiographic features of common arrhythmias to
specific impulse formation or conduction abnormality. This
approach will assist you to recognise cardiac rhythm
disturbances and relate them to the altered impulse
formation of conduction.
Authors: Jacqui Behan and
David Glanville
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System Requirements:
Windows:
Windows PC 200 MHz Pentium-based PC or compatible, 64MB of RAM,
Windows 2000/XP, 16 bit colour display, 800 x 600 screen resolution,
internet Explorer 5.5 or Mozilla Firefox 1.0, Flash Player Plug-in
7.0. Macintosh: 200MHZ
PowerPC processor-based Mac, 64MB of RAM, Mac OS 9.1, 16 bit colour
display, 800 x 600 screen resolution, internet Explorer 5.2, Safari
1.2 or Mozilla Firefox 1.0, Flash Player plug in 7.0. |
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Patient Care Skills
on CD-ROM
is a fully interactive
courseware training program, designed for any
educational curriculum, which includes patient
care training. Ideal for nursing, home health, or
multi-skill patient care. Students can learn and
be evaluated on the basics of patient care
including personal care skills, vital signs,
toileting, intake and output, transfers, and much
more.
This stimulating and entertaining format
maintains interest along with developing critical
thinking and problem solving skills. The program,
which includes OBRA requirements for nursing
assistants, can be used for skill training,
laboratory review, and validation of skills. A
complete course management system allows the
instructor to maintain records and documentation
of program scores and completion. Student and
Instructor’s Versions available through Total
Care Programming.
Patient Care Skills CD-ROM includes
questions and content on all the following:
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MAIN
TOPICS |
SUB-TOPICS |
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Care Responsibilities |
Patient
Rights, Organizing Care, Setting Priorities,
Abbreviations, Restraints |
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Safety
and Infection Control |
Hand
Washing, Body Mechanics, Safety Rules,
Practicing Safety, Airborne Precautions,
Contact Precautions. Transporting Patients |
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Bathing |
Types
of Baths, Bed Bath, Shower and Tub, Partial
Bath, Completing the Bath |
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Oral
Hygiene |
Assisting,
Dentures, Unconscious Mouth Care |
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Personal
Care |
AM
and PM Care, Dressing/Undressing, Male
Perineal Care, Perineal/Catheter Care, Back
Rub, Back Rub Procedure, Hair Care, Shaving,
Bed Shampoo, Nails, Foot Care, Eyeglasses,
Hearing, Hearing Aid, Elastic Stockings |
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Post-mortem |
Dying
Patient, Family, Procedure |
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Bed-Making |
Types
of Beds, Closed Bed, Open Bed, Occupied Bed |
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Measurements |
Vital
Signs, Vital Signs Normal, Weight, Height |
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Intake
and Output |
Why
Measure, What to Measure, Intake, Output,
Reading a Graduate |
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Admission
and Discharge |
Preparation,
Procedure, Patient Teaching |
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Feeding |
Stimulating
Appetite, Assisting with Meals Procedure |
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Toileting |
Urinal,
Bedpan, Assisting with Bedpan |
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Emergencies |
Falling
Patient, Heimlich Manoeuvre, Unconscious
Airway Obstruction, Clearing an Obstruction |
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Lifting
and Moving |
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| System Requirements: 586/133 MHz or
faster, 32MB of RAM and NT 4.0/Win 98/95/2000/XP.
4x CD-ROM, or faster. Display of 16 thousand
colours (16 bit) or more. Sound system for 8 bit
audio. |
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Patient Care Skills
Level II is an educational program
designed for the training of allied health
professionals, including Medical Assistants and
Nurses. This interactive CD-ROM includes a
complete Instructor's Resource Guide to facilitate
integrating this courseware into your curriculum.
Users will love the highly animated training,
video, graphics, and audio, not to mention
critical thinking questions. You will love the
ability to view and review each of your student's
progress through a free course management system.
Patient Care Skills Level II is more in-depth
skill training with features of Patient Care Skill
Level I plus more...
Features of the Program:
- Objectives, assessment and planning,
interventions, evaluation, and review for each
section (module).
- Highly interactive and animated training
modules with video, photos, graphics, and
sound.
- Scenario based critical thinking questions,
skill review in varying formats; and NANDA
diagnosing included in the review section for
nursing.
- Units of study and features of the program
which can be determined by the instructor.
- Course management of each student's
progress.
- Printable reports, study guides, and
PowerPoint presentations.
Units of Study:
- Isolation Precautions
- Basics of Medical/Surgical Asepsis
- Caring for a Client with an IV
- Therapeutic Positioning
- Safety Restraints
- Mobility and Fall Precautions
- Measurements n Practice
- Vital Signs
- Specimen Collection
| System requirements:
Pentium 200MHz or
faster, 32MB of RAM for Win 95/98/ME Win NT
4.0/2000, 6x CD-ROM or faster. Display of 256 colours
(8 bit) or more. Sound system for 8 bit audio. |
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Infection Control
for Health Care and Nursing
- Wins
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Student Version |
Shipped in 8
days |
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This CD-ROM was designed by an educator, for
students and instructors in any health care
training program. The program includes all aspects
of Infection Control such as; standard
precautions, chain of infection, isolation,
infectious diseases, including bloodborne
pathogens, protective garments, and asepsis.
Written according to the 1996 Centres for
Disease Control data, individuals in any field of
health care or nursing will find this interactive
program interesting and educational. Each screen
of the program provides photo, text, chart,
animation, video, and an interactive question. In
addition, the program has a glossary, audio
pronunciations, search capability, and an exam
with student score recording. This easy to use
program can be used for individual instruction,
lesson introduction, lecture reinforcement,
laboratory assistance, or small and large group
presentations.
Content/Topic List:
- Infection Control
- Chain of Infection Infectious
- Diseases
-
Hepatitis B
- HIV
- Tuberculosis
- Standard Precautions
- Hand-Washing
- Protective Garments
- Gloves
- Gown
- Mask
- Eyewear
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- Isolation
- Airborne
- Droplet
- Contact
- Multi-drug resistant
- Immuno-compromised
- Asepsis
- Sanitation
- Disinfection
- Sterilization
- Sterile Field
- Sterile Gloves
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| System Requirements:
486/66 MHz or
faster, 8MB of RAM for Win 3.1 or 16 for Win 95,
2x CD-ROM or faster. Display of 256 colours (8
bit) or more. Sound system for 8 bit audio. This
program is designed for NT 4.0, Win 98/95. |
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Oxygen Therapy
and Aerosolized Treatment
- Wins
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Student Version |
Shipped in 8
days |
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Providing Oxygen
Therapy and Aerosolized Treatments
on CD-ROM
is a courseware-training program that provides an
interesting and entertaining approach to learning
oxygen therapy and the most commonly administered
aerosolized treatments. Authored and presented by
Bruce Colbert MS, RRT, Associate Professor and
Allied Health Director at University of
Pittsburgh, Johnston, PA, this program can be used
for cross-training or multi-skill training of
current employees or students.
This easy to use program will make a great
adjunct to your current educational program or can
be used independently to document proficiency in
providing oxygen therapy and aerosolized
treatments. Student, Instructor, and Network
Versions available.
Key Features:
- Provides cross-training for current health
care providers.
- Information is provided in an interesting
and entertaining fashion.
- Pre and Post testing.
- Full of video, audio, and animation for your
visual learners
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Oxygen
Therapy |
Delivery
of Aerosol Medications |
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Anatomy & Physiology of
Oxygen
Ventilation & Respiration
Oxygen & Haemoglobin
Hypoxia & Hypoxemia
Oxygen/Haemoglobin Curve
Indications for Oxygen Therapy
Oxygen Delivery Devices
Low & High Flow Oxygen Devices
Monitoring Oxygen
Hazards of Oxygen
Nasal Cannula
Simple Mask Non-rebreathing Masks
Jet Mixing Mask
Continuous Aerosol |
Medicated
Aerosol Therapy
Advantages and Disadvantages
Drugs Given Via Aerosol
Breathing Patterns
Hand Held Nebulizer
Spontaneous Medicated Aerosol
Metered Dose Inhaler
Dry Powder Inhaler
Which Therapy to Use
Evaluating Therapy
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System Requirements:
586/133 MHz or
faster, 32MB of RAM for Win 95, 4x CD-ROM or
faster. Display of 16 thousand colours (16 bit) or
more. Sound system for 8 bit audio. This program
is designed for NT 4.0, Win 98/95.
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Obstetrical Care
Drill - Practice & Review
- Wins
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Student Version |
Shipped in 8
days |
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Obstetrical Care
Drill - Practice and Review includes
various methods to study and review obstetrical
care nursing information. Over 400 terms and
definitions along with hundreds of interactive
review questions. Questions are situational, with
a variety of formats including matching and
multiple choice. Graphics, photos, and audio
provide an entertaining as well as educational way
to learn Obstetrical Care. Students can choose to
review separate units or the entire contents.
Games included for one or two players or teams,
which makes the learning even more fun for your
students. This CD-ROM could be used for student
training, as a classroom resource, review of
materials, preparation for competency testing or
to document unit completion.
Units of Study:
- Structure and function of the Human
Reproductive System
- The Prenatal Client
- Nursing Care of Women with Complications
during pregnancy
- Nursing Care of the Client in Labour and
Delivery
- Nursing Care of the Postpartum Patient
- Nursing Care of the Newborn
- Caring for the At-Risk Newborn
- General Obstetrics Review
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System Requirements: Pentium 200MHz or
faster, 32MB of RAM for Win 95/98/ME Win NT
4.0/2000, 6x CD-ROM or faster. Display of 256
colours (8 bit) or more. Sound system for 8 bit
audio.
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ECG Basics
- Wins
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Student Version |
Shipped in 8
days |
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ECG Basics
multimedia interactive courseware training CD-ROM
can be used for individual self paced instruction,
small and large group presentations, laboratory
review or training, or as a resource for your own
educational program. It comes with numerous
educational/training videos and animation's,
usable resources for presentation programs,
interactive questions, and 2 documented and
recordable exams.
This program is full of information on subjects
including anatomy and physiology of the heart,
understanding and performing an ECG and its
components, cardiovascular diseases and
medications, continuous monitoring, normal and
abnormal rhythms, cardiac emergencies, and
diagnostic tests. Educators and students for any
of the following programs will find ECG Basics a
valuable resource and training tool: Medical
Assistants, Monitor Technicians, Nursing
Assistants, ECG technicians, Emergency Health Care
Personnel, Patient Care Technicians, Multi-skilled
Employees, UnLicenced Assistive personnel,
Licenced vocational nurses, Licenced practical
nurses, and Registered nurses.
- Introduction
- The Heart Cardiac Cycle
- Conduction System
- Indications
- Equipment
- Landmarks
- Procedures
- Safety
- Patient & Preparation
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- Troubleshooting
- Reporting
- Special Conditions
- Diseases
- Medications
- Diagnostics
- Monitoring
- Rhythms
- Emergencies
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System Requirements:
486/66 MHz or
faster, 8MB of RAM for Win 3.1 or 16 for Win 95,
2x CD-ROM or faster. Display of 256 colours (8
bit) or more. Sound system for 8 bit audio. This
program is designed for NT 4.0, Win 98/95.
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Interactive Functional Anatomy
contains a complete 3D model of the entire
skeleton with muscles, ligaments, bones, arteries,
and nerves, all presented in eight different
views. Through the use of advanced medical imaging
and computer graphic techniques, every visible
feature has been labelled and provides access to an
extensive range of full text articles on bones,
muscles, and ligaments. Each article describes
proximal and distal attachments, blood supply,
innervation, function in open and closed kinetic
chain, and common injuries.
Interactive Functional Anatomy also
incorporates a wide selection of interactive
functions and advanced animations. Each 3D
anatomical feature and its corresponding text
article provides a link to attachments, patient
information, surface anatomy movies, and 3D
animations of muscle function, that can be fully
rotated. Moreover, a selection of complex
interactive animations, based on motion capture
data and electromyography, has been included,
which show common activities such as push ups and
walking.
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System Requirements:
Windows: Pentium-compatible processor (133MHz
or faster), Windows
95/98/Me/NT4/2000/XP, Minimum 64MB
of RAM, 800 x 600, or greater, more
than 256 colour display (e.g. 16
bit, 24 bit, High Colour or True
Colour), CD-ROM drive. Macintosh:
PowerPC 604 processor
(200 MHz or faster), Mac OS 8.1 or
later, 9.x, OS X 10.1 (runs in
classic environment), Minimum of
64MB of RAM, 800 x 600 or greater,
Colours More than 256 colour
display, CD-ROM drive. |
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Complete
Human
Anatomy Series DVD-ROM
-
Wins
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Student Version |
Shipped in 8 days |
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Includes the programs Interactive Hand,
Interactive Shoulder, Interactive Foot &
Ankle, Interactive Head & Neck, Interactive
Spine, Interactive Knee, Interactive Hip,
Interactive Thorax & Abdomen, &
Interactive Pelvis & Perineum - Male &
Female.
The Student Version is available for windows only and is supplied on
DVD-ROM. It is active for 2 years only, but can be re-activated at the end of
the 2 years for an additional fee. During the 2 years you also have access to
the on-line version which includes additional content, correlation of the 3D
model with MRI, tests and quizzes.
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System Requirements:
Windows: Pentium-compatible processor (133MHz
or faster), Windows
95/98/Me/NT4/2000/XP, Minimum 32MB
of RAM, 800 x 600, or greater, more
than 256 colour display (e.g. 16
bit, 24 bit, High Colour or True
Colour), CD-ROM drive. |
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