Slideshow is from the University of Michigan Medical School's M1 Cardiovascular / Respiratory sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Cardio
Slideshow is from the University of Michigan Medical School's M1 Cardiovascular / Respiratory sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Cardio
Slideshow is from the University of Michigan Medical School's M1 Cardiovascular / Respiratory sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Cardio
Slideshow is from the University of Michigan Medical School's M1 Cardiovascular / Respiratory sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Cardio
Slideshow is from the University of Michigan Medical School's M1 Cardiovascular / Respiratory sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Cardio
Slideshow is from the University of Michigan Medical School's M1 Cardiovascular / Respiratory sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Cardio
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. Early Warning: When do you want the patient’s parachute to open? Capnography 4-10 minutes Pulse Oximetry Pulse Oximetry 30-60 seconds ECG ECG 10 seconds No monitor = free fall!
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4. Capnography An EtCO 2 value of e.g..38mm/Hg with a trace i s as diagnostic as an ECG T i m e 5 0 4 0 3 0 2 0 1 0 0
5. ► Application in clinical practice Objectives ► How it works ► The physiology involved
8. ► CO 2 monitoring technology Compares the amount of infrared light absorbed by a sample of expired CO 2 to a chamber with no CO 2 Infrared spectroscopy
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11. ► The physiology involved Physiology of Respiration Physiology of Metabolism
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16. Oxygen -> lungs -> alveoli -> blood muscles + organs Oxygen cells Oxygen Oxygen + Glucose energy CO 2 blood lungs CO 2 breath CO 2 Physiology of respiration Oxygen/Carbon dioxide interaction: Metabolism CO2 produced by cellular metabolism diffuses across the cell membrane into the circulating blood. 5-10% carried in solution 20-30% bound to haemoglobin 60-70% carried as bicarbonate in the red blood cell
17. O 2 CO 2 O 2 CO 2 CO 2 Physiology of respiration Oxygen/Carbon dioxide interaction: Perfusion and Ventilation Ventilation Perfusion
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19. METABOLISM PERFUSION VENTILATION So CO 2 levels provide evidence of three parameters going on the body Physiology What's happening at the cellular level How well the circulation is performing How well the lungs are working
20. METABOLISM PERFUSION VENTILATION Physiology If metabolism fails, acid forms (metabolic acid). With severe shock, the patient becomes very “acidic” and very ill Metabolic acidosis This may be tolerated if circulation and oxygenation are maintained. The acid is converted to CO2 and this is blown off by the lungs
21. METABOLISM PERFUSION VENTILATION Physiology If the circulation is failing, this “acid” cannot be transported to the lungs and the patient becomes iller Metabolic acidosis CO2 cannot be removed from the lungs as it cannot get there. Your only hope is to get the circulation working more effectively
22. METABOLISM PERFUSION VENTILATION Physiology Carbon dioxide If the breathing is inadequate, CO2 accumulates in the blood and is converted to acid Respiratory acidosis By ventilating the patient, we can get rid of the excessive CO2 and thereby reduce the damage the “acid” in the blood is doing to the tissues
25. Normal waveform: Capnography measurements The waveform I just want you to look at the display first for a minute and then I will break the wave down into its constituent parts
26. Capnography measurements The waveform The lungs are composed of tissue involved in gas exchange (alveoli) and tubes connecting them to the outside world (bronchi, trachea). These tubes ARE NOT involved in gas exchange and is called dead space.
27. Capnography measurements The waveform Phase I Represents the CO2-free gas from the airways (anatomical and apparatus dead space).
28. Capnography measurements The waveform Phase II Consists of a rapid upswing on the tracing (due to mixing of dead space gas with alveolar gas).
29. Capnography measurements The waveform Phase III Consists of an alveolar plateau representing CO2-rich gas from the alveoli. It almost always has a positive slope, indicating a rising PCO2
30. Capnography measurements The waveform Phase 0 Is the inspiratory phase where normal air is breathed in. There is only 0.36mmHg of CO2 in the air compared to 40mmHg in expired air
33. Causes for a rise in end tidal CO 2 Fever Hypercatabolic states Increased cardiac output Increased blood pressure Hypoventilation by patient Bronchial intubation (reduces the dead space) Rebreathing Inadequate fresh gas flows Poor ventilation by Dr Faulty valves Technical errors Machine faults Reduced Alveolar Ventilation Increased Pulmonary perfusion Increased CO2 output
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36. Waveform analysis Hypoventilation Base line at zero, but height is increased gradually Hyperventilation Baseline at zero, but height is reduced gradually
47. Applications Worsening asthma This patient needs ventilatory assistance Note the narrow base and tachypnoea and rising CO2 3 patients short of breath Asthma
48. Applications Response to treatment with Terbutaline. Indices return to normal. This patient has asthma: Diagnosis . 3 patients short of breath Asthma
49. Applications COPD Shark fin shaped waveform appearance showing airway obstruction. Wide base (cf asthma which was narrow) Elevated ETCO2 level 50mmHg Pt has COPD In contrast with asthma 3 patients short of breath
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57. Applications The unconscious patient Look for hypoventilation i.e. a high endtidal CO2 reading And a low respiratory rate
61. METABOLISM PERFUSION VENTILATION Physiology reminder If the circulation is failing, this “acid” cannot be transported to the lungs and the patient becomes iller Metabolic acidosis CO2 cannot be removed from the lungs as it cannot get there. Your only hope is to get the circulation working more effectively
62. Applications Metabolic states: a tale of two patient both with diabetic ketoacidosis Who is the sickest of the two? Patient A Endtidal CO2 30mmHg SpO2 100 RR 30 Pulse 120 Patient B Endtidal CO2 30mmHg SpO2 99 RR 10 Pulse 120
63. Applications Metabolic states A diabetic with a normal ETCO2 is not sick A diabetic with a low ETCO2 is a sick person. An ETCO2 of 6mmHg is bordering on a cardiac arrest
64. Applications Metabolic states 55 year old male collapsed at home Endtidal CO2 24 SpO2 92 RR 10 Pulse 80 Alcoholic, Myxoedema ( had not taken thyroxine for two years) very pale (Hb 2.4) BP 80/-, hepatic encephalopathy, jaundice, hypotensive. He died 3 days later This patient is very ill.
79. When do you want the parachute to open? Capnography 4-10 minutes Pulse Oximetry Pulse Oximetry 30-60 seconds ECG ECG 10 seconds No monitor = free fall!