This document discusses various genital tract infections, their causes, symptoms, and laboratory diagnosis. It covers infections like urethritis, syphilis, cancroids, lymphogranuloma venereum, granuloma inguinale, herpes genitals, vaginitis, puerperal sepsis, toxic shock syndrome, and prostatitis. For laboratory diagnosis, it recommends collecting samples like urethral discharge, cervical discharge, vaginal discharge, fluids, scrapings, urine, and blood. Direct exams, cultures, and serology can be used to detect organisms causing each infection.
Infections of the Genital Tract - Part IHelen Madamba
Lifted from the CDC STD Treatment Guidelines 2015, this is a discussion of infections affecting the vulva, such as infections of the Bartholin's gland, ectoparasites and infections presenting as vulvar ulcers. This was a lecture delivered to an audience of second year medical students at the Cebu Doctors University College of Medicine.
Yeast infections are generally caused by an organism called Candida albicans. Natural cures are simple, less expensive, and by far the most important point, they actually work. Get few tips for avoiding this disease with ease.
http://www.yeastinfectionheal.com/
Infections of the Genital Tract - Part IHelen Madamba
Lifted from the CDC STD Treatment Guidelines 2015, this is a discussion of infections affecting the vulva, such as infections of the Bartholin's gland, ectoparasites and infections presenting as vulvar ulcers. This was a lecture delivered to an audience of second year medical students at the Cebu Doctors University College of Medicine.
Yeast infections are generally caused by an organism called Candida albicans. Natural cures are simple, less expensive, and by far the most important point, they actually work. Get few tips for avoiding this disease with ease.
http://www.yeastinfectionheal.com/
Secretions produced by the glands of vaginal wall and cervix that drain from the vaginal opening.
Vaginal discharge is a common presentation of women to the STI clinic
Can be physiological or pathological
Related with some common STIs
Explains the inflammatory process of endometrium,its causes and its two clinical variants as acute and chronic endometritis.
Describes the pathology of its two types with histologic perspective.
Hospital- or healthcare-acquired infections (HAI) are new infections that patients acquire as a result of healthcare interventions to treat other conditions. Estimates of prevalence of HAIs are difficult to compare between studies, due to differences in definitions used and means of data collection. Although some high-income countries have national surveillance systems for HAIs, there are fewer data available from low- and middle-income countries. Recent systematic reviews have estimated hospital-wide prevalence of HAIs in high-income countries at 7.6% and in low and middle-income countries at 10.1%.
Various factors may contribute to an increased risk of infection among hospitalised patients, including decreased patient immunity due to illness, invasiveness of medical procedure, overcrowding and poor infection control practices. Some HAI are caused by antibiotic-resistant micro-organisms, which can be more challenging to treat. Although this special collection concentrates on diagnosis, treatment and prevention of HAI in the hospital setting, it should be remembered that patterns of antibiotic use and/or overuse in the community influence antibiotic resistance seen in hospital infections.
Secretions produced by the glands of vaginal wall and cervix that drain from the vaginal opening.
Vaginal discharge is a common presentation of women to the STI clinic
Can be physiological or pathological
Related with some common STIs
Explains the inflammatory process of endometrium,its causes and its two clinical variants as acute and chronic endometritis.
Describes the pathology of its two types with histologic perspective.
Hospital- or healthcare-acquired infections (HAI) are new infections that patients acquire as a result of healthcare interventions to treat other conditions. Estimates of prevalence of HAIs are difficult to compare between studies, due to differences in definitions used and means of data collection. Although some high-income countries have national surveillance systems for HAIs, there are fewer data available from low- and middle-income countries. Recent systematic reviews have estimated hospital-wide prevalence of HAIs in high-income countries at 7.6% and in low and middle-income countries at 10.1%.
Various factors may contribute to an increased risk of infection among hospitalised patients, including decreased patient immunity due to illness, invasiveness of medical procedure, overcrowding and poor infection control practices. Some HAI are caused by antibiotic-resistant micro-organisms, which can be more challenging to treat. Although this special collection concentrates on diagnosis, treatment and prevention of HAI in the hospital setting, it should be remembered that patterns of antibiotic use and/or overuse in the community influence antibiotic resistance seen in hospital infections.
Sexually transmitted disease in pregnancyDR MUKESH SAH
An STI during pregnancy can pose serious health risks for you and your baby. As a result, screening for STIs , such as human immunodeficiency virus (HIV), hepatitis B, chlamydia and syphilis, generally takes place at the first prenatal visit for all pregnant women.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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.
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
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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
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.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
2. Genital tract infection & sexual
Transmitted disease
Most of the genital tract infection
transmitted by the sexual contact- but very
few infections are not transmitted by
sexual contact. The genital tract infection
can give serious complications may lead
to abortion, still birth, premature child in
case of congenital infection such as
syphilis, sterility or infertility. Most of
genital tract infections infect both male &
female but few of them infect one sex.
3. Urethritis
Urethritis infection of urethra and cause by
N. gonorrhea, but also can be caused by
other organisms and then called non-
specific Urethritis (Chlamydia serotype O-
K, Mycoplasma hominis, Ureoplasma, T.
vaginalis, C. albicans, and Gardnella
vaginalis).
In female has another term cervicitis the
organisms such as Neisseria found in the
cervix can not reach vagina due to acid
pH.
4. Syphilis
Caused by T. pallidum.
Has three stage.
chancre (painless & hard chancre) in
genital organs.
GTI + congenital disease.
5. Cancroids
It's lesion in genital tract.
Caused by H. ducreyi soft chancre painful.
Infect G.T& it is sexual T. disease .
for both sexes.
6. Lymphograunloma venereum
(LGV)
It is GTI & sexually T. disease.
Lesion, ulcers & Enlargement of lymph
nodes.
Caused by Chlamydia serotype L1, L2,
L3.
lymph node contain fluid, pus, organisms.
7. Granuloma ingiunale
It is GTI & sexual T. disease.
for both sexes.
Caused by Calymmatobacterium
granalomatis.
Lesion contain fluid.
8. Granuloma ingiunale
Can not be culture in culture media.
Use Giemsa stain to diagnose it, giving
pink capsulated bacilli (called donovani
bodies).
Strict in tropical area. (lymph nodes not
involve)
The complication bone destruction
9. Herpes genitals
It is GTI & sexual T. disease
For both sexes.
Caused by herpes simplex virus 2.
Cause lesions very painful & highly
infectious.
Diagnosis: direct Immunofluorescence,
serology & tissue culture.
10. Vaginitis
Characterized by vaginal discharge mainly
caused by C. albicans & T. vaginalis
It is GTI for female but can be transmitted
by sexual contact to male and then call it
Urethritis.
Can also be caused by G. vaginalis and
then called non-specific vaginitis or called
vaginosis
11. Vaginitis
other causes, anaerobic gram -ve group
Bacteroides & Prevotella & mobilincus.
The infection happen when replacement
of lactobacilli occur.
12. Vaginitis
C. albicans :
C. albicans monilia - cause Candidiosis
or Moniliasis in pregnant female. Diabetic
pt- female used contraceptive pills
(suspected to C. albicans infection
characterized by white vaginal discharge
(also called vaginal thrush).
13. Vaginitis
Trichomonas vaginalis:
Characterized by thick, colored with very
bad smell discharge & vaginal irritation.
Non-specific vaginitis:
Characterized by non purulent offensive
discharge grey without pus all - caused by
anaerobes.
Ideal pH of vagina 3 - 4 ... but it will rise
due to replacement of lactobacilli.
14. Vaginitis
Non-specific vaginitis:
Characterized by non purulent offensive
discharge grey without pus all - caused by
anaerobes.
Ideal pH of vagina 3 - 4 ... but it will rise
due to replacement of lactobacilli.
15. Puerperal sepsis
Infection of G.T of female only.
Not sexual T. disease .
Happen during gynecological procedures
(septicemia).
The main causative agents: S. pyogens,
anaerobic cocci, Enterococci, Other B.
haemolytic strept, S. aureus ,
L. monocytogens. B. fragilis,
C. perfringens & Coliform.
16. Toxic shock syndrome
It is GTI of female during period.
Not sexual T. disease.
Caused by S. aureus.
17. Prostitis
It is GTI of male only and not sexual T.
disease can be as complication of UTI.
causative agents Enterococci & E. coli.
18. Hepatitis B
Caused by HB virus.
Transmitted through blood, injection and
fluids.
It's not genital T. infection but it's sexual T.
disease.
Can infect both sexes.
20. Genital wart
Skin infection caused by papilloma virus
Cause benign tumor.
Infect the genital area (skin) but not the
GT.
Transmitted sexually.
21. Scabies and public lice
Caused by ectoparasite called Scabies
Sexual transmitted but not GTI.
22. Valvovaginitis
Occur in young female not adult one
mainly caused by using contaminated
bedclothes sharing of personal clothes.
Also happen due to over growth of vaginal
commensals.
The organisms present in vagina due to
absent of lactobacilli.
23. Salpingitis and granalomatis
infection
Infection faloup tube.
Characterized by granuloma.
Caused by M - tuberculosis.
Actinomycetes.
Not sexual T. disease but it's genital T. I
24. Salpingitis and granalomatis
infection
The causative agent reach the genital tract
through the blood (M. tuberculosis -
Actinomycetes) .
Also can be caused as a complication of
Urethritis.
26. LAB Diagnosis
I. Urethral discharge:
Mainly from male (the best sample) can be
taken by swab (called urethral swab)
collected in case of Gonorrhea.
Better collect 2 swabs:
1-For direct examination:
do smear immediately.
2-For culture: immediately or in transport
media
27. LAB Diagnosis
Direct examination:
Two smears:
Gram stain. (Gram stain fixation by
methanol not heat )
Immunofluorescence ( or Giemsa stain for
inclusion bodies).
Culture:
CBA & selective media (MNYC): for
Neisseria.
28. LAB Diagnosis
Culture:
Special media: for Mycoplasma.
Tissue culture: for Chlamydia.
2. Cervical specimen:
Collect by endoscope.
In case of gonorrhea (Treat as urethral
discharge [MNYC] ).
29. LAB Diagnosis
Also collected in case of non-specific
Urethritis (Mycoplasma - Chlamydia ...
etc).
3. Vaginal discharge:
High vaginal swab (HVS) mainly collected
in case of vaginitis - non. Specific vaginitis
- toxic shock syndrome - puerperal sepsis
- Valvovaginitis.
30. LAB Diagnosis
Collect two swabs:
1. For direct examination:
Smear immediately + wet preparation
2. For culture immediately or in transport
media.
if suspect T. vaginalis use T.V transport
media
31. LAB Diagnosis
Direct examination:
1. Wet preparation for T.V.
2. Gram stain & M. B for Candida.
3. Immunofluorescence - ELISA - PCR for
Chlamydia.
Culture:
BA mainly for S. pyogens.
SAB mainly for Candida .
32. LAB Diagnosis
In case of puerperal sepsis:
BA + an O2 BA - Kanamycin -
Vancomycin BA (Bacteroids) -
Neomycin BA for Clostridia - N.A BA for
listeria - MacC for Enterococci and
Coliform.
4. Fluids & Scrapings:
For treponema - syphilis
33. LAB Diagnosis
Dark field microscope.
Silver impregnation.
Immunofluorescence.
Donovan bodies for Catamatobacterium
granulomatis.
Giemsa stain.
5. Urine & prostatic fluid:
34. LAB Diagnosis
For Gonorrhea in male:
Can be detected if the urine or fluid is
fresh & first stream urine not MSU.
To detect also urea plasma.
6. Blood for culture:
Toxic shock syndrome.
Puerperal sepsis.
35. LAB Diagnosis
7. Blood for serology:
The culture has a very poor role in
diagnosis of some Genital Tract Infections.