The document discusses infantile diarrhea including its etiology, pathogenesis, clinical manifestations, diagnosis, and treatment. It causes are multi-factorial and can be infectious, like rotavirus or E. coli, or non-infectious, like improper diet. Pathogenesis involves mechanisms like osmotic diarrhea, secretory diarrhea, or abnormal motility. Clinical manifestations include gastrointestinal symptoms, systemic toxic symptoms, and water/electrolyte disturbances. Diagnosis is based on symptoms and stool examination. Treatment focuses on rehydration and correcting water/electrolyte imbalances.
Situs Inversus totalis is a genetic condition that causes the organs in the chest and abdomen to be positioned in a mirror image from their normal positions.
This gives an idea about the Signs/Symptom, Diagnosis, Treatment and Special concerns of the syndrome.
Situs Inversus totalis is a genetic condition that causes the organs in the chest and abdomen to be positioned in a mirror image from their normal positions.
This gives an idea about the Signs/Symptom, Diagnosis, Treatment and Special concerns of the syndrome.
Slideshow is from the University of Michigan Medical School's M2 Endocrine sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M2Endo
Common laboratory procedures in pediatricsDR MUKESH SAH
Pediatric laboratory medicine is integral to the healthcare of infants, children, and adolescents . About 30 percent (97.1 million) of the U.S. population is under the age of 18 . Annually, youths account for more than two million hospitalizations and about 25 million outpatient visits, in addition to annual well-patient visits. Approximately three billion pediatric laboratory tests are performed in more than 250,000 Clinical Laboratory Improvement Amendment (CLIA)-certified laboratories in the U.S
Therapeutic hypothermia for neonatal hypoxic-ischemic encephalopathyMCH-org-ua
International conference «Actual approaches to the extremely preterm babies: International experience and Ukrainian realities» (Kyiv, Ukraine, March 5-6, 2013)
Arterial blood gas test Diagnostic testjagan _jaggi
Arterial blood gas test
Diagnostic test
Description , An arterial-blood gas test measures the amounts of arterial gases, such as oxygen and carbon dioxide. An ABG test requires that a small volume of blood be drawn from the radial artery with a syringe and a thin needle, but sometimes the femoral artery in the groin or another site is used.
Slideshow is from the University of Michigan Medical School's M2 Endocrine sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M2Endo
Common laboratory procedures in pediatricsDR MUKESH SAH
Pediatric laboratory medicine is integral to the healthcare of infants, children, and adolescents . About 30 percent (97.1 million) of the U.S. population is under the age of 18 . Annually, youths account for more than two million hospitalizations and about 25 million outpatient visits, in addition to annual well-patient visits. Approximately three billion pediatric laboratory tests are performed in more than 250,000 Clinical Laboratory Improvement Amendment (CLIA)-certified laboratories in the U.S
Therapeutic hypothermia for neonatal hypoxic-ischemic encephalopathyMCH-org-ua
International conference «Actual approaches to the extremely preterm babies: International experience and Ukrainian realities» (Kyiv, Ukraine, March 5-6, 2013)
Arterial blood gas test Diagnostic testjagan _jaggi
Arterial blood gas test
Diagnostic test
Description , An arterial-blood gas test measures the amounts of arterial gases, such as oxygen and carbon dioxide. An ABG test requires that a small volume of blood be drawn from the radial artery with a syringe and a thin needle, but sometimes the femoral artery in the groin or another site is used.
Diarrhea is an important cause of morbidity and mortality worldwide, particularly in children living in areas without adequate access to safe water and sanitation
The 9th leading cause of death globally in 2015 and was responsible for 8.6% of deaths among children younger than 5 years
Death rates from diarrhea have declined over the past decade with improvements in sanitation, more widespread use of oral rehydration solution, and the introduction of rotavirus vaccination programs.
Acute infectious diarrhoea is the leading cause of morbidity leading to dehydration, hospital admission and death in children.
Viral causes (rotavirus) predominate as the pathogen.
Initial management rely on assessment of severity of dehydration and fluid replacement.
Early refeeding
Antibiotic are needed only in some bacterial and parasitic infections.
Probiotics, prebiotics and zinc reduce the duration and severity of symptoms.
Honey, amazingly contain all these substances and extremely useful in diarrhoea
Defined as inflammation of the mucous membrane of stomach and intestine usually causing nausea ,vomiting and diarrhea.
Gastro-intestinal infections represent a major public health and clinical problem worldwide. Many species of bacteria, viruses and protozoa cause gastro-intestinal infection.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
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!
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
49. Higher metabolic rates Increased body surface area to mass index Higher body water contents (water comprises approximately 70% of body weight in infants, 65% in children, 60% in adults) Young pediatric patients tend to be more susceptible to fluid losses a quick turnover of fluids and solute
50. Normal routes of fluid excretion in infants and children. Lungs Skin Urine & feces insensible water losses
55. Degrees According to the severity of the symptoms and signs The key point to distinguish severe cases from mild and moderate ones is poor peripheral circulation and even shock. Dehydration
57. Types of dehydration Hypertonic Isotonic Hypotonic The type is defined according to the change of serum osmolality (serum Na+ concentration) Dehydration
58.
59.
60. Hypertonic dehydration Loss of more water than sodium with high serum Na concentration (>150mmol/L) 1. Less obvious signs of dehydration 2. Particularly dangerous : Water is drawn out of the brain and cerebral shrinkage within a rigid skull may lead to multiple, small cerebral haemorrhages and convulsions. A shift of water from ICF to ECF The least common, usually results from high insensible water losses or from profuse, low-sodium diarrhea Types of dehydration Definition:
79. Treatment Fasting severe vomiting Regulating and limiting the diet Antibiotic : bacterial infection Microecological drug : lactobacilli GI tract mucosa protector : smecta Drug therapy Fluid therapy Mainstay of treatment Dietary therapy
88. Oral fluid therapy Mild or moderate dehydration. No severe vomiting or abdominal distention Indications ORS may be used with unlimited water intake. The fluid is best given in small amounts frequently . Fluid therapy
89. Ingredient amount (grams) NaCl 3.5 NaHCO 3 2.5 KCl 1.5 Glucose 20 Water 1000ml Oral rehydration salt (ORS) It has been advocated by the WHO Formula of rehydration salt: 2/3 tonicity and the potassium concentration is 0.15%
90. 40℃ warm water or cooled boiled water Oral rehydration salt (ORS)
91.
92.
93.
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95.
96. The amount of fluid 60-80 ml/kg /day Maintenance requirements 10-30ml/kg/day Ongoing abnormal losses 100-120 50-100 50 Preexisting losses (ml/kg) 150-180 120-150 90-120 Total amount (ml/kg) Severe Moderate Mild Degrees of dehydration
99. Speed 5ml / kg / h 8 ~ 10ml / kg / h 12 ~ 16h 8 ~ 12h 24h Keep transfusing period ( physiological need, losing continuing ) Cumulated losing volume Total volume
108. Etiology of infantile diarrhea To evaluate the severity of dehydration caused by infantile diarrhea, you should pay attention to some signs For fluid therapy, the commonly used non-electrolyte solution and the electrolyte solutions 2:1 isotonic solution ,2:3:1 solution component and usage key points about K + replacement the main distinction between severe and mild infantile diarrhea Key Points