Patiwnt notes, history taking systematic screwing if patients to arrive at impression. Examination guide on assessment of patient normal anatomy and physiology by review of the body systems, central nervous system, Gastrointestinal , Cardiopulmonary , Genitourinary and Muskuloskeleal system review and examination
Patiwnt notes, history taking systematic screwing if patients to arrive at impression. Examination guide on assessment of patient normal anatomy and physiology by review of the body systems, central nervous system, Gastrointestinal , Cardiopulmonary , Genitourinary and Muskuloskeleal system review and examination
IVF Center in Pune - A Complete Infertility SolutionIVF Treatment
For both women and men, aging, excessive exercise, diabetes, eating disorders, excessive alcohol consumption, smoking, environmental toxins, cancer treatments, sexually transmitted diseases (STDs), stress, obesity, and being underweight all contribute to infertility.
If you and your partner have been trying to conceive for more than a year after having unprotected sex but have been unsuccessful, it means that you or your partner or both are infertile. Infertility never stops you from being a parent. You can become a parent when you visit the best IVF center in Pune.
Let's see how you can become a parent after consulting the doctor at the IVF clinic. But first, we must understand what causes infertility and how to avoid it to be fertile.
For Women:
• Abnormal Periods
• Fallopian tube obstruction
• Damage fallopian tube
• Celiac disease
• Kidney disease
• Ectopic pregnancy
• Cysts in the ovaries
• Sickle cell disease
• Endometriosis
• Uterine fibroids
• Uterine Polyps
• Thyroid disorder
• Pituitary gland dysfunction
• Inflammation
• Ovarian insufficiency
• Polycystic ovary syndrome (PCOS)
For Men:
• Enlarged veins in the scrotum
• Cystic fibrosis (CF)
• Low sperm count.
• Testicular Injury
• Premature ejaculation
• Low testosterone levels
• Anabolic steroid overuse
• Ejaculation in reverse
• Cancer of the testicles
• Heat exposure to testicles
How Can I Avoid Infertility Forever?
• Consume a well-balanced diet
• Maintain physical activity
• Don't use drugs.
• Avoid smoking
• Limit alcohol.
• Get checked for STDs.
• Toxin exposure should be limited.
• Don't overdo exercise.
• Keep a healthy weight
Women's Infertility Diagnosis Process:
For Women:
• Body temperature
• Pelvic examination
• Blood test
• Hysteroscopy
• Laparoscopy
• Ultrasound transvaginal
• Hysterosalpingogram (HSG)
• Saline sonohysterography (SIS)
For Men:
• Analysis of sperm
• Blood test
• Scrotal Ultrasound
Infertility Treatment Process for Female:
Fertility Medication - fertility medication that helps to stimulate ovulation.
Surgery - Surgery is only applicable to remove uterine fibroids and uterine polyps, treat endometriosis, and open blocked fallopian tubes.
Related blog: A Detailed Guide to Female Infertility
Infertility Treatment Process for Male:
Fertility Medications - used to treat erectile dysfunction and improve hormone levels.
Surgery - Surgery can help to improve the health of sperm.
Related blog: A Detailed Guide to Male Infertility
The right time to take fertility treatment:
According to a survey, after the age of 35, the chances of increasing fertility begin to decrease and both men and women are recommended to talk to a fertility specialist to improve body function along with positive lifestyle changes.
INFERTILITY AND ITS MANAGEMENT IS A LIGHTNING TOPIC OF OBSTETRICS AND GYNAECOLOGY. ALL THE METHODS OF INFERTILITY MANAGEMENT ARE DISCUSSED IJN THIS SLIDE.
Project RSP Training on PrEP - July 31, 2015Jim Pickett
This PrEP training - a collaboration between AIDS Foundation of Chicago and the Chicago Department of Public Health - was provided to members of Chicago's HIV workforce on Friday, July 31, 2015.
This workshop will cover best practices for HIV prevention in adolescents with a focus on the implementation of Pre-Exposure Prophylaxis (PrEP) and Post Exposure Prophylaxis (PEP) in SBHCs. Join this workshop to hear an overview of the HIV epidemic among adolescents in California, best practices for determining eligibility for PrEP and PEP, instructions for labs and prescriptions, and suggestions for case management and training of all SBHC staff.
IVF Center in Pune - A Complete Infertility SolutionIVF Treatment
For both women and men, aging, excessive exercise, diabetes, eating disorders, excessive alcohol consumption, smoking, environmental toxins, cancer treatments, sexually transmitted diseases (STDs), stress, obesity, and being underweight all contribute to infertility.
If you and your partner have been trying to conceive for more than a year after having unprotected sex but have been unsuccessful, it means that you or your partner or both are infertile. Infertility never stops you from being a parent. You can become a parent when you visit the best IVF center in Pune.
Let's see how you can become a parent after consulting the doctor at the IVF clinic. But first, we must understand what causes infertility and how to avoid it to be fertile.
For Women:
• Abnormal Periods
• Fallopian tube obstruction
• Damage fallopian tube
• Celiac disease
• Kidney disease
• Ectopic pregnancy
• Cysts in the ovaries
• Sickle cell disease
• Endometriosis
• Uterine fibroids
• Uterine Polyps
• Thyroid disorder
• Pituitary gland dysfunction
• Inflammation
• Ovarian insufficiency
• Polycystic ovary syndrome (PCOS)
For Men:
• Enlarged veins in the scrotum
• Cystic fibrosis (CF)
• Low sperm count.
• Testicular Injury
• Premature ejaculation
• Low testosterone levels
• Anabolic steroid overuse
• Ejaculation in reverse
• Cancer of the testicles
• Heat exposure to testicles
How Can I Avoid Infertility Forever?
• Consume a well-balanced diet
• Maintain physical activity
• Don't use drugs.
• Avoid smoking
• Limit alcohol.
• Get checked for STDs.
• Toxin exposure should be limited.
• Don't overdo exercise.
• Keep a healthy weight
Women's Infertility Diagnosis Process:
For Women:
• Body temperature
• Pelvic examination
• Blood test
• Hysteroscopy
• Laparoscopy
• Ultrasound transvaginal
• Hysterosalpingogram (HSG)
• Saline sonohysterography (SIS)
For Men:
• Analysis of sperm
• Blood test
• Scrotal Ultrasound
Infertility Treatment Process for Female:
Fertility Medication - fertility medication that helps to stimulate ovulation.
Surgery - Surgery is only applicable to remove uterine fibroids and uterine polyps, treat endometriosis, and open blocked fallopian tubes.
Related blog: A Detailed Guide to Female Infertility
Infertility Treatment Process for Male:
Fertility Medications - used to treat erectile dysfunction and improve hormone levels.
Surgery - Surgery can help to improve the health of sperm.
Related blog: A Detailed Guide to Male Infertility
The right time to take fertility treatment:
According to a survey, after the age of 35, the chances of increasing fertility begin to decrease and both men and women are recommended to talk to a fertility specialist to improve body function along with positive lifestyle changes.
INFERTILITY AND ITS MANAGEMENT IS A LIGHTNING TOPIC OF OBSTETRICS AND GYNAECOLOGY. ALL THE METHODS OF INFERTILITY MANAGEMENT ARE DISCUSSED IJN THIS SLIDE.
Project RSP Training on PrEP - July 31, 2015Jim Pickett
This PrEP training - a collaboration between AIDS Foundation of Chicago and the Chicago Department of Public Health - was provided to members of Chicago's HIV workforce on Friday, July 31, 2015.
This workshop will cover best practices for HIV prevention in adolescents with a focus on the implementation of Pre-Exposure Prophylaxis (PrEP) and Post Exposure Prophylaxis (PEP) in SBHCs. Join this workshop to hear an overview of the HIV epidemic among adolescents in California, best practices for determining eligibility for PrEP and PEP, instructions for labs and prescriptions, and suggestions for case management and training of all SBHC staff.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
For those battling kidney disease and exploring treatment options, understanding when to consider a kidney transplant is crucial. This guide aims to provide valuable insights into the circumstances under which a kidney transplant at the renowned Hiranandani Hospital may be the most appropriate course of action. By addressing the key indicators and factors involved, we hope to empower patients and their families to make informed decisions about their kidney care journey.
2. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
Date of recommendation 2016 2021
Number of visits - 8 visits
No difference between
parous women and
nulliparous women.
- 7 visits for parous women.
- 10 visits for nulliparous.
Started in Up to 12 weeks Booking appointment 5-6
weeks of gestation
3. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
First contact activities The first contact up to 12 week include this
activity.
- History taking
Identification –menstrual history –intention
of present pregnancy- past obstetric and
gynecology history – medical history –
current medication – nutrition – social and
mental health – intimate partner violence
- Physical examination
General appearance – height and weight vital
signs- acute malnutrition –obstetric
examination measure symphysis fundal
height. Vaginal examination is not a routine
practice .
The first appointment(5 to 6 weeks)
include this activity.
- Taking a history
- Examinations and investigations
- Offer screening programmers for:
• HIV
• Syphilis
• Hepatitis B
• Sickle cell
• Thalassemia
4. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
First contact activities The following tests should be done for all
pregnant women
- Hb level, hematocrit, blood group, and Rh.
- Urine analysis .
- Testes for HIV, HBV, Syphilis.
- Selective or case specific screening is
recommended for gestational diabetes, Tb,
and group B streptococcus.
5. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
Second contact activities 20 weeks (2nd contact)
• Review the history, physical findings
and laboratory results at first contact
• Ask about fetal movement
• Enquire about any complaint or
concern
• Determine the gestational age
• Observe her general appearance
• Measure blood pressure
• Measure weight check for weight gain
• Look for pallor
• Measure arm for acute malnutrition
screening using MUAC
11+2 to 14+1 week scan appointment.
Update the woman’s antenatal records
with details of history, test results,
examination findings, medicines and
discussions.
Only at this appointment
Perform an ultrasound scan to
•Determine gestational age
•Detect multiple pregnancy
6. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
Second contact activities • Measure the uterine fundal height
• Listen for fetal heartbeat
• Perform ultrasound scanning
• Initiate iron-folate and calcium supplementation
and counsel on adherence
• Provide preventive chemotherapy(deworming)
• Check for other danger signs and symptoms
• Assess feeding practices and counsel on optimal
maternal nutrition; extra
• meal/feeding frequency, diet diversity, including
fruit and vegetables, animal source feeding.
• Assess for mental health and intimate partner
violence.
If the booking appointment
was not face to face, offer:
•To measure height, weight and
body mass index
•Blood tests for full blood
count, blood group and rhesus
D status.
7. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
Third contact activities 26 weeks ( 3rd contact)
• Conduct same activities as
week 20 except for ultrasound
scanning.
• Conduct urinalysis for
proteinuria and urine gram
stain.
• Test for gestational diabetes for
high-risk pregnant women.
16-week (14 to 18 weeks) appointment
Update the woman’s antenatal records with
details of history, test results, examination
findings, medicines and discussions.
New or only at this appointment:-
• Reassess the risk of pre-eclampsia and advise
those at risk to take aspirin.
• Repeat examinations and investigations.
• Update the history, ask the mother about:
• (Her general health and wellbeing, domestic
abuse, mental health,
• any other concerns she would like to discuss –
also ask her partner about this, if present.)
8. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
Fourth contact activities 30 weeks ( 4th contact)
• Conduct same activities as week 20
except for ultrasound scanning
• Repeat testing for syphilis and HIV
if earlier test results are negative
• Repeat Hb test
• Perform fetal wellbeing assessment
if there is a discrepancy between
fundal height
• and gestational age or if there is a
reduction in fetal movement
• Counsel on birth preparedness and
complication readiness
• Counsel on optimal breastfeeding
practices
18+0 to 20+6 week scan appointment.
Update the woman’s antenatal records with
details of history, test results, examination
findings, medicines and discussions.
Only at this appointment
Perform an ultrasound scan to:
• Screen for fetal anomalies
• Determine placental location.
If there are any unexpected results from
examinations or investigations
• Offer referral according to local pathways
and
• Provide information and support.
9. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
Fifth contact activities 34 weeks ( 5th contact)
• Repeat all activities done at 30
weeks
• Determine fetal presentation
• Test urine for proteinuria for
high-risk women
• Repeat testing for syphilis and
HIV if not done at 30 weeks
• Counsel on breastfeeding and
immunization
• Counsel on stimulation for early
childhood development
25-week appointment (nulliparous women
only)
• Update the woman’s antenatal records with
details of history, test results, examination
findings, medicines and discussions.
• Repeat examinations and investigations.
• Update the history, Ask the woman about:
• (Her general health and wellbeing,
domestic abuse, mental health any other
concerns she would like to discuss – also
ask her partner about this, if present)
• New at this appointment
• Discuss the baby’s movements with the
woman.
10. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
Sixth contact activities 36 weeks ( 6th contact)
• Conduct all activities done at 34
weeks
• Assess mental health
28-week appointment.
New or only at this appointment offer:
• A blood test for full blood count, blood group
and antibodies
• anti-D prophylaxis to rhesus-negative
women.
Discuss and give information on:
• preparing for labor and birth
• recognizing active labor
11. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
Seventh contact activities 38 weeks ( 7th contact)
• Conduct all activities done at
36 weeks
• Inquire any fears, myths,
worries about labor and
delivery
• Repeat Hb test
• Advise the pregnant woman on
fetal movement counting
31-week appointment (nulliparous women only)
• Update the history
• Continue discussions
• Repeat examinations and investigations
12. Comparison between WHO and NICE recommendation of
antenatal visits
Comparison WHO NICE
Eighth contact activities 40 weeks ( 8th contact)
• Repeat all activities done at 38
weeks
• Review fetal movement
counting
• Ultrasound scanning for fetal
wellbeing assessment
36-week appointment
Update the history
• Continue discussions
• Repeat examinations and investigations
New at this appointment
• To identify possible breech presentation, offer
abdominal palpation for women with a
singleton pregnancy.
13. Comparison between WHO and NICE recommendation of
antenatal visits
38-week appointment
40-week appointment (nulliparous women only)
41-week appointment – for women who have not yet given birth