1. Diarrhea is defined as the passage of three or more loose or watery stools per day. It can be acute, persistent, or chronic and causes dehydration through excessive loss of water and electrolytes.
2. Diarrhea is commonly caused by infections from bacteria like E. coli, viruses like rotavirus, or parasites. It can also be caused by dietary factors, drugs, or underlying infections.
3. Treatment involves oral rehydration with solutions like ORS as well as continued feeding. For severe dehydration intravenous therapy may be needed. Preventive measures include breastfeeding, handwashing, and water purification.
it includes introduction, PEM, Diarrhea, Hepatitis With nursing management.
it will help you to gain the knowledge of above mention topics with detailed nursing management.
it includes introduction, PEM, Diarrhea, Hepatitis With nursing management.
it will help you to gain the knowledge of above mention topics with detailed nursing management.
Discussion about Acute Gastroenteritis, causes, treatment and management of different types organism that cause AGE. Also had a brief discussion about it's difference from diarrhea. This discussion was taken from WHO 2012(which is currently the latest as of now) and Merck 2016. It also include on how to discuss it.
Diarrhoea is passage of three or more loose stools or watery stools in a 24-hour period.
The main cause of death from acute diarrhoea is dehydration, which results from the loss of fluid and electrolytes in diarrhoeal stools.
Discussion about Acute Gastroenteritis, causes, treatment and management of different types organism that cause AGE. Also had a brief discussion about it's difference from diarrhea. This discussion was taken from WHO 2012(which is currently the latest as of now) and Merck 2016. It also include on how to discuss it.
Diarrhoea is passage of three or more loose stools or watery stools in a 24-hour period.
The main cause of death from acute diarrhoea is dehydration, which results from the loss of fluid and electrolytes in diarrhoeal stools.
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.
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
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
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.
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!
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.
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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
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
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
1. Defi: passage of three or more stools in a day , of
consistency softer than usual for the child , or one
watery stool is defined as diarrhea . In diarrhea there is
excessive lose of water and electrolytes.
DIARRHEA
2. Clinical types
Acute watery diarrhea
Acute bloody diarrhea
Persistent diarrhea
Chronic diarrhea
Diarrhea with sever malnutrition
3. SEVERITY OF DIARRHEA
1/ Mild diarrhea 3-5t/day , no dehydration
2- mod.diarrhea 10t/24hours ,mild dehydration
3- sever diarrhea many t/24hours ,mod to sever
dehydration
4. Incidence:
3-4 episodes of diarrhea per child per year .
Maximum in the first year of life.
Causes 2,5 lac deaths per year <5 year.
In america 125 deaths per year .
10. FACTORS INCREASING
SUSCEPTIBILITY TO DIARRHEA
ARE :
1- lack of breast feeding .
2- Exposure to unsanitary conditions.
3- malnutrition .
4- measles and level of parents education.
11. Mechanism is different by various organisms.
ETEC
LT → Adenyl cyclase →CAMP →secretion of
chloride and inhibition of sodium absorption.
ST→ guanylate cyclase system →secretion of
chloride and inhibition of sodium absorption.
Invassion , Ecoli , shigella , salmonella
→necrosis of enterocytes →diarrhea , blood in
stool .
12. Rota virus →invasion on enterocytes →cause
→lactase loss→osmotic diarrhea.
Vibrio cholera →Adher and multiply on the
intestinal mucosa →adenylate
cyclase→CAMP→ decreased sodium and
chloride absorption →water and electrolyte
loss.
2- Osmotic diarrhea 3- decreased surface
absorption 4- changes of intestinal motility
13. Effects of diarrhea
1- lose of water(dehydration)
Lose of skin turgor
Weak or absent puls
Tachy cardia
Sunken fontanel
Sunken eyes
Husky voice
14. Cyanosis of fingers
Dry mucus membranes
Cold skin
Oliguria , anuria, uremia
2- lose of nutrients
Hypoglycemia, convulsions , coma
Lose of weight.
15. 3- lose of bicarbonate
Vomiting
Deep and rapid respiration
Irritability (increased O2 demand of brain)
Myocardial contractility decreased
4- K lose
Abd: distention
paralytic ileus
16. BIOCHEMICAL
Isotonic{70%} (serum sodium level between 130-
150mmol/l )
Hypotonic{20%} ( serum sodium level less than
130mmol/L
Hypertonic{10%} ( serum sodium level more than
150mmol/L
17. INVESTIGATIONS
1- blood count
2- stool examination for
PH and reducing substances
Cyst of giardia and entamoeba
Bioassay for E.coli
Leukocytes and RBCS
Culture and sensitivity
Elisa test for rotavirus
18. Serum electrolytes (Na , k) and bicarbonate (Hco3)
4- urine examination and culture
5- blood culture (salmonellosis or shigellosis)
6- x-ray of chest
19. COMPLICATION
1- Dehydration and shock
2- metabolic acidosis
3- paralytic ileus
4- convulsion and coma
5- malnutrition
6- acute renal failure
7- persistent diarrhea
20. 8- Super added infections
9- Thrush
10- Diaper dermatitis
11- DIC
12- Death
TREATMENT
21. ANTIBIOTIC THERAPY
Antibiotic is used for cholera , shigella ,
amebiasis and giardia .
-Dietary management
Feeding should be continued to prevent body
catabolism and weight lose .
Breast feed should continued as much as want
the infant in addition to ORS .
Malnourished or prematur infant with diarrhea
must be persumed to have sepsis and should
receive systemic antibiotic
22. PROBIOTIC
Micro organism colonise on the bowel . Reduces the
duration of acute diarrhea .
Zinc therapy : zinc loses during
diarrhea < 6mo 10mg/day
>6mo 20mg/day
(10-14 day)
23. PREVENTION
-Breast feeding up to 2 years
-Health education
-Three “Cs” clean hands , clean water and clean
environment
26. Mild: weight loss less than 5 %
Mod: weight loss between 5-10%
Sever: more than 10%
WHO Classification
No sign of dehydration
Some dehydration
Sever dehydration
27. Sign and symptom of no sign of dehydration
The child is alert,normaly drinks,nomal skin pinched.
Sign and symptom of some dehydration ( patient is
irritable, thirsty,eagerly drinks ,sunken eye and
slow skin pinched less than 2 seconds )
Sever de hydration( lethargic or unconscious, unable
to drink sunken eye , and very slow skin pinched (
more than 2 seconds).
Sign and symptom of no sign of dehydration
The child is alert,normaly drinks,nomal skin pinched.
Sign and symptom of some dehydration ( patient is
irritable, thirsty,eagerly drinks ,sunken eye and
slow skin pinched less than 2 seconds )
Sever de hydration( lethargic or unconscious, unable
to drink sunken eye , and very slow skin pinched (
more than 2 seconds).
2 or more sings and symptoms of some and sever
Dehydration diagnosis the dehydration.
IF THERE IS NO ANY SIGNS AND SYMPTOMS
OF THEM , THAT IS NO SIGN OF DEHYDRATION
28. Treatment is done according to the level
of De hydration .
No sign of dehydration (planA)
Some dehydration (planB)
Sever dehydration (planC)
29. PLAN A
Treatment at home 3 components…
Advise extra fluids , vegetable soup, yogurt….
Continue feeding, / breast feeding/solid food.
Give ORS 50-100 cc/each purging up to 1 year and 100-
200 cc/purging 1-2 year and more than 200cc/purging
Above 2 years or as much as want.
30. PLAN B
ORS 75 ML/KG/ 4H Reasess AFTER 4H
and decide accordingly may be need to repeat this
amount or goes to plan A or planB.
31. PLAN C
IV THERAPY , in children LESS THAN 1 YEAR
100 ML/KG in 6h OF Ringer lactate or narmal saline, 30
ML/Kg in 1h AND 70 ML/Kg in NEXT 5h,
IN children from 1YEAR and above 30 ML/ kg in ½ h and
70 ML/Kg in 2,5 h.if the child is able to drink give ORS
5ml/kg/h.
IF IV THERAPY IS NOT POSSIBLE, give ORS by NGT
20ml/kg /h for 6h.