1.JIN - “JIN” is a dietary supplement made from “Quercus Salicina” (QS)water extract.
According to clinical trials QS has antioxidant activities that helps prevent forming and re occurrence of Kidney Stones.
*Halal Certified
2.Hime Tomo – A unique supplement for total nutrition of women,contains Iron,Folic acid,VitD and Young barely leaf.
*Halal Certified
2.OREA ASFA – Orea ASFA is a powerfull disinfectant solution that kill not only weak bacteria, fungi and viruses, but also viruses that cannot be killed by alcohol such as norovirus.Also can be use in sterilizing fruits and vegetables.
The Importance of Women and Children`s NutritionA-VPD
Pregnant women and children in Asia are vulnerable to multiple micronutrient deficiencies. This presentation is to educate all women the importance of Iron+Folate and other micronutrients supplementation.
Anemia in pregnancy &role of parenteral iron therapysusanta12
Iron deficiency anemia is most common anemia during pregnancy whic needs careful evaluation and treatment by Dr Susanta Kumar Behera,Department of Obstetrics & Gynecology, MKCG Medical College, Brahmapur,ODISHA,INDIA
www.zincsaveskids.org
Zinc deficiency is a significant public health issue. Zinc supplements and fortification are effective and affordable ways interventions and can help prevent the deaths of 800,000 people annually. "Zinc Saves Kids" is an initiative of the International Zinc Association which supports UNICEF's zinc supplement programmes on the ground in Peru, Nepal, Brazil and in Africa.
Anemia in Women of Reproductive Age Group at GCUOG 16/07/2022.pptxNiranjan Chavan
Anemia in pregnancy is one of the most important factors related to maternal morbidity and mortality.
Oral iron provides an inexpensive and effective means of restoring iron balance in a patient with iron deficiency without complicating comorbid conditions.
IV iron is appropriate for patients who are unable to tolerate gastrointestinal side effects of oral iron.
1.JIN - “JIN” is a dietary supplement made from “Quercus Salicina” (QS)water extract.
According to clinical trials QS has antioxidant activities that helps prevent forming and re occurrence of Kidney Stones.
*Halal Certified
2.Hime Tomo – A unique supplement for total nutrition of women,contains Iron,Folic acid,VitD and Young barely leaf.
*Halal Certified
2.OREA ASFA – Orea ASFA is a powerfull disinfectant solution that kill not only weak bacteria, fungi and viruses, but also viruses that cannot be killed by alcohol such as norovirus.Also can be use in sterilizing fruits and vegetables.
The Importance of Women and Children`s NutritionA-VPD
Pregnant women and children in Asia are vulnerable to multiple micronutrient deficiencies. This presentation is to educate all women the importance of Iron+Folate and other micronutrients supplementation.
Anemia in pregnancy &role of parenteral iron therapysusanta12
Iron deficiency anemia is most common anemia during pregnancy whic needs careful evaluation and treatment by Dr Susanta Kumar Behera,Department of Obstetrics & Gynecology, MKCG Medical College, Brahmapur,ODISHA,INDIA
www.zincsaveskids.org
Zinc deficiency is a significant public health issue. Zinc supplements and fortification are effective and affordable ways interventions and can help prevent the deaths of 800,000 people annually. "Zinc Saves Kids" is an initiative of the International Zinc Association which supports UNICEF's zinc supplement programmes on the ground in Peru, Nepal, Brazil and in Africa.
Anemia in Women of Reproductive Age Group at GCUOG 16/07/2022.pptxNiranjan Chavan
Anemia in pregnancy is one of the most important factors related to maternal morbidity and mortality.
Oral iron provides an inexpensive and effective means of restoring iron balance in a patient with iron deficiency without complicating comorbid conditions.
IV iron is appropriate for patients who are unable to tolerate gastrointestinal side effects of oral iron.
Nutritional deficiency and disorder.pptxSunita Poudel
Nutrition is a critical part of health and development and better nutrition is related to improved infant, child and maternal health, stronger immune systems, safer pregnancy and childbirth, lower risk of non-communicable diseases (such as diabetes and cardiovascular disease), and longevity.
Nutritional deficiency is an inadequate supply of essential nutrients (as vitamins and minerals) in the diet resulting in malnutrition or disease.
Malnutrition includes under-nutrition (wasting, stunting, underweight),
inadequate vitamins or minerals, overweight, obesity, and resulting diet-related non-communicable diseases.
Regionalization of Perinatal Care: US ExperienceMCH-org-ua
International conference «Actual approaches to the extremely preterm babies: International experience and Ukrainian realities» (Kyiv, Ukraine, March 5-6, 2013)
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
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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.
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.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
- 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
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Ahmed 5 introduction to key indicators
1. Nutritional Anemia in Bangladesh:
Problems and Solutions
Dr Tahmeed Ahmed
Director
Centre for Nutrition & Food Security
ICDDR,B
Professor, Public Health Nutrition
James P. Grant School of Public
Health, BRAC University
2. Anemia
A condition in which the Hb
concentration in the blood is below
a defined level, resulting in a
reduced oxygen-carrying capacity
of red blood cells
4. Consequences of Anemia
• Poor immune function and increased morbidity
from infection
• Fatigue and lower physical work capacity
• Poor physical growth
• Impaired learning and school achievement
Brabin BJ 2001
Grantham-McGregor S 2001
5. Consequences of Anemia in Pregnancy
• Increased risk of complications during
delivery, including prolonged labor, preterm
delivery, LBW and maternal and neonatal
deaths
• Infants of mothers with iron deficiency anemia
are more likely to have low iron stores and to
become anemic
Brabin BJ 2001
Grantham-McGregor S 2001
6. Anemia causes huge economic loss
• Results in productivity loss
• Economic cost of anemia in Bangladesh is
estimated to be 7.9% of GDP
Christian P 2005
UN/SCN 2004
7. What are the causes of anemia?
• Iron deficiency – dietary deficiency, loss of iron
• Hookworm
• Vitamin deficiencies, eg vitamin B12, folic acid
• Malaria
• Hemoglobinopathies, eg thalassemia
• Chronic infections, such as TB, HIV
8. Iron Deficiency Anemia
• Iron deficiency is the most important cause of
anemia
• 60% of all anemia is due to iron deficiency
Stoltzfus R 1998, Black RE 2008
9. Review of Anemia Control Program
• Review of literature, survey reports
• Meta analyses
• Communication with stake holders from
public, private and research sectors
• 22 interviews - NNP, DGFP, IPHN, IEDCR,
CMSD, NIPORT, EDCL, UNICEF, MI, BRAC,
ICDDR,B
• Informal round table discussion at ICDDR,B
13. Prevalence of Anemia in Bangladesh
Age Year Settings Sample Size %
Infants 20041 Rural 1227 U-5 92
(6-11 mo) 20032 Urban 93 83.9
20032 CHT 51 90
20013 Rural 1148 U-5 74.1
19994 Urban 183 92.3
•Demand for iron is high
•Complementary feeding is inappropriate
•No program for anemia control in infants
NSP 20041 , Anemia prevalence survey
UNICEF/BBS 20032, NSP 20023 , NSP 20004
14. Complementary Foods Provide little
Micronutrients to Bangladeshi Infants
Breast milk contributes to 75% of total energy intake
Small amounts of CF offered
Vitamin B6 50% of RNI
Vitamin A 48% of RNI
Zinc 45% of RNI
Iron 9% of RNI
Increase in CF will not substantially increase MN
intake
Kimmons J, 2006
16. Anemia Prevalence Trends in Bangladesh
Infant Pre school
Adolescent NPNL women
Pregnant Women Lactating Women
100
92
90
80 74.1
67.9
70
60 48.3 46
50
46.7 46
40 39.7
P
n
c
e
r
t
30 35
33 38.8
20 30
10
0
2001 2003 2004
NSP 2004, Anemia prevalence survey UNICEF/BBS
2003, NSP 2002, WHO global database on anemia
17. Strategies for Anemia Prevention
and Control
• Micronutrient supplementation
• Dietary improvement
• Parasitic disease control
• Food fortification
• Family planning and safe motherhood
National Strategy for Anemia Prevention and Control
in Bangladesh, MOHFW 2007
18. Existing Programs on Iron Supplementation
Age group Department
Infants, children No national program
Adolescents DGFP
PLW DGFP, DGHS, NGOs
NPW DGFP
19. Dose of Iron-folic Acid Tablets
Target group Doses
Adolescent girls 2 tablets/week
Newly wed women 2 tablets/week
Pregnant women 2 tablets daily up to delivery
(NGOs 1 tab daily)
Lactating mother 1 tablet daily for 90-120 d
21. Dispensing IFA Tablets
DGFP Given in a polythene bag Spoilage ?
DGHS Wrapped in paper Spoilage ?
BRAC Now giving tablets in Tk 14 for 100 tab vs
blister pack Tk 12 for 100 open tabs
23. IFA Tablet Coverage during Pregnancy in
BINP Areas
Indicator Survey Area
BINP (%) Comparison (%) All (%)
IFA intake
Regular 25.4 16 19.5
Irregular 9.9 9.5 9.6
None 64.7 74.5 70.9
Total (n) 2193 3785 5979
NNP Baseline Survey 2004
24. Reasons for Not Taking IFA Tablets
Regularly
Reasons N=1741 pregnant
women, %
Side effects (diarrhea, etc) 25.5
Forget to take 19.5
Did not consider necessary 16.3
Lack of supply 12.0
Do not receive enough tablets 6.1
Economic constrains 4.5
Objection of family members 1.9
Lost tablets 0.2
Others 7.8
NNP Baseline Survey 2004
30. Comprehensive Nutrition Actions Required
• Increase exclusive breastfeeding rates
• Improve complementary feeding practices by
using various foods rich in iron
• Consider home-based fortification of CF using
multiple micronutrient powder
• Coordination of efforts of different agencies and
the private sector in control of anemia
31. • Promote factors that will increase coverage of
IFA supplementation among adolescent girls,
pregnant & lactating women
– Effective counseling
– Sustained supply
– Appropriate packaging
– Mass media coverage
– Trained workforce