The document provides information on antenatal care including its definition, goals, importance, schedule of visits, assessments, common discomforts experienced during pregnancy and their relief measures, screening tests, and recommended nutritional supplements. The key points are: antenatal care aims to ensure the health of the pregnant woman and fetus and reduce mortality; assessments include medical history, physical exams, and tests; common discomforts and their relief measures are described; screening tests check for conditions like gestational diabetes and anaemia; and supplements like folic acid and vitamin D are recommended for pregnant women.
Obsterics and Gynaecology-
introduction-Preventive obstetrics is the concept of prevention or early detection of particular health deviations through routine periodic examinations and screening .
The concept of preventive obstetrics concerns with the concepts of the health & wellbeing of the mother her baby during the antenatal,intranatal & postnatal period.
The goal of the preventive obstetrics is the delivery of a healthy infant by a healthy mother at the end of a healthy pregnancy.
Pregnancy & child birth normal physiological
process that change from conception to
delivery.
Objectives
To promote , protect and maintain the health of the mother during pregnancy.
To detect “high risk” cases and give them special attention
To foresee complications and prevent them.
To remove anxiety and dread associated with delivery
Obsterics and Gynaecology-
introduction-Preventive obstetrics is the concept of prevention or early detection of particular health deviations through routine periodic examinations and screening .
The concept of preventive obstetrics concerns with the concepts of the health & wellbeing of the mother her baby during the antenatal,intranatal & postnatal period.
The goal of the preventive obstetrics is the delivery of a healthy infant by a healthy mother at the end of a healthy pregnancy.
Pregnancy & child birth normal physiological
process that change from conception to
delivery.
Objectives
To promote , protect and maintain the health of the mother during pregnancy.
To detect “high risk” cases and give them special attention
To foresee complications and prevent them.
To remove anxiety and dread associated with delivery
- 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
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.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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!
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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
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.
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
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
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
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
2. Definition of Antenatal care
comprehensive health supervision of a
pregnant woman before delivery
Or it is planned examination, observation
and guidance given to the pregnant
woman from conception till the time of
labor.
3. Goals
● To reduce maternal and perinatal
mortality and morbidity rates
● To improve the physical and mental
health of women and children
4. Importance of Antenatal Care
● To ensure that the pregnant woman and her
fetus are in the best possible health.
● To detect early and treat properly
complications
● Offering education for parenthood
● To prepare the woman for labor, lactation and
care of her infant
5. :Schedule for Antenatal Visits
The first visit or initial visit should be made
as early is pregnancy as possible.
Return Visits:
● Once every month till 28 w.
● Once every 2 weeks till the 36 w
● Once every week, till labor.
6. Frequency of antenatal appointments
● Nulliparous with an uncomplicated pregnancy,
a schedule of 10 appointments.
● Parous with an uncomplicated pregnancy, a
schedule of 7 appointments.
8. History
● Personal history
● Family history
● Medical and surgical history
● Menstrual history
● Obstetrical history
● History of present pregnancy
9. Fetal kick count
● The pregnant woman reports at
least 10 movements in 12 hours.
● Absence of fetal movements
precedes intrauterine fetal death
by 48 hours.
10. Physical Examinations
● Height of over 150 cm indication of an
average-sized pelvis
● The approximate weight gain during
pregnancy is 12 kg.; 2kg in the first 20
weeks and 10 kg in the remaining 20
weeks (1.5 kg per week until term).
11. ● Symphysis–fundal height should be
measured and recorded at each
antenatal appointment from 24 weeks.
● Fetal presentation should be assessed
by abdominal palpation at 36 weeks.
12. ● Fetal heart sound is heard by sonicaid
as early as 10thweek of pregnancy.
● Fetal heart sound is heard by Pinard' s
fetal stethoscope after the 20thweek of
pregnancy.
16. Health Teaching during the First
Trimester
● Physiological changes
during pregnancy
● Weight gain
● Fresh air and sunshine
● Rest and sleep
● Diet
● Daily activities
● Exercises and relaxation
● Hygiene
● Teeth
● Bladder and bowel
● Sexual counseling
● Smoking :
● Medications
● Infection
● Irradiation
● Occupational and
environmental hazards
● Travel
● Follow up
● Minor discomforts
● Signs of Potential
Complications
17. Common Discomforts of Pregnancy,
:Etiology, and Relief Measures
Urinary frequency
RELIEF MEASURES:
●
●
●
Decrease fluid intake at night.
Maintain fluid intake during day.
Void when feel the urge.
22. Nausea and vomiting
•most cases of nausea and vomiting in
pregnancy will resolve spontaneously within 16
to 20 weeks.
•that nausea and vomiting are not usually
associated with a poor pregnancy outcome.
•non-pharmacological:
•ginger
•P6 (wrist) acupressure
•pharmacological:
•antihistamines.
23. Nausea and vomiting
● RELIEF MEASURES:
● Avoid food or smells that exacerbate condition.
● Eat dry crackers or toast before rising in
morning.
● Eat small, frequent meals.
● Avoid sudden movements. Get out of bed slowly
● Breath fresh air to help relieve nausea.
33. Asymptomatic Bacteriuria
● Women should be offered routine
screening for asymptomatic bacteriuria
by midstream urine culture early in
pregnancy. Identification and treatment
of asymptomatic bacteriuria reduces the
risk of pyelonephritis.
34. Gestational age assessment
● New Pregnant women should be offered an early ultrasound
scan between 10 weeks 0 days and 13 weeks 6 days to
determine gestational age and to detect multiple pregnancies.
● New Crown–rump length measurement should be used to
determine gestational age. If the crown–rump length is above 84
mm, the gestational age should be estimated using head
circumference.
35. Screening for fetal anomalies
● New The 'combined test' (nuchal translucency,
beta-human chorionic gonadotrophin, pregnancy-
associated plasma protein-A) should be offered to
screen for Down's syndrome between 11 weeks 0
days and 13 weeks 6 days.
36. ● For women who book later in pregnancy the most
clinically and cost-effective serum screening test
(triple or quadruple test) should be offered between
15 weeks 0 days and 20 weeks 0 days.
37. Screening for gestational diabetes
● New risk factors for gestational diabetes :
●
●
●
●
●
body mass index above 30 kg/m2
previous macrosomic baby weighing 4.5 kg or above
previous gestational diabetes (refer to 'Diabetes in pregnancy
family history of diabetes (first-degree relative with diabetes)
family origin with a high prevalence of diabetes:
●
●
●
South Asian (specifically women whose country of family origin is India, Pakistan or
Bangladesh)
black Caribbean
Middle Eastern (specifically women whose country of family origin is Saudi Arabia,
United Arab Emirates, Iraq, Jordan, Syria, Oman, Qatar, Kuwait, Lebanon or Egypt).
38. Screening for haematological conditions
● New Screening for sickle cell diseases
and thalassaemias should be offered to
all women as early as possible in
pregnancy (ideally by 10 weeks).
39. Anaemia
● Screening shouldtake place early in
pregnancy (at the booking appointment).
● at 28 weeks when other blood screening
tests are being performed.
● At 36 weeks.
40. ● Normal range:
● 11 g/100 ml at first contact and 10.5
g/100 ml at 28 weeks) should be
investigated and iron supplementation
considered .
41. Blood grouping and red-cell alloantibodies
● Women should be offered testing for
blood group and rhesus D status in early
pregnancy.
● To give anti-D at 28 weeks and post
delivery if the baby (+)
42. Hepatitis B virus
● Serological screening for hepatitis B
virus should be offered to pregnant
women so that effective postnatal
interventions can be offered to infected
women to decrease the risk of mother-
to-child transmission.
43. Hepatitis C virus
● Pregnant women should not be offered
routine screening for hepatitis C virus
because there is insufficient evidence to
support its clinical and cost
effectiveness.
44. Rubella
● Rubella susceptibility screening should
be offered early in antenatal care to
identify women at risk of contracting
rubella infection and to enable
vaccination in the postnatal period for
the protection of future pregnancies.
46. Folic Acid
● Start before conception and throughout the
first 12 weeks.
● reduces the risk of having a baby with a neural
tube defect (for example, anencephaly or
spina bifida).
● The recommended dose is 400 micrograms
per day.
47. Vitamin D
New women at greatest risk are following advice to take this daily
:supplement. These include
●
●
●
●
women of South Asian, African, Caribbean or Middle Eastern family origin
women who have limited exposure to sunlight, such as women who are
predominantly housebound, or usually remain covered when outdoors
women who eat a diet particularly low in vitamin D, such as women who
consume no oily fish, eggs, meat, vitamin D-fortified margarine or
breakfast cereal
women with a pre-pregnancy body mass index above 30 kg/m2.
48. Vitamin A
Vitamin A supplementation (intake above
700 micrograms) might be teratogenic
and should therefore be avoided
49. Iron
● Iron supplementation should not be
offered routinely to all pregnant women.
It does not benefit the mother's or the
baby's health and may have unpleasant
maternal side effects.