In settings with limited access to health care, misoprostol is an important intervention that could reduce maternal deaths both directly and through the more cost-effective use of health services. Misoprostol is, however, a powerful drug that needs to be used with care. Evidence-based information about the safest regimens should be widely disseminated so as to prevent its inappropriate use
Hormone replacement therapy in Post menopausal womenPOOJA KUMAR
HRT-what you need to know! why opt for it? who should take it? contraindications. estrogen therapy, progestins, tibolone.
*Associations with osteoporosis, breast cancer, endometrial cancer
incidence and prevalence of asthma in pregnancy, guidelines for diagnosis and management of during pregnancy. drugs to be given and drugs to be avoided during pregnancy. pregnancy outcome in asthma patients.
In settings with limited access to health care, misoprostol is an important intervention that could reduce maternal deaths both directly and through the more cost-effective use of health services. Misoprostol is, however, a powerful drug that needs to be used with care. Evidence-based information about the safest regimens should be widely disseminated so as to prevent its inappropriate use
Hormone replacement therapy in Post menopausal womenPOOJA KUMAR
HRT-what you need to know! why opt for it? who should take it? contraindications. estrogen therapy, progestins, tibolone.
*Associations with osteoporosis, breast cancer, endometrial cancer
incidence and prevalence of asthma in pregnancy, guidelines for diagnosis and management of during pregnancy. drugs to be given and drugs to be avoided during pregnancy. pregnancy outcome in asthma patients.
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drugs safety in pregnancy medications medication in pregnancy treatment during pregnancy healthy pregnancy teratogen teratogenecity teratogenic drugs in pregnancy drugs and congenital malformation
psychological aspects of Bronchial asthma.Hiba Ashibany
this lecture ( psychological aspects of bronchial asthma) has been presented by Dr. Heba ashebani/ Abusetta chest center, in the event of Global asthma day 2018.
this lecture( Allergic bronchopulmonary aspergillosis), has been presented by Dr.Anas azarmouh / azreig horpital. , that was in the event of Global asthma day 2018.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. 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.
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
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
- 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
2. Inflammation of the
airways, with an
abnormal accumulation
of eosinophils,
lymphocytes, mast cells,
macrophages, dendritic
cells, and myofibroblasts.
Leads to a reduction in
airway diameter caused
by smooth muscle
contraction, vascular
congestion, bronchial
wall edema and thick
secretions.
3. Triggers that can cause an
asthma attack vary from
person to person. Common
triggers include
breathing in cold air,
cold/flu viruses, strenuous
exercise, chemicals,
cigarette smoke, and
allergies to dust, animals,
pollen, or mold. Avoiding
these triggers can reduce
the number of asthma
attacks.
4. Asthma management during pregnancy should
continue to include the medicines that best control
an individual’s asthma symptoms.
It is not possible to predict how a woman’s asthma
will act during pregnancy.
For about one third of women, symptoms will
improve during pregnancy, another one third will
have no change in asthma symptoms, and a final
one third of women will have worsening of
symptoms
5. The pattern of asthma during one pregnancy will often
define the pattern of asthma during subsequent
pregnancies.
Asthma attacks seem to be most likely during weeks 17
through 24 of pregnancy possibly because women often
discontinue their asthma medications when they become
pregnant.
In general asthma is less severe during the last 4 weeks
of pregnancy (37-41weeks).
There is no association of worsening of asthma with
labour and deliveryA.
The effects of pregnancy on asthma vary with each
person and it is difficult to predict the course that asthma
will follow in individual women who become pregnant
for the first time.
6. Studies have shown that
treated asthmatic women
have fewer adverse infant
and maternal outcomes
than those without therapy.
This means that when
asthma is controlled,
pregnant women with
asthma have no more
complications during
pregnancy and givingbirth
than non-asthmatic women.
7. o premature birth,
o low birth weight,
o maternal blood pressure changes
o Preeclampsia
o Need for C/S
o Maternal morbidity
o Maternal mortality
8. Some studies have suggested an increased risk for birth
defects while others have not.
In these studies, it is difficult to determine whether the
adverse effects seen were due to the mother’s asthma,
medicines needed to control the asthma, or other factors.
If a pregnant woman has trouble breathing she will take
in less oxygen. This could lead to a reduced amount of
oxygen getting to the baby. Reduced oxygen for the
developing baby could cause problems in organ
development.
If there is a risk from asthma itself, it is expected to be
very low. The vast majority of women with asthma have
babies without birth defects.
9. Yes. Maternal asthma, especially poorly controlled
asthma, is associated with higher rates of pregnancy
complications, such as placental problems, high
blood pressure, premature delivery, higher rates of
cesarean section, and low birth weight.
It is important for women who are pregnant to
speak with their health care provider about the best
way to treat their asthma during pregnancy. The
benefits of treating asthma during pregnancy
generally outweigh the potential risks of the
medication.
10. Most asthma medicines have
not been shown to have
harmful effects on the
developing baby.
Some studies have
suggested an increased risk
for cleft lip with or without
cleft palate (split in the lip or
roof of the mouth) when
corticosteroid pills are taken
during the first trimester.
Based on the available
information, if there is a real
risk for cleft lip and/or palate,
the absolute risk would be
small (less than 1%).
11. Most asthma medicines
are compatible with
breastfeeding.
Breastfeeding should be
encouraged as it may
reduce the risk of
childhood asthma,
especially in children
with a family history of
atopy
12. It is Ok to continue with these
medications if you are already
taking them but normally they are
not started during pregnancy.
13. Yes, it can be given after the first three months of pregnancy.
It is recommended for anyone who has identified viral
infections as an asthma trigger.*
If you have an egg allergy talk to your doctor about this
before taking the flu shot.
14. The drug treatment
of asthma in
pregnancy is similar
to the treatment of
asthma in non
pregnant women
15.
16.
17. Oxygen supplementation
(SaO2>95%)( po2>70)
I.V fluid hydration
Inhaled sulbutamol(every 20 Min up
to 3 times in first hour)
Ipratropium bromide (atrovent) in
sever cases
Systemic corticosteroids either
intravensouly or orally
I.V Mg sulphate may be beneficial.
18. Exacerbations of asthma are uncommon during
labour and birth Except in the most severe
cases
asthma should not preclude a vaginal birth
Occasionally, women with very severe asthma
may be advised to have an elective delivery
(induction of labour or caesarean section) at a
time when their asthma is well controlled2
Plan after 37+6 weeks unless there are medical
complications requiring earlier intervention
19. oSymptoms of asthma during labour are generally
controlled with standard asthma therapy
o Inhaled β-agonists do not impair uterine contractions
or delay the onset of labour
o There is no evidence that oxytocin causes
bronchoconstriction2
oErgometrine has been reported to cause
bronchospasm, especially if general anaesthesia is
being used, but this does not appear to be an issue if
Syntometrine is used for prophylaxis of postpartum
bleeding
oRegional anaesthesia is preferred over general
anaesthesia (reduced risk of chest infection)
20. Postpartum haemorrhage
Prostaglandin E1 (misoprostol) may be used for the
management of postpartum haemorrhage
Use intramyometrial PGF2 alpha (dinoprost) with
caution as this may trigger bronchospasm
21. Women with asthma should be counselled
regarding the importance and safety of continuing
their asthma medications during pregnancy to
ensure good asthma control.
Women should be advised that poorly controlled
asthma may lead to adverse pregnancy outcomes
(or ‘is associated with increased problems for both
mother and baby’)
Monitor pregnant women with moderate/severe
asthma closely because poorly controlled asthma
is associated with poorer pregnancy outcomes.
Acute severe asthma in pregnancy is an
emergency and should be treated vigorously in
hospital.
22. Give drug therapy for acute asthma as for the non-
pregnant patient including systemic steroids and
magnesium sulphate
Use inhaled steroids as normal during
pregnancy.
. Use oral and intravenous theophyllines as
normal during pregnancy.
Use steroid tablets as normal when
indicated during pregnancy for severe
asthma.
23. oSteroid tablets should never be withheld
because of pregnancy.
o If anaesthesia is required, regional blockade
is preferable to general anaesthesia in women
with asthma.
o Use prostaglandin F2α with extreme caution
in women with asthma because of the risk of
inducing bronchoconstriction.
o Use asthma medications as normal during
lactation in line with manufacturer’s
recommendations.