Cannabis is an ancient psychoactive plant with over 400 chemicals. It is commonly used recreationally or medicinally. According to Ayurveda, it is classified as a poison and has properties of reducing vata and kapha doshas. It acts via cannabinoid receptors in the brain and body. While it has indications like pain, seizures and nausea, it also has risks of intoxication, withdrawal symptoms, and long term side effects like weight loss and psychosis with chronic use. Recent research suggests it may help neuropathic pain but also carries adverse effects.
the ppt gives detailed knowledge of Karma that are described in Ayurveda Dravyaguna (Ayurvedic Materia medica) it is useful to treat the patients by Ayurvedic way.
CHRONOLOGICAL DEVELOPMENT OF RASASHASTRA AND BHAISHAJYA KALPANADR AJITH KUMAR
This is a small assignment work given to the 2nd year UG BAMS students to know the basic chronological development of Rasashastra and bhaishajya kalpana
This is the second part of presentation regarding definitions in Rasa shastra. An attempt is made to clarify the definitions in more clear way also useful images are added to further improvise the presentation.
the ppt gives detailed knowledge of Karma that are described in Ayurveda Dravyaguna (Ayurvedic Materia medica) it is useful to treat the patients by Ayurvedic way.
CHRONOLOGICAL DEVELOPMENT OF RASASHASTRA AND BHAISHAJYA KALPANADR AJITH KUMAR
This is a small assignment work given to the 2nd year UG BAMS students to know the basic chronological development of Rasashastra and bhaishajya kalpana
This is the second part of presentation regarding definitions in Rasa shastra. An attempt is made to clarify the definitions in more clear way also useful images are added to further improvise the presentation.
Delivery and Dosage of Cannabis Medicine by Deborah Malka, MD, Ph.DCanna Holdings, LLC
Dosing for a "naive" patient is different from one who has developed tolerance. Cannabis efficacy, tolerance and withdrawal require a different delivery and dosage approach than pharmaceuticals. Dr. Malka will discuss how to make choices between 6 different delivery systems for cannabis, and the benefits/risks of each. Dr. Malka will also review which delivery systems do not involve psychoactivity and common dosage regimens
This is an amazing presentation about Marijuana. You can come to a decision; is marijuana safe or not??? what are the current trends around marijuana use and why you as a parent are so important in preventing marijuana use with your children.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
2. Content
■ Introduction
■ Classification
■ Morphology
■ Active principles
■ Mode of action
■ Rasa panchaka
■ Forms and preparation of cannabis
■ Shodhana
■ Indication
■ Signs and treatment
■ Medico legal importants
■ Recent research updates
3. Introduction
■ cannabis is a generic term used to denote several
psychoactivepreparation of the plant Cannabis sativa.
■ It is the oldest psychoactive substances used by man
■ It is widely used as recreational substances & in medicinal drugs.
■ It is called as the gateway drug.
■ It is more commonly called as marijuana.
■ Other names - weed, pot, grass, herb, maryjane etc...
5. Classification
■ According to Modern
1. Neurotic cerebral poison
2. Stupefying poison
■ According to ayurveda
1. Sthavara -visha
2. Upavisha- Rasatarangini
3. Moolavisha-Sushruta
6. Morphology
■ Habitat-Native to central & southern Asia.
■ Habit -A erect annual herbaceous & scarcelybranched plant of height 1-
5meters. Leaves-Stalked palmate, alternate.
■ Flowers-Small, pale yellow green, Dioecious.
■ Fruits Ovate flat.
■ Seeds- flat seeds, achene.
7. Active principles
■ Cannabis is a complex plant with over 400 chemical entities of which more than
60 are cannabinoids
■ Delta-9-tetrahydrocannabinol (THC)- major psychoactive
■ Cannabidiol (CBD)& Cannabinol- non psychoactive
8. Mode of action
■ Cannabinoid receptors are CB1 & CB2 receptors are called as
endocannabinoid receptors present in brain and other organs.
■ Both THC & CBD will bind to cannabinoid receptors,while they havehigh
lipophilicity so they rapidly distribute to brain, adipose tissue, &other organs of
the body.
■ THC being psychoactive stimulant, it effect pain perception, cognition,
memory,reward,motor coordinationetc
Toxic part
when taken in excess of all parts of plant are toxic.
9. Rasa panchaka
■ Rasa : Tikta
■ Guna : Laghu, tikshna, vyavahi
■ Virya : Ushna
■ Vipaka : Katu
■ Prabhava : mada
■ Karma : vatahara&kaphahara
Part used
Leaves, flowers, shoot, fruits, seeds, resin…
10. Forms and preparation of cannabis
■ Bhang-dried leaves, fruits & shoot
With sugar, black pepper made in paste form
consumed in holy festivals
Color – brownish
THC -15%
11. ■ Ganja – flowering tops of female plant.
■ It is usually smoked with tobacco.
■ Color-rusty green
■ THB – 25%
12. ■ Charas/hashish - resinous exudate from Leaves & stem
■ which is dried & compressed in to blocks,
■ it is smoked with tobacco.
■ Color-dark green
■ THC-25-40%
13. Shodhana
■ Leaves of bhang tied in cloth, boiled in cows’smilk for 3 hours using
dolayantra.then it is washed with water, dried and roasted with cow’s ghee on
lowL flame.
14. Indications
■ Muscle pain
■ Insomnia
■ Diarrhea
■ Psychiatric disorders
■ Convulsions
■ Glaucoma
■ Schizophrenia
■ Epilepsy etc..
External application
■ Bhang leaves paste is applied externally to relieve pain & increasewarmth.
■ It is also used in worm infested wounds & in atopic dermatitis
■ It is applied over piles mass to shrink it
15. As per the ayurveda Bhang Uses
■ दीपनी पचना
■ अतिसारहरा‘
■ द्वजभङ्गहरा
■ तनद्रप्रदतिनी
■ प्रलपनातिनी
■ धनुः स्तम्भहरा
■ आन्त्रिलहरा
■ वृक्किलहर
16. Formulation
■ Jatiphala curna
■ Madanodaya modaka
■ Trailokyavijaya vati
■ Bruhat kameshwara modaka
■ Agnikumar Rasa
■ Pusphpadhanwa rasa
■ Nirdrodiya rasa
■ bhanumutrantaka rasa
17. Action and metabolism
■ The THC is lipid soluable & rapidly absorbed in blood after inhalation. It is highly
protein bound & quickly redistributed from blood in to other tissues.
■ About 1% penetrates in to blood brain barrier
■ About 2/3 of drug is excreted via enterohepatic circulation in to faeces.
■ Remaining 1/3 is removed via kidneys.
■ Most metabolites of TCH are produced in liver.
18. Signs and symptoms
As per modern
■ Two stages occur: Acute Intoxication
■ 1. Stage of excitement or euphoria
■ 2. Stage of narcosis
As per ayurveda
■ Poisoning due to bhang exhibited
following symptoms-
■ timira (opthalmic disorders)
■ manovibhrama (mental confusion)
■ apasmrti (transient loss of
memory)
■ pralapa (delirium)
■ Vanti(vomiting)
■ Kanthasuskata( dryness of throat
19. In acute intoxication of bhang mortality is rare, the individually pass in to deep sleep and wake
up without depression
.Rarely, drowsiness may be followed by coma,collapse & death may occur form respiratory
paralysis.
21. ■ Fatal period
■ Approximately around 12-24
hours
Fatal dose and period
22. Features of chronic intoxication
1.Loss of weight
2. Loss of appetite
3. Loss of libido
4.Moral deterioration
5. General weakness
6.Emaciaton
7. Delirium
8.Pscychotic disorder etc.
23. Run amok
■ It is psychotic disturbance usually seen in chronic cannabies users or even first
time user of Cannabis.
■ it is characterized by eager desire of the person to commit murders.
■ He first kills the person against whom he have a enmity and kills anyone who
come in the way until the homicidal tendency lasts.
■ then he may commit suicide or he may surrender himself.
24. Withdrawal symptoms
■ -It is usually seen in chronic cannabis users.
■ -This may include as follows
■ Tremors
■ Nystagmus
■ Sweating
■ Nausea & vomiting etc,
25. Treatment
■ As per ayurveda
■ - तिरस्नान with अतििीि जल
■ -गो दग्ध with तसि for
consumption…
■ As per Modern
■
■ -inducing vomiting
■ -stomach wash with warm water
■ - cold water irrigation over the head
■ - strong tea or coffee for ingestion
■ -500ml of 50% glucose
■ -2 mg naloxone
■ -5-10 mg of diazepam if aggressive
■ - if necessary saline purgatives
26. Postmortem findings
■ findingNot characteristic
■ Resembles signs of asphyxia
Medico-legal importance
■ Accidental ingestion or inhalation
■ Overindulgence
■ To strengthen the nerves before committing a crime or bold act•
■ Used as stupefying poison
27. Recent Research updates
■ cannabis may have benefit for use in treatment of neuropathic pain, with limited
data for use in rheumatic pain. However, there are both short- term and long-
term adverse effects with cannabis use that should be monitored in those who
use cannabis for medicinal purposes, which include worsened anxiety and
potential development of cannabis use disorder