Dr Steve Cummings presentation from Osteoporosis 2016: Patients receiving bisphosphonates should not take holidays from treatment.
Find out more at: https://nos.org.uk/conference
presentation about the non TKR options for OA knee.discussed with data and clinical evidence by dr mohamed ashraf HOD govt TD medical college alleppey kerala india
A presentation on different techniques for shoulder joint preservation in regards to the advances in technology for rotator cuff pathology, from tendonitis to cuff tear arthropathy.
Proponiamo la creazione di un organismo di rappresentanza culturale e commerciale che sappia influenzare positivamente la domanda di opere e servizi di artigianato artistico abruzzese, mediare tra l'istanza artistica e culturale degli artigiani di unicità della loro opera e le regole del mercato, in termini di sostenibilità, trasparenza, e di non omologazione. Intendiamo raggiungere questo obiettivo attraverso la selezione, formazione e motivazione di operatori "agenti" consci delle necessità dell'artigianato e sulle modalità di creazione di valore aggiunto.
Dr Steve Cummings presentation from Osteoporosis 2016: Patients receiving bisphosphonates should not take holidays from treatment.
Find out more at: https://nos.org.uk/conference
presentation about the non TKR options for OA knee.discussed with data and clinical evidence by dr mohamed ashraf HOD govt TD medical college alleppey kerala india
A presentation on different techniques for shoulder joint preservation in regards to the advances in technology for rotator cuff pathology, from tendonitis to cuff tear arthropathy.
Proponiamo la creazione di un organismo di rappresentanza culturale e commerciale che sappia influenzare positivamente la domanda di opere e servizi di artigianato artistico abruzzese, mediare tra l'istanza artistica e culturale degli artigiani di unicità della loro opera e le regole del mercato, in termini di sostenibilità, trasparenza, e di non omologazione. Intendiamo raggiungere questo obiettivo attraverso la selezione, formazione e motivazione di operatori "agenti" consci delle necessità dell'artigianato e sulle modalità di creazione di valore aggiunto.
Звіт про сумісну роботу профспілки та ради ветеранів лікарні з соціального захисту та медичного обслуговування учасників бойових дій, ветеранів праці лікарні
Motivasi Diri Dalam Bisnis Kumpulan motivasi bisnis, quote motivasi dan tips pengembangan diri dari twitter @idewirausaha. Follow twitter kami @idewirausaha.
Environmental show of the south 2014 new entrants in electricity generationTNenergy
Tennessee Department of Environment and Conservation’s Office of Energy Programs’ Director Molly Cripps moderated a panel presentation on “New Entrants in Electric Generation in the Tennessee Valley” at the 43rd Environmental Show of the South (ESOS) in Gatlinburg on April 30. The panel was comprised of experts in energy law and federal regulations, and the session was approved for continuing legal education credits.
VOCAL CORD PARALYSIS: WHAT MATTERS BETWEEN IDIOPATHIC AND NONIDIOPATHIC CASES?Dr Tarique Ahmed Maka
ABSTRACT
Objective: To evaluate the clinical and demographic characteristics of patients with idiopathic and non-idiopathic
vocal cord paralysis (VCP).
Study Design: Descriptive cross sectional study.
Place and Duration of Study: Department of ENT Combined Military Hospital Quetta and Rawalpindi, from 10
Dec 2012 to 31 Dec 2015.
Material and Methods: The study was a descriptive cross sectional study. The study was conducted after
approval by the ethical committee. Patients with fixed vocal cords due to some growth of glottic region were
enrolled. All the patients presenting with hoarseness of voice in ENT outpatient department CMH Quetta and
Rawalpindi undergoing indirect laryngoscopy and the patients with vocal cord paralysis were selected. Informed
written consent was taken and gender, age, name, hospital record number, address and phone number of each
individual was noted. Every patient was evaluated by detailed history and thorough clinical examination.
Patients were not investigated further if cause were revealed after some investigation. Follow-up of patients was
done regularly in ENT OPD. CT scans/US neck was done by radiologist and FNAC/biopsy was reported by
histopathologist. Data collected were recorded on proforma.
Results: In our study, out of 245 cases, 47.76% (n=117) were 16-40 years old and 52.24% (n=128) were 41-80 years,
mean ± SD was calculated as 41.23 ± 11.25 years, 45.71% (n=112) male and 54.29% (n=133) were females.
Frequency of causes of vocal cord paralysis was recorded as 15.92% (n=39) for idiopathic, 46.53% (n=114) had
iatrogenic, 33.06% (n=81) had malignant neoplasm while 4.49% (n=11) had radiation.
Conclusion: Vocal cord paralysis is a common clinical condition with substantial morbidity. Awareness on the
clinical characteristics and identification of the underlying etiology are keystones for foreseeing complications
and determining the required therapeutic modality.
Keywords: Etiology, Iatrogenic, Idiopathic, Vocal cord paralysis.
Assessment and management of anterior vaginal wall defects presents a unique surgical challenge and is the most common site of initial prolapse in women and the most common site of recurrence.
Banff 2017 meeting presentation - early versus late inflammationMaarten Naesens
My presentation at the Banff 2017 meeting in Barcelona on kidney transplant pathology on the impact of time after transplantation on transplant outcome, and the difference between diagnostic and prognostic use of the Banff scheme for allograft histopathology.
Safe surgical dislocation for femoral head fractures.dr mohamed ashraf,dr rah...drashraf369
femoral head fractures are very complex fractures that need immediate and prompt surgical intervention.conventional surgical appproaches to hip may lead to short and long term complications.dr mohamed ashraf ,dr rahul thampi et al are presenting their experience with gantz safe surgical dislocation approach to surgical management of femoral head fractures
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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
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.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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
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
- 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
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!
1. Fourteen year follow-up of
Birmingham Hip Resurfacing
in patients under the age of 50
C. W. McBryde, R. B. C. Treacy, W. B. Pynsent & P. B. Pynsent
Research & Teaching Centre,
Royal Orthopaedic Hospital,
Birmingham, U.K
3. Oct 2011 - 3668 THRs under age 55
15 year survival 62% uncemented and 58% cemented
Finish arthroplasty register
4. The Case Series
Single surgeon consecutive all-
inclusive series (RBCT)
All NHS (public) patients
Data collected prospectively and
supplemented retrospectively
5. Demographics
447 BHRs in 393 patients
August 1997 to April 2006
267 (60%) male and 180 (40%) female
Mean age 41.1 years (range 15-49)
Median follow up 8.0 yrs (range 5.0-
14.0)
7. Surgery
All performed by RBCT
Laminar air flow theatre
Posterior approach with release of glut. max.
Posterior capsulectomy and anterior
capsulotomy
Head prepared with standard instrumentation
Low viscosity cemented femur, uncemented
acetabulum
8. Revisions, Oxford hip score, Radiology.
4 tranches of targeted mail shots to addresses
from the ROH and Oswestry databases
Personal home visit and telephone calls
Patient tracking via independent private
agency
Very time consuming and expensive
Methods
9. Time to find patients from 1st April 2009
Time (months)
Numberofpatients
10. Estimated 10 year survival assuming all
lost to follow-up have failed
Survival at 10 years
Cumulativeproportionsurviving
As of December 2011
- none lost to follow-up
12. Revision Sex Age Diagnosis Head size Time (years)
Reason for
revision
1 f 49 OA 46 0.5 Loose-acet
2 m 44 OA 54 0.5 Infection
3 f 49 OA 42 0.7 #NOF
4 f 49 OA 46 1.8 NA
5 f 48 OA 46 2.2 Infection
6 f 43 OA 42 5.3 Infection
7 m 42 AVN 50 5.9 Loose-fem
8 f 26 DDH 42 6.3 Loose-fem
9 f 42 OA 42 6.7 Loose-fem
10 m 30 RA 46 7.1 NA
11 f 17 Inflam 42 9.4 Loose-fem
12 m 30 AVN 50 9.5 Loose-fem
13 f 17 AVN 42 9.9 AVN
14 f 49 OA 50 10.2 Pain
15 f 36 OA 46 10.8
Implant
fracture
16 m 43 Perthe’s 50 11.8 Loose-fem
15. KM survival of 195 BHRs in male patients with OA
under the age of 50 (aseptic revisions)
Cumulativeproportionsurviving
Time (years)
Survival 100% at 14 years
Male, OA under 50 years
16. KM survival of 105 BHRs in female patients with OA
under the age of 50 (aseptic revisions)
Cumulativeproportionsurviving
Time (years)
Survival 95.9% at 10 years
Survival 87.2% at 14 years
Female, OA under 50 years
18. Male 10 year survival - 100% (100-100)
Female 10 year survival - 95.9% (90.2-99.9)
Cox-prop hazard - p = 0.024
Head size highly significant - small worse
Cox-prop hazard - p = 0.004
7 deaths during follow-up - all unrelated
Results
19. Oxford hip score -standards developed from 6,602
Time (years)
Score(%)
95%
75%
50%
25%
5%
20. Oxford hip scores for under 50 group
Time (years)
Score(%)
711/1394 (51%) post -op scores
below median standard
21. Oxford hip score
Time (years)
Score(%)
Flooring effect.
Do we need a different scoring system?
22. No comparative group
Radiographic analysis available on 44%
Metal ions not available
Designer surgeon series
Limitations of this case series
23. JBJS Br March 2012 - Melbourne group
230 BHRs mean fu 10 years
94.5% overall, male 97.5%, female 89.1%
7% lost to follow-up
Women/ small size - is it still acceptable to
resurface women?
BHR results from independent centre
24. No aseptic failure in male patient with OA (195
cases 100% survival at 14 years)
Higher revision rate in women - but still
acceptable, within NICE guidelines
Small sizes (<46) and other diagnoses
(abnormal anatomy) be cautious
Conclusions
25. Birmingham Hip resurfacing provides excellent
results in previously difficult to treat group
Reactions to metal debris are rare
Bad designs and poor surgery have tarnished
an otherwise great advance in hip surgery
Conclusions
