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Dr Mukesh kumar gupta.pdf
KANISHK Surgical and Super Speciality Hospital is an NABH accredited certified hospital, located centrally in Dehradun, capital of Uttarakhand (India). It has been established in the year of March 2011.
It is one of the most prestigious hospital of Uttarakhand providing world class health care services in the field of Advance Laparoscopy, Gastro Surgery, Gynae Surgery, Orthopaedic Surgery, Ophthalmology , Interventional Pain and Critical Care, Urology and Oncology.
“Our First & Last aim to provide the very best to the best of our capabilities without any compromise”
Seminars and Live Surgery Workshops are frequently held in a beautiful spacious Auditorium in the hospital. The Doctor’s and staff of the hospital are inclined towards dedicated and tender patient care. We, at KANISHK Hospital make sure that patients care at affordable cost and time. We are committed above self.
Dr Mukesh kumar gupta.pdf
KANISHK Surgical and Super Speciality Hospital is an NABH accredited certified hospital, located centrally in Dehradun, capital of Uttarakhand (India). It has been established in the year of March 2011.
It is one of the most prestigious hospital of Uttarakhand providing world class health care services in the field of Advance Laparoscopy, Gastro Surgery, Gynae Surgery, Orthopaedic Surgery, Ophthalmology , Interventional Pain and Critical Care, Urology and Oncology.
“Our First & Last aim to provide the very best to the best of our capabilities without any compromise”
Seminars and Live Surgery Workshops are frequently held in a beautiful spacious Auditorium in the hospital. The Doctor’s and staff of the hospital are inclined towards dedicated and tender patient care. We, at KANISHK Hospital make sure that patients care at affordable cost and time. We are committed above self.
Covid vaccine process
This presentation explains how we can register for COVID 19 vaccine. You can watch the detail video on the YouTube - https://youtu.be/H4lno7e3USM
Apollo Munich Easy Health Insurance Pre Authorization Form
Pre- Authorization form is to be filled in case of hospitalization. It is basically a declaration by the patient to make claim for the expenses incurred during the hospitalization. Easy Health Pre- Authorization form will seek information about the patient or the insured person like name of the patient, contact details, age, policy number and card ID number, name of the hospital, nature of illness and other related details. All columns must be closely examined to provide genuine information to the insurer. The form must be duly filled and then must be attached with all the necessary documents to avail the service.
Requirements for-physcial-examination
The cost of the Immigration Physical Examination depends on Vaccination Requirements and includes the following:
1. Basic Physical Examination
2. Required Blood work
3. Tuberculosis skin testing
4. Vaccination status verification
5. Copies of your laboratory results
6. Certified and Sealed I-693 Form
7. We have the Required Forms at the Office
Apollo Munich Optima Restore Pre Auth Form
Pre- Authorization form is to be filled in case of hospitalization. It is basically a declaration by the patient to make claim for the expenses incurred during the hospitalization. While seeking health insurance coverage under Optima Restore, the Pre- Authorization form must be filled to avail the policy support. Through this Apollo Munich seek information about the patient or the insured person like name of the patient, contact details, age, policy number and card ID number, name of the hospital, nature of illness and other related details. All columns must be closely examined to provide genuine information to the insurer. The form must be duly filled and then must be attached with all the necessary documents absence of which can lead to complication.
chscommunity human servicesEMERGENCY BOARD OF DIRECTORS .docx
chs
community human services
EMERGENCY BOARD OF DIRECTORS MEETING
MONDAY, NOVEMBER I, 2O2I
l. Approval of the Covid Vaccination Protocol for CHS Employees
a, When President Biden mandated Covid vaccinations for all Federal
employees, he further ordered it also applies to all Federal
contractors. CHS has several Federal contracts which support our
programs. CEO Everett McElveen worked with the law firm Blank
Rome LLP, Pittsburgh, to develop this policy. The local attorneys
worked with one of their firm attorneys in the Washington DC
office who specializes in Covid-related issues.
b. As the Protocol provides, CHS employees who do not meet
specified deadline for proof of vaccination or an approved medical
or religious exemption will be separated from the organization.
c. lf CHS does not comply with the Federally mandated vaccine
provrsions, we would likely lose our federal funds. Accordingly,
the Board is requested to approve this Protocol.
Action ltem: To approve the CHS Covid Vaccination Protocol
Next Board Meetino: Thursdav. November 18. 2021. 4:OO PM
Covid Vaccination Protocol
As of December 8th,2021., all Community Human Services (CHS) staffwill need to be fully
vaccinated due to our partnerships with federal/state and local entities which require us to comply with
newly issued government orders mandating covid-19 vaccinations. Each employee of CHS will need to
be fully vaccinated which means both doses of the ffizer or Moderna vaccine, or the single dose
Johnson & Johnson vaccine and receive their booster for Johnson & Johnson inoculation 2 months after
the initlal dose.
Vaccine Specific lnformation
PfiZgf,
"
t*o-dose vaccination given 21 days apart with this protocol the first dose cannot be
taken later than, Wednesday November 10th, 2021. The second dose due no later than Wednesdav
December 1st. This dosing schedule & calculation does not include the two-week post vaccination
period in which the antibodies become fully active, and after the two-week period the person is now
considered fully vaccinated per CDC Covid Vaccination Guidelines. Please also consider the booster shot
available 6 months after your last vaccination dose.
MOdgf na, a two-dose vaccination given 28 days apart with this protocol the first dose
cannot be taken later than, Wednesday November 3d, 2021. The second dose is due no later than
December L't, 2021. This dosing schedule & calculation does not include the two-week post vaccination
period in which the antibodies become fully active, and after the two-week period the person is now
considered fully vaccinated per CDC Covid Vaccination Guidelines. Please also consider the booster shot
available 6 months after your Iast vaccination dose.
JOhnSOn & JOhnSOn, a single dose vaccination-the last date with this protocol to
receive this vaccination is Novembel 24'h, m2L. This dosing schedule & calculation includes the two-
week post vaccination period in which the antibodies become fully active, and the.
Uid In Healthcare
This presentation gives details of how healthcare sector can utilize unique identification number.
How to Initiate a Life Insurance Claim
Here's everything you need to know before you initiate a life insurance claim.
Find out all about all the documents you need and the steps you need to take.
Health Suraksha Health Insurance Claim Form - HDFC ERGO
HDFC ERGO is a leading health Insurance provider in India, Download here Health Suraksha Health Insurance Claim Form.
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Dr Mukesh kumar gupta.pdf
KANISHK Surgical and Super Speciality Hospital is an NABH accredited certified hospital, located centrally in Dehradun, capital of Uttarakhand (India). It has been established in the year of March 2011.
It is one of the most prestigious hospital of Uttarakhand providing world class health care services in the field of Advance Laparoscopy, Gastro Surgery, Gynae Surgery, Orthopaedic Surgery, Ophthalmology , Interventional Pain and Critical Care, Urology and Oncology.
“Our First & Last aim to provide the very best to the best of our capabilities without any compromise”
Seminars and Live Surgery Workshops are frequently held in a beautiful spacious Auditorium in the hospital. The Doctor’s and staff of the hospital are inclined towards dedicated and tender patient care. We, at KANISHK Hospital make sure that patients care at affordable cost and time. We are committed above self.
Dr Mukesh kumar gupta.pdf
KANISHK Surgical and Super Speciality Hospital is an NABH accredited certified hospital, located centrally in Dehradun, capital of Uttarakhand (India). It has been established in the year of March 2011.
It is one of the most prestigious hospital of Uttarakhand providing world class health care services in the field of Advance Laparoscopy, Gastro Surgery, Gynae Surgery, Orthopaedic Surgery, Ophthalmology , Interventional Pain and Critical Care, Urology and Oncology.
“Our First & Last aim to provide the very best to the best of our capabilities without any compromise”
Seminars and Live Surgery Workshops are frequently held in a beautiful spacious Auditorium in the hospital. The Doctor’s and staff of the hospital are inclined towards dedicated and tender patient care. We, at KANISHK Hospital make sure that patients care at affordable cost and time. We are committed above self.
Covid vaccine process
This presentation explains how we can register for COVID 19 vaccine. You can watch the detail video on the YouTube - https://youtu.be/H4lno7e3USM
Apollo Munich Easy Health Insurance Pre Authorization Form
Pre- Authorization form is to be filled in case of hospitalization. It is basically a declaration by the patient to make claim for the expenses incurred during the hospitalization. Easy Health Pre- Authorization form will seek information about the patient or the insured person like name of the patient, contact details, age, policy number and card ID number, name of the hospital, nature of illness and other related details. All columns must be closely examined to provide genuine information to the insurer. The form must be duly filled and then must be attached with all the necessary documents to avail the service.
Requirements for-physcial-examination
The cost of the Immigration Physical Examination depends on Vaccination Requirements and includes the following:
1. Basic Physical Examination
2. Required Blood work
3. Tuberculosis skin testing
4. Vaccination status verification
5. Copies of your laboratory results
6. Certified and Sealed I-693 Form
7. We have the Required Forms at the Office
Apollo Munich Optima Restore Pre Auth Form
Pre- Authorization form is to be filled in case of hospitalization. It is basically a declaration by the patient to make claim for the expenses incurred during the hospitalization. While seeking health insurance coverage under Optima Restore, the Pre- Authorization form must be filled to avail the policy support. Through this Apollo Munich seek information about the patient or the insured person like name of the patient, contact details, age, policy number and card ID number, name of the hospital, nature of illness and other related details. All columns must be closely examined to provide genuine information to the insurer. The form must be duly filled and then must be attached with all the necessary documents absence of which can lead to complication.
chscommunity human servicesEMERGENCY BOARD OF DIRECTORS .docx
chs
community human services
EMERGENCY BOARD OF DIRECTORS MEETING
MONDAY, NOVEMBER I, 2O2I
l. Approval of the Covid Vaccination Protocol for CHS Employees
a, When President Biden mandated Covid vaccinations for all Federal
employees, he further ordered it also applies to all Federal
contractors. CHS has several Federal contracts which support our
programs. CEO Everett McElveen worked with the law firm Blank
Rome LLP, Pittsburgh, to develop this policy. The local attorneys
worked with one of their firm attorneys in the Washington DC
office who specializes in Covid-related issues.
b. As the Protocol provides, CHS employees who do not meet
specified deadline for proof of vaccination or an approved medical
or religious exemption will be separated from the organization.
c. lf CHS does not comply with the Federally mandated vaccine
provrsions, we would likely lose our federal funds. Accordingly,
the Board is requested to approve this Protocol.
Action ltem: To approve the CHS Covid Vaccination Protocol
Next Board Meetino: Thursdav. November 18. 2021. 4:OO PM
Covid Vaccination Protocol
As of December 8th,2021., all Community Human Services (CHS) staffwill need to be fully
vaccinated due to our partnerships with federal/state and local entities which require us to comply with
newly issued government orders mandating covid-19 vaccinations. Each employee of CHS will need to
be fully vaccinated which means both doses of the ffizer or Moderna vaccine, or the single dose
Johnson & Johnson vaccine and receive their booster for Johnson & Johnson inoculation 2 months after
the initlal dose.
Vaccine Specific lnformation
PfiZgf,
"
t*o-dose vaccination given 21 days apart with this protocol the first dose cannot be
taken later than, Wednesday November 10th, 2021. The second dose due no later than Wednesdav
December 1st. This dosing schedule & calculation does not include the two-week post vaccination
period in which the antibodies become fully active, and after the two-week period the person is now
considered fully vaccinated per CDC Covid Vaccination Guidelines. Please also consider the booster shot
available 6 months after your last vaccination dose.
MOdgf na, a two-dose vaccination given 28 days apart with this protocol the first dose
cannot be taken later than, Wednesday November 3d, 2021. The second dose is due no later than
December L't, 2021. This dosing schedule & calculation does not include the two-week post vaccination
period in which the antibodies become fully active, and after the two-week period the person is now
considered fully vaccinated per CDC Covid Vaccination Guidelines. Please also consider the booster shot
available 6 months after your Iast vaccination dose.
JOhnSOn & JOhnSOn, a single dose vaccination-the last date with this protocol to
receive this vaccination is Novembel 24'h, m2L. This dosing schedule & calculation includes the two-
week post vaccination period in which the antibodies become fully active, and the.
Uid In Healthcare
This presentation gives details of how healthcare sector can utilize unique identification number.
How to Initiate a Life Insurance Claim
Here's everything you need to know before you initiate a life insurance claim.
Find out all about all the documents you need and the steps you need to take.
Health Suraksha Health Insurance Claim Form - HDFC ERGO
HDFC ERGO is a leading health Insurance provider in India, Download here Health Suraksha Health Insurance Claim Form.
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chscommunity human servicesEMERGENCY BOARD OF DIRECTORS .docx
chscommunity human servicesEMERGENCY BOARD OF DIRECTORS .docx
ART BILL 2013 and Dos and Donts for Surrogacy/ Third Party ART in India
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Physiology of Special Chemical Sensation of Taste
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Physiology of Chemical Sensation of smell.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
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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.
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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
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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.
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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)
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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
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
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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
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