Tuberculosis should be evaluated in children and patients who have had a fever for more than 2 weeks, have a decreased appetite, are not gaining weight or are losing weight, have a minor cough, expanding node/swelling in the neck, or stomach pain/distension, and are not responding to antibiotics.
Our facility is well-equipped to diagnose and treat tuberculosis patients. Dr. Jasmeet K. Wadhwa is a renowned pulmonologist and expert on tuberculosis. She does a detailed history and physical examination to diagnose tuberculosis in a patient. A tuberculin test and sputum analysis, as well as a chest X-ray and other blood investigations, may be required of the patient.
Wellkins is progressive and we value inclusivity; our efforts are backed by experience, technology, research and best practices established by the state of Qatar. Children, youth, family, elderly can all turn to us in times of need.
Wellkins is progressive and we value inclusivity; our efforts are backed by experience, technology, research and best practices established by the state of Qatar. Children, youth, family, elderly can all turn to us in times of need.
WHOOPING COUGH: ACTION PLAN
INTRODUCTION
Whooping cough also known as pertussis
It is described as an acute respiratory infection of the nose, throat and lungs
It is caused by a germ referred to as Bordetella pertussis
It is infectious and affects individuals of all ages
It is preventable through immunization
Early detection is very critical.
SYMPTOMS
It is characterized by a runny nose, fever and persistent coughs
The cough can cause vomiting, choking and gasping for breath characterized by a whooping sound.
The cough lasts for several months
Infants may require medical attention
TRANSMISSION
It is spread when the infected individuals cough or sneeze without covering their mouth and noses
Individual who are close to them are in turn exposed to the germs
The period between exposure and mortality is usually 7-10 days but it can even be up to 3 weeks
An individual who is untreated is regarded as infectious for the first three weeks
After five days the infected individual after receiving antibiotics is no longer infectious.
PREVENTION
Immunization
All four doses of the pertussis, diphtheria and tetanus combination vaccine (DTaP) given to babies on time is critical.
Infected individuals must be kept away from infants.
IMMUNIZATION
Infants and young children: Administered to children at six weeks, 4 months, 6 months and 4 years respectively
Teenagers: Protection at infancy lessens after 5-10 years, a booster dose at 10 years is therefore critical
Adults: Partners planning for pregnancy, parent and grandparent of new born infant and anyone in close contact to the infant
CASE DEFINITIONS
Suspected case: Any individual who will be suspected with pertussis i.e. unexplained coughing that has lasted more than 14 days
Confirmed case: Any individual who shows signs and symptoms of pertussis acquired from a respiratory specimen or positive serology
DIAGNOSIS
A nose and throat swab.
A blood test
Notification of cases must be notified to the health department
Families and people in contact with the affected must be followed up
IDENTIFICATION OF CASE CONTACTS
Case Contacts : individual who share confined spaces i.e. 6 feet from each other
Household and family members
Those with direct contact to respiratory secretions
Healthcare workers
Close friends, social contacts, boyfriends, girlfriends
Students sitting within 3 feet at school
Contacts at church activities and employment
Participants in extracurricular activities
Children attending after-school care or a playgroup
PRIORITY GROUPS
Group 1: Children under the age of 1 year old with fewer than three doses of pertussis vaccine. Mostly at risk from severe complications
Group 2: Children of any age who are severely immunocompromised
Group 3: Individuals at risk of transmitting pertussis to those in Group 1 and 2, but only if they are unvaccinated against pertussis, or were vaccinated less than 1 week or more than 5 years ago
Pregnant women > 32 weeks gestation
HCW.
Whooping cough is a highly contagious disease caused by pertussis bacteria and may lead to death, particularly in infants less than 12 months of age. Whooping cough is preventable but Although it can be prevented by routine vaccination, it still affects many people, it can have serious complications including death. Management is only supportive. The majority need to be vaccinated to help protect those too young to be vaccinated.
It is an inflammation of the middle ear. The diagnosis includes signs and symptoms of infection of the middle ear, such as otalgia, fever, and irritability, as well as the presence of fluid in the middle ear.
Most nonspecific upper respiratory tract infections have a viral,not bacterial, etiology and tend to resolve spontaneously. Otitis media is most common in infants and children.
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!
WHOOPING COUGH: ACTION PLAN
INTRODUCTION
Whooping cough also known as pertussis
It is described as an acute respiratory infection of the nose, throat and lungs
It is caused by a germ referred to as Bordetella pertussis
It is infectious and affects individuals of all ages
It is preventable through immunization
Early detection is very critical.
SYMPTOMS
It is characterized by a runny nose, fever and persistent coughs
The cough can cause vomiting, choking and gasping for breath characterized by a whooping sound.
The cough lasts for several months
Infants may require medical attention
TRANSMISSION
It is spread when the infected individuals cough or sneeze without covering their mouth and noses
Individual who are close to them are in turn exposed to the germs
The period between exposure and mortality is usually 7-10 days but it can even be up to 3 weeks
An individual who is untreated is regarded as infectious for the first three weeks
After five days the infected individual after receiving antibiotics is no longer infectious.
PREVENTION
Immunization
All four doses of the pertussis, diphtheria and tetanus combination vaccine (DTaP) given to babies on time is critical.
Infected individuals must be kept away from infants.
IMMUNIZATION
Infants and young children: Administered to children at six weeks, 4 months, 6 months and 4 years respectively
Teenagers: Protection at infancy lessens after 5-10 years, a booster dose at 10 years is therefore critical
Adults: Partners planning for pregnancy, parent and grandparent of new born infant and anyone in close contact to the infant
CASE DEFINITIONS
Suspected case: Any individual who will be suspected with pertussis i.e. unexplained coughing that has lasted more than 14 days
Confirmed case: Any individual who shows signs and symptoms of pertussis acquired from a respiratory specimen or positive serology
DIAGNOSIS
A nose and throat swab.
A blood test
Notification of cases must be notified to the health department
Families and people in contact with the affected must be followed up
IDENTIFICATION OF CASE CONTACTS
Case Contacts : individual who share confined spaces i.e. 6 feet from each other
Household and family members
Those with direct contact to respiratory secretions
Healthcare workers
Close friends, social contacts, boyfriends, girlfriends
Students sitting within 3 feet at school
Contacts at church activities and employment
Participants in extracurricular activities
Children attending after-school care or a playgroup
PRIORITY GROUPS
Group 1: Children under the age of 1 year old with fewer than three doses of pertussis vaccine. Mostly at risk from severe complications
Group 2: Children of any age who are severely immunocompromised
Group 3: Individuals at risk of transmitting pertussis to those in Group 1 and 2, but only if they are unvaccinated against pertussis, or were vaccinated less than 1 week or more than 5 years ago
Pregnant women > 32 weeks gestation
HCW.
Whooping cough is a highly contagious disease caused by pertussis bacteria and may lead to death, particularly in infants less than 12 months of age. Whooping cough is preventable but Although it can be prevented by routine vaccination, it still affects many people, it can have serious complications including death. Management is only supportive. The majority need to be vaccinated to help protect those too young to be vaccinated.
It is an inflammation of the middle ear. The diagnosis includes signs and symptoms of infection of the middle ear, such as otalgia, fever, and irritability, as well as the presence of fluid in the middle ear.
Most nonspecific upper respiratory tract infections have a viral,not bacterial, etiology and tend to resolve spontaneously. Otitis media is most common in infants and children.
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!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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
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
Title: Sense of Smell
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 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.
Primitive, less old, and new olfactory systems with different path
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.
2. ABOUT US
Pneumonia, Asthma, Bronchitis, Tuberculosis, Allergy, Rhino-sinusitis, and
Chest Diseases are all treated at this center of excellence.
Patients with cough, noisy breathing, wheezing, difficulty breathing, chest pain, bronchitis,
rhinitis/ nasal itching/discharge/block, snoring, sinusitis, ear, nose, and skin allergies,
recurrent pneumonia, tuberculosis, Drug resistant tuberculosis, and other chest diseases
can receive the most up-to-date, scientifically proven treatment and best management at
the center.
3. SPECIALIST
Dr.JasmeetKaurWadhwa
InIndia, Dr. Jasmeet Kaur Wadhwa is a top pediatric pulmonologist,
bronchoscopist, and allergist. She earned a bachelor’s degree in medicine
from Lady Harding Medical College in NewDelhi, a master’s degree in
pediatrics from Maulana Azad Medical College in NewDelhi, and a DNB
pediatrics from Sir Ganga Ram Hospital in NewDelhi (2000-2002).
4. Treatment of Chest Diseases
There are three rare chest disorders that are not commonly diagnosed. They
necessitate skilled advice and treatment. Cystic fibrosis is one of the rare inherited
lung illnesses. It’s suspected in children who have a recurring cough, pneumonia
(lung patch), a persistent wet cough or thick tenacious sputum, salty sweat, loose
bulky or oily stools, abdominal pain, and aren’t gaining weight or prospering well.
Ifyour child exhibits these symptoms at an early age, such as before the age of one
year, visit an expert and begin an investigation for this disease.
5. TreatmentOfTuberculosis
Tuberculosis should be evaluated in children and patients who have
had a fever for more than 2 weeks, have a decreasOur facility is well-
equipped to diagnose and treat tuberculosis patients. Dr. Jasmeet
K. Wadhwa is a renowned pulmonologist and expert on tuberculosis.
She does a detailed history and physical examination to diagnose
tuberculosis in a patient. A tuberculin test and sputum analysis, as
well as a chest X-ray and other blood investigations, may be
required of the patient.
