This document summarizes a study on 18 children with isolated tuberculosis of the spine (caries spine) who were treated between 2005-2010. 12 children presented with neurological deficits while 5 had spinal deformities. 10 were treated conservatively with antibiotics and 8 underwent surgical decompression. All children who underwent surgery recovered fully, with paraplegic patients regaining function within 5-16 months. The study concludes surgical decompression is important for treating neurological deficits from caries spine in children.
Pediatric cervical spine clearance: A review and understanding of the conceptsApollo Hospitals
Cervical spine injuries are uncommon in pediatric trauma
patients. Delayed or missed diagnosis is usually attributed to failure to suspect an injury to the cervical spine, or to inadequate cervical spine radiology and incorrect interpretation of radiographs. New imaging techniques have become available, but did not solve the problem, adding their own ‘baggage’, such as cost, availability, logistic difficulties, radiation dosage, lack of specificity and evidence of effectiveness or safety.
Chest sonography images in neonatal r.d.s. And proposed gradingiosrphr_editor
BACKGROUND : Lung sonography has been used to monitor the patients of R.D.S. in
N.I.C.U. in recent times.
AIMS : To Describe and Grade the changes of R.D.S. by lung sonography.
SETTING & DESIGN : Tertiary care institutional set up in a rural medical college.
STUDY DURATION : September 2014 to May 2015. Follow-up variable, upto 2 weeks.
PROSPECTIVE, ANALYTICAL STUDY.
MATERIALS AND METHODS -This was a single institute study approved by the institutional ethics
committee. Prior informed consent was obtained from the parents. 100 consecutive patients admitted in
N.I.C.U. WITH gestational age < 36 weeks with respiratory complaints were enrolled. Chest x-ray was
obtained within few hours of admission and lung sonography was performed within 24 hours. Follow – up
sonography was performed as and when necessary. Sonography image was graded and correlated with chest
xray and clinical picture
During one-year period from June,2018 to June 2019, four patients with myelomeningocele were observed. Three of the patients were referred for us for treatment and received new therapies aiming at treating the nervous tissue damage associated with myelomeningocele and improving the associated neurological dysfunction. The fourth observed patient was treated by other physicians mainly with physiotherapy and received no specific medical therapy. All the patients had hydrocephalus of variable severity and three of them have already been treated with a ventriculo-peritoneal shunt. Parenteral cerebrolysin was used in three patients with the aim of regenerating the spinal cord cells. Nandrolone decanoate was used in one patient with aim of strengthening muscles of legs.
An Extremely Rare Case of the Traumatic Spinal Epidural Hematoma in a Child: ...CrimsonPublishersTNN
An Extremely Rare Case of the Traumatic Spinal Epidural Hematoma in a Child: Case Report and Review of the Literature by Ivan Domazet in Techniques in Neurosurgery & Neurology
Pediatric cervical spine clearance: A review and understanding of the conceptsApollo Hospitals
Cervical spine injuries are uncommon in pediatric trauma
patients. Delayed or missed diagnosis is usually attributed to failure to suspect an injury to the cervical spine, or to inadequate cervical spine radiology and incorrect interpretation of radiographs. New imaging techniques have become available, but did not solve the problem, adding their own ‘baggage’, such as cost, availability, logistic difficulties, radiation dosage, lack of specificity and evidence of effectiveness or safety.
Chest sonography images in neonatal r.d.s. And proposed gradingiosrphr_editor
BACKGROUND : Lung sonography has been used to monitor the patients of R.D.S. in
N.I.C.U. in recent times.
AIMS : To Describe and Grade the changes of R.D.S. by lung sonography.
SETTING & DESIGN : Tertiary care institutional set up in a rural medical college.
STUDY DURATION : September 2014 to May 2015. Follow-up variable, upto 2 weeks.
PROSPECTIVE, ANALYTICAL STUDY.
MATERIALS AND METHODS -This was a single institute study approved by the institutional ethics
committee. Prior informed consent was obtained from the parents. 100 consecutive patients admitted in
N.I.C.U. WITH gestational age < 36 weeks with respiratory complaints were enrolled. Chest x-ray was
obtained within few hours of admission and lung sonography was performed within 24 hours. Follow – up
sonography was performed as and when necessary. Sonography image was graded and correlated with chest
xray and clinical picture
During one-year period from June,2018 to June 2019, four patients with myelomeningocele were observed. Three of the patients were referred for us for treatment and received new therapies aiming at treating the nervous tissue damage associated with myelomeningocele and improving the associated neurological dysfunction. The fourth observed patient was treated by other physicians mainly with physiotherapy and received no specific medical therapy. All the patients had hydrocephalus of variable severity and three of them have already been treated with a ventriculo-peritoneal shunt. Parenteral cerebrolysin was used in three patients with the aim of regenerating the spinal cord cells. Nandrolone decanoate was used in one patient with aim of strengthening muscles of legs.
An Extremely Rare Case of the Traumatic Spinal Epidural Hematoma in a Child: ...CrimsonPublishersTNN
An Extremely Rare Case of the Traumatic Spinal Epidural Hematoma in a Child: Case Report and Review of the Literature by Ivan Domazet in Techniques in Neurosurgery & Neurology
Study of current pattern of Cervical Spondylotic Myelopathy and to evaluate t...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
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
Safe surgical dislocation[ssd] for avascular necrosis hip[ avn]drashraf369
presenting a novel technic to treat avascular necrosis of hip.AVN hip is a challenge for any orthopaedic surgeon especially in precollapse stage. here dr mohamed ashraf and dr jyothis george from govt TD medical college alleppey kerala india demonstrate a novel and effective method to arrest the progression of disease to collapse.instead of performing a conventional core decompression they do multiple micro core decompression through safe surgical dislocation of GANTZ .in addition they are supplementing the procedure with intralesional infiltration of zolidronic acid to prevent structural collapse.
Correlation of Estrogen and Progesterone Receptor expression in Breast Canceriosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Value of routine ultrasound examination at 35–37 weeks’ gestation in diagnosi...Võ Tá Sơn
Value of routine ultrasound examination at 35–37 weeks’ gestation in diagnosis of fetal abnormalities
Vai trò của siêu âm quý 3 trong phát hiện dị tật thai
Pediatric Meningiomas- A Case Report and Review of the Literature_ Crimson Pu...Crimsonpublisherssmoaj
Pediatric Meningiomas- A Case Report and Review of the Literature by Adrian Kelly*, Tshepang Tau and Tshilidzi Sidiki in Crimson Publishers: Annals of Medicine and Surgery
Background: Pediatric meningiomas are relatively rare accounting for only 3% of intracranial neoplasms. As such most of the literature on pediatric meningiomas exists in the form of isolated case reports or as a case series with small patient numbers. Despite this scarcity of literature several important features distinguish pediatric meningiomas from those that occur in adults. These include unique risk factors; a male predominance; larger tumor sizes at presentation; unusual sites of occurrence including intraventricular and parenchymal; higher World Health Organization histological grades; more aggressive clinical behavior and an increased tendency for recurrence. We present a 12-year-old male patient whom presented to our unit with a left fronto-parietal convexity meningioma of an alarming size.
Methods: A 12-year-old male patient presented to our unit with an eight-month history of a progressive headache complicated by a two-week history of vomiting. He also complained of progressive weakness of the right side of his body which had worsened to a point that he was no longer independently ambulant. General examination revealed craniomegaly with tortuous scalp veins. Neurological examination revealed a right upper motor neuron facial nerve palsy and a right hemiplegia of 2/5. Radiological investigation revealed an extremely large left fronto-parietal dural based space-occupying lesion which crossed the midline. Due to the adolescent’s progressive neurology he was taken to the operating room for emergency resection of the lesion. Gross total resection was achieved, and histopathological analysis confirmed the lesion to be a fibroblastic meningioma.
Result: Post-operatively the patient demonstrated a complete resolution of his hemiplegia and at three weeks post operatively he was already independently ambulant with power 4/5 on the previously hemiplegic side.
Conclusion: Despite the notorious features that characterize pediatric meningiomas, as well as an often-intimidating radiological appearance, adherence to standard Neurosurgical operating principles has the best chance of ensuring a successful outcome.
https://crimsonpublishers.com/smoaj/fulltext/SMOAJ.000530.php
For more Open access journals in Crimson Publishers
Please click on: https://crimsonpublishers.com/
For more Articles on Annals of Medicine and Surgery
Please click on link: https://crimsonpublishers.com/smoaj/index.php
Drs. Milam and Thomas's CMC X-Ray Mastery Project: February CasesSean M. Fox
Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
• Mycoplasma pneumonia
• Thoracic aortic aneurysm
• Hydropneumothorax
• Sternal fracture
• Foreign body
• Iatrogenic pneumothorax
• Pulmonary contusion
• Type A aortic dissection
• Cardiomegaly
• PCP pneumonia
• Pneumothorax
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: December CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Hemopneumothorax
- COVID Pneumonia
- Metastatic Testicular Cancer
- Tension Pneumothorax
- Acute Chest Syndrome
- Status Asthmaticus
- Severe Anemia
- Pulmonary Infarct and Pulmonary Embolism
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery September CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including: Tetralogy of Fallot, Congenital Diaphragmatic Hernia, Clavicle Fracture, Lung Agenesis, Ingested Foreign Body, Truncus Arteriosus.
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Tuberculosis of Spine for Medical students, Neurosurgeons, Orthopedic Surgeons and Nursing students. Covers history, presentation, clinical features, pathoanatomy, treatment and surgical options. Data taken from textbook by S M Tuli.
Study of current pattern of Cervical Spondylotic Myelopathy and to evaluate t...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
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
Safe surgical dislocation[ssd] for avascular necrosis hip[ avn]drashraf369
presenting a novel technic to treat avascular necrosis of hip.AVN hip is a challenge for any orthopaedic surgeon especially in precollapse stage. here dr mohamed ashraf and dr jyothis george from govt TD medical college alleppey kerala india demonstrate a novel and effective method to arrest the progression of disease to collapse.instead of performing a conventional core decompression they do multiple micro core decompression through safe surgical dislocation of GANTZ .in addition they are supplementing the procedure with intralesional infiltration of zolidronic acid to prevent structural collapse.
Correlation of Estrogen and Progesterone Receptor expression in Breast Canceriosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Value of routine ultrasound examination at 35–37 weeks’ gestation in diagnosi...Võ Tá Sơn
Value of routine ultrasound examination at 35–37 weeks’ gestation in diagnosis of fetal abnormalities
Vai trò của siêu âm quý 3 trong phát hiện dị tật thai
Pediatric Meningiomas- A Case Report and Review of the Literature_ Crimson Pu...Crimsonpublisherssmoaj
Pediatric Meningiomas- A Case Report and Review of the Literature by Adrian Kelly*, Tshepang Tau and Tshilidzi Sidiki in Crimson Publishers: Annals of Medicine and Surgery
Background: Pediatric meningiomas are relatively rare accounting for only 3% of intracranial neoplasms. As such most of the literature on pediatric meningiomas exists in the form of isolated case reports or as a case series with small patient numbers. Despite this scarcity of literature several important features distinguish pediatric meningiomas from those that occur in adults. These include unique risk factors; a male predominance; larger tumor sizes at presentation; unusual sites of occurrence including intraventricular and parenchymal; higher World Health Organization histological grades; more aggressive clinical behavior and an increased tendency for recurrence. We present a 12-year-old male patient whom presented to our unit with a left fronto-parietal convexity meningioma of an alarming size.
Methods: A 12-year-old male patient presented to our unit with an eight-month history of a progressive headache complicated by a two-week history of vomiting. He also complained of progressive weakness of the right side of his body which had worsened to a point that he was no longer independently ambulant. General examination revealed craniomegaly with tortuous scalp veins. Neurological examination revealed a right upper motor neuron facial nerve palsy and a right hemiplegia of 2/5. Radiological investigation revealed an extremely large left fronto-parietal dural based space-occupying lesion which crossed the midline. Due to the adolescent’s progressive neurology he was taken to the operating room for emergency resection of the lesion. Gross total resection was achieved, and histopathological analysis confirmed the lesion to be a fibroblastic meningioma.
Result: Post-operatively the patient demonstrated a complete resolution of his hemiplegia and at three weeks post operatively he was already independently ambulant with power 4/5 on the previously hemiplegic side.
Conclusion: Despite the notorious features that characterize pediatric meningiomas, as well as an often-intimidating radiological appearance, adherence to standard Neurosurgical operating principles has the best chance of ensuring a successful outcome.
https://crimsonpublishers.com/smoaj/fulltext/SMOAJ.000530.php
For more Open access journals in Crimson Publishers
Please click on: https://crimsonpublishers.com/
For more Articles on Annals of Medicine and Surgery
Please click on link: https://crimsonpublishers.com/smoaj/index.php
Drs. Milam and Thomas's CMC X-Ray Mastery Project: February CasesSean M. Fox
Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on:
• Mycoplasma pneumonia
• Thoracic aortic aneurysm
• Hydropneumothorax
• Sternal fracture
• Foreign body
• Iatrogenic pneumothorax
• Pulmonary contusion
• Type A aortic dissection
• Cardiomegaly
• PCP pneumonia
• Pneumothorax
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: December CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Hemopneumothorax
- COVID Pneumonia
- Metastatic Testicular Cancer
- Tension Pneumothorax
- Acute Chest Syndrome
- Status Asthmaticus
- Severe Anemia
- Pulmonary Infarct and Pulmonary Embolism
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery September CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including: Tetralogy of Fallot, Congenital Diaphragmatic Hernia, Clavicle Fracture, Lung Agenesis, Ingested Foreign Body, Truncus Arteriosus.
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Tuberculosis of Spine for Medical students, Neurosurgeons, Orthopedic Surgeons and Nursing students. Covers history, presentation, clinical features, pathoanatomy, treatment and surgical options. Data taken from textbook by S M Tuli.
Invasive Fungal Sinusitis: Management of the
Orbit, a Multi Institutional Study and Review of
Literature by Abhishek Kumar Ramadhin in Experiments in Rhinology & Otolaryngology
https://crimsonpublishers.com/ero/fulltext/ERO.000522.php
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery January CasesSean M. Fox
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Swallowed Magnets
• Complex Left Lower Lobe Pneumonia
• Empyema
• Right Middle Lobe Pneumonia
• Pulmonary Hemorrhage
• Multifocal Pneumonia + Influenza
• Pectus Excavatum
Treatment and early outcome of 11 children with hepatoblastoma.Dr./ Ihab Samy
Fouad A. Fouad saleep MD., Ihab samy Fayek MD.
Department of Surgical Oncology – National Cancer Institute – Cairo University - Egypt.
Kasr el-aini medical journal Volume 18, No.4, October 2012.
Lipids are a heterogenous group of
water –insoluble ( hydrophobic ) organic
molecules. Presentation on how they affect the body and what to do to prevent their effects.
A recent decree by the Medical Council of India has made it mandatory for Indian doctors to attend conferences and get credit points to renew their licence to practice.
There is hence a mad rush to attend all conferences.
But the MCI would do well to evaluate conferences that they are forcing us to attend.
Medico legal and patient safety through information disseminationIndian Health Journal
Technology can be at the forefront of patient safety and avoid doctors falling into medical legal issues. Communication is the key and technology provides some good mediums for the same
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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!
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
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
Workout Routine
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.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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
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.
Childhood spinal tubercular osteomyelitis- case paper - dr r l shahu
1. Isolated Caries spine in children – DR R L Shahu
Abstract
Background
Pulmonary tuberculosis in infants and children in India is quite common and skeletal
tuberculosis accounts for 10-20% of all extra pulmonary cases. Tuberculosis of spine or
caries spine is a serious disease and if not treated adequately, carries high morbidity and
mortality. This study was undertaken to highlight the occurrence of bone destruction,
spinal deformity and neural complications in children if not diagnosed early and treated
properly.
Materials and Methods
A prospective study of 18 children with the diagnosis of caries spine was done during the
period of July 2005 to July 2010. All the children were within 10 years of age. Out of 18,
11 were male and 7 were female with the mean age of 5.2 years. Pulmonary involvement
of tuberculosis were not found in all the children. Out of 18, 12 children were
neurological deficit and 5 were having gibbus deformity. Out of 18 children, 10 were
treated conservatively and 8 by operations. Diagnosis was based on clinical features,
history of contact with tuberculous patient, abnormalities on chest and spine X-rays and
magnetic resonance imaging studies of spine.
Results
Total number of patients studied was 18. Among them 18 (100%) cases of low back
pain, constitutional symptoms 14 (71%), Para spinal abscesses 7 (39%), neurological
deficit 12 (66.7%) and spinal deformity 5 (27.8%). 55.5% patients were treated with
conservatively and 45.5% were treated operatively. All patients were treated according to
DOTS strategy, and 7 (39%) underwent surgical drainage of abscesses. The entire patient
with paraplegia recovered by 5 to 16 months except one who was lost to follow up. Non
paraplegia patients were mobilized at 5 months. This procedure helped in early cure with
bony fusion, quick recovery from spinal cord dysfunction when associated with pressure
on the spinal cord and prevented progressive vertebral destruction responsible for
kyphotic deformity.
Conclusions
In caries spine conservative treatment will continue to be successful in majority of cases
but when indicated, especially in patients with neurological deficit, good decompression
and fusion should be done promptly and neurological deficit due to tuberculosis of spine
2. is reversible in majority of cases especially if decompression is done promptly. Good
fusion and stabilization can prevent pain and late deformity
Key words: Caries spine, Gibbus, Para spinal abscess, Paraplegia.
Introduction
SPINAL tubercular infection is the most common and dangerous form of skeletal
tuberculosis. It constitutes 1/3 to 1/2 of all bone and joint tuberculosis. It is a result of
hematogenous dissemination from primary focus in the lungs, lymph nodes, etc1.
Thoracic and lumbar spine are commonly affected area. 10-40% of patients with thoracic
spine tuberculosis may get neurological deficit. Urgent Measures are needed to halt
progression of destruction and deformity and especially to prevent and overcome
paraplegia. Proper selection of drug therapy and operative modalities, however, is needed
to optimize functional outcome for each individual case of Pott’s disease 2.
3. Materials and Methods
Between July 2005 to July 2010, a total of 8 patients underwent surgical treatment with
spinal decompression. Out of 8 patients, bone grafting done in 5 patients having gibbus
deformity. Out of 18, 10 patients were kept on conservative treatment with antitubercular
drugs. The mean follow up was 14 months (range 12 to 19 months). Inclusion criteria:
1.Children were within 2-10 years of age, 2. Isolated caries spine with and without
neurological deficit. 3. Early onset of paraplegia is included. Exclusion criteria: 1.Extra
spinal tuberculosis is excluded. 2. Let onset of paraplegia is excluded. Tuberculosis
diagnosis was confirmed by a combination of clinical and Para clinical findings.
Laboratory examinations included: CBC, ESR, PPD, smear and culture of gastric lavage
and abscess discharge for AFB, chest X-ray and CT-scan, abdominal CT-scan, spinal X-
rays, and spinal MRI All patients benefited from antituberculous chemotherapy. The
regimen adopted was 2SRHZ/10RH in all cases: Streptomycin (1 mg/kg/day), Rifampicin
(10 mg/kg/day), Isoniazid (5 mg/kg/day) and Pyrazinamide (30 mg/kg/day) were
administrated during 2 months and then Rifampicin and Isoniazid were continued during
the following 10 months. A hepatic assessment of the control was systematically carried
out every 3 months until the end of the treatment protocol. Average preoperative
treatment in all paraplegics was 3 weeks and that in non paraplegics 18 weeks.
Streptomycin was discontinued in all the children after 20 weeks.
INDICATIONS FOR SURGERY
1. Caries spine without neurological deficit
• Large abscess.
• Large destruction not responding to ATT - Pain ++.
• Spine at risk in children.
2. Caries spine with neurological deficit
• All indications recommended in middle path regime
• Significant neurological deficit with demonstrable
Operative procedure: Para spinal transthoracic approach reached from the left side was
used for upper thoracic spine. This approach was used in 3 patients.Oblique transthoracic
approach from left side was used for lower thoracic spine. This approach was used in 3
4. patients. For all thoraco-lumber lesions, trans-thoracic retroperitoneal approach was used.
Table 5
This approach was used in 2 patients. The third rib was excised to reach the first to fourth
vertebral bodies. To approach fifth thoracic to eleventh thoracic vertebral bodies the rib
that felt to the level of the lesions in mid axillary line. In all children either with or with
out paraplegia the vertebral lesion was thoroughly excised till the spinal cord was
exposed after the abscess was well evacuated. The intervertebral gap following excision
of the lesion was bridged with autogenous bone grafts. Figure 3 After correcting the
kyphotic deformity to the possible degree, Rib grafts were used in 5 patients. The
common pathology responsible for paraplegia in all the children was pus and granulation
tissue.
Observations: Out of the 18 children with caries spine in this study the youngest was 2
years and the oldest was 10 years old. Maximum numbers of patient were between 2 to 3
years of age. Table 1.The male were 11 and female were 7. All the children came from
low socio economic groups and poor hygienic sourroundings.The exact duration of
disease could not be ascertained properly. It varied from 2 months to one year. Out of the
18 children 4 had lesions in upper thoracic spine, 9 in lower thoracic and 5 in
thoracolumber spine. Table 2,3 None of them presented with more than one lesion.
Minimum 2 and maximum 3 vertebral bodies were affected. Figure 1, 2 Out of 18
children, 12 had neurological deficit at the time of admission. Out of 12, 8 had complete
upper motor neuron type of paraplegia with bladder and bowel involvement, and 4 had
Para paresis without bladder and bowel involvement. The onset of paraplegia was sudden
in 4 and gradual in 8 patients. Skiagrams of 7 children with thoracic lesions showed Para
vertebral abscess. In 5 children with thoracic lesions showed gibbus deformity. Table 3
Ethical and legal procedure
The protocol was approved by an ethics committee and thus meets the standards of the
Declaration of Helsinki in its revised version of 1975 and amendments made to it in
1983, 1989 and 1996 (JAMA 1997; 277:925–6).
5. Results: All the 12 children with partial and complete paraplegia, recovered fully,4 of
them in 6 months, 6 at 10 months and 2 at 12 months. Eighteenth children were followed-
up from 10 to 20 months at monthly intervals after they were discharged as inpatients. All
those children without paraplegia were ambulated 5 months after surgery and those with
paraplegia were ambulated soon after the recovery from neurological deficit, ranging
from 5 to 16 months. In all the 5 children the bone grafts had taken up in 3 to 4 months
time. There was no slipping of the graft in any of the children. Figure 3,4 Posterior spinal
fusion was not done in any of the patients to augment the stability of the spine. There was
no mortality or recrudescence of the disease in any of the 18 children at follow-up.
6. Discussion:
Pott's paraplegia resulting in severe spinal deformity is a disastrous complication, which
is difficult to treat by chemotherapy alone and/or by surgical decompression. 3,4 It is
generally accepted that Pott's paraplegia in early spinal tuberculosis can be cured
effectively through chemotherapy alone.5,6 In our series 4 patients out of 12 patients of
pott’s paraplegia were successfully treated with chemotherapy alone. Hsu et al.
recommended surgical decompression of the compressed cord at the level of active
tuberculous focus and kyphosis since this resulted in good neurological results.7
Paraplegia together with residual spinal deformity is one of the most disastrous
complications of Pott's disease.3,4,6,8,9,10,11 Up to now, there have been numerous papers
which dealt with Pott's paraplegia12,13,14,15,16 however, there are only a few papers, which
addressed Pott's paraplegics complicated by severe spinal deformity.11,12,15 In our series 5
patients out of 18 had gibbus deformity. An accurate assessment of the disease activity is
necessary in order to achieve a successful outcome before any initiation of treatment. A
single radiographic assessment of activity is notoriously difficult because a patient does
not always show clinical evidence of activity. Generally, it has been believed that
chemotherapy alone is an inappropriate method for managing paraplegia in patients with
advanced tuberculosis and deformity,1,7,16 since paraplegia usually resolves rapidly after
adequate decompression. Many surgeons believe that it is inappropriate to require a
patient to lie paralyzed for extended periods waiting for a cure through conservative care,
and prefer management by anterior decompression and fusion with bone graft.1,7,10,16
Therefore, the afore-mentioned treatment protocol has been well accepted, and was used
for paraplegic patients with mild and moderate degrees of spinal deformity. In our series
8 patients had paraplegia with bladder and bowel involvement with Para spinal abscess
and 4 patients had Para paresis without involvement of bladder and bowel.
Decompression was done in 8 patients with paraplegia and rests were treated
7. conservatively. All the patients recovered fully due to early diagnosis and treated
promptly. However, those principles could not effectively solve the neurological
problems in Pott's paraplegic patients with severe spinal deformity. Chemotherapy was
instituted first, but when patients were unresponsive, and had worsening neurology,
decompression surgery was indicated. In these patients, radical decompressive surgery
carried a high neurological risk with only a small chance of recovery. In previous studies,
the senior author of this study had listed the factors influencing the neurological recovery
rate in Pott's paraplegics.5,6 The recovery rate is influenced by many factors such as: the
patient's general condition, the patient's age, the condition of the spinal cord, the level,
duration and severity of paraplegia, the time of onset before the initiation of treatment,
the type of treatment, and the patient's drug sensitivity. Paralysis persisting longer than 6
months is unlikely to improve. Late paralysis with inactive disease and significant
kyphosis is much less responsive to treatment as found in this current series. Paralysis
caused by vascular embarrassment has a worse prognosis. Patients with an atrophic spinal
cord assessed by a preoperative MRI usually do poorly after decompression. In treating
adult patients with chronic Pott's paraplegics with severe spinal deformity,
decompression surgery should be avoided to prevent damage to the circulation and the
compressed spinal cord. However, for child paraplegics, more promising results may be
obtained through decompression surgery. That is, neurological recovery was better in
children who had decompression surgery than in adults who received chemotherapy
alone or in combination with decompression surgery. It is noteworthy to remind treating
physicians and surgeons that paraplegics with a severely deformed spine showed a
different neurological response to chemotherapy treatment or combined chemotherapy
and surgical treatments than those paraplegics with mild to moderate degrees of spinal
deformity. When surgical decompression is chosen as a last choice of treatment, each
patient should be cautioned about the high neurological risk and the slim chance of
neurological recovery by surgery even under the cover of chemotherapy.6,17 Adult
paraplegic with severe spinal deformities had poorer spinal cord conditions than those
with milder deformities.5,18 Thus, it is essential to assess the condition of the spinal cord
through plain X-rays, myelograms, C-T myelograms and MRI before any treatment
commences. It is strongly recommended that a spinal cord circulation study be conducted
wherever possible. In two cases of this current series, the authors attempted to combine
decompression surgery with posterior corrective and instrumented stabilization surgery
because of segmental instability after decompression surgery. In one case, the deformity
was corrected successfully and neurological recovery ensued, while in the other cases,
there was no neurological recovery despite effective decompression and a relatively good
correction of the deformity. For corrective surgery the risk of neurological damage by
operative distraction was related both to the severity of the original deformity and to the
degree of correction. For posterior instrumented corrective surgery, the length of the
vertebral canal and vertebral column should be considered. A short cord may be placed at
more risk in idiopathic scoliosis by posterior instrumented correction because of the short
vertebral canal in comparison to the vertebral column. Thus, anterior surgery excising the
body and discs may lengthen the vertebral canal relatively, and is less dangerous to the
8. spinal cord.19 A preoperative measurement of the vertebral canal and column length
might help to quantify the risk of neurological damage. In this study, it was found that the
patients with active tuberculosis, who showed a neurological response after the start of
chemotherapy, achieve more favorable result when surgery was combined, In our series
all the children with partial paralysis made complete recovery in 4 months time. Of the 8
children with complete paraplegia, 6 recovered in 10 months and 2 in 12 months.
"Conflict of interest: None."
References :
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Syst 2005 Jan; 21(1): 19-26.
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59.
4 Moon MS & Lee MK. The Change of the kyphosis of the tuberculosis of spine in
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6 Moon MS. Tuberculosis of the spine–controversies and a new challenge.
Spine 1997; 22(15): 1791–1797. |
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report on 40 cases. J Bone Joint Surg 1984; 66B: 1–5.
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179–192. |
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1916. |
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13 Kim BJ, Ko HS & Lin Y et al. Surgical treatment of paraplegia in spinal
10. tuberculosis. J Korean Orthop Assoc 1993; 28: 1595–1602.
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1974; 9: 209–220.
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Table 1: Tuberculosis in different age and sex.
Serial Age in years Present series Sex
Number
M F
__________________________________________________________
1 0-1 0 0 0
2 2-3 6 4 2
3 4-5 3 1 2
11. 4 6-7 5 4 1
5 8-10 4 2 2
Total 18 11 7
___________________________________________________________
Table 2: Site of caries spine in different age
Age
_____________________________
Site of infection 0-1 2-3 4-5 6-7 8-10 Total
__________________________________________________________
Cervical 0 0 0 0 0 0
Upper thoracic 0 0 1 2 1 4
Lower thoracic 0 2 2 3 2 9
Thoraco lumber 0 4 0 0 1 5
___________________________________________________________
Table 3: Site of caries spine in different sex
Sex
_________________
Site of infection Male Female
_____________________________________
12. Cervical 0 0
Upper thoracic 2 2
Lower thoracic 6 3
Thoraco lumber 3 2
_____________________________________
Table 4: Signs and symptoms in caries spine
_____________________________
Back pain 18
Constitutional symptoms 14
Pulmonary symptoms 0
Para spinal abscesses 7
Neurologic deficits 12
Spinal deformity 5
__________________________________
Table 5: Management of caries spine
No. of patient on No. of patient on
13. Conservative Operative Treatment
Treatment
_______________________________________________
10 3- Para spinal transthoracic approach
3- Oblique transthoracic approach
2- trans-thoracic retroperitoneal approach
_________________________________________________
Figure 1. Preoperative skiagram of anteroposterior and lateral view showing
caries spine of D12 L1 vertebrae, destruction and collapse of L1 vertebra and
intervening discs with gibbus deformity in lateral view.
Figure 2. Sagital view of magnetic resonance imaging showing caries spine of
D12 L1 vertebrae, destruction and collapse of L1 vertebra and intervening
discs with Para vertebral and psoas abscess.
14. 2
‘
Figure 3. Postoperative skiagram of anteroposterior and lateral view showing
D12 L1 collapse is filled with rib graft to correct gibbus deformity.
Figure 4. Postoperative skiagram showing corrected gibbus deformity.