- Coimbatore district has 47 PHCs, 9 government hospitals, and 1 medical college. Screening data is presented for various PHCs showing numbers screened for hypertension, diabetes, cervical cancer, and breast cancer.
- Issues are reported for several PHCs related to lack of NCD staff, equipment shortages, training needs, and incomplete record keeping and reporting. Actions recommended include filling staff vacancies, providing training, ensuring equipment and supplies, and improving documentation.
Krishnagiri District has 40 PHCs under the Krishnagiri HUD. There are 6 government hospitals. A table shows screening statistics for various PHCs in the district including numbers screened for hypertension, diabetes, cervical cancer, and breast cancer. Another table lists issues found at various PHCs related to screening initiation and protocols, follow-up processes, equipment and supplies, training, HMS entry, and maintenance of registers and reports. Common issues included a lack of display of screening charts and protocols, drugs only being provided every 15 days, lack of NCD passbooks, equipment shortages or non-functionality, lack of trained staff, and poor record keeping.
This document provides data on screening activities from 51 PHCs in Nagapattinam district. It includes the total number of people screened for hypertension, diabetes, cervical cancer and breast cancer in each PHC. It also lists issues reported in 12 government hospitals in the district related to NCD staffing, follow-up of patients, equipment and training. Common issues included lack of NCD staff, shortage of equipment like glucometers, and incomplete reporting of screening data online.
This document discusses standards of care for diabetes mellitus according to guidelines from 2015. It addresses the importance of type 2 diabetes as a serious disease that can lead to many complications affecting eyes, kidneys, heart, blood vessels, and nerves if not properly managed. The goals of diabetes management are to improve quality of life, reduce acute symptoms, achieve normal blood sugar levels safely, and prevent both acute and chronic complications. Key recommendations include individualizing treatment based on patient preferences and comorbidities, addressing cultural barriers to care, and focusing on evidence-based guidelines. The document also provides guidelines on screening, diagnosing, and managing diabetes, prediabetes, comorbid conditions like hypertension and dyslipidemia, and special populations like
Gestational diabetes can cause complications for both the mother and baby if not properly managed. It is important to monitor blood sugar levels and control glucose through diet, exercise and possibly medication like insulin. Maintaining near-normal blood sugar can help prevent issues like macrosomia, birth injuries, and future diabetes. Treatment aims to control glucose and reduce risks through regular monitoring, medical nutrition therapy, and starting insulin if needed to protect maternal and fetal health.
The document provides data on Primary Health Centers (PHCs) and Government Hospitals in Dindigul District. It lists 32 PHCs under Dindigul HUD along with screening data for hypertension, diabetes, cervical cancer and breast cancer. Similarly, it provides data on 26 PHCs under Palani HUD. It also lists 11 Government Hospitals in the district along with their screening numbers. The document notes some issues found in specific PHCs and hospitals around lab equipment, staffing and maintenance of patient records. Actions taken to address the issues are also outlined.
This document provides screening data from 51 PHCs in Villupuram HUD and 42 PHCs in Kallakurichi HUD of Villupuram district. It summarizes the total number of people screened for hypertension, diabetes, cervical cancer and breast cancer in each PHC and finds that on average, screening rates are below state averages. It also lists issues reported in some PHCs like lack of staff, equipment shortages and inadequate supplies.
This document provides screening data from 36 primary health centers (PHCs) in Dharmapuri district, Tamil Nadu, India. It shows the total numbers of individuals screened for hypertension (HT), diabetes (DM), cervical cancer (CaCx), and breast cancer (CaBr) at each PHC from May 30th to June 18th. Several issues were reported across PHCs, including lack of equipment, inconsistent screening days and protocols, incomplete record keeping, and lack of internet for online data entry. The state averages for annual screenings are also provided for comparison.
- Thanjavur District has 63 PHCs, 13 government hospitals, and 2 medical colleges.
- Data is presented on screening numbers for hypertension, diabetes, cervical cancer, and breast cancer from 60 PHCs in the district.
- Issues were reported at several PHCs related to equipment, supplies, laboratory testing, staffing, online data entry, and maintenance of patient records. Improvements to screening programs for cervical cancer, breast cancer, hypertension and diabetes were recommended.
Krishnagiri District has 40 PHCs under the Krishnagiri HUD. There are 6 government hospitals. A table shows screening statistics for various PHCs in the district including numbers screened for hypertension, diabetes, cervical cancer, and breast cancer. Another table lists issues found at various PHCs related to screening initiation and protocols, follow-up processes, equipment and supplies, training, HMS entry, and maintenance of registers and reports. Common issues included a lack of display of screening charts and protocols, drugs only being provided every 15 days, lack of NCD passbooks, equipment shortages or non-functionality, lack of trained staff, and poor record keeping.
This document provides data on screening activities from 51 PHCs in Nagapattinam district. It includes the total number of people screened for hypertension, diabetes, cervical cancer and breast cancer in each PHC. It also lists issues reported in 12 government hospitals in the district related to NCD staffing, follow-up of patients, equipment and training. Common issues included lack of NCD staff, shortage of equipment like glucometers, and incomplete reporting of screening data online.
This document discusses standards of care for diabetes mellitus according to guidelines from 2015. It addresses the importance of type 2 diabetes as a serious disease that can lead to many complications affecting eyes, kidneys, heart, blood vessels, and nerves if not properly managed. The goals of diabetes management are to improve quality of life, reduce acute symptoms, achieve normal blood sugar levels safely, and prevent both acute and chronic complications. Key recommendations include individualizing treatment based on patient preferences and comorbidities, addressing cultural barriers to care, and focusing on evidence-based guidelines. The document also provides guidelines on screening, diagnosing, and managing diabetes, prediabetes, comorbid conditions like hypertension and dyslipidemia, and special populations like
Gestational diabetes can cause complications for both the mother and baby if not properly managed. It is important to monitor blood sugar levels and control glucose through diet, exercise and possibly medication like insulin. Maintaining near-normal blood sugar can help prevent issues like macrosomia, birth injuries, and future diabetes. Treatment aims to control glucose and reduce risks through regular monitoring, medical nutrition therapy, and starting insulin if needed to protect maternal and fetal health.
The document provides data on Primary Health Centers (PHCs) and Government Hospitals in Dindigul District. It lists 32 PHCs under Dindigul HUD along with screening data for hypertension, diabetes, cervical cancer and breast cancer. Similarly, it provides data on 26 PHCs under Palani HUD. It also lists 11 Government Hospitals in the district along with their screening numbers. The document notes some issues found in specific PHCs and hospitals around lab equipment, staffing and maintenance of patient records. Actions taken to address the issues are also outlined.
This document provides screening data from 51 PHCs in Villupuram HUD and 42 PHCs in Kallakurichi HUD of Villupuram district. It summarizes the total number of people screened for hypertension, diabetes, cervical cancer and breast cancer in each PHC and finds that on average, screening rates are below state averages. It also lists issues reported in some PHCs like lack of staff, equipment shortages and inadequate supplies.
This document provides screening data from 36 primary health centers (PHCs) in Dharmapuri district, Tamil Nadu, India. It shows the total numbers of individuals screened for hypertension (HT), diabetes (DM), cervical cancer (CaCx), and breast cancer (CaBr) at each PHC from May 30th to June 18th. Several issues were reported across PHCs, including lack of equipment, inconsistent screening days and protocols, incomplete record keeping, and lack of internet for online data entry. The state averages for annual screenings are also provided for comparison.
- Thanjavur District has 63 PHCs, 13 government hospitals, and 2 medical colleges.
- Data is presented on screening numbers for hypertension, diabetes, cervical cancer, and breast cancer from 60 PHCs in the district.
- Issues were reported at several PHCs related to equipment, supplies, laboratory testing, staffing, online data entry, and maintenance of patient records. Improvements to screening programs for cervical cancer, breast cancer, hypertension and diabetes were recommended.
The document provides screening data from 60 PHCs and 8 government hospitals in Cuddalore district. It summarizes the total number of individuals screened for hypertension, diabetes, cervical cancer and breast cancer in each facility. It also lists issues reported in some PHCs related to NCD staff, screening protocols, equipment availability and lab operations. Suggested actions are provided to address the issues and improve screening programs.
- The document provides health screening data from 18 PHCs in Virudhunagar HUD and 23 PHCs in Sivakasi HUD in Virudhunagar district. It also lists screening data from 6 urban health centers.
- It describes issues reported at some of the PHCs related to lack of staff, equipment shortages, lack of separate screening rooms, and IT issues with the health management system.
- The data includes numbers of people screened for hypertension, diabetes, cervical cancer, and breast cancer at each PHC compared to state and district averages.
This document provides information on PHCs and hospitals in Kancheepuram district that conduct non-communicable disease screening. It includes 29 PHCs in Kancheepuram HUD that screen for hypertension, diabetes, cervical cancer and breast cancer. It also includes 28 PHCs in Saidapet HUD, 10 government hospitals, 1 medical college and issues identified at some facilities related to screening protocols, equipment, supplies and record keeping.
This document provides screening data from 33 PHCs in Karur district, Tamil Nadu, India. It shows the total number of individuals screened for hypertension, diabetes, cervical cancer, and breast cancer in each PHC for the current year. It also lists issues found in 6 government hospitals in the district related to NCD screening protocols, equipment, supplies, staffing, and IT systems. The document aims to identify gaps and suggest actions for improvement in NCD screening programs across the district.
1. Theni district has 30 PHCs, 6 government hospitals, and 1 medical college.
2. Data is presented on screening numbers from various PHCs in Theni for conditions like hypertension, diabetes, cervical cancer, and breast cancer.
3. Issues are reported from some PHCs related to screening protocols, equipment malfunctions, and laboratory services. The medical officer needs to be informed of these issues and take appropriate action.
This document provides information on healthcare facilities in Sivagangai district. It lists 49 primary health centers (PHCs), 9 government hospitals, and 1 medical college. It then provides tables with screening data from each PHC and government hospital, including numbers screened for hypertension, diabetes, cervical cancer, and breast cancer. It also lists issues found at some facilities like lack of equipment or rooms. The recommended actions include ensuring NCD screening by another nurse if the assigned nurse is absent and compulsory blood sugar checks for those over 30.
This document provides health screening data from Pudukottai district in Tamil Nadu, India. It includes screening statistics from 28 PHCs in Pudukottai HUD, 29 PHCs in Aranthangi HUD, and 13 government hospitals. It also lists issues found at various health centers, such as a lack of equipment, staffing shortages, and follow-up challenges. Key screening metrics provided are the total number of individuals screened for hypertension (HT), diabetes (DM), cervical cancer (CaCx), and breast cancer (CaBr) at each location.
The document provides information on primary health centers (PHCs) and government hospitals in Madurai District. It lists 51 PHCs in Madurai HUD and their screening data for hypertension, diabetes, cervical cancer, and breast cancer. It also lists 6 government hospitals and 1 medical college hospital in Madurai District along with their screening numbers. The document then details issues found at various PHCs and government hospitals related to NCD staffing, equipment availability, laboratory facilities, training, and HMS implementation.
This document provides data on screening activities from 27 PHCs in Perambalur district. It shows the total numbers screened for hypertension, diabetes, cervical cancer, and breast cancer at each PHC in May 2013. It also provides the district and state averages. The document then lists issues found at each PHC regarding screening protocols, equipment, laboratories, record keeping, and follow-up of positive cases. It identifies actions needed to address the issues, such as using plasma rather than serum for glucose tests and ensuring follow-up of women who test positive for cervical cancer. It also provides data on screening numbers and rates of detection for 3 government hospitals in the district.
The document summarizes healthcare facilities and screening statistics from Trichy District, India. It includes:
- 60 primary health centers (PHCs) under Trichy Health Unit District (HUD)
- 9 government hospitals
- 1 medical college
Tables show screening statistics for hypertension, diabetes, cervical cancer, and breast cancer from each PHC compared to state and district averages. Issues are listed for Thuraiyur government hospital regarding NCD staff, screening protocols, follow-up, equipment, lab registers, and the need for regular colposcopy. Actions are recommended to address the issues.
The document summarizes a district visit to Dhalai District from March 28th to April 2nd 2016. It includes summaries of meetings with various officials:
1) At the District Magistrate's office and discussions around Swachh Bharat Mission, Maternal Village Initiative, and Section 107 cases in court.
2) At the District Information System for Education office regarding formation of child protection committees, vulnerability mapping of children, and awareness campaigns.
3) A visit to Raishyabari Block regarding the Backward Regions Grant Fund and rural development projects.
4) A meeting with the District Education Officer and school visit.
5) A visit to Ambassa R.
This document provides a feasibility report for opening a diagnostic centre that would offer pathology and radiology services. It analyzes the demand potential, required equipment and their costs, technical requirements, suitable location factors, implementation schedule, operating costs and projected revenues. The total capital investment is estimated at Rs. 39 million to be financed via a bank loan. The diagnostic centre is projected to earn a net monthly profit of Rs. 339,000 with an expected annual return of 10.37% on total capital invested.
The document summarizes vacant posts and proposed new posts across various departments under the Director of Medical Education (DME). It notes that there are currently 5276 vacant posts with an annual financial outflow of Rs. 321.93 crores. An additional 8233 new posts are proposed to be created with an annual financial outflow of Rs. 354.90 crores. In total, there is a need to fill 14037 posts with a total annual financial outflow of Rs. 676.83 crores.
- May-June exams were conducted over 3 slots for 369,693 total candidates
- The largest groups of candidates were for BA/BCom degrees, totaling 282,018 candidates
- Answer books were distributed to 21 exam centers across the state and collected in 3 lots
- The total results processing took an average of 27.35 days, with most (345,501) candidates having results within 30 days
The document describes Neeraj Ojha's internship experience at Aadee Remedies Pvt Ltd, including exposure to production, quality control, storage, quality assurance, and R&D departments. It provides an overview of the company and thanks those who helped with training. The internship certification confirms Neeraj successfully completed exposure to various departments from December 2078 to January 2079.
This weekly safety presentation from PT. AJA MEGA PERKASA covers the period of October 10-16, 2022. It includes:
- Safety policies and organizational structure
- Safety performance statistics such as number of employees, work hours, and incidents
- Training certificates held by employees
- Safety inspection and improvement plans (SPIP)
- Information on any incidents or violations of safety rules
- Details of planned and completed safety activities
- Progress on a safety accountability program
- Updates on projects, health issues, waste levels, and documentation of safety activities
The presentation provides performance metrics, inspection results, plans for future safety work, and documentation of recent safety-related events at the company.
This document provides information about the Tatwadarsha Multispeciality Hospital central laboratory. It details that the laboratory aims to provide quality diagnostic services under one roof through on-site clinical pathology, imaging and ICU facilities. The laboratory contains high-end automated analyzers and is staffed by qualified technicians and pathologists. Specimen collection, transport procedures, test directories, and emergency testing turnaround times are also outlined.
The document summarizes an incident where a participant's blood sample was clotted, resulting in a missed laboratory test window period and protocol deviation. It describes how the incident occurred at both the clinic site and central laboratory level due to lack of communication and follow up. It then outlines the root cause analysis conducted, including corrective actions taken such as staff retraining, improved communication procedures, and preventative measures to avoid future incidents. Monthly reviews found the new procedures successfully prevented any further missed window periods from similar issues.
Dr Narayan Fieldcraft Medicare Management in NE, J&K & Naxal area of India -pdfDr CB Narayan
The document discusses establishing a standardized clinical examination and coding format for first aid workers and nursing assistants deployed at remote border outposts to effectively monitor and report patient cases over radio to doctors, as the outposts are often located far from hospitals and specialists. It proposes training programs and registers to code clinical parameters, symptoms, and signs to allow for comprehensive patient assessment and minimize missed diagnoses. The coded format aims to help diagnose diseases promptly in remote areas where quick medical referral and treatment is difficult.
Impact of Laboratory Automation on quality and TRT. Evaluating and Selecting...Moustafa Rezk
The document discusses laboratory automation and provides recommendations for clinical labs evaluating their need for automation. It begins with defining automation and providing examples of modular pre-analytic and task-targeted automation systems that do not involve tracks and robotics. The document then recommends labs map their workflow and identify bottlenecks before considering automation solutions. It emphasizes optimizing current processes and provides examples of total lab automation systems from various vendors.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
The document provides screening data from 60 PHCs and 8 government hospitals in Cuddalore district. It summarizes the total number of individuals screened for hypertension, diabetes, cervical cancer and breast cancer in each facility. It also lists issues reported in some PHCs related to NCD staff, screening protocols, equipment availability and lab operations. Suggested actions are provided to address the issues and improve screening programs.
- The document provides health screening data from 18 PHCs in Virudhunagar HUD and 23 PHCs in Sivakasi HUD in Virudhunagar district. It also lists screening data from 6 urban health centers.
- It describes issues reported at some of the PHCs related to lack of staff, equipment shortages, lack of separate screening rooms, and IT issues with the health management system.
- The data includes numbers of people screened for hypertension, diabetes, cervical cancer, and breast cancer at each PHC compared to state and district averages.
This document provides information on PHCs and hospitals in Kancheepuram district that conduct non-communicable disease screening. It includes 29 PHCs in Kancheepuram HUD that screen for hypertension, diabetes, cervical cancer and breast cancer. It also includes 28 PHCs in Saidapet HUD, 10 government hospitals, 1 medical college and issues identified at some facilities related to screening protocols, equipment, supplies and record keeping.
This document provides screening data from 33 PHCs in Karur district, Tamil Nadu, India. It shows the total number of individuals screened for hypertension, diabetes, cervical cancer, and breast cancer in each PHC for the current year. It also lists issues found in 6 government hospitals in the district related to NCD screening protocols, equipment, supplies, staffing, and IT systems. The document aims to identify gaps and suggest actions for improvement in NCD screening programs across the district.
1. Theni district has 30 PHCs, 6 government hospitals, and 1 medical college.
2. Data is presented on screening numbers from various PHCs in Theni for conditions like hypertension, diabetes, cervical cancer, and breast cancer.
3. Issues are reported from some PHCs related to screening protocols, equipment malfunctions, and laboratory services. The medical officer needs to be informed of these issues and take appropriate action.
This document provides information on healthcare facilities in Sivagangai district. It lists 49 primary health centers (PHCs), 9 government hospitals, and 1 medical college. It then provides tables with screening data from each PHC and government hospital, including numbers screened for hypertension, diabetes, cervical cancer, and breast cancer. It also lists issues found at some facilities like lack of equipment or rooms. The recommended actions include ensuring NCD screening by another nurse if the assigned nurse is absent and compulsory blood sugar checks for those over 30.
This document provides health screening data from Pudukottai district in Tamil Nadu, India. It includes screening statistics from 28 PHCs in Pudukottai HUD, 29 PHCs in Aranthangi HUD, and 13 government hospitals. It also lists issues found at various health centers, such as a lack of equipment, staffing shortages, and follow-up challenges. Key screening metrics provided are the total number of individuals screened for hypertension (HT), diabetes (DM), cervical cancer (CaCx), and breast cancer (CaBr) at each location.
The document provides information on primary health centers (PHCs) and government hospitals in Madurai District. It lists 51 PHCs in Madurai HUD and their screening data for hypertension, diabetes, cervical cancer, and breast cancer. It also lists 6 government hospitals and 1 medical college hospital in Madurai District along with their screening numbers. The document then details issues found at various PHCs and government hospitals related to NCD staffing, equipment availability, laboratory facilities, training, and HMS implementation.
This document provides data on screening activities from 27 PHCs in Perambalur district. It shows the total numbers screened for hypertension, diabetes, cervical cancer, and breast cancer at each PHC in May 2013. It also provides the district and state averages. The document then lists issues found at each PHC regarding screening protocols, equipment, laboratories, record keeping, and follow-up of positive cases. It identifies actions needed to address the issues, such as using plasma rather than serum for glucose tests and ensuring follow-up of women who test positive for cervical cancer. It also provides data on screening numbers and rates of detection for 3 government hospitals in the district.
The document summarizes healthcare facilities and screening statistics from Trichy District, India. It includes:
- 60 primary health centers (PHCs) under Trichy Health Unit District (HUD)
- 9 government hospitals
- 1 medical college
Tables show screening statistics for hypertension, diabetes, cervical cancer, and breast cancer from each PHC compared to state and district averages. Issues are listed for Thuraiyur government hospital regarding NCD staff, screening protocols, follow-up, equipment, lab registers, and the need for regular colposcopy. Actions are recommended to address the issues.
The document summarizes a district visit to Dhalai District from March 28th to April 2nd 2016. It includes summaries of meetings with various officials:
1) At the District Magistrate's office and discussions around Swachh Bharat Mission, Maternal Village Initiative, and Section 107 cases in court.
2) At the District Information System for Education office regarding formation of child protection committees, vulnerability mapping of children, and awareness campaigns.
3) A visit to Raishyabari Block regarding the Backward Regions Grant Fund and rural development projects.
4) A meeting with the District Education Officer and school visit.
5) A visit to Ambassa R.
This document provides a feasibility report for opening a diagnostic centre that would offer pathology and radiology services. It analyzes the demand potential, required equipment and their costs, technical requirements, suitable location factors, implementation schedule, operating costs and projected revenues. The total capital investment is estimated at Rs. 39 million to be financed via a bank loan. The diagnostic centre is projected to earn a net monthly profit of Rs. 339,000 with an expected annual return of 10.37% on total capital invested.
The document summarizes vacant posts and proposed new posts across various departments under the Director of Medical Education (DME). It notes that there are currently 5276 vacant posts with an annual financial outflow of Rs. 321.93 crores. An additional 8233 new posts are proposed to be created with an annual financial outflow of Rs. 354.90 crores. In total, there is a need to fill 14037 posts with a total annual financial outflow of Rs. 676.83 crores.
- May-June exams were conducted over 3 slots for 369,693 total candidates
- The largest groups of candidates were for BA/BCom degrees, totaling 282,018 candidates
- Answer books were distributed to 21 exam centers across the state and collected in 3 lots
- The total results processing took an average of 27.35 days, with most (345,501) candidates having results within 30 days
The document describes Neeraj Ojha's internship experience at Aadee Remedies Pvt Ltd, including exposure to production, quality control, storage, quality assurance, and R&D departments. It provides an overview of the company and thanks those who helped with training. The internship certification confirms Neeraj successfully completed exposure to various departments from December 2078 to January 2079.
This weekly safety presentation from PT. AJA MEGA PERKASA covers the period of October 10-16, 2022. It includes:
- Safety policies and organizational structure
- Safety performance statistics such as number of employees, work hours, and incidents
- Training certificates held by employees
- Safety inspection and improvement plans (SPIP)
- Information on any incidents or violations of safety rules
- Details of planned and completed safety activities
- Progress on a safety accountability program
- Updates on projects, health issues, waste levels, and documentation of safety activities
The presentation provides performance metrics, inspection results, plans for future safety work, and documentation of recent safety-related events at the company.
This document provides information about the Tatwadarsha Multispeciality Hospital central laboratory. It details that the laboratory aims to provide quality diagnostic services under one roof through on-site clinical pathology, imaging and ICU facilities. The laboratory contains high-end automated analyzers and is staffed by qualified technicians and pathologists. Specimen collection, transport procedures, test directories, and emergency testing turnaround times are also outlined.
The document summarizes an incident where a participant's blood sample was clotted, resulting in a missed laboratory test window period and protocol deviation. It describes how the incident occurred at both the clinic site and central laboratory level due to lack of communication and follow up. It then outlines the root cause analysis conducted, including corrective actions taken such as staff retraining, improved communication procedures, and preventative measures to avoid future incidents. Monthly reviews found the new procedures successfully prevented any further missed window periods from similar issues.
Dr Narayan Fieldcraft Medicare Management in NE, J&K & Naxal area of India -pdfDr CB Narayan
The document discusses establishing a standardized clinical examination and coding format for first aid workers and nursing assistants deployed at remote border outposts to effectively monitor and report patient cases over radio to doctors, as the outposts are often located far from hospitals and specialists. It proposes training programs and registers to code clinical parameters, symptoms, and signs to allow for comprehensive patient assessment and minimize missed diagnoses. The coded format aims to help diagnose diseases promptly in remote areas where quick medical referral and treatment is difficult.
Impact of Laboratory Automation on quality and TRT. Evaluating and Selecting...Moustafa Rezk
The document discusses laboratory automation and provides recommendations for clinical labs evaluating their need for automation. It begins with defining automation and providing examples of modular pre-analytic and task-targeted automation systems that do not involve tracks and robotics. The document then recommends labs map their workflow and identify bottlenecks before considering automation solutions. It emphasizes optimizing current processes and provides examples of total lab automation systems from various vendors.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
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STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
9. S.No PHC Name
Total HT
Screened
Total DM
Screened
Screened for
CaCx
Screened for
CaBr
61 R.K.Bai Home 152 4 0 12
62 C.T.M Home 112 0 0 20
63 V.V.M Home 650 0 0 25
HT DM CACx CaBr
State. Avg 420 268 218 248
Dist.Avg 234 116 37 63
10. Slno PHC Name Name of the Facility ISSUES
59
COIMBATORE
Coporation Centre
(M.M HOME)
NCD Staff Nurse
issues Ncd staff nurse doing other work .
Initiation of Screening
& protocol deviations
if any screening not done as per protocol.
No. of days screening
is done NO SCREENING LAST WEEK For HT.DM,CABR CACX
Pass book/Drugs
issues
1.NOT RECEIVED NCD PASS BOOK 2. HT AND
DM DRUGS shortage.
Equipments Issues NOT RECEIVED VIA/VILI KITS.
Consumables/reagents Not available for lab &.VIA/VILI reagents
Register & Reports
NCD Screening registers not follow as per protocol format.
Other registers NOT Available.
Other issues
1. Not send monthly reports last month. 2. apsence of ncd
staff nurse ncd screening is not done.
Action to be Taken
1. TO be maintained all NCD registers as per protocol format.
2. IEC Materials to be displayed.
11. Slno PHC Name Name of the Facility ISSUES
60
COIMBATORE
Coporation Centre
(Singanallur UHP)
Initiation of Screening
& protocol deviations if
any
screening is not inititated for DM.CACX AND CABR .
FOR HT screening is not done as per protocol.
No. of days screening
is done
screening is not done.
Separate NCD room for
CaBr& CaCx screening
No separate room
All day OP for follow
up
fixed day OP. Drug issue every week Monday, Thursday
& Saturday for HT, DM .
Pass book/Drugs issues
NOT received NCD PASS BOOK AND HT AND DM
DRUGS shortage.
Consumables/reagents
consumables shortage. Not received lab and VIA/VILLI
reagents .
Training issues ICTC lab technician untrainned for ncd program.
Register & Reports
ncd screening registers not maintained as per protocol
format. And not available for NCD follow up, lab ,
screening positive form and follow up registers.
Other issues
1. Not send monthly reports last month. 2. apsence
of ncd staff nurse ncd screening is not done.
Action to be Taken
1. TO be maintained all NCD registers as per protocol
format.2. IEC Materials to be displayed.
3. DM should inititated and Take RBS,FBS/PPBS Value.
12. Slno PHC Name
Name of the
Facility
ISSUES
61
COIMBATORE
Coporation Centre
(R.K.BAI HOME)
NCD Staff Nurse
issues Doing other duties like ANC & IMMUNIZATION
All day OP for follow
up
FIXED DAYS, EVERY WEEK MONDAY AND FRIDAY
FOR HT AND DM
Pass book/Drugs
issues
NOT RECEIVED NCD PASS BOOK AND HT & DM
DRUGS SHORTAGE.
Equipments Issues VIA/VILLI KIT and mirror for cabr are NOT available,
Consumables/reagents
1.Consumables shortage. 2.VIA/VILLI REAGENTS NOT
available.
Lab issues
ICTC LAB AVAILABLE. lab equipments and reagents not
available .
Register & Reports
NCD Screening registers not maintained as per protocol
format. And other registers NOT Available.
Other issues
1. monthly reports not submitted for last month. 2. If ncd
nurse is absent screening is not done by other staff.
Action to be Taken
1. TO be maintained all NCD registers as per protocol format.
2. IEC Materials to be displayed. 3.
separate room should be provided for screening VIA/VILI &
CaBr. 4. display regarding ncd fixed day op for
ncd screening to be removed.
13. Slno PHC Name
Name of the
Facility
ISSUES
62
COIMBATORE
Coporation Centre
(C.T.M HOME)
Initiation of
Screening &
protocol deviations
if any
screening not done as per protocol. Dm screening is
not inititated.
No. of days
screening is done
screening is not done for all days.
Separate NCD
room for CaBr&
CaCx screening
postnatal room is being used for Screening ncd.
All day OP for
follow up
fixed day OP . Drug issued every week Thursday for
HT,DM.
Pass book/Drugs
issues
not received ncd pass book and drugs not
Consumables/reage
nts
Lab & VIA/VILLI reagents not received.
Training issues ICTC Lab technician untrainned.
Other issues
1. Not send monthly reports last month. 2. apsence
of ncd staff nurse ncd screening is not done.
1. TO be maintained all NCD registers as per protocol
14. Slno PHC Name ISSUES
41 Chandrapuram PHC
NCD staff nurse not posted. ICTC Lab.Technician not trained.
Signage board and BMI charts are not available.
42 Chinnavadhambacherry PHC
NCD staff nurse not posted. Lab.Technician post not sanctioned.
Signage board and BMI charts not available.
43 Pogalur PHC
One RCH staff nurse and one new NCD staff nurse not trained.
One labour board required for VIA/VILI room.
4 SS kulam PHC
New NCD staff nurse not trained. One semi auto analyzer under
repair. Cuscos speculum not sufficient.
5 Ottupattarai Urban PHC
Lab.Technician post not sanctioned. DM & VIA/VILI screening
not started.
6 Edapally PHC Magnavision under repair.
7 Kattabettu PHC Semi auto analyser under repair. RBS not done for screening DM.
8 Thirumalayampalayam PHC NCD staff nurse not trained. Lab.Technician post not sanctioned.
9 Mathampalayam PHC Lab.Technician post not sanctioned.
10 CTM Home Corporation VIA/VILI reagents not supplied .Online entry not done.
15. Slno PHC Name ISSUES
11 Karumathampatty Urban PHC
Nurse (including NCD) not available. Lab.Technician post not sanctioned.
VIA/VILI screening and CBE not done for want of training. VIA/VILI kit
not supplied .Computers not available for on line entry. Signage board and
BMI charts not available.
12 Periavalavady PHC
Lab.Technician post not sanctioned.
13 Amaravathy Nagar PHC
RCH staff nurses not trained for VIA/VILI. NCD staff nurse post vacant.
Lab.Technician post not sanctioned. VIA/VILI room not functional.
Signage board and BMI charts not available.
14 Chellappanpalayam PHC
Staff Nurse not trained in VIA/VILI. Lab.Technician post not sanctioned.
VIA/VILI room not functional.
15 Nallattipalayam PHC
RCH nurse trained but not doing NCD activities. BMO not taking any steps
to function NCD clinics. Last ten days the NCD activities are nil. Signage
board not exhibited. NCD corner and VIA/VILI room not functional.
16 Kinathukadavu PHC
Lab.Technician post not sanctioned. Signage board and BMI charts not
available.
17 Kolakombai PHC
Lab.Technician post not sanctioned. Signage board and BMI charts not
available.
18 Melurhosetty PHC
Lab.Technician post not sanctioned. Signage board and BMI charts not
available.
19 Athani PHC
Semi auto analyser under repair. VIA/VILI performance poor.
20 C.T.Palayam PHC
Record maintenance not satisfactory.
16. Slno PHC Name ISSUES
21 Ennamangalam PHC Record maintenance not satisfactory.
22 Burugur PHC
Two RCH staff nurses trained in NCD but not for VIA/VILI.
NCD staff nurse not posted. Lab.Technician post not sanctioned.
Semi auto analyzer not available. VIA/VILI room not functional.
Record maintenance not satisfactory. Online entry not done.
23 Kallipatty PHC Lab.Technician post not sanctioned. VIA/VILI performance poor.
24 Dasappagoundanur PHC Lab.Technician post not sanctioned.
25 24 Veerapondy PHC Lab.Technician post not sanctioned.
26
Gavundanpalayam Urban
PHC
NCD staff nurse not posted. Lab.Technician post not sanctioned.
NCD corner and VIA/VILI room not identified .Space not
available for NCD clinic. BMI charts not available.
27 Semmipalayam PHC RBS not done.
28 Irumporai PHC Lab.Technician post and Signage board not available.
29 Chinnakallipatty PHC
Three RCH staff nurses not trained for VIA/VILI. NCD staff
nurse not posted. Signage board not available.