Dr. Marco Antonio Cedano Ortiz is a medical doctor. He graduated from the University of Guadalajara School of Medicine in 1995. Dr. Cedano Ortiz has over 25 years of experience practicing medicine in Mexico and the United States.
- The Elite Managed Pension Funds portfolio analysis shows the asset allocations across various funds as of February 29, 2012. The allocations are determined using the latest available data for the underlying fund holdings, which in many cases is an earlier date.
- The Architas Multi-Manager Income Fund performance report outlines key fund facts, including net revenue distributions for the last two years, net asset values as of December 31 for the past two years, total returns for share classes over the past year compared to benchmarks, and total expense ratios.
- The documents provide updates on managed pension portfolios and an income fund, including breakdowns of asset allocations, financial performance metrics, and comparisons to industry benchmarks.
Este manual práctico de nutrición en pediatría presenta los conceptos generales de nutrición y los requerimientos nutricionales. Incluye capítulos sobre la determinación de la composición corporal, la valoración del estado nutricional, la alimentación del lactante sano y prematuro, del niño de 2 a 6 años, del niño escolar, en la adolescencia y del niño deportista. El manual está dirigido a ayudar a los pediatras en la práctica clínica diaria.
Un campesino chino sabio trabajaba la tierra con su hijo. Cuando su caballo se perdió, el padre dijo que verían lo que traía el tiempo, y el caballo regresó con una yegua. Luego, cuando el hijo se quebró la pierna montando al nuevo caballo, el padre otra vez dijo que verían lo que traía el tiempo, y soldados que reclutaban para la guerra dejaron al hijo por su lesión. El hijo aprendió que no se debe juzgar como bueno o malo hasta ver lo que trae el
Nancy J. Zinner has over 30 years of experience in customer service, program administration, community outreach, and regulatory reporting. She has held various roles supporting international students, including as an immigration advisor, English teacher, program coordinator, and immigration specialist. Zinner also has experience developing professional itineraries for exchange visitors and arranging housing and activities for international groups.
Información básica respecto al manejo perioperatorio del paciente programado para cirugía, así como los estándares para el manejo y profilaxis del paciente quirúrugico.
Presented by Christa Burns at the Fall Library Workshop: Reinventing Your Library. Sept. 30, 2015. For Three Rivers Library System and Northeast Nebraska Network Consortium (NNNC) Educational Service Units.
PubDrug was launched in 2006 to provide a freely accessible, copyright-free source of drug information as an alternative to vendor databases. It was developed through a collaboration between the University at Buffalo pharmacy school and health sciences library. Students on pharmacoinformatics rotations helped create drug monographs for the wiki-based site, gaining experience with drug information resources, literature searching, and information technologies. The goals were to create an extensive knowledge base of accurate drug information that could be easily updated and integrated into other informatics applications to benefit health professionals and patients.
Prasad Ramaswamy has over 20 years of experience in banking operations including general banking, collections, payments, cash management services, capital markets, and customer service. He is currently the National Head of Payments and Regional Head of Collections at Kotak Mahindra Bank, where he manages a team of 55 staff and oversees payment processes, collection services, product customization, and process improvement initiatives. Previously, he held several managerial roles with responsibilities like setting up new desks, acquiring and retaining clients, mobilizing retail deposits, and ensuring smooth daily operations and settlement of funds. He holds an MBA in Finance and a post-graduate diploma in Foreign Exchange and Risk Management.
- The Elite Managed Pension Funds portfolio analysis shows the asset allocations across various funds as of February 29, 2012. The allocations are determined using the latest available data for the underlying fund holdings, which in many cases is an earlier date.
- The Architas Multi-Manager Income Fund performance report outlines key fund facts, including net revenue distributions for the last two years, net asset values as of December 31 for the past two years, total returns for share classes over the past year compared to benchmarks, and total expense ratios.
- The documents provide updates on managed pension portfolios and an income fund, including breakdowns of asset allocations, financial performance metrics, and comparisons to industry benchmarks.
Este manual práctico de nutrición en pediatría presenta los conceptos generales de nutrición y los requerimientos nutricionales. Incluye capítulos sobre la determinación de la composición corporal, la valoración del estado nutricional, la alimentación del lactante sano y prematuro, del niño de 2 a 6 años, del niño escolar, en la adolescencia y del niño deportista. El manual está dirigido a ayudar a los pediatras en la práctica clínica diaria.
Un campesino chino sabio trabajaba la tierra con su hijo. Cuando su caballo se perdió, el padre dijo que verían lo que traía el tiempo, y el caballo regresó con una yegua. Luego, cuando el hijo se quebró la pierna montando al nuevo caballo, el padre otra vez dijo que verían lo que traía el tiempo, y soldados que reclutaban para la guerra dejaron al hijo por su lesión. El hijo aprendió que no se debe juzgar como bueno o malo hasta ver lo que trae el
Nancy J. Zinner has over 30 years of experience in customer service, program administration, community outreach, and regulatory reporting. She has held various roles supporting international students, including as an immigration advisor, English teacher, program coordinator, and immigration specialist. Zinner also has experience developing professional itineraries for exchange visitors and arranging housing and activities for international groups.
Información básica respecto al manejo perioperatorio del paciente programado para cirugía, así como los estándares para el manejo y profilaxis del paciente quirúrugico.
Presented by Christa Burns at the Fall Library Workshop: Reinventing Your Library. Sept. 30, 2015. For Three Rivers Library System and Northeast Nebraska Network Consortium (NNNC) Educational Service Units.
PubDrug was launched in 2006 to provide a freely accessible, copyright-free source of drug information as an alternative to vendor databases. It was developed through a collaboration between the University at Buffalo pharmacy school and health sciences library. Students on pharmacoinformatics rotations helped create drug monographs for the wiki-based site, gaining experience with drug information resources, literature searching, and information technologies. The goals were to create an extensive knowledge base of accurate drug information that could be easily updated and integrated into other informatics applications to benefit health professionals and patients.
Prasad Ramaswamy has over 20 years of experience in banking operations including general banking, collections, payments, cash management services, capital markets, and customer service. He is currently the National Head of Payments and Regional Head of Collections at Kotak Mahindra Bank, where he manages a team of 55 staff and oversees payment processes, collection services, product customization, and process improvement initiatives. Previously, he held several managerial roles with responsibilities like setting up new desks, acquiring and retaining clients, mobilizing retail deposits, and ensuring smooth daily operations and settlement of funds. He holds an MBA in Finance and a post-graduate diploma in Foreign Exchange and Risk Management.
Este documento describe la regulación endocrina de la inflamación en respuesta a una lesión. Explica que existen múltiples ejes que regulan la inflamación, incluyendo la liberación de mediadores por el tejido lesionado, señales neurales y cambios fisiológicos. También describe cómo las hormonas del hipotálamo, hipófisis, sistema nervioso autónomo y otras regulan procesos como la gluconeogénesis, lipólisis y función inmune durante una lesión.
La lesión provoca una reacción endócrina compleja que involucra múltiples ejes hormonales. Se liberan mediadores que estimulan la hipófisis anterior y posterior. Esto causa la liberación de hormonas del estrés, vasopresina, catecolaminas y glucocorticoides que producen efectos catabólicos y de homeostasis. También se alteran los niveles de hormonas tiroideas, del crecimiento, insulina y glucagón, lo que afecta el metabolismo de glucosa, lípidos y proteínas.
Este documento presenta información sobre electrolitos, osmolaridad, cálculos relacionados con líquidos y electrolitos, y pérdidas patológicas. Incluye tablas de composición de diferentes soluciones, cálculo de déficit de electrolitos, y síntomas de trastornos electrolíticos como hiponatremia e hiperpotasemia. El documento proporciona una guía útil para el cálculo y reemplazo de líquidos y electrolitos.
Taller explicativo y aplicativo para el uso de los métodos más comunes de análisis en los trastornos del equilibrio ácido base por método de Winter y Steward.
Las sondas son tubos que se colocan a través de la nariz en el estómago, esófago o intestino delgado. Se usan para alimentación, compresión de várices esofágicas, aspiración diagnóstica o terapéutica, y drenaje de la vejiga o cavidad pleural. Existen diferentes tipos de sondas como las Levin, Nelaton, Miller-Abbott y Cantor, que se utilizan para diferentes propósitos y zonas del cuerpo.
El documento describe los diferentes tipos de drenajes quirúrgicos, sus usos y ventajas. Los drenajes se utilizan para eliminar fluidos de cavidades después de la cirugía. Existen drenajes de succión intermitente, drenajes silásticos y sistemas de vacío activo que se usan según el tipo y cantidad de fluido. Los drenajes promueven la cicatrización al eliminar exudados, reducir el edema y remover tejido infectado.
El documento clasifica y describe diferentes tipos de heridas. Incluye clasificaciones por mecanismo de producción, grado de contaminación, pérdida de tejido y otras categorías. También cubre factores de riesgo de infección, signos y síntomas de infección, principios de cierre de heridas y posibles complicaciones.
El documento presenta las guías internacionales de 2008 para el manejo de la sepsis severa y el choque séptico. Resume que se debe iniciar la resucitación inmediatamente en pacientes con hipotensión o lactato sérico elevado, con objetivos específicos. También se debe obtener cultivos y empezar antibióticos de amplio espectro lo antes posible, establecer el foco de infección, y controlarlo quirúrgicamente cuando sea necesario.
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...AyushGadhvi1
learning occurs when a stimulus (unconditioned stimulus) eliciting a response (unconditioned response) • is paired with another stimulus (conditioned stimulus)
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
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.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Este documento describe la regulación endocrina de la inflamación en respuesta a una lesión. Explica que existen múltiples ejes que regulan la inflamación, incluyendo la liberación de mediadores por el tejido lesionado, señales neurales y cambios fisiológicos. También describe cómo las hormonas del hipotálamo, hipófisis, sistema nervioso autónomo y otras regulan procesos como la gluconeogénesis, lipólisis y función inmune durante una lesión.
La lesión provoca una reacción endócrina compleja que involucra múltiples ejes hormonales. Se liberan mediadores que estimulan la hipófisis anterior y posterior. Esto causa la liberación de hormonas del estrés, vasopresina, catecolaminas y glucocorticoides que producen efectos catabólicos y de homeostasis. También se alteran los niveles de hormonas tiroideas, del crecimiento, insulina y glucagón, lo que afecta el metabolismo de glucosa, lípidos y proteínas.
Este documento presenta información sobre electrolitos, osmolaridad, cálculos relacionados con líquidos y electrolitos, y pérdidas patológicas. Incluye tablas de composición de diferentes soluciones, cálculo de déficit de electrolitos, y síntomas de trastornos electrolíticos como hiponatremia e hiperpotasemia. El documento proporciona una guía útil para el cálculo y reemplazo de líquidos y electrolitos.
Taller explicativo y aplicativo para el uso de los métodos más comunes de análisis en los trastornos del equilibrio ácido base por método de Winter y Steward.
Las sondas son tubos que se colocan a través de la nariz en el estómago, esófago o intestino delgado. Se usan para alimentación, compresión de várices esofágicas, aspiración diagnóstica o terapéutica, y drenaje de la vejiga o cavidad pleural. Existen diferentes tipos de sondas como las Levin, Nelaton, Miller-Abbott y Cantor, que se utilizan para diferentes propósitos y zonas del cuerpo.
El documento describe los diferentes tipos de drenajes quirúrgicos, sus usos y ventajas. Los drenajes se utilizan para eliminar fluidos de cavidades después de la cirugía. Existen drenajes de succión intermitente, drenajes silásticos y sistemas de vacío activo que se usan según el tipo y cantidad de fluido. Los drenajes promueven la cicatrización al eliminar exudados, reducir el edema y remover tejido infectado.
El documento clasifica y describe diferentes tipos de heridas. Incluye clasificaciones por mecanismo de producción, grado de contaminación, pérdida de tejido y otras categorías. También cubre factores de riesgo de infección, signos y síntomas de infección, principios de cierre de heridas y posibles complicaciones.
El documento presenta las guías internacionales de 2008 para el manejo de la sepsis severa y el choque séptico. Resume que se debe iniciar la resucitación inmediatamente en pacientes con hipotensión o lactato sérico elevado, con objetivos específicos. También se debe obtener cultivos y empezar antibióticos de amplio espectro lo antes posible, establecer el foco de infección, y controlarlo quirúrgicamente cuando sea necesario.
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...AyushGadhvi1
learning occurs when a stimulus (unconditioned stimulus) eliciting a response (unconditioned response) • is paired with another stimulus (conditioned stimulus)
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
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.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Co-Chairs, Val J. Lowe, MD, and Cyrus A. Raji, MD, PhD, prepared useful Practice Aids pertaining to Alzheimer’s disease for this CME/AAPA activity titled “Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neuroradiology in Diagnosis and Treatment.” For the full presentation, downloadable Practice Aids, and complete CME/AAPA information, and to apply for credit, please visit us at https://bit.ly/3PvVY25. CME/AAPA credit will be available until June 28, 2025.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
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.
Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
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.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.