This document provides information on different types of seizures including their definition, classification, causes, symptoms and treatment. It discusses conditions like epilepsy, febrile seizures, absence seizures, myoclonic epilepsy and status epilepticus. Seizures are classified as acute non-recurrent, chronic recurrent or according to their localization as generalized or partial seizures involving different areas of the brain. Treatment involves identifying and managing the underlying cause as well as use of anticonvulsant medications depending on the seizure type.
Please find the power point on Meningoencephalitis. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Epistaxis and its surgical and nursing managementbhartisharma175
epitaxis- its types, causes, sign and symptoms, diagnostic evaluation, surgical management and nursing management and its complication.it consist of images that will help in easy understanding of the topic. language is also easy to understand.
Please find the power point on Meningoencephalitis. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Epistaxis and its surgical and nursing managementbhartisharma175
epitaxis- its types, causes, sign and symptoms, diagnostic evaluation, surgical management and nursing management and its complication.it consist of images that will help in easy understanding of the topic. language is also easy to understand.
A brief discussion of a very common bacterial infection presenting as fever and skin rash following skin infection or use of tampons. Affecting adults especially women. Very helpful for medical students, ER doctors, dermatologists, nurses. References from dermatology textbook Rooks.
Seizure disorder is one of the important topic in children and adult also. here i explained the seizure disorder in pediatrics, include all most content for nurses level
A brief discussion of a very common bacterial infection presenting as fever and skin rash following skin infection or use of tampons. Affecting adults especially women. Very helpful for medical students, ER doctors, dermatologists, nurses. References from dermatology textbook Rooks.
Seizure disorder is one of the important topic in children and adult also. here i explained the seizure disorder in pediatrics, include all most content for nurses level
Febrile convulsions are non-epileptic seizures that commonly occur in children between the age of 6-60 months, and are associated with a rapid rise in body temperature following an underlying condition. We discuss this in detail in the slides above, as well as with its management.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
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According to the TechSci Research report titled “India Diagnostic Labs Market Industry Size, Share, Trends, Competition, Opportunity, and Forecast, 2019-2029,” the India Diagnostic Labs Market was valued at USD 16,471.21 million in 2023 and is projected to grow at an impressive compound annual growth rate (CAGR) of 11.55% through 2029. This significant growth can be attributed to various factors, including collaborations and partnerships among leading companies, the expansion of diagnostic chains, and increasing accessibility to diagnostic services across the country. This comprehensive report delves into the market dynamics, recent trends, drivers, competitive landscape, and benefits of the research report, providing a detailed analysis of the India Diagnostic Labs Market.
Collaborations and Partnerships
Collaborations and partnerships among leading companies play a pivotal role in driving the growth of the India Diagnostic Labs Market. These strategic alliances allow companies to merge their expertise, strengthen their market positions, and offer innovative solutions. By combining resources, companies can enhance their research and development capabilities, expand their product portfolios, and improve their distribution networks. These collaborations also facilitate the sharing of technological advancements and best practices, contributing to the overall growth of the market.
Expansion of Diagnostic Chains
The expansion of diagnostic chains is a driving force behind the growing demand for diagnostic lab services. Diagnostic chains often establish multiple laboratories and diagnostic centers in various cities and regions, including urban and rural areas. This expanded network makes diagnostic services more accessible to a larger portion of the population, addressing healthcare disparities and reaching underserved populations. The presence of diagnostic chain facilities in multiple locations within a city or region provides convenience for patients, reducing travel time and effort. A broader network of labs often leads to reduced waiting times for appointments and sample collection, ensuring that patients receive timely and efficient diagnostic services.
Rising Prevalence of Chronic Diseases
The increasing prevalence of chronic diseases is a significant driver for the demand for diagnostic lab services. Chronic conditions such as diabetes, cardiovascular diseases, and cancer require regular monitoring and diagnostic testing for effective management. The rise in chronic diseases necessitates the use of advanced diagnostic tools and technologies, driving the growth of the diagnostic labs market. Additionally, early diagnosis and timely intervention are crucial for managing chronic diseases, further boosting the demand for diagnostic lab services.
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
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The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
For those battling kidney disease and exploring treatment options, understanding when to consider a kidney transplant is crucial. This guide aims to provide valuable insights into the circumstances under which a kidney transplant at the renowned Hiranandani Hospital may be the most appropriate course of action. By addressing the key indicators and factors involved, we hope to empower patients and their families to make informed decisions about their kidney care journey.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
4. Definition:-
A seizure is the clinical event that result from abnormal
excessive neuronal activity.
Etiology:-
-Alteration of consciousness, motor activity, behavior, sensation or
autonomic function.
-It may be viewed as a symptom of an underlying disease process.
Classification:-
• Acute non recurrent convulsions:-
One or more convulsive fits that occur during the same acute illness &
do not recur after recovery:-
– Febrile convulsions. – hypertensive encephalopathy.
– CNs infections:- meningitis, encephalitis.
– Intra cranial Hemorrhage: spontaneous, or traumatic
– Toxic:- e.g tetanus. – Intracranial tumors.
– Anoxic:- sudden severe asphyxia.
– Metabolic:- hypoglycemia, hypocalcaemia, hypo or
hypernateremia.
5. • Chronic recurrent convulsions:-
Recurrent attacks of convulsions with symptoms free intervals:-
*Epilepsy:
-- Idiopathic.
--Neurocutaneous synd. Such as Sturge-weber,
neurofibromatosis, tuberous scelosis.
– Organic secondary to brain insult:- post- infection,
post- traumatic, post- hypoxic, post- toxic.
– Benign neonatal convulsions.
*Degenerative brain disease.
*Congenital cerebral malformation.
7. Epilepsy
Defined as Increased Neuronal Excitability
•
• Partial:- Epileptic focus start localized and
remain localized:
Classified according to level of consciousness:
– No loss of consciousness:
Motor – Sensory – Autonomic.
– Loss of Consciousness: Temporal lobe epilepsy.
• Generalized:- Epileptic focus start localized then
become generalized.
– Grandmal – Febrile - Status epilepticus – Myoclonic
– Clonic – Atonic.-- Petite mal (typical and atypical) – Tonic.
• Unclassified
8. Generalized tonic clonic
(grand-mal epilepsy)
The commonest form of childhood convulsions 60%:-
-An aura:- unusual behaviors recognized by the mother.
-Tonic phase:- powerful sustained contraction(5 minutes):-
– The patient falls to the ground stiff due to powerful
sustained contraction of all muscles.
– Arm flexed - Legs extended.
-Clonic phase:- Rhythmical contraction and relaxation of muscles
of limbs and face:- Biting the tongue and incontinence may
occur during the clonic phase.
-Duration of attack is variable but if exceed 20 minutes it
considered status epilepticus.
9. -Post epileptic phase:- The child falls in deep sleep and
afterwards he may be confused or irritable.
Grand-mal epilepsy has good prognosis if the first
attack start after the age of 3years and the mental
development is normal.
Febrile convulsion
Definition:- Generalized tonic clonic convulsions which
occasionally occur at the onset of acute extra-cranial
infections.
Incidence:- 3-5% in all children.
10.
11. Etiology:-
At the onset of acute extra-cranial infections such as
tonsillitis.
- Febrile seizures may signify a serious underlying acute
infections.
- In association with high environmental temp.
Clinical picture:-
Criteria for diagnosis of simple febrile convulsions:-
–Patient type:- Age: 6month to 6years. -
Sex: male more than female.
–Family history: Strong positive.
- Neurologically & metabolically free.
12. Seizures stages:-
–Pre- Ictal:- Convulsions occur at the onset of
temperature 39o c or more.
–Ictal:- Generalized tonic clonic.
–Short duration:- 5-15 minutes.
–Course:- Usually one convulsive fit during
the same illness.
–Post-ictal:- Short postictal stupor.
13. Investigation
Laboratory:-
CSF analysis: Indicated if any doubt exist regarding
the possibility of meningitis.
EEG:- Indicated in atypical febrile seizure persists for more than
15 minutes or recurrent more than 3 time/day, or focal
seizures.
A child at risk for developing epilepsy:-
– Positive family history of epilepsy
– Initial febrile seizures before the age of 6 months.
– A febrile seizure.
– Delayed developmental milestone.
– Associated Respiratory manifestation (cyanosis).
14. Prognosis:- Risk for developing epilepsy is 1% in
children without risk factors,9% with risk factors.
Treatment:-
–Immediate first aid measures.
–Measures to lower the temperature:-
Cold fomentation / Antipyretics.
–Treatment of the cause of fever e.g Antibiotics
for acute tonsillitis.
–Short acting anticonvulsant:- Diazepam (valium)
0.25mg/kg/dose.
15. Generalized absence = petit-mal epilepsy
- The commonest age 5-9 years.
- Rare below 2years and never continue after 15 years.
- Short sudden loss of consciousness.
- The child suddenly stops talking and stares for few
seconds.
- Recovery is immediate and child resumes talking.
- Not associated with limb movement.
- Recurrent up to more than 100 times/day.
- May affect school performance.
16. Myoclonic epilepsy
- Occurs at any age but is more seen in infants and young
children.
- Usually associated with mental retardation.
-The attack which is very frequent, present with sudden
symmetrical mass jerking involving all limbs.
Juvenile myoclonic epilepsy
-Occurs during adolescence
–A.D. -Chromosome No. 6
–The hallmark is morning myoclonus within 90 minutes after
awakening.
-Resolved with Valporic acid therapy for life.
17. Atonic (a kinetic) epilepsy
- It is a type of myoclonic epilepsy.
- Transient loss of consciousness and falling on the ground.
- Then immediately the child gets up and resumes activity.
- The condition may be confused with petit mal.
Benign neonatal convulsions
-A.D. - Chromosome No. 20
-Generalized clonic seizures
-Occurs toward the end of the 1st week of life.
-Called familial 5th day fits.
-Favorable prognosis.
18. Infantile spasm ( West syndrome)
• Brief convulsion of the neck, trunk and arm muscles followed by
sustained muscle contraction lasting 2 to 10 seconds.
• Occurs when the child awakening or going to sleep.
• Each jerk is followed by a brief period of relaxation, many clusters occurs
each day.
• EEG showed Hypsarrhythmia ( high- voltage slow waves, spikes and
polyspikes).
• Peak age 3-8 months. - It could be mistaken for infantile colic.
• Treatment by ACTH,or oral steroids, or benzodiazepines,or valproic acid
and vigabatrinis also promising.
19. Status epilepticus
Definition:-
Continuous convulsion or repeated convulsions
without return of the level of consciousness more
than 20 min.
Causes:-
-Sudden withdrawal of anticonvulsant.
-Febrile convulsion in poorly controlled epileptic
patient.
-Metabolic or toxic.
20. Management:
1-Stop the convulsion by:-
- Diazepam 0.2 – 0.4mg / kg / dose I.V. or 0.5mg/kg/dose rectally.
- Chloral hydrate or paraldehyde:- 0.15 mg/kg diluted in saline I.V
or 0.5ml/kg/dose rectally
- If failed give general anesthesia (short acting barbiturates).
2-Long-term anticonvulsant:-
– Phenobarbitone 3-5mg/kg/day.
– Diphenylhydantoin 5-8mg/kg/day.
3-Evaluation of the patient: After the attack Todd's paralysis
may occur and then resolve completely.
21. Partial (focal) seizures
• Motor : Jacksonian epilepsy
(simple partial motor seizures):-
– Involve the motor area of the brain and the patient is
alert.
– Consists of clonic movements in a localized group of
muscles. Commonly at the Corner of mouth, Thumb,
and Great toe.
– Jacksonian march:- The neuronal discharge may
spread to other parts on the same side or become
generalized.
– Rarely may continue for hours or day (epilepsia
partialis continue).
– After the attack, there may be weakness of the part
involved (Todd's) paralysis.
22. • Sensory seizures:- (simple partial sensory seizures):-
– Localized or spreading parasethesia:- tingling,
coldness, numbness electricity or even pain.
• Autonomic seizures- (simple partial autonomic
seizures):-
Autonomic manifestation:
-Sweating. - Tachycardia.
– Diarrhea or Constipation.
– Hypertension.
– Abdominal pain (abdominal epilepsy).
– Pupillary dilatation or constriction.
23. Temporal lobe (psychomotor)
Partial complex epilepsy
Sequence of events:-
– Aura:- blinking of eyes, abnormal sound, taste, smell or
movement.
– Absence:- loss of consciousness.
– Automatism:- automatic movements e.g: chewing,
smacking of lips.
– Amnesia:- recent amnesia for all events during the
attack.
Treatment of epilepsy
Duration of therapy:-
– 3 or 4 years after the last convulsions in grand-mal or
petit mal epilepsy in an otherwise normal child.
– Longer period or even life long for those with associated
neurological problems.
24. • Advice to parents & child:-
– Give full information about the drug therapy
and stress on not to stop the drug without
medical advice.
– Allow normal activities:- the child should be
attended by a responsible adult while bathing
or swimming.
– Give clear instructions about the first-aid
measures in case the seizures:
1. Ensure patent airway.
2. Avoid biting the tongue
3. Putting the child in the prone or side position with head
down.
25. • Anticonvulsants:
Type of seizures Drug of choice Daily dose Side effects
Neonatal Phenobarbitone 3-5 mg/kg Irritability,overactivity
Grand-mal Na-Valproat,
Phentoin,
Carpamazepine
10-20mg/kg
4-8mg/kg
10-20mg/kg
-Hepatic dysfunction
-Ataxia,gum
hypertrophy.
-Rash, Leucopenia,
hepatic dysfunction
Focal motor Carpamazepine 4-8mg/kg Rash, Leucopenia,
hepatic dysfunction
Psychomotor Carpamazepine 4-8mg/kg Rash, Leucopenia,
hepatic dysfunction
Myoclonic, Akinetic Clonazepam 0.05-0.2mg/kg Drowsiness, salivation,
sedation
Petit-mal Ethosuximide 20-40mg/kg Rash, Leucopenia,
hepatic dysfunction
Status Epilepticus Diazepam 0.2-0.4mg/kg Respiratory depression
26. New drugs used for treatment of epilepsy:
-For generalized seizures:
• Lamotrigine
• Topiramate
• Zonisamide
-For partial seizures:
*Gabapentine
-For Infatile spasm:
*Topiramate
*Vigabatrin