ASAS(Assessment of Spondylo Arthritis international Society ) classification
to improve the early detection of spondyloarthropathy • Axial • PeripheralASAS(Assessment of Spondylo Arthritis international Society ) classification
to improve the early detection of spondyloarthropathy • Axial • PeripheralASAS(Assessment of Spondylo Arthritis international Society ) classification
to improve the early detection of spondyloarthropathy • Axial • Peripheral
Presentation Te-WPS Office.pptx how to makessuser209909
Titanium is a chemical element; it has symbol Ti and atomic number 22. Found in nature only as an oxide, it can be reduced to produce a lustrous transition metal with a silver color, low density, and high strength, resistant to corrosion in sea water, aqua regia, and chlorine.
Presentation Te-WPS Office.pptx how to makessuser209909
Titanium is a chemical element; it has symbol Ti and atomic number 22. Found in nature only as an oxide, it can be reduced to produce a lustrous transition metal with a silver color, low density, and high strength, resistant to corrosion in sea water, aqua regia, and chlorine.
ASAS(Assessment of Spondylo Arthritis international Society ) classification
to improve the early detection of spondyloarthropathy • Axial • PeripheralASAS(Assessment of Spondylo Arthritis international Society ) classification
to improve the early detection of spondyloarthropathy • Axial • PeripheralASAS(Assessment of Spondylo Arthritis international Society ) classification
to improve the early detection of spondyloarthropathy • Axial • Peripheral
ASAS(Assessment of Spondylo Arthritis international Society ) classification
to improve the early detection of spondyloarthropathy • Axial • PeripheralASAS(Assessment of Spondylo Arthritis international Society ) classification
to improve the early detection of spondyloarthropathy • Axial • PeripheralASAS(Assessment of Spondylo Arthritis international Society ) classification
to improve the early detection of spondyloarthropathy • Axial • Peripheral
thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen. Vaginal atrophy occurs most often after menopause. For many women, vaginal atrophy not only makes intercourse painful but also leads to distressing urinary symptoms.
may be useful. The content of postnatal care is
described in the next two sections.
• Ensure healthy women and their newborns stay at a
health facility at least 24 hours and are not
discharged early. This recommendation is an update
from 2006, and the minimum duration of stay was
lengthened from 12 to 24 hours. Evidence suggests
discharge is acceptable only if a mother’s bleeding is
controlled, mother and baby do not have signs of
infection or other diseases, and the baby is breastfeeding
well.
• All mothers and babies need at least four postnatal
checkups in the first 6 weeks. This is a notable change
to the previous guidance, which recommended only two
postnatal checkups within 2 to 3 days and at 6 weeks
after birth. Now, in addition to postnatal care with two
full assessments on the first day, three additional visits
are recommended: day 3 (48–72 hours), between days 7–
14 and 6 weeks after birth. These contacts can be made
at home or in a health facility, depending on the context and the provider. Additional contacts may be needed to
address issues or concerns.
Table 1. Provision of Postnatal Care to Mothers and Newborns: Policy and Programme Actions Based On
the New WHO Guidelines
WHO Recommendation 2013 Policy/Programme Action
RECOMMENDATION 1: Timing of discharge from a health facility after birth
After an uncomplicated vaginal birth in a health
facility, healthy mothers and newborns should
receive care in the facility for at least 24 hours after
birth.* (NEW in 2013)
* For the newborn, this care includes an immediate
assessment at birth, a full clinical examination around 1
hour after birth and before discharge.
• Ensure respectful, women-centred quality carea is provided for all
births.
• Review if increased infrastructure (beds, etc.) and staff in postnatal
wards are required to provide care respectfully and comfortably for
women to stay longer.
• Align policies (such as national institutional delivery incentive and
insurance schemes) with recommendation.
• Adapt and use a simple discharge checklist.12
RECOMMENDATION 2: Number and timing of postnatal contacts
If birth is in a health facility, mothers and
newborns should receive postnatal care in the
facility for at least 24 hours after birth.a (NEW in
2013)
• Ensure that national standards, quality improvement tools and
training curricula promote three assessments in the first 24 hours
for the newborn: an immediate assessment at birth; a full clinical
examination around 1 hour after birth and again before discharge.
• Coordinate postnatal care with the Baby-Friendly Hospital
Initiative13 to ensure that facility-based procedures and outreach to
the community support optimal breastfeeding practices.
• Update facility-based providers and promote best practices in
postnatal care including pre-discharge counselling, according to the
new guidelines.
If birth is at home, the first postnatal may be useful. The content of postnatal care is
descrm
may be useful. The content of postnatal care is
described in the next two sections.
• Ensure healthy women and their newborns stay at a
health facility at least 24 hours and are not
discharged early. This recommendation is an update
from 2006, and the minimum duration of stay was
lengthened from 12 to 24 hours. Evidence suggests
discharge is acceptable only if a mother’s bleeding is
controlled, mother and baby do not have signs of
infection or other diseases, and the baby is breastfeeding
well.
• All mothers and babies need at least four postnatal
checkups in the first 6 weeks. This is a notable change
to the previous guidance, which recommended only two
postnatal checkups within 2 to 3 days and at 6 weeks
after birth. Now, in addition to postnatal care with two
full assessments on the first day, three additional visits
are recommended: day 3 (48–72 hours), between days 7–
14 and 6 weeks after birth. These contacts can be made
at home or in a health facility, depending on the context and the provider. Additional contacts may be needed to
address issues or concerns.
Table 1. Provision of Postnatal Care to Mothers and Newborns: Policy and Programme Actions Based On
the New WHO Guidelines
WHO Recommendation 2013 Policy/Programme Action
RECOMMENDATION 1: Timing of discharge from a health facility after birth
After an uncomplicated vaginal birth in a health
facility, healthy mothers and newborns should
receive care in the facility for at least 24 hours after
birth.* (NEW in 2013)
* For the newborn, this care includes an immediate
assessment at birth, a full clinical examination around 1
hour after birth and before discharge.
• Ensure respectful, women-centred quality carea is provided for all
births.
• Review if increased infrastructure (beds, etc.) and staff in postnatal
wards are required to provide care respectfully and comfortably for
women to stay longer.
• Align policies (such as national institutional delivery incentive and
insurance schemes) with recommendation.
• Adapt and use a simple discharge checklist.12
RECOMMENDATION 2: Number and timing of postnatal contacts
If birth is in a health facility, mothers and
newborns should receive postnatal care in the
facility for at least 24 hours after birth.a (NEW in
2013)
• Ensure that national standards, quality improvement tools and
training curricula promote three assessments in the first 24 hours
for the newborn: an immediate assessment at birth; a full clinical
examination around 1 hour after birth and again before discharge.
• Coordinate postnatal care with the Baby-Friendly Hospital
Initiative13 to ensure that facility-based procedures and outreach to
the community support optimal breastfeeding practices.
• Update facility-based providers and promote best practices in
postnatal care including pre-discharge counselling, according to the
new guidelines.
If birth is at home, the first postnatal may be useful. The content of postnatal care is
descr
The sandbag used to support the patient's head during surgery should be removed, and the head position should be corrected if necessary to improve venous drainage and reduce the risk of hematoma formationThe sandbag used to support the patient's head during surgery should be removed, and the head position should be corrected if necessary to improve venous drainage and reduce the risk of hematoma formationThe sandbag used to support the patient's head during surgery should be removed, and the head position should be corrected if necessary to improve venous drainage and reduce the risk of hematoma formation
Thyroid is a butterfly-shaped gland located in the front of the neck, just below the Adam's apple. It is an essential part of the endocrine system, responsible for producing, storing, and releasing hormones that play a crucial role in regulating various bodily functions. The two main hormones produced by the thyroid gland are triiodothyronine (T3) and thyroxine (T4).
The thyroid gland is controlled by the pituitary gland, a small gland located at the base of the brain. The pituitary gland releases thyroid-stimulating hormone (TSH), which stimulates the thyroid to produce and release T3 and T4. These hormones are vital for the body's metabolism, energy production, growth, and development.
Thyroid disorders are relatively common and can arise when the gland produces too much or too little of the thyroid hormones. Some common thyroid conditions include:
1. Hypothyroidism: This occurs when the thyroid gland produces insufficient T3 and T4, leading to a slowdown in metabolism. Symptoms may include fatigue, weight gain, cold intolerance, constipation, and depression.
2. Hyperthyroidism: In this condition, the thyroid gland overproduces T3 and T4, causing an accelerated metabolism. Symptoms can include weight loss, increased heart rate, anxiety, irritability, and heat intolerance.
3. Goiter: A goiter is an enlargement of the thyroid gland, often caused by iodine deficiency or certain thyroid disorders.
4. Thyroid nodules: These are small lumps or growths that can develop within the thyroid gland. Most thyroid nodules are benign, but some may be cancerous.
5. Thyroid cancer: Although relatively rare, thyroid cancer can occur when abnormal cells within the thyroid gland grow and divide uncontrollably.
Diagnosis of thyroid disorders typically involves blood tests to measure thyroid hormone levels and TSH levels, as well as imaging studies such as ultrasound or a radioactive iodine scan.
Treatment for thyroid disorders varies depending on the specific condition but may include medications to regulate hormone levels, radioactive iodine therapy, surgical removal of part or all of the thyroid gland (thyroidectomy), or external beam radiation therapy in the case of thyroid cancer.
It is crucial to have any suspected thyroid problems evaluated and treated by a qualified healthcare professional, typically an endocrinologist, to ensure proper management and prevent complications. With appropriate medical care, many thyroid disorders can be effectively controlled, allowing individuals to lead healthy and fulfilling lives.
Surgical Management of Thyroid Diseases
Toxic Goitre
Primary - Graves’ Disease
Secondary -Toxic Multinodular goitre -Plummer Disease
Autonomous Toxic nodule
Graves Disease - Mainly managed medically
Surgery - Total thyroidectomy
Eye signs will get worse with subtotal
Toxic MNG - Main treatment is surgery -Total thyroidectomy
Autonomous Toxic nodule - Hemithyroidectomy
Dive into the innovative world of smart garages with our insightful presentation, "Exploring the Future of Smart Garages." This comprehensive guide covers the latest advancements in garage technology, including automated systems, smart security features, energy efficiency solutions, and seamless integration with smart home ecosystems. Learn how these technologies are transforming traditional garages into high-tech, efficient spaces that enhance convenience, safety, and sustainability.
Ideal for homeowners, tech enthusiasts, and industry professionals, this presentation provides valuable insights into the trends, benefits, and future developments in smart garage technology. Stay ahead of the curve with our expert analysis and practical tips on implementing smart garage solutions.
Unleash Your Inner Demon with the "Let's Summon Demons" T-Shirt. Calling all fans of dark humor and edgy fashion! The "Let's Summon Demons" t-shirt is a unique way to express yourself and turn heads.
https://dribbble.com/shots/24253051-Let-s-Summon-Demons-Shirt
You could be a professional graphic designer and still make mistakes. There is always the possibility of human error. On the other hand if you’re not a designer, the chances of making some common graphic design mistakes are even higher. Because you don’t know what you don’t know. That’s where this blog comes in. To make your job easier and help you create better designs, we have put together a list of common graphic design mistakes that you need to avoid.
Transforming Brand Perception and Boosting Profitabilityaaryangarg12
In today's digital era, the dynamics of brand perception, consumer behavior, and profitability have been profoundly reshaped by the synergy of branding, social media, and website design. This research paper investigates the transformative power of these elements in influencing how individuals perceive brands and products and how this transformation can be harnessed to drive sales and profitability for businesses.
Through an exploration of brand psychology and consumer behavior, this study sheds light on the intricate ways in which effective branding strategies, strategic social media engagement, and user-centric website design contribute to altering consumers' perceptions. We delve into the principles that underlie successful brand transformations, examining how visual identity, messaging, and storytelling can captivate and resonate with target audiences.
Methodologically, this research employs a comprehensive approach, combining qualitative and quantitative analyses. Real-world case studies illustrate the impact of branding, social media campaigns, and website redesigns on consumer perception, sales figures, and profitability. We assess the various metrics, including brand awareness, customer engagement, conversion rates, and revenue growth, to measure the effectiveness of these strategies.
The results underscore the pivotal role of cohesive branding, social media influence, and website usability in shaping positive brand perceptions, influencing consumer decisions, and ultimately bolstering sales and profitability. This paper provides actionable insights and strategic recommendations for businesses seeking to leverage branding, social media, and website design as potent tools to enhance their market position and financial success.
Between Filth and Fortune- Urban Cattle Foraging Realities by Devi S Nair, An...Mansi Shah
This study examines cattle rearing in urban and rural settings, focusing on milk production and consumption. By exploring a case in Ahmedabad, it highlights the challenges and processes in dairy farming across different environments, emphasising the need for sustainable practices and the essential role of milk in daily consumption.
White wonder, Work developed by Eva TschoppMansi Shah
White Wonder by Eva Tschopp
A tale about our culture around the use of fertilizers and pesticides visiting small farms around Ahmedabad in Matar and Shilaj.
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