Dengue fever is a mosquito-borne viral disease caused by the dengue virus. It is transmitted by the Aedes aegypti mosquito. The disease affects around 100 million people worldwide each year, with cases increasing dramatically in recent decades. Dengue fever causes high fever, severe headache, muscle and joint pains, and a characteristic skin rash. In a small percentage of cases, it can develop into severe dengue hemorrhagic fever or dengue shock syndrome, which can be life-threatening without proper medical treatment. There is no vaccine available for dengue prevention.
Introduction
Some Recent Dengue Out breaks
Clinical manifestations of dengue
Problem statement
Epidemiological determinants
Transmission of disease
Clinical and Laboratory diagnosis
WHO classification and Grading of severity of dengue infection.
Guidelines for treatment:
Management of DHF Grade I, II, III and IV.
Indications for red cell and platelet transfusion.
Global and National strategies.
Conclusion &References.
Dengue fever- a medical study ( definition, management ,prevention ,risks ,pa...martinshaji
#Dengue fever is a mosquito-borne disease that occurs in #tropical and #subtropical areas of the #world. Mild dengue fever causes high fever, #rash, and #muscle and #joint pain. A severe form of dengue #fever, also called dengue #hemorrhagic fever, can cause severe #bleeding, a sudden drop in #blood pressure (#shock) and #death.
#Millions of cases of dengue infection occur #worldwide each year. Dengue fever is most common in #Southeast #Asia and the #western #Pacific #islands, but the #disease has been increasing rapidly in #Latin #America and the #Caribbean
please comment
thank you
Introduction
Some Recent Dengue Out breaks
Clinical manifestations of dengue
Problem statement
Epidemiological determinants
Transmission of disease
Clinical and Laboratory diagnosis
WHO classification and Grading of severity of dengue infection.
Guidelines for treatment:
Management of DHF Grade I, II, III and IV.
Indications for red cell and platelet transfusion.
Global and National strategies.
Conclusion &References.
Dengue fever- a medical study ( definition, management ,prevention ,risks ,pa...martinshaji
#Dengue fever is a mosquito-borne disease that occurs in #tropical and #subtropical areas of the #world. Mild dengue fever causes high fever, #rash, and #muscle and #joint pain. A severe form of dengue #fever, also called dengue #hemorrhagic fever, can cause severe #bleeding, a sudden drop in #blood pressure (#shock) and #death.
#Millions of cases of dengue infection occur #worldwide each year. Dengue fever is most common in #Southeast #Asia and the #western #Pacific #islands, but the #disease has been increasing rapidly in #Latin #America and the #Caribbean
please comment
thank you
The information regarding the dengue fever, Introduction, epidemiology, aetiology, symptoms, general management and prevention , along with one example of the journal club.
Dengue virus rarely causes death. However, the infection can progress into a more serious condition known as severe dengue or dengue hemorrhagic fever. Symptoms of dengue hemorrhagic fever include: bleeding under the skin. frequent vomiting.
The information regarding the dengue fever, Introduction, epidemiology, aetiology, symptoms, general management and prevention , along with one example of the journal club.
Dengue virus rarely causes death. However, the infection can progress into a more serious condition known as severe dengue or dengue hemorrhagic fever. Symptoms of dengue hemorrhagic fever include: bleeding under the skin. frequent vomiting.
A mosquito-borne viral disease occurring in tropical and subtropical areas.
Those who become infected with the virus a second time are at a significantly greater risk of developing severe disease.
Symptoms include high fever, headache, rash and muscle and joint pain. In severe cases there is serious bleeding and shock, which can be life threatening.
Treatment includes fluids and pain relievers. Severe cases require hospital care.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Dengue
1.
2.
3. INTRODUCTION
Dengue fever is a
painful debilitating
mosquito born
disease caused by
any one of four
closely related
dengue virus
4. DEFINITION
• Dengue fever is also known as breakbone fever
is a mosquito born tropical disease caused by
the mosquito bite.
• The alternative name for dengue, "breakbone
fever", comes from the associated muscle and
joint pains.
• It is caused by the female aedes aegypti
mosquito bite, which transmit the dengue virus
to human.
5. INCIDENCE
Each year an estimated 100 millions
cases of dengue occur world wide.
• The global incidence of dengue has
grown dramatically in recent decades.
• In INDIA the cases has increase sharply
over past five years there have been
38,000 so far in 2013.
7. Febrile Phase x 7days
High fever 40 °C (104 °F)
headache
generalized arthalgia
myalgia
petechiae
bleeding from mucus membrane.
A rash occurs in 50–80%
8. Critical Phase x 2days
Leukopenia
thrombocytopenia.
Increase capillary permeability
leading to plasma leakage that lead
to metabolic acidosis.
In children febrile phase is common
carries nausea, vomiting,
thrombocytopnea.
9. Recovery phase x 2-3 days
Stabilize hemodynamic status
increase urine output
overall clinical improvement.
Increase in fluid overload can cause
cerebral edema.
10. SIGN & SYMPTOMS
• Fever ( more than 105 )
• Headache
• Muscle, joint pain
• skin rash ( appear 4-5 days after fever )
• Pain behind eyes
• Nausea
• Vomiting
• Mild bleeding
11.
12. WARNING SIGNS
• Severe abdominal pain
• Persistent vomiting
• Vomit with blood
• Drowsiness or irritability
• Dyspnoea
• Swollen lymph node
• Prostration
• diarrhea
14. WHO-proposed clinical
definition of dengue
PROBABLE DENGUE
• • Exposure in an endemic area
• • Fever
Two of:
• Nausea/vomiting
• Rash
• Aches/pains
• Positive tourniquet test
• Leucopenia
• Any warning sign
• Laboratory confirmation important
• Needs regular medical observation and
instruction in the
warning signs
• If there are no warning signs,
need for hospitalisation is
• influenced by age,
comorbidities, pregnancy and
social factors
15. Dengue with warning signs
• Probable dengue plus one of:
• Abdominal pain or tenderness
• Persistent vomiting
• Signs of fluid accumulation, e.g. pleural effusion or
• ascites
• Mucosal bleed
• Lethargy
• Hepatomegaly > 2 cm
• Rapid increase in haematocrit with fall in platelet
• count
• Needs medical intervention, e.g. intravenous fluid
16. • Severe dengue
• • Severe plasma leakage leading to:
• Shock (dengue shock syndrome)
• Fluid accumulation with respiratory distress
• • Severe haemorrhagic manifestations, e.g. GI
• haemorrhage
• • Severe organ involvement:
• Liver AST or ALT ≥ 1000 U/L
• CNS: impaired consciousness
• Cardiomyopathy
• Other organs, e.g. renal impairment
• Needs emergency medical treatment and specialist care with
17.
18. LABORATORY FEATURES
• include leucopenia, neutropenia, thrombocytopenia
• elevated alanine aminotransferase (ALT) or
aspartate aminotransferase (AST)
• serology or detection of dengue viral material in
blood by RT-PCR
19. • Dengue-specific IgG and IgM ELISA{ positive for IgM
antibodies on or after day 5 of the fever}
IgM ELISA has a sensitivity of 83.9–98.4% and
a specificity of 100%
Dengue 2 virus enhancement in asthmatic
and non asthmatic individual.Guzman MG,
Kouri G, Soler M, Bravo J, Rodríguez de
La Vega A, Vazquez S, Mune M
20. • Extravasation of fluid due to vascular leakage can be
detected radiologically (chest radiography for pleural
effusions, echocardiography for pericardial effusions,
ultrasonography for ascites).
23. NURSING MANAGEMENT
• Increased body temperature related to infection as evidence
by vital sign monitoring.
• Hypovolemic shock related to hemorrhage.
• Fluid volume deficit related to migration of intravascular fluid
into extravascular fluid.
• Impaired nutrition less than body requirement related to
decreased appetite.
24. STEPWISE MANAGEMENT
STEP 1-Overall Assessment
a) History
b) Examination
c) Investigations
STEP 2- Diagnosis,Assessment of disease phase and
Severity.
STEP 3- Treatment-Group A,B,C
25.
26. PROGNOSIS
• For the majority of peoples the people infected with
dengue virus fever the prognosis is excellent.
• Although they are likely to feel very ill during first 1-2
week of acute illness.
• Overall the fatality rate is about 1% for all denge
fever infection.
27. COMPLICATION
• A small percentage of individual who have dengue fever can develop
a more serious form of disease.
• Dengue haemorrhagic fever and disseminated intravascular
• coagulation
• Dengue shock syndrome
• Hepatitis, cerebral haemorrhage or oedema, encephalitis,
• cranial nerve palsies, rhabdomyolysis, myocarditis
• Vertical transmission if infection within 5 wks of delivery
28. MOST OF YOU GET CONFUSED THAT
WHAT IS DENGUE HEMMORAHAGIC
FEVER AND DENGUE SHOCK
SNDROME
ALWAYS REMEMBER
THEYARE THE COMPLICATION OF
DENGUE FEVER
29. DENGUE HEMORRHAGIC FEVER
– High damage to lymphatic system.
– High fever.
– Bleeding from nose
– Liver enlargement
– Damage to blood vessels
30.
31.
32.
33. DENGUE SHOCK
SYNDROME
• It can trigger Dengue Shock Syndrome
– Massive bleeding
– Death
– Dehydration
– Febrile convulsion