Diabetes as a global problem, foot care and nutrition management as presented by clinical nutritionist. Cheruiyot Sambu at Kapkatet county hospital. stay tuned
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Thins pdf will show all the symptom of diabetes . There are links between the para . Go to that like .It will help you very much. Buy that product . It will cure diabites .
Join America's Diabetic Savings Club with other Diabetics across America In receiving outstanding money saving opportunities
http://healthybodyresources.com/Diabetic
Diabetes is a disease that affects your body’s ability to produce or use insulin. Insulin is a hormone. When your body turns the food you eat into energy (also called sugar or glucose), insulin is released to help transport this energy to the cells. Insulin acts as a “key.” Its chemical message tells the cell to open and receive glucose.
14th/ November, this day is commemorated as World Diabetes Day, led by the International Diabetes Federation and World Health Organization started in 1991
Care to know how your diet has the potential to either exacerbate or improve your diabetic condition? Take note changes to make as you flip through these slides.
Diabetes Mellitus is a chronic condition that affects the body's ability to regulate blood sugar levels. It is caused by a deficiency of the hormone insulin, which helps the body convert sugar from food into energy. People with diabetes often have high levels of sugar in their blood, which can lead to serious health problems if left untreated. Symptoms of diabetes include excessive thirst, frequent urination, fatigue, weight loss, and blurred vision. Treatment typically involves lifestyle changes, such as exercising regularly, eating healthy, and taking medications, as well as monitoring blood sugar levels. With proper treatment and management, people with diabetes can enjoy a normal life. Know more from the documents
Join America's Diabetic Savings Club with other Diabetics across America In receiving outstanding money saving opportunities
http://healthybodyresources.com/Diabetic
Diabetes is a disease that affects your body’s ability to produce or use insulin. Insulin is a hormone. When your body turns the food you eat into energy (also called sugar or glucose), insulin is released to help transport this energy to the cells. Insulin acts as a “key.” Its chemical message tells the cell to open and receive glucose.
14th/ November, this day is commemorated as World Diabetes Day, led by the International Diabetes Federation and World Health Organization started in 1991
Care to know how your diet has the potential to either exacerbate or improve your diabetic condition? Take note changes to make as you flip through these slides.
Diabetes Mellitus is a chronic condition that affects the body's ability to regulate blood sugar levels. It is caused by a deficiency of the hormone insulin, which helps the body convert sugar from food into energy. People with diabetes often have high levels of sugar in their blood, which can lead to serious health problems if left untreated. Symptoms of diabetes include excessive thirst, frequent urination, fatigue, weight loss, and blurred vision. Treatment typically involves lifestyle changes, such as exercising regularly, eating healthy, and taking medications, as well as monitoring blood sugar levels. With proper treatment and management, people with diabetes can enjoy a normal life. Know more from the documents
We provide health information that seeks out to notify, educate, discuss, guide you regarding diabetes and connect you to the people online. For more details you can visit at http://www.fightdiabetes.com.
Diabetes Effective Management for Sugar Control.pdfNationalNutrition
Diabetes – more and more common in North America every year – occurs when there is too much sugar in the blood. The most prevalent form of the disease is TYPE II diabetes. In this type, the person’s pancreas is unable to produce enough insulin to metabolize the amount of sugar that they are ingesting.
from the screening reports we see in our region the prevalence of new cases of hypertension is high. even the health care professionals are not spared too. majority are over weight and obese with sedentary lifestyle. Kapkatet county hospital is one of of the areas we advocate for lifestyle modification.
ACTIVE TB CASE FINDINGS IN SCHOOLS. CONDUCTED BY CHERUIYOT SAMBU AND COLLINS ...cheruiyot sambu
WE CONDUCTED PROSPECTIVE STUDY IN TENGECHA BOYS HIGH SCHOOL IN KERICHO COUNTY. FROM THE FINDINGS THERE IS A NEED TO SCREEN FOR TB IN ALL BOARDING SCHOOLS AND VENTILATION IN CLASSES AND LIVING ROOMS IS NECESSARY. WE PRESENTED IN CONFERENCE ORGANISED BY KAPTLD ON 18 TO 22 NOVEMBER 2015 IN TRAVELLERS BEACH HOTEL MOMBASA.
one health conducted in kisumu kenya lead by the University of Florida (UF) w...cheruiyot sambu
ONE HEALTH course was introduce to GLUK by the UF and this was the first group to work with the students from GLUK. From the experience, one health is necessary to all environmental health students and doctors too as most of the zoonotic diseases can be prevented if we take good care of our environment. our findings is shared through scientific journals and kapkatet county hospital in kericho county, kenya is one of the places we have started one health education.
SPECIAL NUTRITION ASSESSMENT DONE IN KAPKATET COUNTY HOSPITAL LOCATED IN KERI...cheruiyot sambu
ALMOST 100% OF THE PATIENTS SEEKING FOR TREATMENT IN ALL HEALTH FACILITIES HAVE NUTRITION PROBLEM. IT CAN BE EXCESS OR INADEQUATE NUTRITIENTS. IF ALL NUTRITIONIST DO MORE ON EARLY ASSESSMENTOF INDIVIDUALS THE WORST CAN BE PREVENTED. KINDLY VISIT A CLINICAL NUTRITIONIST FOR MORE INFORMATION
Diabetes as presented by cheruiyot sambu in kapkatet county hospital. cheruiyot sambu
Our lifestyle is full of sugar and people do not do regular exercise as required nowadays. remember diabetes is a lifestyle disease and 90% of the cases is caused by environmental factors related to poor lifestyle
palliative care presented by sambu cheruiyot clinical nutritionist in kapkate...cheruiyot sambu
currently we need to understand the role of palliative care in our patients. kapkatet hospital have strongly participated in provision of palliative services. come and witness the strong team willing to help the community.
Obesity as presented by cheruiyot sambu clinical nutritionist at kapkatet cou...cheruiyot sambu
obesity is currently a global concern. in developing countries like kenya, we have a double burden of both under-nutrition and over-nutrition. health care providers too are not spared by over-nutrition. my best advice is for everyone to see nutritionist for nutrition advice. in kapkatet hospital we are starting weight management plan for health professionals; you can join us.
paediatric Nutrition in kapkatet district hospitalcheruiyot sambu
kapkatet district hospital is one of the best in the country (kenya) and it is situated in kericho county. paediatrict nutrition team is lead by sambu cheruiyot with MSCN, BSCN and BCN.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. Ministries of Health
Definition
Diabetes mellitus is a chronic metabolic
disorder characterized by hyperglycemia
(high blood glucose) due to:-
◦ Defects in insulin production usually
caused by destruction of beta cells
(autoimmune or otherwise)
◦ Insulin resistance - impaired action of
insulin on target cells
◦ Both of these mechanisms
3. Ministries of Health
The Classification of Diabetes Based on
Etiology (WHO)
Type 1 diabetes Results from destruction of the pancreatic beta cells
most commonly autoimmune. Insulin is required for
survival.
Type 2 diabetes Characterized by insulin resistance and/or abnormal
insulin secretion, either of which may predominate,
but both of which are usually present. It is the most
common type of diabetes.
Other specific
types of
Diabetes
These are less common and include genetic
disorders, infections, and diseases of the exocrine
pancreas, endocrinopathies or as a result of drugs.
Gestational
diabetes
Diabetes diagnosed in the second or third trimester
in a woman who was previously not known to have
diabetes. It typically resolves after delivery..
4. Ministries of Health
Epidemiology of diabetes
Globally:
Diabetes is one of the largest global health
emergencies of the 21st century
Over 415 million people are living with
diabetes (1 out of 11 of adults)
75% of people with diabetes live in low and
middle income countries
More than 46.5% of adults with diabetes are
undiagnosed
Every 6 seconds someone dies from
diabetes
5. Ministries of Health
Epidemiology of diabetes
In Kenya:
Prevalence of DM is 4.7% (2.7%
in the rural and 10.7% in urban
areas), expected to rise to 7% by
2030
6 out of 10 adults with diabetes
are undiagnosed
6. Ministries of Health
Global projections; International Diabetes
Federation (IDF Atlas)
171 million
194
million
247
million
415
million
642 million
2000
2003
2007
2015
2040
285 million
2010
7. Ministries of HealthRisk factors for diabetes
Risk factors for type 1
DM are not well known.
Type 2 diabetes has
several risk factors
divided into:
◦ Non-modifiable risk
factors
◦ Modifiable risk factors
8. Ministries of HealthRisk factors for diabetes
A. Non-modifiable risk factors
− Age > 40 years
− Family history/genetic predisposition
− Member of high risk population (Ethnicity /race
e.g. Pima Indians)
− History of impaired glucose tolerance, impaired
fasting glucose
− History of gestational diabetes or delivery of a
macrosomic baby
− Polycystic ovary disease
9. Ministries of Health
Risk Factors - Modifiable
9
Unhealthy diet
Tobacco use
Excessive alcohol consumption
Physical inactivity Overweight and Obesity
Increasing age
10. Ministries of Health
Signs and symptoms
10
Excessive
thirst Extreme
hunger
Frequent urination
Blurred vision
Increased
fatigue
Impotence
11. Ministries of Health
Signs and symptoms
11
Unexplained weight loss
Irritability
Non healing wounds
Numbness or tingling sensation
of the feet
12. Ministries of Health
Benefits of healthy eating
and active living?
Those who do not find time for
exercise will have to find time for
illness. (Edward Smith-Stanley)
13. Ministries of Health
Commercial ‘Diabetic’ foods
There are many commercially prepared diabetic
food substances in the market
They are not recommended because:
–They are expensive
–They are high in trans fatty acids
–They contain sugars other than glucose/sucrose
–They do not have a role in a healthy eating plan
Before using these foods, one must consult with a
dietician
Avoid chronic use of artificial sweeteners
17. Ministries of Health
Environment
Think for a minute about the food:
◦ in grocery stores
◦ in corner stores
◦ in movie theatres
◦ at fast food restaurants
◦ at sports events
◦ at school
You pray for good health and a body that
will be strong in old age. Good — but your
rich foods block the gods’ answer and tie
Jupiter’s hands. (Persius)
18. Ministries of Health
Today we find…
Majority addicted to excessive drinking, smoking,
totally sedentary, overeating “wrong” foods, overly
stressed.
Others may occasionally exercise have a high ego.
A minority try to follow all the rules of eating, exercise,
sleep etc.
Almost extinct - exceptionally knowledgeable &
disciplined.
Analyse your lifestyle
19. Ministries of Health
The Plate Model
The plate model is a simple way to planning a
balanced diet through appropriate portion
sizes without measuring
Fill the plate (20 cm diameter) to match the
amount of
◦ Vegetables- ½ of the plate
◦ Starches ¼ of the plate
◦ Meat ¼ of the plate
◦ Then add a piece of fruit and/or a glass of milk
22. Ministries of Health
22
Assessment of the foot -
8 Clinical features
1. Neuropathy
2. Ischemia
3. Deformity
4. Callus
5. Swelling
6. Skin
breakdown
7. Infection
8. Necrosis
Reference from managing the Diabetic foot : M Edmonds and A Foster