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Deteksi dini dan penanganan komplikasi persalinan
http://oshigita.wordpress.com/category/materi-kuliah/asuhan-persalinan/
KONSEP KEBIDANAN PADA KASUS RUPTUR SERVIKS
Robekan serviks adalah robekan yang terjadi pada persalinan yang kadang-kadang sampai ke forniks, robekan biasanya terdapat pada pinggir samping serviks malahan kadang-kadang sampai ke segmen bawah Rahim (SBR) dan membuka parametrium. (UNPAD,1984)
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Deteksi dini dan penanganan komplikasi persalinan
http://oshigita.wordpress.com/category/materi-kuliah/asuhan-persalinan/
KONSEP KEBIDANAN PADA KASUS RUPTUR SERVIKS
Robekan serviks adalah robekan yang terjadi pada persalinan yang kadang-kadang sampai ke forniks, robekan biasanya terdapat pada pinggir samping serviks malahan kadang-kadang sampai ke segmen bawah Rahim (SBR) dan membuka parametrium. (UNPAD,1984)
144 Penyakit Yang Tidak Boleh Dirujuk
Tidak semua penyakit yang ditangani oleh faskes pertama BPJS dapat dirujuk ke rumah sakit rujukan. Berikut daftar 144 Penyakit tersebut
ATRESIA DUODENI DAN OESOPHAGUS
Atresia Duodeni
Atresia duodeni adalah Suatu kondisi dimana duodenum ( bagian pertama dari usus halus) tidak berkembang dengan baik, sehingga tidak berupa saluran terbuka dari lambung yang tidak memungkinkan perjalanan makanan dari lambung ke usus.
Etiologi
Gangguan pada awal masa kehamilan (minggu ke 4 dan ke 5 ).
Gangguan pembuluh darah
Banyak terjadi pada bayi premature
Tanda dan gejala
Bisa ditemukan pembengkakan abdomen bagian atas.
Muntah banyak segera setelah lahir berwarna kehijauan akibat adanya empedu.
Perut kembung di daerah epigastrium.
Tidak memproduksi urin setelah beberapa kali buang air kencing.
Hilangnya bising usus setelah beberapa kali buang air besar mekonium.
Berat badan menurun dan sukar bertambah.
Atresia duodeni
Komplikasi
Obstruksi lumen oleh membrane utuh, fail fibrosa yang menghubungkan dua ujung kantong duodenum yang buntu pendek, atau suatu celah antara ujung-ujung duodenum yang tidak bersambung
Atresia membranosa adalah bentuk yang paling sering obstruksinya terjadi di sebelah distal ampula vateri pada kebanyakan penderita.
Obstruksi duodenum dapat juga disebabkan oleh kompresi ekstrinsik seperti pancreas anular atau oleh pita-pita laad pada penderita malrotasi.
Atresia Esophagus
Atresia esophagus adalah kelainan bawaan dimana ujung saluran esophagus buntu 60% biasanya disertai dengan hidramnion. Atresia esophagus terjadi pada 1 dari 3000-4500 kelhiran hidup, sekitar sepertiga anak yang terkena lahir premature
Kelainan- kelainan lain dalam atresia esophagus
KALSIA
Kalasia adalah kelainan yang terjadi pada bagian bawah esophagus ( pada persambungan dengan lambung ) yang tidak dapat menutup rapat sehingga bayi sering regurgitasi bila dibaringkan.
AKALSIA
Merupakan kebalikan dari kalsia, pada akalasia bagian distal esophagus tidak dapat membuka dengan baik sehingga terjadi keadaan seperti stenosis atau atresia.
Etiologi
Pada kasus polahidramnion ibu
Bayi dalam keaadaan kurang bulan / kurang cukup bulan
Jika kateter yang digunakan untuk resusitasi saat lahir tidak bisa masuk kedalam lambung
Jika bayi mengeluarkan sekresi mulut berlebihan
Jika terjadi tersedak, sianosis, atau pada waktu berupaya menelan makanan.
Tanda Dan Gejala
Liur yang menetes terus menerus dari mulut bayi
Liur berbuih
Adanya aspirsai ketika bayi diberi minum
Bayi tampak sianosis akibat aspirasi yang dialami
Saat bayi diberi minum bayi akan mengalami batuk seperti tercekik
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144 Penyakit Yang Tidak Boleh Dirujuk
Tidak semua penyakit yang ditangani oleh faskes pertama BPJS dapat dirujuk ke rumah sakit rujukan. Berikut daftar 144 Penyakit tersebut
ATRESIA DUODENI DAN OESOPHAGUS
Atresia Duodeni
Atresia duodeni adalah Suatu kondisi dimana duodenum ( bagian pertama dari usus halus) tidak berkembang dengan baik, sehingga tidak berupa saluran terbuka dari lambung yang tidak memungkinkan perjalanan makanan dari lambung ke usus.
Etiologi
Gangguan pada awal masa kehamilan (minggu ke 4 dan ke 5 ).
Gangguan pembuluh darah
Banyak terjadi pada bayi premature
Tanda dan gejala
Bisa ditemukan pembengkakan abdomen bagian atas.
Muntah banyak segera setelah lahir berwarna kehijauan akibat adanya empedu.
Perut kembung di daerah epigastrium.
Tidak memproduksi urin setelah beberapa kali buang air kencing.
Hilangnya bising usus setelah beberapa kali buang air besar mekonium.
Berat badan menurun dan sukar bertambah.
Atresia duodeni
Komplikasi
Obstruksi lumen oleh membrane utuh, fail fibrosa yang menghubungkan dua ujung kantong duodenum yang buntu pendek, atau suatu celah antara ujung-ujung duodenum yang tidak bersambung
Atresia membranosa adalah bentuk yang paling sering obstruksinya terjadi di sebelah distal ampula vateri pada kebanyakan penderita.
Obstruksi duodenum dapat juga disebabkan oleh kompresi ekstrinsik seperti pancreas anular atau oleh pita-pita laad pada penderita malrotasi.
Atresia Esophagus
Atresia esophagus adalah kelainan bawaan dimana ujung saluran esophagus buntu 60% biasanya disertai dengan hidramnion. Atresia esophagus terjadi pada 1 dari 3000-4500 kelhiran hidup, sekitar sepertiga anak yang terkena lahir premature
Kelainan- kelainan lain dalam atresia esophagus
KALSIA
Kalasia adalah kelainan yang terjadi pada bagian bawah esophagus ( pada persambungan dengan lambung ) yang tidak dapat menutup rapat sehingga bayi sering regurgitasi bila dibaringkan.
AKALSIA
Merupakan kebalikan dari kalsia, pada akalasia bagian distal esophagus tidak dapat membuka dengan baik sehingga terjadi keadaan seperti stenosis atau atresia.
Etiologi
Pada kasus polahidramnion ibu
Bayi dalam keaadaan kurang bulan / kurang cukup bulan
Jika kateter yang digunakan untuk resusitasi saat lahir tidak bisa masuk kedalam lambung
Jika bayi mengeluarkan sekresi mulut berlebihan
Jika terjadi tersedak, sianosis, atau pada waktu berupaya menelan makanan.
Tanda Dan Gejala
Liur yang menetes terus menerus dari mulut bayi
Liur berbuih
Adanya aspirsai ketika bayi diberi minum
Bayi tampak sianosis akibat aspirasi yang dialami
Saat bayi diberi minum bayi akan mengalami batuk seperti tercekik
Muntah yang proyektil
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
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.
NVBDCP.pptx Nation vector borne disease control program
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
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
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
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Flu Vaccine Alert in Bangalore Karnataka
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
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.
Knee anatomy and clinical tests 2024.pdf
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.
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
- 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
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Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
New Drug Discovery and Development .....
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
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
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