Animal Medicinal Drug Use Clarification Act (AMDUCA) - Dr. Patrick Gorden, College of Veterinary Medicine, Iowa State University, from the 2017 NIAA Annual Conference, U.S. Animal Agriculture's Future Role In World Food Production - Obstacles & Opportunities, April 4 - 6, Columbus, OH, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2017_niaa_us_animal_ag_future_role_world_food_production
How to access and process FDA drug approval packages for use in researchErick Turner
FDA reviews on new drugs can be used to learn the results of unpublished studies. Unfortunately, the FDA website (Drugs@FDA) is not user-friendly, nor are these review documents. These slides explain how to navigate Drugs@FDA, and they provide tips on how to make documents easier to use.
These slides are based on, and expand upon, an article in the BMJ, available at http://www.bmj.com/content/347/bmj.f5992 .
Qui Tam: Off Label Drug Marketing [Data Snapshot]lawsuitlegal
When does the promotion of a pharmaceutical become illegal?
Learn what is considered off-label use for popular drugs and when it becomes unlawful in this data snapshot.
We share the most common types of off-label uses, where it happens most often, and what exceptions provide 'safe haven' protection.
Most doctors and hospitals are prescribing doctors as they should be, with the patients in mind.
However, off-label prescriptions are important when considered in relation to the False Claims Act. The issue of insurance reimbursement takes center stage when drugs are being used unlawfully and these healthcare organizations are receiving insurance payments for improper use.
So take a moment to review the data with us on Off-Label Marketing relating to qui tam actions, today.
How to access and process FDA drug approval packages for use in researchErick Turner
FDA reviews on new drugs can be used to learn the results of unpublished studies. Unfortunately, the FDA website (Drugs@FDA) is not user-friendly, nor are these review documents. These slides explain how to navigate Drugs@FDA, and they provide tips on how to make documents easier to use.
These slides are based on, and expand upon, an article in the BMJ, available at http://www.bmj.com/content/347/bmj.f5992 .
Qui Tam: Off Label Drug Marketing [Data Snapshot]lawsuitlegal
When does the promotion of a pharmaceutical become illegal?
Learn what is considered off-label use for popular drugs and when it becomes unlawful in this data snapshot.
We share the most common types of off-label uses, where it happens most often, and what exceptions provide 'safe haven' protection.
Most doctors and hospitals are prescribing doctors as they should be, with the patients in mind.
However, off-label prescriptions are important when considered in relation to the False Claims Act. The issue of insurance reimbursement takes center stage when drugs are being used unlawfully and these healthcare organizations are receiving insurance payments for improper use.
So take a moment to review the data with us on Off-Label Marketing relating to qui tam actions, today.
individual prescription method is a type of drug distribution system.
apart from the individual prescription method there are many other types of drug distribution system. they are
1]unit dosage distribution system
2]floor system
3]individual drug distribution
Dr. Matt Anderson - Antibiotic use and future records necessary to keep the g...John Blue
Antibiotic use and future records necessary to keep the government and our customers happy - Dr. Matt Anderson, from the 2012 Allen D. Leman Swine Conference, September 15-18, St. Paul, Minnesota, USA.
More presentations at http://www.swinecast.com/2012-leman-swine-conference-material
Dr. James McKean - FDA Antimicrobial UpdateJohn Blue
FDA Antimicrobial Update - James McKean, DVM, PhD, Extension Veterinarian, Iowa State University, from the 2014 NIAA Annual Conference titled 'The Precautionary Principle: How Agriculture Will Thrive', March 31 - April 2, 2014, Omaha, NE, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2014_niaa_how_animal_agriculture_will_thrive
individual prescription method is a type of drug distribution system.
apart from the individual prescription method there are many other types of drug distribution system. they are
1]unit dosage distribution system
2]floor system
3]individual drug distribution
Dr. Matt Anderson - Antibiotic use and future records necessary to keep the g...John Blue
Antibiotic use and future records necessary to keep the government and our customers happy - Dr. Matt Anderson, from the 2012 Allen D. Leman Swine Conference, September 15-18, St. Paul, Minnesota, USA.
More presentations at http://www.swinecast.com/2012-leman-swine-conference-material
Dr. James McKean - FDA Antimicrobial UpdateJohn Blue
FDA Antimicrobial Update - James McKean, DVM, PhD, Extension Veterinarian, Iowa State University, from the 2014 NIAA Annual Conference titled 'The Precautionary Principle: How Agriculture Will Thrive', March 31 - April 2, 2014, Omaha, NE, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2014_niaa_how_animal_agriculture_will_thrive
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Dr. Harry Snelson - Antibiotics and Veterinary Feed Directive: The times, the...John Blue
Antibiotics and Veterinary Feed Directive: The times, they are a changin' - Dr. Harry Snelson, American Association of Swine Veterinarians, from 2015 Summer Swine Health Seminar, August 22, 2015, Wrightsville Beach, North Carolina, USA.
More presentations at http://www.swinecast.com/2015-boehringer-ingelheim-carolina-swine-health-seminar
Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus.
Most people infected with the virus will experience mild to moderate respiratory illness and recover without requiring special treatment. However, some will become seriously ill and require medical attention. Older people and those with underlying medical conditions like cardiovascular disease, diabetes, chronic respiratory disease, or cancer are more likely to develop serious illness. Anyone can get sick with COVID-19 and become seriously ill or die at any age.
The best way to prevent and slow down transmission is to be well informed about the disease and how the virus spreads. Protect yourself and others from infection by staying at least 1 metre apart from others, wearing a properly fitted mask, and washing your hands or using an alcohol-based rub frequently. Get vaccinated when it’s your turn and follow local guidance.
The virus can spread from an infected person’s mouth or nose in small liquid particles when they cough, sneeze, speak, sing or breathe. These particles range from larger respiratory droplets to smaller aerosols. It is important to practice respiratory etiquette, for example by coughing into a flexed elbow, and to stay home and self-isolate until you recover if you feel unwell.
The Infection prevention and control in the context of coronavirus disease 2019 (COVID-19): a living guideline consolidates technical guidance developed and published during the COVID-19 pandemic into evidence-informed recommendations for infection prevention and control (IPC). This living guideline is available both online and PDF.
This version of the living guideline (version 6.0) includes fifteen statements on IPC measures in health-care settings (screening and patient placement, ventilation, physical barriers, environmental cleaning, waste management, amongst others) as well as one statement on mask fit in the community context.
Understanding the updated section
The update to this guideline considers the transition from critical emergency-response activities to longer-term, sustained COVID-19 disease prevention, control and management, and a shift towards integration of IPC activities into routine systems and practices. This includes a return to standard and transmission-based precautions in health-care settings, and the adoption of public health practices for community settings. Updated recommendations for health-care facilities include a focus on the hierarchy of control measures, source control, standard and transmission-based precautions. The prevention of health care-associated infections involves a multi-pronged and multi-factorial approach that includes infection prevention and control and occupational health and safety measures.
Dr. Jennifer Koeman, Dr. Harry Snelson - FDA Antibiotic GuidanceJohn Blue
FDA Antibiotic Guidance - Dr. Jennifer Koeman, National Pork Board; Dr. Harry Snelson, American Association Swine Veterinarians, from the 2015 World Pork Expo, June 3 - 5, 2015, Des Moines, IA, USA.
More presentations at http://www.swinecast.com/2015-world-pork-expo
Dr. Jennifer Koeman, National Pork Board; Dr. Harry Snelson, American Association Swine Veterinarians, from the 2015 World Pork Expo, June 3 - 5, 2015, Des Moines, IA, USA.
Dr. Eric Gordon - Discussion on the Veterinary Feed Directive Integration in ...John Blue
Discussion on the Veterinary Feed Directive Integration in Small Ruminant - Dr. Eric Gordon, The Ohio State University, from the 2017 NIAA Annual Conference, U.S. Animal Agriculture's Future Role In World Food Production - Obstacles & Opportunities, April 4 - 6, Columbus, OH, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2017_niaa_us_animal_ag_future_role_world_food_production
Dr. Michael Murphy - Medically Important Antimicrobials in Animal AgricultureJohn Blue
Medically Important Antimicrobials in Animal Agriculture - Dr. Michael Murphy, Veterinary Medical Officer, Center for Veterinary Medicine (CVM), FDA, from the 2016 NIAA Antibiotic Symposium - Working Together For Better Solutions, November 1 - 3, 2016, Herndon, Virginia, USA.
More presentations at http://www.swinecast.com/2016-niaa-symposium-antibiotic-use-working-together-for-better-solutions
Herbal supplements: what you should know about it?Ahmed Nouri
introduction to herbal products, how to use it, what you should know about it for easy and safe use by public
a lecture prepared by a clinical pharmacist
Dr. Eliana Paladino - How the GFI#213/VFD Affected the Pattern of Submissions...John Blue
How the GFI#213/VFD Affected the Pattern of Submissions at the UMN-VDL - Dr. Eliana Paladino, from the 2017 Allen D. Leman Swine Conference, September 16-19, 2017, St. Paul, Minnesota, USA.
More presentations at http://www.swinecast.com/2017-leman-swine-conference-material
Similar to Dr. Patrick Gorden - Animal Medicinal Drug Use Clarification Act (AMDUCA) (20)
Jordan Hoewischer - OACI Farmer Certification ProgramJohn Blue
OACI Farmer Certification Program - Jordan Hoewischer, Ohio Farm Bureau, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Fred Yoder - No-till and Climate Change: Fact, Fiction, and IgnoranceJohn Blue
No-till and Climate Change: Fact, Fiction, and Ignorance - Fred Yoder, Former President, National Corn Growers Association, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. John Grove - Fifty Years Of No-till Research In KentuckyJohn Blue
Fifty Years Of No-till Research In Kentucky - Dr. John Grove, Univerity of Kentucky, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. Warren Dick - Pioneering No-till Research Since 1962John Blue
Pioneering No-till Research Since 1962 - Dr. Warren Dick, OSU-OARDC (retired), from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. Christine Sprunger - The role that roots play in building soil organic ma...John Blue
The role that roots play in building soil organic matter and soil health - Dr. Christine Sprunger, OSU - SENR, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. Leonardo Deiss - Stratification, the Role of Roots, and Yield Trends afte...John Blue
Stratification, the Role of Roots, and Yield Trends after 60 years of No-till - Dr. Leonardo Deiss, OSU, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. Steve Culman - No-Till Yield Data AnalysisJohn Blue
No-Till Yield Data Analysis - Dr. Steve Culman, OSU Soil Fertility Extension Specialist, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Alan Sundermeier and Dr. Vinayak Shedekar - Soil biological Response to BMPs John Blue
Soil biological Response to BMPs - Alan Sundermeier, OSU Extension, and Dr. Vinayak Shedekar, USDA-ARS, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. Curtis Young - Attracting And Protecting PollinatorsJohn Blue
Attracting And Protecting Pollinators - Dr. Curtis Young, OSU Extension, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Sarah Noggle - Cover Crop Decision Tool SelectorJohn Blue
Cover Crop Decision Tool Selector - Sarah Noggle, OSU Extension, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Hemp Regulations - Jim Belt, ODA, Head of Hemp for Ohio, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
John Barker - UAVs: Where Are We And What's NextJohn Blue
UAVs: Where Are We And What's Next - John Barker, OSU Extension, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. Rajbir Bajwa - Medical uses of MarijuanaJohn Blue
Medical uses of Marijuana - Dr. Rajbir Bajwa, Coordinator of legal medical marijuana sales, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. Jeff Stachler - Setting up a Corn and Soybean Herbicide Program with Cove...John Blue
Setting up a Corn and Soybean Herbicide Program with Cover Crops - Dr. Jeff Stachler, OSU Extension, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. Chad Penn - Developing A New Approach To Soil Phosphorus Testing And Reco...John Blue
Developing A New Approach To Soil Phosphorus Testing And Recommendations - Dr. Chad Penn, USDA-ARS, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Jim Hoorman - Dealing with Cover Crops after Preventative PlantingJohn Blue
Dealing with Cover Crops after Preventative Planting - Jim Hoorman, Hoorman Soil Health Services, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. Sjoerd Duiker - Dealing with Poor Soil Structure and Soil Compaction John Blue
Dealing with Poor Soil Structure and Soil Compaction - Dr. Sjoerd Duiker, Extension Agronomist, Penn State University, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Christine Brown - Canadian Livestock Producers Efforts to Improve Water QualityJohn Blue
Canadian Livestock Producers Efforts to Improve Water Quality - Christine Brown, Ontario Ministry of Agriculture, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
Dr. Lee Briese - Details Matter (includes details about soil, equipment, cove...John Blue
Details Matter (includes details about soil, equipment, cover crops...) - Dr. Lee Briese, North Dakota, 2017 International Crop Adviser of the Year, from the 2020 Conservation Tillage and Technology Conference, held March 3-4, 2020, Ada, OH, USA.
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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
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.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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
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.
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
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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
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!
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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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
Dr. Patrick Gorden - Animal Medicinal Drug Use Clarification Act (AMDUCA)
1. Food Supply Veterinary Medicine
Veterinary Diagnostic and Production Animal Medicine
Iowa State University
Animal Medicinal Drug Use
Clarification Act (AMDUCA)
2017 NIAA – Antibiotics Council
Patrick J. Gorden, DVM
D-ABVP-Dairy Practice
2. Food Supply Veterinary Medicine
Veterinary Diagnostic and Production Animal Medicine
Iowa State University
AMDUCA
• Animal Medicinal Drug Use Clarification
Act.
• Legalized extra-label use of approved
drugs by licensed veterinarians.
• 1994
3. Food Supply Veterinary Medicine
Veterinary Diagnostic and Production Animal Medicine
Iowa State University
AMDUCA Requirements
• Permitted only by or under the supervision of
a licensed veterinarian.
• Valid veterinarian/client/patient relationship
must be in place.
– Careful diagnosis must be made
• Only FDA approved animal and human
drugs.
• Therapeutic purposes only – animal’s health
is suffering or threatened.
• Specific Record Requirements.
4. Food Supply Veterinary Medicine
Veterinary Diagnostic and Production Animal Medicine
Iowa State University
AMDUCA Requirements
• Only in drugs administered parentally or in
water. EL use of feed grade drugs is
prohibited.
– Exception: Minor Use Species
• CPG 615.115
• Cannot result in a violative food residue or
a residue that may affect public health.
5. Food Supply Veterinary Medicine
Veterinary Diagnostic and Production Animal Medicine
Iowa State University
“Tolerance” vs. “Target Test Level”
• Tolerance = Maximum legally allowable level
or concentration of a drug or chemical in a food
product at the time milk is marketed or the
animal is slaughtered.
• Target Test Level (For Milk) = Guide for
deciding whether or not to prosecute. They are
not and cannot be transformed into tolerances.
They are not binding, do not dictate any result,
do not limit the FDA’s discretion in any way, and
do not protect milk producers from court
enforcement action.
6. Food Supply Veterinary Medicine
Veterinary Diagnostic and Production Animal Medicine
Iowa State University
US Prohibited Drug Use-Food Animals
Certain drugs PROHIBITED from use:
• Chloramphenicol
• Clenbuterol
• Diethylstilbesterol
• Dimetridazole
• Ipronidazole
• Other Nitroimidazoles
• Furazolidone, nitrofurazone, other
nitrofurans.
7. Prohibited for Extra-Label Use
• Sulfonamide drugs in lactating dairy cows (except
approved use of sulfadimethoxine,
sulfabromomethazine, & sulfaethoxypyridazine.)
– Pneumonia
– Foot rot
• Fluoroquinolones
• Glycopeptides (vancomycin)
• Phenylbutazone in female dairy cattle 20 months of age
or older.
8. Food Supply Veterinary Medicine
Veterinary Diagnostic and Production Animal Medicine
Iowa State University
Prohibited for Extra-Label Use
• Cephalosporins (not including cephapirin) in
• cattle, swine, chickens, or turkeys:
– (i) For disease prevention purposes;
– (ii) At unapproved doses, frequencies, durations,
– or routes of administration; or
– (iii) If the drug is not approved for that species and
production class.
• Cephalosporin drugs approved for humans or small animals
14. Small Animal Practitioner
– Adult doe with a non-healing brisket wound
– rDVM (SA) started enrofloxacin 125mg PO q24
15. AMDUCA Examples
• Your classmate calls with about a Shorthorn
cow with chronic mastitis.
– Milk is only used to feed a few calves.
– Organism isolated from milk only sensitive to
enrofloxacin.
1. Would systemic administration be a good
choice from a pharmacologic standpoint?
2. Is this legal?
16. AMDUCA Examples
1. Changing the dose, such as giving more
penicillin than is listed on the label?
2. Changing the dose of oxytocin, giving more
than is listed on the label for milk letdown?
19. AMDUCA Examples
1. Changing the dose, such as giving more
penicillin than is listed on the label?
2. Changing the dose of oxytocin, giving more
than is listed on the label for milk letdown?
3. Changing the frequency of use, such as giving
SpectramastTM LC twice a day instead of once
a day.
20. AMDUCA Examples
4. Changing the route of administration, such as giving
flunixin intramuscularly (IM) or subcutaneously(SQ)
instead of intravenously (IV)?
5. Giving a drug for an indication (disease) not listed on
the label, such as using Excede® for diarrhea?
6. Changing the withholding times, such as not following
milk withholding times for fresh cows after dry
treatment administration.
7. Changing the duration of therapy (Polyflex is labeled
for up to 7 days, can you give it longer)?
21. AMDUCA Examples
8. Using Excede as a post-surgical antibiotic.
9. Treatment of a single 4-H calf that has been
pre-conditioned and not sick with Excede to
prevent it from getting respiratory disease.
22. Interpretation of FDA prohibition
1. You must use all by label for dose, route, duration, etc
You cannot use Naxcel IV
You cannot use more frequent or longer than labeled (??)
2. You can use any of the products exactly as they are labeled
You cannot use Excede SQ – it must be BOE. +/-MOE
3. You cannot use them in a manner the label says you cannot
You cannot use Excenel and Excede for veal calves
4. You cannot interchange the labels – Naxcel for Metritis
5. You CAN use them in an extra label fashion for a disease where there is no other indicated
product (AMDUCA) and under the direction of a Veterinarian
You MUST use them by the labeled dose, route, duration, etc
– cystitis
6. You cannot use them for Prevention
There is most likely a concern about using for ’Control’ vs ‘Prevention’
• ‘Control’ (Excede) – treatment of a group of animals where some are already sick. This can
also be applied to specific situations that are listed on the label - high risk
– Post uterine prolapse
– Pre- C-section
• ‘Prevention’ – treatment of a group of animals none of which are sick or high risk
– Buy single 4-H calf that has been preconditioned
Slide courtesy of Mark Hilton, DVM
23. Food Supply Veterinary Medicine
Veterinary Diagnostic and Production Animal Medicine
Iowa State University