Case Review #8: 62 year old female with cervical spinal stenosisRobert Pashman
62 year old female with neck pain and left arm weakness. On MRI, the patient was found to have spinal stenosis. Dr. Pashman treated the patient with an Anterior Cervical Discecomy and fusion C4-/7.
Case Review #8: 62 year old female with cervical spinal stenosisRobert Pashman
62 year old female with neck pain and left arm weakness. On MRI, the patient was found to have spinal stenosis. Dr. Pashman treated the patient with an Anterior Cervical Discecomy and fusion C4-/7.
Case Review #5: 46 year old female treated with a Prestige DiscRobert Pashman
A 46 year old female presented with a C5/6 disc herniation. Dr. Pashman performed an anterior cervical discectomy and used the Prestige Disc. The goal was to preserve her C6/7 disc.
Case Review #2: 46 year old female with Prestige Disc ReplacementRobert Pashman
A 46 year old female presented with massive neck pain and a C5/6 disc herniation. Dr. Pashman treated her with an anterior cervical discectomy and placement of a Prestige Disc.
Case Review #39: 55 year old male with Progressive ScoliosisRobert Pashman
A 55 year old male presented with Progressive Adult Idiopathic Scoliosis. While he was preparing for surgery, he lifted a heavy item, and had neck pain and pain going down his arm. The patient was found to have myeloradiculopathy and spinal cord effacement and required an Anterior Cervical Fusion prior to scoliosis surgery. The following year he had a posterior spinal fusion for Scoliosis.
Preoperative assessment of epilepsy clinical & radiological, eeg, megDr Fakir Mohan Sahu
Preoperative Assessment of Epilepsy and their localization, clinical semiology and Radiological evaluation MRI imaging, Video EEG MEG SPECT PET and patient management conference explained in simplified way
A v presentations /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Case Review #4: 51 year old female with adjacent segment degenerationRobert Pashman
A 51 year old female, presented after a previous 3 level cervical spine fusion. The patient developed a cervical disc herniation adjacent to the previous fusion. Dr. Pashman treated her by extending her cervical fusion.
Case Review #4: Cervical Spine Surgery with Prestige DiscRobert Pashman
A 57 year old male presented after a C6/7 fusion. He had a 2nd level supra adjacent disc herniation. (two levels above the fusion). Dr. Pashman treated him with a Prestige Artificial Disc.
Case Review #3: 44 year old male with a subadjacent disc herniationRobert Pashman
A 44 year old male presented after a C5/6 fusion. On MRI he was found to have a subadjacent disc herniation. Dr. Pashman treated the patient with a Prestige Artificial Disc.
Case Review #5: 46 year old female treated with a Prestige DiscRobert Pashman
A 46 year old female presented with a C5/6 disc herniation. Dr. Pashman performed an anterior cervical discectomy and used the Prestige Disc. The goal was to preserve her C6/7 disc.
Case Review #2: 46 year old female with Prestige Disc ReplacementRobert Pashman
A 46 year old female presented with massive neck pain and a C5/6 disc herniation. Dr. Pashman treated her with an anterior cervical discectomy and placement of a Prestige Disc.
Case Review #39: 55 year old male with Progressive ScoliosisRobert Pashman
A 55 year old male presented with Progressive Adult Idiopathic Scoliosis. While he was preparing for surgery, he lifted a heavy item, and had neck pain and pain going down his arm. The patient was found to have myeloradiculopathy and spinal cord effacement and required an Anterior Cervical Fusion prior to scoliosis surgery. The following year he had a posterior spinal fusion for Scoliosis.
Preoperative assessment of epilepsy clinical & radiological, eeg, megDr Fakir Mohan Sahu
Preoperative Assessment of Epilepsy and their localization, clinical semiology and Radiological evaluation MRI imaging, Video EEG MEG SPECT PET and patient management conference explained in simplified way
A v presentations /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Case Review #4: 51 year old female with adjacent segment degenerationRobert Pashman
A 51 year old female, presented after a previous 3 level cervical spine fusion. The patient developed a cervical disc herniation adjacent to the previous fusion. Dr. Pashman treated her by extending her cervical fusion.
Case Review #4: Cervical Spine Surgery with Prestige DiscRobert Pashman
A 57 year old male presented after a C6/7 fusion. He had a 2nd level supra adjacent disc herniation. (two levels above the fusion). Dr. Pashman treated him with a Prestige Artificial Disc.
Case Review #3: 44 year old male with a subadjacent disc herniationRobert Pashman
A 44 year old male presented after a C5/6 fusion. On MRI he was found to have a subadjacent disc herniation. Dr. Pashman treated the patient with a Prestige Artificial Disc.
I am a Neurosurgeon with advanced training in Interventional vascular Neurosurgery(FINR) from Zurich, Switzerland, and FMINS-Fellowship in minimally invasive and Endoscopic Neurosurgery from Germany.
I am presently working in Columbia asia hospitals, Bangalore.
My areas of interest are Vascular Neurosurgery, Stroke specialist, interventional neuroradiology.
Cervical spine clearance lecture given to 1st-year emergency medicine residents at Duke University. Covers indications for applying cervical collar, types of collars, types of imaging of the spine, and when to remove the collar.
Overuse injuries to the elbow in the throwing athlete are frequent. Ulnar collateral ligament reconstruction (UCLR), commonly known as Tommy John surgery, is performed on athletes from all levels of competition.
The purpose of this study is to review all ulnar collateral ligament reconstructions performed at a single institution between January 2004 – July 2014. The study reported patient demographics, clinical outcomes, return to sport rate and complications.
Improved transcranial motor evoked potentials after craniovertebral decompres...Anurag Tewari MD
Surgical strategies towards the treatment of patients with symptomatic Chiari II malformations
(CIIM) are favorable. Despite immediate evaluation and treatment with CSF shunt revision
surgery, a significant population of CIIM patients requires hindbrain decompression. There is
growing evidence for the utility of intraoperative electrophysiological studies, particularly
combinatorial assessment with SSEPS and Tc-MEPs in spinal surgeries for brainstem
compression and myelopathy, but scarce in the pediatric CIIM and myelodysplasia literature.
Here, we report our use of a departmental IONM safety checklist and its efficacy in two cases of
infants presenting with progressive brainstem dysfunction and long-tract signs CIIM hindbrain
decompression.
Microsurgery for cerebral AVM, Theofanis et al, Neurosurg Focus, 2014Ersifa Fatimah
Microsurgery for cerebral AVM: postoperative outcomes & predictors of complications in 264 cases, by Theofanis et al, from Neurosurg Focus, 2014
--Topik journal reading-ku pas stase Neurosurgery..
Paula Dawson – The Flying Colours ProjectMQ_Library
The Flying Colours Project by Paula Dawson began on 26th of March 2020 in response to the situation caused by the COVID-19 pandemic. The first 60 watercolour works in the series have each been painted with a particular individual or family in mind, imagining what colours would speak to them. The paintings vary in size from 46 x 61 cm and 36 x 51 cm to smaller works measuring 26 x 36 cm. Each painting with its personally chosen pallet has been sent by Australia Post or given in person at the recommended social distancing space. There is a performative element to the series as Paula makes a unique work in her studio each day since the onset of the pandemic.
The extraordinary hologram To Absent Friends, created by Paula Dawson in 1989 was generously donated to Macquarie University by Paula in 2005. At that time To Absent Friends was the largest depth of field hologram in the world, it’s a super dazzling work that is one of a kind on an international scale. Tours on dedicated days and times will be organised for the latter part of this year.
The Flying Colours Project coincides with the 10 year anniversary of launching the landmark exhibition Virtual Encounters: Paula Dawson Holograms at Macquarie University Art Gallery in partnership with Newcastle Region Art Gallery.
Please follow the link to the MUAG website to view Paula’s remarkable series of works in all its variations of pattern, colour and movement.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
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!
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.
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 .....NEHA GUPTA
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.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS
Ebs avm recurrence
1. EBS Presentation
Does an AVM recur after microsurgical resection
with a negative post operative angiogram?
Nirav J. Patel
17th November, 2011
Advanced Scholar: Morgan
2. Introduction and Terms
• Most authors state that adult AVMs are “cured” after
microsurgery, with a negative post operative
angiogram.
– However, this is questioned, since there are some case
reports, especially in the paediatric population.
• Recur: After microsurgery and negative post op
angiogram, we find an AVM, either by MRI, angiogram
or clinical (bleed).
– Recur may be due to de novo formation, regrowth of missed
AVM, regrowth from the same bed etc.
• Clinical Purpose: Can we tell a patient that
after AVM surgery, if the angiogram shows no
AVM, that they are cured forever?
3. Search strategy
• P = Patients after microsurgical resection with
negative postoperative angiogram.
• I = follow up: angiogram, MRI, clinical
• C=
• O = Recurrence by imaging or clinical
• Ovid Medline, Scopus
7. • Scopus search terms:
• "intracranial arteriovenous malformation*" or
"cerebral arteriovenous malformation*" or
"brain arteriovenous malformation*" or
"intracranial angioma*" AND
• *surg* or resect* or extirpat* or excis* AND
• recurr* or rebleed* or reh*emorrhag* or "late
h*emorrhag*" or "late bleed*"
• LIMITS: English and Human
9. Conclusion
• AVMs can recur.
• The incidence is not known due to limitation in
databases, including follow up of all cases
(surgeons may follow with imaging since most
don’t recur).
• 10 adults
• 32 peds
• The results of this search support that further
studies are needed to know the incidence of
recurrence and which patients need follow up
imaging after resection.
