The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
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Ischemic heart disease is a condition of recurring chest pain or discomfort that occurs when a part of the heart does not receive enough blood. This condition occurs most often during exertion or excitement, when the heart requires greater blood flow.
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Ischemic heart disease is a condition of recurring chest pain or discomfort that occurs when a part of the heart does not receive enough blood. This condition occurs most often during exertion or excitement, when the heart requires greater blood flow.
pediatric emergency its from important topics in pediatric and in this show we will discuss the most important things like shock and its types with special overview on hypovomlemic shock and its treatment and anaphylactic shock also with its treatment then transfered to other important one which is status asthmaticus and its treatment and then status epiliptucs and poisning
shock is the state of insufficient blood flow to the tissues of the body .it contains introduction, definition, stages of shock, types of shock, diagnostic evaluation, prognosis ,prevention, care for each stage.
pediatric emergency its from important topics in pediatric and in this show we will discuss the most important things like shock and its types with special overview on hypovomlemic shock and its treatment and anaphylactic shock also with its treatment then transfered to other important one which is status asthmaticus and its treatment and then status epiliptucs and poisning
shock is the state of insufficient blood flow to the tissues of the body .it contains introduction, definition, stages of shock, types of shock, diagnostic evaluation, prognosis ,prevention, care for each stage.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
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This will be used as part of your Personal Professional Portfolio once graded.
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Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
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Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
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This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
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This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
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This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
3. They are anticipated and prevented by:
i. Careful history taking and assessment of
the patient.
ii. Adequate training in the management of
medical emergencies.
iii. Readily accessible emergency kit that is
regularly checked and reviewed.
4. Emergencies
1. Sudden loss of consciousness
2. Acute chest pain
3. Difficulty in breathing
4. Convulsions
5. Sudden loss of consciousness:
1. Fainting
2. Anaphylactic reaction.
3. Acute hypoglycemia.
4. Myocardial infarction
5. Cardiac arrest
6. Adrenal crisis
7. Thyroid crisis.
Emergencies that may arise during dental
procedures include:
9. Airway (A)
If an obstruction is present ,clear the airway
,remove foreign bodies ,debris or blood with
aspirator
Open the airway ,head tilt ,chin lift & tongue
thrust
Give O2 at a high inspired conc. up to 1 L/min
Use a pulse ox meter if available ,aim for a
normal O2 saturation (97-100%)
10. Open Airway
Upper airway obstruction
by the tongue & epiglottis
“Head tilt-
chin lift”
“Jaw thrust”
If suspected
head trauma
11. Breathing (B)
Look, listen & feel for signs of respiratory
distress
Count the respiratory rate (normally12-20
b/min)assess the depth of breathing
If depth & rate of breathing is inadequate
consider mask ventilation with supplemental
O2
12. Circulation (C)
Look at the color of the hands &face
Assess the limb temp i.e., is the hand cool or
warm
Measure the capillary refill time by pressing on
finger tip held at the level of the heart with
enough pressure to cause blanching and see
how long the skin takes to revert to the color
of the surrounding skin (should be less than 2
sec)
Count the pt’s pulse rate
13. Basic life support guidelines
Make sure the
patient and you
are safe.
Check the patient
for response
Shout for help
Maintain the
airway by tilting
the pt.’s head and
lifting the chin
Look, listen and
feel for normal
breathing
Call ambulance
15 chest
compressions
2 rescue breaths
14. Disability (D)
To help exclude common causes of
uncounsciousness
Review & ttt the ABCs ,exclude hypoxia & decreased
B.P
Check the pt’s drug record for reversible drug-induced
causes of depressed consciousness
Make a rapid initial assessment of the ptns conscious
level using AVPU method:
Alert
Responds to local stimuli
Responds to painful stimuli
Unresponsive to all stimuli
Measure the blood glucose to exclude hypoglycemia
,using a glucose meter if available
15. Exposure (E)
To assess & treat the pt properly ,loosening or
removal of some of the pt clothes may be
necessary ,such as around the neck &chest
16. Fainting
Most common cause of sudden loss of
consciousness in the dental surgery.
Signs and symptoms:
Dizziness, weakness or nausea
Pale, cold moist skin
Initially slow and weak pulse, becoming
rapid.
Loss of consciousness
Minor convulsions and incontinence are
occasionally associated
17. Vasovagal syncope
The most common cause of transient loss of
consciousness
Triggered by emotional stress, anxiety, sudden
or unexpected pain, the sight of blood or
needles
Is characterized by the dramatic interruption of
compensatory response, with a simultaneous
decrease in blood pressure and heart rate,
mediated by a reduction in sympathetic tone
and an increase in vagal tone
19. Management of a fainting attack
a) Reassure the patient.
b) Position pt in supine posture with legs raised
above level of head
c) Cool towel to forehead
d) Loosen any tight clothing round the neck
e) Give a sweetened drink when consciousness has
been recovered.
f) Recovery is usually rapid
If no recovery within a few minutes consider other
causes of loss of consciousness.
20. a) Monitor vital signs
b) Check for breathing
If absent If present
.Start BLS .crush ammonia ampule
.Call medical assistant under nose
.Consider other causes of .administer O2 &
monitor
Syncope ,including hypoglycemia vital signs
,cerebral vascular accident , .have ptn
escorted home
Cardiac dysrhythmia .plane anxiety
reduction protocol
on future visits
21. Diabetic collapse:
hypoglycemia
Occur after an overdose of insulin or if prevented
from eating at the expected time by dental
treatment.
Clinical features:
Altered behavior, such as aggression, irritability,
and confusion.
Sweaty, tachycardia, pale, and drowsy.
Fits, confusion, disorientation
Loss of consciousness will develop rapidly
Signs of hypoglycemia may be similar to those of
faint, but with little response to laying the patient
flat.
22. Treatment
1. Stop dental treatment.
2. If conscious:
give a glucose drink (20 g of glucose) quickly.
3. If unconscious:
1) Give 20 ml of 50% glucose IV
2) Give 20 ml of 20% glucose IV, or
3) Give 1 mg of glucagon IM
23.
24. Anaphylaxis
It is an acute type 1 hypersensitivity reaction.
Clinical feature:
I. Cutaneous:
Erythema
Urticaria
Angioedema
Facial flushing
25. I. Respiratory system:
I. Tongue and upper airway swelling
II. Breathlessness
II. Cardiovascular system
I. Hypotension
II. Rapid & weak pulse
III. Central nervous system
I. Loss of consciousness
26. Treatment
1. Stop dental treatment and reassure the
patient.
2. Give oxygen by face mask.
3. Allow the patient to adopt the most
comfortable position for them because
patient’s position during anaphylaxis is
guided by their symptoms.
1. If feeling faint, the patients must lay
flat
2. If they are short of breath, sitting
upright with oxygen is less distressing.
27. If hypotension, airway edema or bronchospasm present,
give the following in order:
1. Adrenaline (epinephrine) 0.5ml of 1:1000 IM
Adrenaline is the life saving drug during
anaphylaxis
Take 10-30 min to act
Should not be given intravenously
May need to be repeated after 10 minutes if
no response
Chlorpheniramine 10-20 mg IV or IM
An antihistamine
Less potent and slower acting than the
adrenaline
28. Hydrocortisone 100- 500 mg IV or IM every 6
h up to 4 times
Takes up to 6 hours to act
Prevent late relapse
Reassure the pt
Call an ambulance an hospitalize the pt
Defer dental ttt until another day
29. Asthma
Acute exacerbation of asthma can be precipitated
by pain or stress associated with dental treatment.
Clinical features:
Breathlessness
Expiratory wheezing
Inability to talk
Rapid pulse( greater than 110 beats/min)
Life threatening features of a severe asthmatic attack:
Cyanosis
Slow heart rate (less than 50 beats/minutes)
Hypotension
Confusion
30. Treatment
a) Stop the dental treatment and reassure the patient.
b) Allow the patient to sit upright
c) Give oxygen
d) Give normally used anti-asthmatic drugs
(salbutamol inhaler)
e) Give hydrocortisone sodium succinate 200 mg IV
f) If no response within 2-3 min., give salbutamol or
terbutaline by slow IV (if these drugs are
unavailable or the pt. condition deteriorate, give
adrenaline 0.5 mg solution IM).
g) Call for medical help and transfer the pt to the
hospital.
31. Angina
Angina Pectoris is the name given to paroxysms of severe
chest pain
These are caused by higher myocardial Oxygen demands
The underlying cause is coronary atherosclerotic plaques that
rupture
Obstruction of the arterial supply to the myocardium
The basic disease process is progressive narrowing &/or
spasm of one or more of the coronary arteries
Reversible ischemia.
Clinical features:
classically described as sense of heaviness, tightness, or
compression of the chest that radiates down the left arm. It may
radiate to the neck or the jaw. The patient tends to grip his hand over
his chest and may sit forward.
sweaty, short of breath and tachycardia.
32. Treatment
a) Stop dental treatment
b) Reassure the patient
c) Sit the patient up
d) Give oxygen
e) Give glyceryl trinitrate (GTN) 0.5 mg sublingual tablets
( repeat GTN dose until the patient improves)
f) If angina pain does not respond to GTN and oxygen
represents developing MI
g) Pain that persists after 3 doses of nitroglycerin given
every 5 min; that lasts more than 15 min; or that is
associated with nausea, vomiting, or hypertension is
highly suggestive o MI
h) Conscious sedation and GA should be deferred for 3
months in pts with recent angina, unstable angina or
recent development of bundle branch block
33. Myocardial infarction (MI)
Irreversible ischemia.
Between 30-50% of pts die within the first hour
and a further 10-20 % within the next few days
Clinical features:
chest pain is more severe
Pain is prolonged and not relieved by rest or GTN.
Associated with pronounced sweating,
breathlessness (due to heart failure), rapid pulse and
vomiting.
cardiac arrest may occur at anytime.
Death is often from ventricular fibrillation or cardiac
arrest
34. Treatment (MONA)
a) Stop the dental treatment.
b) Sit the patient up.
c) Reassure the patient.
d) Morphine 10 mg iv. Alternatively, nitrous oxide with
at least 30% oxygen to relieve pain and anxiety
e) Give oxygen.
f) Give GTN 0.3 mg
g) Give aspirin 300 mg po to chew.
h) Be ready for a possible cardiac arrest requiring
CPR.
i) Transfer the patient to the hospital
35. Cardiac Arrest
Sudden and complete loss of cardiac function.
Clinical feature:
Unconscious with a death like appearance (not
responsive).
No breathing.
No pulse.
Irreversible brain damage occurs within 3 min. if
adequate circulation is not established.
36. Can be due to
Ventricular fibrillation accounts for most cardiac
arrests
Myocardial infarction
Hypoxia
Drug overdose
Anaphylaxis
Severe hypotension
Anesthetic overdose
37. Management
• Assess the situation, shake the pt and ask in a
loud voice ‘Are you OK’
• If there is no response
• Call for medical help
• Lay the pt on the floor
• Basic life support (BLS) and cardiopulmonary
resuscitation (CPR) is needed to maintain
adequate ventilation and circulation until the
emergency team arrive.
38. Adrenal crisis
May occur in patient with Addison's disease or
those with history of corticosteroid therapy.
Triggered by GA, trauma, stress, or infections
Prevented by;
Careful medical history
Adequate steroid cover must be give.
Clinically:
Pallor
Tachycardia
Sweating
Rapidly falling blood pressure (hypotension)
Weakness and confusion
Loss of consciousness and sometimes hypoglycemia.
39. Treatment
a) Lay the patient flat and raise the legs.
b) Give oxygen
c) Give at least 200 mg hydrocortisone sodium
succinate IV
d) Monitor the airway and pulse
e) Call for medical help
f) Take blood for glucose & electrolyte estimation
IV infusion of 1 liter of dextrose saline may be
required.
Steroid supplementation should be continued for at
least 3 days after the blood pressure has returned to
normal
40. Thyroid Crisis
A rare life threatening condition that may occur
in patient with hyperthyroidism.
Clinical features:
Anxiety
Tremor
Dyspnea
May lead to ventricular fibrillation, coma and death.
41. Treatment
a) Stop dental treatment and summon for help.
b) Give antithyroid drugs;
Propanolol 5 mg / 6 hour IV
Carbimazole 20 mg/8 hours PO
Potassium iodide
Propylthiouracil
c) Medical assistance
42. Epileptic Fits
Uncontrolled neuronal electrical activity within the
brain.
Clinical features:
some patients may have a brief warning cry. Patient
may look vacant, distant or withdrawn
consciousness lost immediately
Fit starts with a tonic phase of muscle contraction. The
body becomes rigid and cyanosis appears.
This is followed by the clonic phase characterized by
widespread jerking movements
Sometimes incontinence or frothing of the mouth
After a fit the patient slowly recovers consciousness
and is disoriented.
43. Treatment
a) Stop dental treatment and remove all instruments
from the mouth
b) Place the patient on the floor and prevent injury
from adjacent equipment
c) Most fits terminate spontaneously.
d) Don’t give any medication and await recovery
e) Reassure the patient as soon as consciousness
returns
f) If convulsions do not stop within 5 min/ or if another
attack starts then call EMS and give the patient 10-
20 mg diazepam IV:
i. If venous access can’t be obtained give midazolam 5
mg IM
ii. Repeat the diazepam or midazolam if no recovery
within 5 min. transfer the patient to the hospital.
44. Essential drugs recommended for emergency
use in dentistry
Drug Formulation Route
Oxygen Oxygen cylinder Inhalational
Adrenaline 0.5 ml of 1 :1000
solution
IM or SC
Hydrocortisone sodium
succinate
100 mg powder
2ml sterile water
IM or IV
Chlorpheniramine 10 mg in 1 ml solution IV or IM
Glucagon 1 mg powder
1 ml sterile water
IM
Salbutamol inhaler 0.1 mg/dose Inhalational
Glyceryl trinitrate 0.5 mg tablets
0.4 mg/ dose spray
Sublingual
Aspirin 300 mg tablets PO
Midazolam 10 mg in 2ml solution IM