this presentation is about what is enteral feeding and how it is being carried out etc., it also gives information about classification based on duration of feeding. there is an information about infusion techniques and the time required for it.
Enteral feeding is a narrow feeding tube is place through nose down it to stomach. This tube is used to give fluid, medication and liquid food complete with nutrients directly in to stomach.
#ppt on Enteral Feeding, #Enteral Feeding
Early Enteral Nutrition in Critically Ill Patients is the best for helping early recovery, decreasing hospital stay and decreasing malnutrition in ICU
How? When? Formulas used? Access forms?
Enteral feeding is a narrow feeding tube is place through nose down it to stomach. This tube is used to give fluid, medication and liquid food complete with nutrients directly in to stomach.
#ppt on Enteral Feeding, #Enteral Feeding
Early Enteral Nutrition in Critically Ill Patients is the best for helping early recovery, decreasing hospital stay and decreasing malnutrition in ICU
How? When? Formulas used? Access forms?
Information about Tube Feeding by Dr Dhaval Mangukiya.
Details of tube feeding, gastric feeding, jejunal or duodenal feeding, continuous feeding, cyclic feeding, bolus feeding, present guidelines, GRV etc.
https://drdhavalmangukiya.com/
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
Surgical Nutrition – Enteral Feeding- How does it function and When to Use.pdfMeghaSingh194
Enteral feeding means taking nutrition through the mouth or with the help of a tube that goes straight to the stomach or small intestine. In reference to the medical setting, the term enteral feeding is frequently used as tube feeding. Let's explore more: https://www.southlakegeneralsurgery.com/surgical-nutrition-enteral-feeding-how-does-it-function-and-when-to-use/
Information about Tube Feeding by Dr Dhaval Mangukiya.
Details of tube feeding, gastric feeding, jejunal or duodenal feeding, continuous feeding, cyclic feeding, bolus feeding, present guidelines, GRV etc.
https://drdhavalmangukiya.com/
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
Surgical Nutrition – Enteral Feeding- How does it function and When to Use.pdfMeghaSingh194
Enteral feeding means taking nutrition through the mouth or with the help of a tube that goes straight to the stomach or small intestine. In reference to the medical setting, the term enteral feeding is frequently used as tube feeding. Let's explore more: https://www.southlakegeneralsurgery.com/surgical-nutrition-enteral-feeding-how-does-it-function-and-when-to-use/
This module describes the types of minerals present in food. in nature we have several minerals which are generally classified into two as Major and Minor minerals. it also describes the recommended dietary allowance by ICMR 2020. Here you will be able to find the functions, sources and deficiency of each minerals.
Water soluble vitamins are the group of vitamins being readily soluble in water and does many functions in our body. The presentation includes the sources, functions and deficiency of each water soluble vitamins and are available according to the RDA given by ICMR.
Vitamins are classified into two as fat soluble and water soluble vitamins. These vitamins plays a key role in each and every cell of Human beings. It discusses about the functions, sources and deficiency of each fat soluble vitamins such as Vitamin-A, D, E and K. Though it classifies into two these vitamins have some general functions in our body. Some of the functions such as good hydration, electrolyte balance, cell signaling and so on
Flower Arrangement, Traditional and Modern Art, ObjectsPreethi Sivagnanam
Interior designing is an art which can be done by the person having enough aesthetic sense. the students pursing B.Sc., Home science and Nutrition and Dietetics were having the course paper Principles Resource Management and Interior Designing can refer the slides for their academic purposes.
Interior designing is an art which can be done by the person having enough aesthetic sense. the students pursing B.Sc., Home science and Nutrition and Dietetics were having the course paper Principles Resource Management and Interior Designing can refer the slides for their academic purposes.
this presentation presents introduction about high performance thin layer chromatography, its features, principle and instrumentation along with its applications. it also gives comparison between TLC and HPTLC. instrumentation is given in a sequence for easier understanding of instrument.
Pre-schoolers: growth, development, nutritional and cognitive developmentPreethi Sivagnanam
this ppt describes about the importance of food during pre-school period, growth and development during this period, need for planning a nutritious diet and states the cognitive development during this period.
In this presentation I have mentioned about the processing of salami, sausage, bacon and fish protein concentrate. It also states the nutritional aspects of using these products. it also consists of some statistics which describes on how far these products are used currently worldwide.
this ppt deals with the production, processing and harvesting of spirulina as SCP. it also describes about the benefits of using spirulina as the protein supplement for enriching one's health when there is nutritional deprivation.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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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
pharmacotherapies for AUD.
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. Enteral feeding is done by passing a
tube into the stomach or duodenum
through the nose which is called
“nasogastric feeding” or directly by
surgical operation known as
“gastrostomy” and “jejunostomy
feeding”.
ENTERAL FEEDING
3. NECESSITY OF ENTERAL FEEDING
• Those who cannot swallow due to paralysis of
muscles of swallowing (diphtheria, poliomyelitis),
cancer of oral cavity or larynx.
• persistent anorexia.
• semi or unconscious patients.
• severe malabsorption.
• short bowel syndrome.
• who cannot digest & absorb.
• post surgery.
• severe diarrhoea.
• babies with very low birth weight.
• patients with neurological & renal disorders with
fever.
4. CLASSIFICATION BASED ON DURATION
OF FEEDING
1. Short term feeding usually administered as
nasogastric, nasoduodenal or nasojejunal
tubes.
2. Long term feeding usually administered as
gastrostomy or jejunostomy tubes.
5. SATISFACTORY TUBE FEEDING SHOULD
BE:
• Nutritionally adequate
• Well tolerated by patient so that vomiting is not
induced
• Easily digested with no unfavorable reactions
such as distension, diarrhea or constipation
• Easily prepared
• Inexpensive
6. Type 1 Type 2 Type 3
Natural
liquid
foods
Blenderized
feeding
Elemental
diet
TYPE OF DIETS
12. Blenderized feeding
• Water is added to make the
volume to 1500 ml
• each ml provides 1 calorie
• gives 50 g protein
• inexpensive
13.
14. NUTRIENT AMOUNT
Fluids 30ml/kg
Energy 32kcal/kg
Protein 1g/kg body weight
Sodium 30-40 mMol
potassium 1 mMol/g of protein
FEEDING REQUIREMENTS IN ENTERAL
FEEDING
15.
16. 1.Enteral feeding is given when oral intake is
impossible.
2.Food is given in modified form.
3.The normal health of intestinal mucosa is well
maintained.
4.Satisfaction of taking food is felt by the patients.
5.Biochemical monitoring is required.
6.Comparatively less technical skill is required.
7.Calculation of food intake is less complicated.
8.Less expensive.
SUMMARY