This document discusses essential newborn care. It defines terms like preterm, low birth weight, neonate, and infant. It then summarizes trends in child mortality in India, with most deaths occurring in the first month of life, and often due to prematurity, birth asphyxia, infection, or pneumonia. The document outlines the major causes of under 5 mortality globally. It describes the key things a newborn needs, like help with breathing, maintaining temperature, feeding, and preventing infection. It provides guidance on identifying and caring for issues like respiratory distress, hypothermia, and sepsis. Finally, it lists the 10 essential items that should be prepared in the delivery room to provide emergency newborn care.
This is ppt for essential newborn care, healthy newborn,immediate basic care, newborn identification, breastfeeding initiation, newborn hygiene, daily routine care,follow up & advices,harmful traditional practices
This is ppt for essential newborn care, healthy newborn,immediate basic care, newborn identification, breastfeeding initiation, newborn hygiene, daily routine care,follow up & advices,harmful traditional practices
minor disorders of neonates and its management - shani -ppt- slideshare Shani Jyothis
minor -disorders -of neonates- and its-management - ppt-obstetrics and gynaecology.. Minor ailments are a physical condition in which there is a disturbance of normal functioning. the most common minor disorders are--- stuffy nose--, sticky eyes,---vomiting
,mongolian spot,---milia,--- obstructed nasolacrimal duct----, oral thrush,--- excessive crying, ---napkin rash,--- caput succedaneum---cephal-haematoma---cradle cap---salmon patches---- epstein pearl---sucking callosities----tongue tie---subcutaneous fat necrosis--- harlequine --color- change--- nevus- vasculosus--- nevus flammeus-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
minor disorders of neonates and its management - shani -ppt- slideshare Shani Jyothis
minor -disorders -of neonates- and its-management - ppt-obstetrics and gynaecology.. Minor ailments are a physical condition in which there is a disturbance of normal functioning. the most common minor disorders are--- stuffy nose--, sticky eyes,---vomiting
,mongolian spot,---milia,--- obstructed nasolacrimal duct----, oral thrush,--- excessive crying, ---napkin rash,--- caput succedaneum---cephal-haematoma---cradle cap---salmon patches---- epstein pearl---sucking callosities----tongue tie---subcutaneous fat necrosis--- harlequine --color- change--- nevus- vasculosus--- nevus flammeus-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
it contains information about the important measurements , the vital signs, head, eyes, ears, nose , mouth and throat, neck, chest, breast and abdomen of a newborn. You'll find the normal and the abnormal findings on each category.
Essential new born care is the care provided to the baby immediate after the birth of the baby which is very important to reduce the neonatal mortality rate includes
supporting breastfeeding.
providing adequate warmth.
ensuring good hygiene and cord care,
recognizing early signs of danger and providing prompt treatment and.
referral, giving extra care to small babies, and.
having skilled health workers attend mothers and babies at delivery.
Buffer Stock and Safety Stock are often used interchangeably. However, this often creates confusion. Buffer Stock and Safety Stock are different from each other. Buffer stock distinguishes it from Safety stock. Buffer Stock protects the Provider from the Supplier when there is delay in receiving supply. On the other hand, the Safety Stock protects the Provider from Consumer in probabilities like an abrupt change in the demand for a particular product or uncontrollable delay in the delivery of the material from supplier
Quality of Care in a Health Facility is a major concern for Public Facilities in India. Quality Improvement Process should be driven by the Care Providers, Facility Managers and other Stakeholders integrating patient/client satisfaction and scientifically and technically sound treatment protocols.
Bottlenecks, barriers, and solutions: Results from multi-state consultations focused on reduction of childhood pneumonia and diarrhea deaths. Under-5 Malnutrition plays a great role behind deaths from Pneumonia & Diarrhoea.
"Medical Doctors are Poor Managers". This presentation has tried to do brainstorming for them how to operate as better Health Managers. Leaders lead from the Front. Managers control from the Behind. A Doctor in a facility needs to play the role of both Leader as well as Manager.
HIV (Human Immunodeficiency Virus) infects cells of the immune system and destroys or impairs their function.
Infection progressive deterioration of the immune system breaking down the body's ability to fight out infections & diseases by opportunistic bacteria, viruses and fungi.
AIDS (Acquired Immune Deficiency Syndrome) refers to the most advanced stages of HIV infection and a collection of signs and symptoms caused by more than 20 opportunistic infections or related cancers.
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
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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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.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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.
Evaluation of antidepressant activity of clitoris ternatea in animals
Essential new born care
1. ESSENTIAL NEW BORN CARE (ENBC)
Dr Prabir Ranjan Moharana
MD(Community Medicine),PGDHHM.
2. Definitions
Preterm Baby: A baby who is born before 37 weeks(259
days).
Low Birth Weight(LBW): A baby weighing <2.5 kg.
Neonate: A baby who is ≤ 4 weeks or 28 days.
Early Neonatal Period(< 7 days).
Late Neonatal Period(7-28 days).
Infant: A child who is less than 1 year or 365 days.
3. Trend in Child Mortality in India
2 out of 3 under five deaths(66%) happen in 1st
year of life.
2 out of 3 infant deaths(66%) happen in 1st
month/ neonatal
period.
3 out 4 neonatal deaths(75%) happen in 1st
day of life.
Out of 4 babies dying in 1st
month, 1 death occurs due to
prematurity/low birth weight(Hypothermia,Feeding
difficulty, Sepsis).
4. Trend in Child Mortality in India
1 death occurs due to birth asphyxia.
1 death occurs due to infection/sepsis/pneumonia.
1 death occurs due to other causes like congenital defect,
tetanus, jaundice, diarrhea etc.
5. Trend in Neonatal Mortality in Bihar
Around 4 babies out of 100 newly born die in the first
month of life in Bihar(NMR in Bihar: 35 per 1000 live
births:Census-2011).
3 out of these 4, die in the 1st
week of life.
1 out of 3 dying in 1st
week, dies in the 1st
day of life.
6. Major Causes of Under 5 Child Mortality
Bryce et al. WHO estimates of the causes of death in children. Lancet 2005
8. What care/protection does a baby need
just after birth?
A newborn needs care of breathing (Protection from
Hypoxemia).
Care of temperature (Protection from Hypothermia).
Care of feeding (Protection from Hypoglycemia).
Care of skin, cord and eye (Protection from Infection and
sepsis).
9. How to identify a baby with Birth Asphyxia/ hypoxemia/
/inadequate breathing/respiratory distress?
If a new born is not crying.
If a new born is having a breathing rate of < 30 per minute
Noisy Breathing like Grunting.
Chest Retraction, nasal flaring and Cyanosis, the baby is
said to be in respiratory distress.
All neonates can show a periodic breathing pattern
defined as apnoea of less than 5 seconds. Apnoea of more
than 15 seconds may be seen in preterm babies.
10. How to care for breathing?
Crying is the first sign of breathing.
If baby is crying, Receive the baby in a dry, clean, warm towel.
Put the baby over mother’s abdomen.
DRY the baby but don’t wipe off VERNIX.
Replace the wet towel and wrap the baby with second clean, dry
and warm towel.
Cut the cord within 1-3 minutes.
11. Golden 1 Minute of Resuscitation:
(Navjaat Shishu Suraksha Karyakram:NSSK)
Establishing of breathing is the most prior action to take after
delivery of baby.
If a baby is not crying or not breathing well:
Step-1(a):Look for Meconium, if meconium is absent, dry the
baby.
Drying up by clean cloth stimulates and helps in initiation of
breathing.
During drying baby gets stimulated to start crying/breathing.
12. Golden 1 Minute(NSSK)
Step-1(b):If meconium is present, Gentle suction is done to
remove mucus and amniotic fluid from mouth and nose with
the help of manual mucus sucker.
If baby is not crying now:
Step-2:
i. Cut the cord,
ii. Place on flat, firm, warm surface,
iii. Provide warmth,
iv. Position the baby with neck slightly extended (helps in
drainage of secretion),
v. Suction of mouth and then nose,
vi. Stimulate and reposition.
Step 1 to 2 should happen in 30 seconds.
13. Golden 1 Minute(NSSK)
If baby doesn’t cry after step-2, go to step-3.
Step-3: It should happen in next 30 seconds and resuscitation
becomes necessary to prevent hypoxemia, brain damage
and death if natural breathing fails to establish.
Resuscitation requires more active measures:
i. Repeat suction,
ii. Reposition the baby,
iii. Apply bag and mask ventilation for 30 seconds,
If breathing doesn’t start,
i. Call for help.
ii. Continue bag & mask ventilation.
iii. Add Oxygen
14.
15.
16. How to care for temperature?
The baby is projected out of mother’s warm womb where the
temperature is around 38 degree C.
New Born loses heat by mode of Radiation, Convection,
Evaporation and Conduction. Preterm and LBW babies develop
Hypothermia easily.
The room where the delivery is conducted should have a
temperature not less than 25 degree C.
75% total heat loss occurs from head. As soon as the baby is
delivered the head and body of the baby should be dried up
with clean and dry cloth.
17. How to care for temperature?
The body and head should be completely wrapped up.
The baby should be kept away from wet cloth, cold room, cold
walls, cold surface, open windows, draught, revolving fan and
air conditioner.
Don’t wipe off VERNIX by massage.
The baby should be kept in close skin-to-skin contact with the
mother with breast feeding.
18. How to care for temperature?
The temperature of newborn should be maintained at 36.5-
37.5 degree C.
Postpone bathing/sponging for 24 hours.
Keeping warm helps in regular breathing and circulation.
19. How to identify a baby with hypothermia?
If a newborn is felt cold to touch over its abdomen and
feet.
If a new born becomes lethargic and stops breast feeding.
If the axillary temperature recorded is less than 36.5
degree C.
20. How can we prevent infection/sepsis in a
newborn?
Clean and dry cloth should be used to wipe out fluid present
over body and head.
The cord should be cut with a new blade/sterilized scissor.
The cord should be tied with a sterilized thread or clamped
with cord-clamp. Cord is left as dry as possible for next 5-8
days.
Both eye lids should be swabbed with sterile and wet swab,
one for each eye from inner canthus to outer canthus.
21. Care of skin, cord, eye.
Instill a drop of freshly prepared 1% Silver Nitrate Solution or
apply 1% Tetracycline ointment into each eye.
After cleaning and drying-up, the baby’s body and head
should be covered with another dry and clean cloth to
prevent heat loss from body and head.
Vernix caseosa should not be wiped out. The baby should not
be massaged with oil.
Baby should not be given bathe until 24 hours.
22. 1. A draught free, warm room with temperature
>25°C.
2. A clean, dry and warm delivery surface.
3. A radiant warmer / overhead lamp.
4. Two clean, warm towels/clothes.
5. A folded piece/roller of cloth (1/2 to1”thick).
6. A newborn size self inflating bag.
7. Infant masks in two sizes: size ‘1’ for normal
weight baby and ‘0’ for small baby.
8. A suction device.
9. Oxygen (if available).
10. A clock (with seconds hand).
Preparation in delivery room (Preparation in delivery room (ESSENTIAL):
All necessary equipments and supplies should be assembled before the birth and one should know how to use it. Anticipation of baby’s need is a critical tool.