Exercise during pregnancy can provide benefits if done in moderation and with precautions. Walking, swimming, yoga, and low-impact aerobics are generally considered safe activities. Vigorous sports that risk falls or abdominal trauma should be avoided. Proper hydration and avoiding overheating are important. While studies have not found harm, more research is still needed on the interactions between exercise and pregnancy given the major physiologic changes that occur. Most women can continue light to moderate exercise, but high-risk pregnancies may require limiting physical activity.
Since then there has been a dramatic change in how doctors and scientists perceive exercise during pregnancy.
Exercise is now thought to be great for the mother and the unborn child.
Antenatal exercises aim at improving the physical and psychological well-being of an expected mother for labor and preventing pregnancy-induced pathologies by various physical means. It generally includes low impact aerobic exercises and stretching exercises.
To strengthen your pelvic floor muscles, sit comfortably and squeeze the muscles 10-15 times in a row. Don't hold your breath or tighten your stomach, buttock or thigh muscles at the same time. When you get used to doing pelvic floor exercises, you can try holding each squeeze for a few seconds.
Since then there has been a dramatic change in how doctors and scientists perceive exercise during pregnancy.
Exercise is now thought to be great for the mother and the unborn child.
Antenatal exercises aim at improving the physical and psychological well-being of an expected mother for labor and preventing pregnancy-induced pathologies by various physical means. It generally includes low impact aerobic exercises and stretching exercises.
To strengthen your pelvic floor muscles, sit comfortably and squeeze the muscles 10-15 times in a row. Don't hold your breath or tighten your stomach, buttock or thigh muscles at the same time. When you get used to doing pelvic floor exercises, you can try holding each squeeze for a few seconds.
Contrary to popular belief, exercising helps you to build and strengthen muscles and prepares a pregnant woman for childbirth. Exercise caution while working out as overexerting oneself while pregnant can be harmful for the baby.
PPT that made a short and crisp description on physiotherapy role in women's health at a glimpse.
Physical therapist plays a over all role in all stages of a women.Physiotherapist or a pelvicfloor physicall therapist plays a all arounder in childbirth educator, as a labour doula, as lactation expert , as a postpartum doula, as a pelvicrehab practitioner etc.. So all you need to understand is a WOMEN'S HEALTH/ PELVICFLOOR PT is a person who benifits women at all the stages.
This is a patient education presentation. It gives a brief a description of causes of back pain during pregnancy. It also give tips for avoiding and managing back pain during pregnancy.
Search terms for the article:
Back pain in pregnancy, Lumbar pain, labour pain, back bone problems, pregnancy and back pain
Dr.A.Mohan krishna
M.s.Ortho., MCh Ortho(U.K)
Consultant Orthopedic surgeon,
Apollo Hospitals.
Vcare Multispeciality Hospital,
Apollo Clinic SR nagar,
Contrary to popular belief, exercising helps you to build and strengthen muscles and prepares a pregnant woman for childbirth. Exercise caution while working out as overexerting oneself while pregnant can be harmful for the baby.
PPT that made a short and crisp description on physiotherapy role in women's health at a glimpse.
Physical therapist plays a over all role in all stages of a women.Physiotherapist or a pelvicfloor physicall therapist plays a all arounder in childbirth educator, as a labour doula, as lactation expert , as a postpartum doula, as a pelvicrehab practitioner etc.. So all you need to understand is a WOMEN'S HEALTH/ PELVICFLOOR PT is a person who benifits women at all the stages.
This is a patient education presentation. It gives a brief a description of causes of back pain during pregnancy. It also give tips for avoiding and managing back pain during pregnancy.
Search terms for the article:
Back pain in pregnancy, Lumbar pain, labour pain, back bone problems, pregnancy and back pain
Dr.A.Mohan krishna
M.s.Ortho., MCh Ortho(U.K)
Consultant Orthopedic surgeon,
Apollo Hospitals.
Vcare Multispeciality Hospital,
Apollo Clinic SR nagar,
Medooc is a search engine for researching medical information.It has been built by medical
professionals to help others in the community to research and share credible health information.
Doctors, Physcials and medical professionals participate in Medooc.com on day to day basis to help each other.
For more information you can visit:-http://www.medooc.com/
Medooc is a search engine for researching medical information.It has been built by medical
professionals to help others in the community to research and share credible health information.
Doctors, Physcials and medical professionals participate in Medooc.com on day to day basis to help each other.
For more information you can visit:-http://www.medooc.com/
Important Things That You Must Know About Aerobics During PregnancyShoalman Jr.
Pregnant women who practice aerobics would very likely experience easier labor and childbirth. There are also studies that showed women who have been performing aerobic exercises have reduced the risk of undergoing caesarean operation/ surgery, quicker recovery whether it is physical or from postpartum depression. For more health & fitness tips, check http://getyourbesthealth.com
Baby ganesha sitting on the lap of lord shiva and mother parvathi vintage baz...Dokka Srinivasu
These are 2 different Baby Ganesha sitting on the Lap of Lord Shiva and Mother Parvathi vintage bazaar post cards of 19th Century in my collection.
I am sharing these in my Heritage of India blog.
http://indian-heritage-and-culture.blogspot.in/2015/09/baby-ganesha-sitting-on-lap-of-lord.html
Every person want to fulfill something in his or her life. But success is coming to those people who are moving forward to implement some action instead of just thinking. Success is coming to those who think properly with proper and dedicated planning.
Every person has infinite potential within him/her. These 18 principles are useful as how a person use his infinite potential to succeed in life.
I prepared this power point presentation and i hope many people will benefited with this presentation to succeed in their Goals and Life. All the best to the readers those who study and implement these principles.
Maithreem Bhajatha song by smt. m.s. subbulakshmi at united nationsDokka Srinivasu
Maithree Bhajatha Song by Srimati M.S. Subbulakshmi at United Nations
http://srimati-ms-subbulakshmi.blogspot.in/2012/04/maithree-bhajatha-song-by-srimati-ms.html
Lord shiva with young ganesh mythological post cardDokka Srinivasu
This is my mythological post card. i share this in my heritage of india blog.
http://indian-heritage-and-culture.blogspot.in/2012/04/lord-shiva-with-young-ganesha.html
Heritage of India, Taj Mahal Post Card
I shared this in my heritage of India blog.
http://indian-heritage-and-culture.blogspot.in/2012/04/taj-mahal-post-card.html
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
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.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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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
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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
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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.
2. Pregnacy and exercise
Exercise has become a
vital part of many
women's lives
the physiologic changes
associated with pregnancy
as well as the
hemodynamic response to
exercise, some
precautions should be
observed
3. If women do not have medical
complications and can maintain
regular exercise duration of
pregnancy but....
women should avoid exercise that
involves the risk of abdominal
trauma, falls or excessive joint
stress, as in contact sports and
vigorous racquet sports
Adequate hydration and proper
ventilation are important to
prevent possible effects of
overheating
4. Physiological changes during
pregnancy
Musculoskeletal
One of the most obvious
changes in pregnancy is the
alteration of the woman's
body. Mechanical changes
related to the weight of
growing breasts, uterus and
fetus, as well as an increase
in lumbar lordosis, result in a
shift in the woman's center
of gravity, which may cause
problems with balance.
5. Thermoregulatory adaptations: Feotal
hyperthermia, leading to abnormal foetal
development, is a concern if the mothers
core temperature is elevated following
exercise. In addressing this concern the
mother’s resting body temperature is
reduced and her ability to get rid of the heat
the skin is improved.
6. Hemodynamic
Exercise acts in concert with pregnancy to
increase heart rate, stroke volume and cardiac
output. However, during exercise, blood is
diverted from abdominal viscera, including the
uterus, to supply exercising muscle.
Measurements of the effect of exercise on fetal
heart rate demonstrate either no significant
change or short-term increases of five to 15 beats
per minute.
7. Oxygen Demands
With mild exercise, pregnant women
have a greater increase in respiratory
frequency and oxygen consumption
to meet their greater oxygen
demand. As exercise increases to
moderate and maximal levels,
however, pregnant women
demonstrate decreased respiratory
frequency, lower tidal volume and
maximal oxygen consumption
8. Energy Demands
Both exercise and pregnancy are
associated with a high demand for
energy. In the first two trimesters, an
increased intake of 150 calories per day is
recommended; an increase of 300
calories per day is required in the third
trimester.Caloric demands with exercise
are even higher, although no studies
have focused on exact requirements. The
competing energy demands of the
exercising mother and the growing fetus
raise the theoretic concern that excessive
exercise might adversely affect fetal
development.
9. Hormonal adaptations:
Oestrogen: stimulates the growth of the uterus and breasts,
and high level of oestrogen can result in excess water
retention, nausea (specially in the first trimester) and joint
looseness.
Progestrone: Thickens and develops the walls of the uterus,
controlling and relaxing to stop contracting excessively.
Relaxin: Softens ligaments, cartilage and the cervix,
allowing these tissues to spread during deliver. This is a
major area you should be careful whilst doing stretching
exercises.
Insulin: resistance increases during pregnancy, this make
the pregnant women’s pattern of energy utilization similar
to that of a mild diabetic. In mid and late pregnancy insulin
resistance serves to utilize more fat for maternal energy
and rest during exercise.
10. Impact of Pregnancy on
Exercise Performance
In the third trimester women go through major
changes, and have to be careful with exercises
Of the sixth month of pregnancy intensity
exercise are decreases
exercises such as cycling or swimming are very
helpful
• Rresearch has shown that moderate exercise in
late pregnancy does not influence on premature
birth, shooting membranes or damage to fetuses
12. Walking
One of the best
cardiovascular exercises for
pregnant women, walking
keeps you fit without jarring
your knees and ankles. It is
safe throughout the nine
months of pregnancy and
can be built into your day-
to-day schedule.
13. Jogging - Running
Going for a jog is the
quickest and most efficient
way to work your heart
and your body. You can
tailor it to your schedule --
running 15 minutes one
day when that's all you can
fit in and 30 the next when
you have the time.
14. Swimming
Healthcare providers and fitness experts hail swimming as the
best and safest exercise for pregnant women. Swimming is ideal
because it exercises both large muscle groups (arms and legs),
provides good cardiovascular benefits, and allows pregnant
women to feel weightless despite the extra weight of pregnancy.
15. Aquanatal classes
Many women find aquanatal
classes enjoyable during
pregnancy. Exercising while
standing in water is gentle on
joints and can help lessen
swelling in legs, which is a
common symptom in late
pregnancy.
16. Yoga and stretching
Yoga and stretching can help
maintain muscle tone and keep
you flexible with little if any
impact on your joints. However,
you may have to augment a
yoga regime by walking a few
times a week to give your heart
a workout. Be careful not to
overdo the stretching. You will
be more supple as a result of the
effects of relaxin, which causes
your ligaments to be more
pliable. Don't hold the stretches
for too long or try to develop
your flexibility too much.
17. Pilates
Pilates is a form of exercise which combines flexibility and
strength training with body awareness, breathing and
relaxation. The exercises are based on certain movement
patterns performed with your tummy and pelvic floor muscules
-- known in Pilates as the "stable core" or base. These muscles
are also known as deep stabilizing muscles. Because Pilates
targets the tummy and pelvic floor muscles and these muscles
can weaken during pregnancy, Pilates exercises can be useful.
18. Low-impact aerobics
One good thing about an
aerobics class is that it's a
consistent time slot when you
know you'll get some exercise.
If you sign up for a class
specifically designed for
pregnant women, you'll get to
enjoy the camaraderie of others
just like you, and can feel
reassured that each movement
has been deemed safe for you
and the baby.
19. Pulmonary disease
Contraindications to Exercise
Contraindications
women with
Pregnancy-induced
medical hypertension
complications Preterm rupture of membranes
Preterm labor during the prior or
should be current pregnancy
encouraged to Incompetent cervix or cerclage
placement
avoid vigorous Persistent second- or third-
physical trimester bleeding
activity Placenta previa
Intrauterine growth retardation
Relative contraindications
Chronic hypertension
Thyroid function abnormality
Cardiac disease
Vascular disease
20. Recommendations
Studies have not documented a significant rise in core temperature
with exercise, but thermal stressors present a theoretic risk of
congenital anomalies in early pregnancy
Women can minimize thermal stress by performing exercise in the
early morning or late evening to improve heat dissipation when it is
hot outside
May be used during stationary cycling or other indoor exercise, and
swimming may be an option to improve conductive heat loss
The intensity, duration and frequency of exercise should start at a
level that does not result in pain, shortness of breath or excessive
fatigue
Physical conditioning and well-being, including hydration, caloric
intake, and quality of rest
Exercises performed in the supine position are inadvisable after the
first trimester, as are prolonged periods of motionless standing
21. Final Comment
The physiologic interactions between pregnancy and
exercise are not fully understood. Although some
theoretic concerns remain about exercise in
pregnancy, the data thus far have been reassuring
It should be kept in mind, however, that there are
major deficits in our knowledge
Some studies have shown positive effects of exercise
and some do not because they are not included in all
social economic categories of women
Whether exercise is harmful or whether it improves
the course and outcome of pregnancy is largely
unknown
22. Therefore, no definitive
recommendation can be
made to promote exercise
during pregnancy
Nevertheless, there appears
to be no reason that most
women cannot continue with
exercise during pregnancy
and reap the possible benefits
of improvement in well-
being.
23. The Authors
• THOMAS W. WANG, M.D.,
is director of the Primary Care Sports Medicine Fellowship at
the Department of Family Practice at MacNeal Hospital,
Berwyn, Ill. Dr. Wang graduated from the Medical College of
Ohio, Toledo, and served his residency in family practice at
the University of Michigan, Ann Arbor, Medical School.
• BARBARA S. APGAR, M.D.,
is a clinical associate professor in the Department of Family
Practice at the University of Michigan Medical School. She is
a graduate of Texas Tech University School of Medicine,
Lubbock, where she served a family practice residency. Dr.
Apgar also completed a master's program at the University
of Michigan and a faculty development fellowship at
Michigan State University, East Lansing.
• Address correspondence to Thomas W. Wang, M.D.,
MacNeal Family Practice, 3231 S. Euclid Avenue, Berwyn, IL
60402. Reprints are not available from the authors.
24. REFERENCES
• American College of Obstetricians and Gynecologists.
Exercise during pregnancy and the postpartum
period. ACOG Technical Bulletin 189. Washington,
D.C.: American College of Obstetricians and
Gynecologists, 1994.
• Calguneri M, Bird HA, Wright V. Changes in joint
laxity occurring during pregnancy. Ann Rheum Dis
1982;41:126-8.
• Clapp JF 3d. Exercise in pregnancy: a brief clinical
review