Ik ben Saskia Vugts ( 1963 ) Al jaren schilder ik portretten in opdracht met olieverf. Na mijn opleiding aan de academie voor schone kunsten Arendonk ben ik professioneel portretschilder. Mijn grootste inspiratiebron is de unieke mens. Met liefde probeer ik in ieder portret een hart en ziel te leggen.Op een geheel eigenwijze schilder ik mijn portretten op de authentieke manier met een knipoog naar modern design. Voorheen tekende ik portretten met pastel, ik maak ook dierportretten in opdracht. Aan een Portretopdracht gaat een fotoshoot vooraf. Waar veel energie ingestoken wordt, het is belangrijk om een goed beeld van de te portretteren persoon te krijgen. Na een aantal maanden is het te vervaardigen portret klaar. Voor meer informatie kijk op mijn persoonlijke website http://saskiavugts.nl/portret-in-opdracht/
ALS Board Arts and Crafts - Mandarin Chinese English Bilingual communication ...lioralourie
Special needs, speech therapy tool. Bilingual Communication Board. Point and Talk. Helps organise long sentences for children with Down syndrome and/or Apraxia or poor verbal motor planning.
Ik ben Saskia Vugts ( 1963 ) Al jaren schilder ik portretten in opdracht met olieverf. Na mijn opleiding aan de academie voor schone kunsten Arendonk ben ik professioneel portretschilder. Mijn grootste inspiratiebron is de unieke mens. Met liefde probeer ik in ieder portret een hart en ziel te leggen.Op een geheel eigenwijze schilder ik mijn portretten op de authentieke manier met een knipoog naar modern design. Voorheen tekende ik portretten met pastel, ik maak ook dierportretten in opdracht. Aan een Portretopdracht gaat een fotoshoot vooraf. Waar veel energie ingestoken wordt, het is belangrijk om een goed beeld van de te portretteren persoon te krijgen. Na een aantal maanden is het te vervaardigen portret klaar. Voor meer informatie kijk op mijn persoonlijke website http://saskiavugts.nl/portret-in-opdracht/
ALS Board Arts and Crafts - Mandarin Chinese English Bilingual communication ...lioralourie
Special needs, speech therapy tool. Bilingual Communication Board. Point and Talk. Helps organise long sentences for children with Down syndrome and/or Apraxia or poor verbal motor planning.
Ik ben Saskia Vugts ( 1963 ) Al jaren schilder ik portretten in opdracht met olieverf. Na mijn opleiding aan de academie voor schone kunsten Arendonk ben ik professioneel portretschilder. Mijn grootste inspiratiebron is de unieke mens. Met liefde probeer ik in ieder portret een hart en ziel te leggen.Op een geheel eigenwijze schilder ik mijn portretten op de authentieke manier met een knipoog naar modern design. Voorheen tekende ik portretten met pastel, ik maak ook dierportretten in opdracht. Aan een Portretopdracht gaat een fotoshoot vooraf. Waar veel energie ingestoken wordt, het is belangrijk om een goed beeld van de te portretteren persoon te krijgen. Na een aantal maanden is het te vervaardigen portret klaar. Voor meer informatie kijk op mijn persoonlijke website http://saskiavugts.nl/portret-in-opdracht/
Ik ben Saskia Vugts ( 1963 ) Al jaren schilder ik portretten in opdracht met olieverf. Na mijn opleiding aan de academie voor schone kunsten Arendonk ben ik professioneel portretschilder. Mijn grootste inspiratiebron is de unieke mens. Met liefde probeer ik in ieder portret een hart en ziel te leggen.Op een geheel eigenwijze schilder ik mijn portretten op de authentieke manier met een knipoog naar modern design. Voorheen tekende ik portretten met pastel, ik maak ook dierportretten in opdracht. Aan een Portretopdracht gaat een fotoshoot vooraf. Waar veel energie ingestoken wordt, het is belangrijk om een goed beeld van de te portretteren persoon te krijgen. Na een aantal maanden is het te vervaardigen portret klaar. Voor meer informatie kijk op mijn persoonlijke website http://saskiavugts.nl/portret-in-opdracht/
Ik ben Saskia Vugts ( 1963 ) Al jaren schilder ik portretten in opdracht met olieverf. Na mijn opleiding aan de academie voor schone kunsten Arendonk ben ik professioneel portretschilder. Mijn grootste inspiratiebron is de unieke mens. Met liefde probeer ik in ieder portret een hart en ziel te leggen.Op een geheel eigenwijze schilder ik mijn portretten op de authentieke manier met een knipoog naar modern design. Voorheen tekende ik portretten met pastel, ik maak ook dierportretten in opdracht. Aan een Portretopdracht gaat een fotoshoot vooraf. Waar veel energie ingestoken wordt, het is belangrijk om een goed beeld van de te portretteren persoon te krijgen. Na een aantal maanden is het te vervaardigen portret klaar. Voor meer informatie kijk op mijn persoonlijke website http://saskiavugts.nl/portret-in-opdracht/
Executive leader experienced at transforming technology operations, improving business performance and facilitating revenue growth by architecting and implementing cost-effective, robust and flexible systems and infrastructure.
• Customer Service
• Sales Support
• Project Management
• Systems Development
• Business Intelligence
• Analytics
• Databases
• Network & Security
• Telecommunications
• Call Center Support
• Data-Center Operations
• Business Continuity
SXSW: Embracing Transformative Design to Redefine Cancer CareCannonDesign
This deck is in support of a 2024 SXSW proposal focused on Embracing Transformative Design to Redefine Cancer Care.
The session features leaders from CannonDesign, Memorial Sloan Kettering, University of Chicago Medicine and Fred Hutch Cancer Center.
CannonDesign’s Cost Estimating team offers clients an in-depth understanding of initial construction cost, life cycle cost, schedule and construction delivery strategies to complement the firm’s design talent.
Mentoring is an important aspect of developing the individual and our firm. It benefits the mentee and the mentor. At CannonDesign we value and encourage mentorship throughout the firm. Featured here are some employees and their thoughts on mentorship.
Ik ben Saskia Vugts ( 1963 ) Al jaren schilder ik portretten in opdracht met olieverf. Na mijn opleiding aan de academie voor schone kunsten Arendonk ben ik professioneel portretschilder. Mijn grootste inspiratiebron is de unieke mens. Met liefde probeer ik in ieder portret een hart en ziel te leggen.Op een geheel eigenwijze schilder ik mijn portretten op de authentieke manier met een knipoog naar modern design. Voorheen tekende ik portretten met pastel, ik maak ook dierportretten in opdracht. Aan een Portretopdracht gaat een fotoshoot vooraf. Waar veel energie ingestoken wordt, het is belangrijk om een goed beeld van de te portretteren persoon te krijgen. Na een aantal maanden is het te vervaardigen portret klaar. Voor meer informatie kijk op mijn persoonlijke website http://saskiavugts.nl/portret-in-opdracht/
Ik ben Saskia Vugts ( 1963 ) Al jaren schilder ik portretten in opdracht met olieverf. Na mijn opleiding aan de academie voor schone kunsten Arendonk ben ik professioneel portretschilder. Mijn grootste inspiratiebron is de unieke mens. Met liefde probeer ik in ieder portret een hart en ziel te leggen.Op een geheel eigenwijze schilder ik mijn portretten op de authentieke manier met een knipoog naar modern design. Voorheen tekende ik portretten met pastel, ik maak ook dierportretten in opdracht. Aan een Portretopdracht gaat een fotoshoot vooraf. Waar veel energie ingestoken wordt, het is belangrijk om een goed beeld van de te portretteren persoon te krijgen. Na een aantal maanden is het te vervaardigen portret klaar. Voor meer informatie kijk op mijn persoonlijke website http://saskiavugts.nl/portret-in-opdracht/
Ik ben Saskia Vugts ( 1963 ) Al jaren schilder ik portretten in opdracht met olieverf. Na mijn opleiding aan de academie voor schone kunsten Arendonk ben ik professioneel portretschilder. Mijn grootste inspiratiebron is de unieke mens. Met liefde probeer ik in ieder portret een hart en ziel te leggen.Op een geheel eigenwijze schilder ik mijn portretten op de authentieke manier met een knipoog naar modern design. Voorheen tekende ik portretten met pastel, ik maak ook dierportretten in opdracht. Aan een Portretopdracht gaat een fotoshoot vooraf. Waar veel energie ingestoken wordt, het is belangrijk om een goed beeld van de te portretteren persoon te krijgen. Na een aantal maanden is het te vervaardigen portret klaar. Voor meer informatie kijk op mijn persoonlijke website http://saskiavugts.nl/portret-in-opdracht/
Executive leader experienced at transforming technology operations, improving business performance and facilitating revenue growth by architecting and implementing cost-effective, robust and flexible systems and infrastructure.
• Customer Service
• Sales Support
• Project Management
• Systems Development
• Business Intelligence
• Analytics
• Databases
• Network & Security
• Telecommunications
• Call Center Support
• Data-Center Operations
• Business Continuity
SXSW: Embracing Transformative Design to Redefine Cancer CareCannonDesign
This deck is in support of a 2024 SXSW proposal focused on Embracing Transformative Design to Redefine Cancer Care.
The session features leaders from CannonDesign, Memorial Sloan Kettering, University of Chicago Medicine and Fred Hutch Cancer Center.
CannonDesign’s Cost Estimating team offers clients an in-depth understanding of initial construction cost, life cycle cost, schedule and construction delivery strategies to complement the firm’s design talent.
Mentoring is an important aspect of developing the individual and our firm. It benefits the mentee and the mentor. At CannonDesign we value and encourage mentorship throughout the firm. Featured here are some employees and their thoughts on mentorship.
CannonDesign's Facility Optimization Solutions team helps organizations manage their facilities more efficiently, effectively and sustainable. This brochure features case studies from our work with the City of Buffalo, University of Illinois-Chicago, Chicago Public Schools, Massachusetts General Hospital and a number of other organizations.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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!
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
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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.
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.
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
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
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
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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
