This document summarizes coagulation disorders and disseminated intravascular coagulation (DIC). It describes four categories of bleeding disorders: those due to vascular abnormalities, platelet abnormalities, coagulation factor deficiencies, and a combination of these. It provides details on hemophilia A and B, which are deficiencies in coagulation factors VIII and IX, respectively. It covers the incidence, clinical symptoms, laboratory testing, and treatment of coagulation factor deficiencies. It then defines DIC as a thrombohemorrhagic disorder caused by excessive coagulation activation, and lists conditions associated with DIC and describes its pathogenesis, pathophysiology, clinical manifestations, laboratory diagnosis, and treatment.
Lymphangitis is inflammation of lymphatic channels due to infectious or noninfectious causes. Potential pathogens include bacteria, mycobacteria, viruses, fungi, and parasites. Lymphangitis most commonly develops after cutaneous inoculation of microorganisms into the lymphatic vessels through a skin wound or a distal infection complication.
Hematopathology or hemopathology is the study of diseases and disorders affecting and found in blood cells, their production, and any organs and tissues involved in hematopoiesis, such as bone
Lymphangitis is inflammation of lymphatic channels due to infectious or noninfectious causes. Potential pathogens include bacteria, mycobacteria, viruses, fungi, and parasites. Lymphangitis most commonly develops after cutaneous inoculation of microorganisms into the lymphatic vessels through a skin wound or a distal infection complication.
Hematopathology or hemopathology is the study of diseases and disorders affecting and found in blood cells, their production, and any organs and tissues involved in hematopoiesis, such as bone
DIC is not a disease entity but an event that can accompany various disease processes. It is an “Acquired” Pathological process. Widespread activation of the clotting cascade lead to formation of blood clots in small blood vessels throughout the body causing a compromise of tissue blood flow leading to multiple organ damage MOD. The coagulation process consumes clotting factors and platelets,normal clotting is disrupted and severe bleeding can occur from various sites. Patients with DIC should be treated at hospitals with appropriate critical care units (ICU) with available Subspecialty expertise, such as hematology, blood bank, or surgery. Patients who present to hospitals without those capabilities and who are stable enough for transfer should be referred expeditiously to a hospital that has those resources. Treatment of DIC includes the underlying disorder, supportive treatment and hemostatic Therapy.
it consist introduction of DIC, definition, etiology and causes, pathophysiology, diagnostic evaluation and its management. it consist of complication too. easy to understand with the help of pictures.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
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.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
2. Bleeding disorders
4 categories:
Bleeding disorders due to vascular abnormalities
Bleeding disorders due to platelet abnormalities
Disorders of coagulation factors
Combination of all of the above (Disseminated
Intravascular Coagulation / DIC)
6. Incidence
X linked recessive
1 in 5000 males
Approx. 80% have factor VIII deficieny
20% have factor IX deficiency
In approx. 30%, no positive family history of the
disease - ? Genetic mutation.
7. Factor VIII deficiency
Factor VIII (antihemophilic factor) : protein that
circulates in the plasma and functions in the intrinsic
pathway of fibrin formation.
Factor IX deficiency
Factor IX – vitamin K dependent serine protease
that functions in the intrinsic pathway of fibrin
formation
.
8. Clinical symptoms
Hemarthrosis, esp. in the knee – most common
feature of severe hemophilia.
Subcutaneous hematomas – begin with slight
trauma and spread to involve a large mass of
tissue.
Intramuscular hemorrhages – may result in
contracture and deformity
9. Prolonged bleeding
Primary hemostasis adequate to stop bleeding from
a minor cut, but because of deficient fibrin
stabilization, the platelet plug is dislodged –
bleeding begins a second time.
Hematomas around tongue and throat
Hemorrhages from the nose, mouth, gums
and other mucous membranes
Others : hematuria and excess bleeding from
dental extractions
10. Laboratory aspects
Laboratory screening tests –
Prolonged APTT
Platelet count – normal
Bleeding time – normal
PT – normal
Definitive diagnosis –
Specific factor assay
11. Therapy
Factor VIII deficiency
Cryoprecipitate :
prepared by freezing a unit of plasma and collecting
the precipitate that forms on thawing.
Contains factor VIII, factor XIII, fibrinogen and von
Willebrand factor
Factor VIII concentrate
Deamino-D-arginine vasopressin (DDAVP)
12. Factor IX deficiency :
Treated with plasma or with concentrates that also
contain factors II, VII, and X (prothrombin complex
concentrates)
13. Disseminated Intravascular
Coagulation (DIC)
• DIC is an acute, subacute, or chronic
thrombohemorrhagic disorder characterized
by the excessive activation of coagulation,
which leads to the formation of thrombi in the
microvasculature of the body.
• It occurs as a secondary complication of many
different disorders.
14. • Sometimes the coagulopathy is localized to a
specific organ or tissue.
• As a consequence of the thrombotic diathesis
there is consumption of platelets, fibrin, and
coagulation factors and, secondarily,
activation of fibrinolysis.
16. Conditions Associated With DIC
• Malignancy
– Leukemia
– Metastatic disease
• Cardiovascular
– Post cardiac arrest
– Acute MI
– Prosthetic devices
• Hypothermia/Hyperthe
rmia
• Pulmonary
– ARDS/RDS
– Pulmonary embolism
• Severe acidosis
• Severe anoxia
• Collagen vascular
disease
• Anaphylaxis
17. Pathogenesis
• Activation of coagulation: by release of tissue
factor
• Thrombotic phase: platelet adhesion and
aggregation with formation of thrombi and
emboli throughout the microvasculature
• Consumption phase: consumption of coagulation
factors and platelets
• Secondary fibrinolysis: causes breakdown of
fibrin resulting in fibrin degradation products in
circulation