National iodine deficiency disorders control programme (niddcp)anjalatchi
Iodine deficiencies are very common, especially in Europe and Third World countries, where the soil and food supply have low iodine levels. Your body uses iodine to make thyroid hormones. That's why an iodine deficiency can cause hypothyroidism, a condition in which the body can't make enough thyroid hormones
National iodine deficiency disorders control programme (niddcp)anjalatchi
Iodine deficiencies are very common, especially in Europe and Third World countries, where the soil and food supply have low iodine levels. Your body uses iodine to make thyroid hormones. That's why an iodine deficiency can cause hypothyroidism, a condition in which the body can't make enough thyroid hormones
This ppt gives you the details about the NRHM scheme. The SWOT analysis has been done which helps you to know the strength and weakness part of the NRHM program.
BY: Dr.Pavithra R (M.H.A)
The programme started in April, 1986 in a phased manner. To date, the annual production of iodated salt in our country is 65 lakh metric tones per annum. Nodal Ministry: Ministry of Health & Family Welfare is the nodal Ministry for implementation of National Iodine Deficiency Disorders Control Programme (NIDDCP).
This ppt gives you the details about the NRHM scheme. The SWOT analysis has been done which helps you to know the strength and weakness part of the NRHM program.
BY: Dr.Pavithra R (M.H.A)
The programme started in April, 1986 in a phased manner. To date, the annual production of iodated salt in our country is 65 lakh metric tones per annum. Nodal Ministry: Ministry of Health & Family Welfare is the nodal Ministry for implementation of National Iodine Deficiency Disorders Control Programme (NIDDCP).
Iodine is an essential micronutrient required daily at
100-150 micrograms for normal human growth
and development. Deficiency of iodine can cause
physical and mental retardation, cretinism,
abortions, stillbirth, deaf mutism, squint & various
types of goiter.
As per the surveys conducted by the Directorate
General of Health Services, Indian Council of
Medical Research, Health Institutions and the
State Health Directorates, it has been found that
out of 414 districts surveyed in all the 29 States
and 7 UTs, 337 districts are endemic i.e where
the prevalence of Iodine Deficiency Disorders
(IDDs) is more than 5% (Annexure-I).
Achieving Universal Salt Iodization: Lessons learned and Emerging IssuesMicronutrient Initiative
This presentation provides an overview of the progress in IDD Elimination through salt iodization by reviewing some lessons learned from key programmatic indicators and discusses emerging issues such as IDD prevalence in Europe, role of small salt producers, salt in processed foods and monitoring and data issues.
Now a days India become free, from some disease because several measures have been taken by the National government to improve the health of people.
Prominent among this measures are the national health programmes, which have been launched by the Central Government for the control of communicable diseases, improvement of environmental sanitation ,control of population etc.Improving the quality of services.
Improving the implementation of programs
.Arranging appropriate training for the workers to increase their capabilities & skill.
Ensuring the supply of required resources forthe implementation of program.
Increasing the awareness about NHPS through IEC activities.
Filling the gap between infrastructure & thehealth personnel
The union ministry of health and family welfare is instrunmental and responsible for implementation of various programmes on national scale in the areas of health, prevention and control of major communicable disease and promotion health
Various programmes are……
School health sevices is an important aspect of community, it possibles to increase the health level of community and achieve growth in health of future generation through school health srvices
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
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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
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.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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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
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
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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
1. MITTAL COLLEGE OF NURSING
AJMER
NATIONAL IODINE DEFICIENCY DISORDER CONTROL PROGRAMME
(NIDDCP)
SUBMITTED TO SUBMITTED BY
MR. SUNIL SAHU MR. MAHIPAL LAMROR
(ASSOCIATE PROFESSOR ) BSC.NURSING 4th YEAR
[HOD] CHN-2
2. INTRODUCTION
• Iodine is required for the synthesis of the thyroid
hormones, thyroxine (t4) and tri-iodothyroxine(t3) are
essential for the normal growth and development and
well-being of all humans.
• It is a micronutrient and normally required around 100-
150 mcg for normal growth and development.
3. • Deficiency of iodine may cause following
disorders:-
(1) Hypothyroidism
(2)Goitre
(3) Increase rate of spontaneous abortion and still birth
(4)Neurological cretinism including- deaf mutism
(5)Dwarfism
(6)Mental retardation
(7)Hearing defects
(8)Speech defects
(9)Spasticity ,spastic deplegia ,spastic quadriplegia
5. BURDEN OF DISEASE:-
•Iodine deficiency has been identified all over the world.
•It is significant health problems in 130 countries and
affect 740 million people 1/3 of the world population is
exposed to the risk of IDD.
•It is estimated that in india alone , more than 6.1 crore
people are suffering from endemic goiter and 88 lakh
people are mental /motar handicaps .
6. •PROGRAMME
Following the successful trial of iodised salt in kangara
valley ,himachal pradesh in 1962 ,india has launched
100%centrally sponsored the NATIONAL GOITER
CONTROL PROGRAMME.
7. OBJECTIVE
• Initial survey to identify magnitude of problem in the country .
• Production and supply of iodized salt to the endemic regions .
• Health education and publicity .
• To undertake monitoring of the quality of iodized salt assessing urinary iodine
excretion pattern and monitoring of iodine deficiency disorders.
• Resurvey in goiter endemic regions after five years continious supply of iodized
salt to assess the impact of the control programme .
• The result of re-survey in some areas has revealed that the prevalence of goiter
has not been controlled as desired .
• In 1992 , the national goiter control programme (NGCP) was renamed as
NATIONAL IODINE DEFICIENCY DISORDER CONTROL PROGRAMME (NIDDCP).
8. POLICY
•On the recommendations of central council of health in 1984,
the govt. took policy decision with the goal of universal
iodisation of salt by 1992 and standing of salt department in
the ministry of iodine deficiency in relation to human resource
development.
•NIDDCP has been included in 20 point programme of prime
minister .
•The central notification restricting the sale of non –iodiazed
salt with effect from may 1998 has since been lifted with effect
from Nov.2000.
9. PILOT PROJECT AGAINST MICRONUTRIENT
MALNUTRITION :-
•Micronutrient malnutrition is a global public health problem .
There is problem of iodine , iron , zinc and fluorine deficiency
leading to many clinical manifestation in the populations .
•The pilot projection programme against micronutrient
malnutrition is being started in the year 1995 in assam along
with four others states - bihar , orissa , west bengal and gujrat
.
•This project has been merged with NIDDCP
10. OBJECTIVES :-
•To access the magnitude of fluorosis and dental carries
assessing the iron and vitamin A deficiency in the project area .
•To assess and improve iron and vitamin A status in school going
children , adolescent , boys and girls , non pregnant women ,
adult males and geriatric populations .
•To launch extensive information , education and
communication strategy through mass media to improve the
dietary habits of the populations.
•To study zinc level in various food products and soil .
• To co-ordinate with similar ongoing programme being
implemented in the country .
11. COMMENTS :-
•Universal iodization of salt has not been achieved even after a
decade has passed away when the target was set to be
achieved .
•More strengthening of transportation of iodized salt by railways
and roads is needed monitoring during transportation is usually
not done regularly .
•Boosting up of political and burecratic commitment is required
as the problem of visible goitre has been reduced .
•There is difference in guidelines for assessment of IDD issued
by indian government and intervention organization .
12. TREATMENT
•Lifelong supplementation with thyroid hormones
PREVENTION :-
• IDDMS are prevented by the iodization of the common salt .
• 50kg of potassium iodated added to 10,00,000 kg of salt
• The sale of the non iodized salt is banned by suitably
amending the prevention food adulteration act.
• Educate the community about intake of iodine and disease
caused by iodine deficiency.
• Effective implementation of national iodine deficiency disease
control programme .
13. ROLE OF THE DISTRICT ADMINISTERATOR
•Goitre control cell has been established to monitor the
operations of production .
•Identification of weak-links for smooth flow .
•A multi-model health education campaign to be
launched to create awareness
•To create awareness about the serious consequence of
IDD.
•Policy implementation and program monitoring.
14. ROLE OF NURSE IN NGCP
(1) Identification of cross by field survey .
(2) Case holding .
(3) Supply of iodized salt risk areas .
(4) Treatment of cases and referral .
(5) Supervision and monitoring .
(6) Organize educational campaign .
(7) Create awareness among the public .
(8) Reporting to the authority .
(9) Follow up .
(10) Health education .
15. •CONCLUSION
•As a part of my presentation community health nursing -2 to a
conduct a presentation topic National iodine deficiency
disorders control programme ,it includes introduction, burden
of disease, programme, objectives , policy ,pilot project ,
treatment , prevention .
•Thank you for Mr sunil sahu sir for give apportunity for me and
thank you student.
16. BIBLIOGRAPHY
•The short text book of community health nursing
,veerabhadrappa GM , volume-2nd, jaypee publishers
,page no. 320-22.
•Essential in community health nursing practice S
Kalmalam , foreword – M Danbalan ,2nd edition jaypee
publisher page no. 106-o7 .
•www. NIDDCP wikipedia .com