This research note summarizes the results of a 7-year study on antibiotic resistance of Helicobacter pylori in Chinese patients from 13 provinces. The study found:
1) Resistance to metronidazole, clarithromycin, and levofloxacin was high at 78.2%, 22.1%, and 19.2% respectively.
2) Younger patients had lower resistance to clarithromycin, azithromycin, levofloxacin, and moxifloxacin than older patients.
3) Resistance to clarithromycin and amoxicillin increased in more recent years.
4) Geographic location was associated with differences in resistance to metron
A Clinical Study of Amoebic Dysentery and Its Homoeopathic ManagementIOSRJPBS
A Clinical Study of Amoebic Dysentery and Its Homoeopathic Management, Sri Ganganagar, Rajasthan, India. Background: To study the clinical presentation of amoebic dysentery and to study the results of Homeopathic management and treatment of amoebic dysentery. To assess the influence of miasm in the case of Amoebic Dysentery. Methodology: Thirty out-patients with clinically confirmed symptomatic cases of amoebic dysentery were entered trial and treated with Homoeopathic remedies on the basis of Homoeopathic principles with fixed criteria to know the results of treatment as recovered, improved or not improved. For the present study he patients who visited on Sriganganagar Homoeopathic Medical College, Hospital and Research Center, Sri Ganganagar, Rajsthan, India and peripheral Out Patient Department were selected on the inclusion and exclusion criteria. Result: Totally 30 patients were selected for this study. At the end of the study it was observed that, out of 30 patients, 24 patients recovered (80%), 5 case improved (16.66%) and1case is not improved (3.3%). with the help ofsuitable homoeopathic medicines. Conclusion: There were no side effects during the treatment and it can be concluded that Homoeopathic Medicines can be help the patient to take a new lease on life
A Clinical Study of Amoebic Dysentery and Its Homoeopathic ManagementIOSRJPBS
A Clinical Study of Amoebic Dysentery and Its Homoeopathic Management, Sri Ganganagar, Rajasthan, India. Background: To study the clinical presentation of amoebic dysentery and to study the results of Homeopathic management and treatment of amoebic dysentery. To assess the influence of miasm in the case of Amoebic Dysentery. Methodology: Thirty out-patients with clinically confirmed symptomatic cases of amoebic dysentery were entered trial and treated with Homoeopathic remedies on the basis of Homoeopathic principles with fixed criteria to know the results of treatment as recovered, improved or not improved. For the present study he patients who visited on Sriganganagar Homoeopathic Medical College, Hospital and Research Center, Sri Ganganagar, Rajsthan, India and peripheral Out Patient Department were selected on the inclusion and exclusion criteria. Result: Totally 30 patients were selected for this study. At the end of the study it was observed that, out of 30 patients, 24 patients recovered (80%), 5 case improved (16.66%) and1case is not improved (3.3%). with the help ofsuitable homoeopathic medicines. Conclusion: There were no side effects during the treatment and it can be concluded that Homoeopathic Medicines can be help the patient to take a new lease on life
The Role Bacteria Biofilm Have in Identifying, Classifying and Defining UTI in Laboratory and Clinical Screenings of NB Patients That Use CIC in Clinical Settings
El Tratamiento de bacteriuria asintomatica se asocia con alta prevalencia de ...Alex Castañeda-Sabogal
El Tratamiento de la bacteriuria asintomática con antibióticos está asociado con aparición de cepas resistentes a antibióticos!!!! Publicado el 4 de setiembre del 2015 en Clinical Infectious Diseases
A total number of 74 coagulase negative Staphylococci were isolated from orthopaedic patients in Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. They were further characterized into various Staphylococci species using API STAPH identification kit: Staph xylosus (31.1%), Staph lentus (10.8%), Staph hominis (10.8%), Staph cohnii cohnii (5.4%), Staph epidermidis (4.1%) others were Staph cohnii ureal., Staph hyicus, Staph lugdunensis (2.7% each) Staph caprae , Staph capitis, Staph haemolyticus, Staph scuiri, Staph chromogenes and Staph warneri (1.4% each). Microcossus spp was 8.2% while 13.5% isolates were undetermined. Kirby Baurer disk method was used for the antibiotics susceptibility test, the result showed gentamicin and ciprofloxacin to be most active (96.6%), followed by vancomycin (93.1) and pefloxacin (87.9). The isolates were resistant to ampicillin (96.6), amoxicillin clavulanic acid (65.5%), clindamycin 41.4%). The aim of this study is to classify the coagulase negative Staphylococci isolates into species and to determine their antibiotic susceptibility
Characterization of Mycobacterium Tuberculosis Complex Strains: A Multicenter...CrimsonpublishersCJMI
Characterization of Mycobacterium Tuberculosis Complex Strains: A Multicenter Retrospective Greek Study by Lamprini Gkaravela in Cohesive Journal of Microbiology & Infectious Disease
Abstract—The aim of the study was to observe the prevalence of various microorganisms from throat swab specimens in patients attending a tertiary care hospital at Chinakakani, Guntur. Throat swab specimens were collected aseptically from 100 patients and cultured on appropriate bacteriological media. Isolates were identified by biochemical tests & antimicrobial susceptibility performed by standard methods. Out of 100 Samples, culture was positive in 25 samples. So Bacterial infection was found in 25% of Pharyngitis. Streptococcus pyogenes was the commonest isolate, followed by Staphylococcus aureus and Candida albicans. Majority of bacteria were Streptococcus pyogenes, Staphylococcus aureus and Candida albicans. In 60% it was mixed infection. The susceptibility patterns varied depending on the drugs, but most of the organisms were susceptible to penicillin, erythromycin and vancomycin. Improved personal hygiene and health education of the masses on how to care for ear, nose and throat will greatly reduce these microbial infections. This study will be useful for control strategies and for predicting pathogen prevalence in throat swabs.
Determination of baseline Widal titre among apparently healthy population in ...IOSR Journals
Present study was conducted to determine the baseline widal titer of healthy population of Dehradun city. A total of 300 serum samples were collected from healthy individual with no history of fever and who had not received any vaccination for enteric fever. Tube agglutination test was done with commercially available antigens which contained the Salmonella enterica serovar typhi O and H antigens, the Salmonella enterica serovar paratyphi AH antigen and paratyphi BH antigen. In the present study an agglutination titer for TO – 1:20 is 28%, for 1:40 is 24%, followed by 1:80 and 1: 160 which is 10%, 4% respectively. The highest sample with an anti-H titre found with 1:20 (22%) followed by 1:40(17%). Based upon the results of the study it has been recommended that a single Widal can be significant in an endemic region when higher titre (1:160) is obtained.
Study of Bacterial Isolates and their Susceptibility Pattern in Chronic Suppu...iosrjce
IOSR Journal of Pharmacy and Biological Sciences(IOSR-JPBS) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of Pharmacy and Biological Science. The journal welcomes publications of high quality papers on theoretical developments and practical applications in Pharmacy and Biological Science. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
The Role Bacteria Biofilm Have in Identifying, Classifying and Defining UTI in Laboratory and Clinical Screenings of NB Patients That Use CIC in Clinical Settings
El Tratamiento de bacteriuria asintomatica se asocia con alta prevalencia de ...Alex Castañeda-Sabogal
El Tratamiento de la bacteriuria asintomática con antibióticos está asociado con aparición de cepas resistentes a antibióticos!!!! Publicado el 4 de setiembre del 2015 en Clinical Infectious Diseases
A total number of 74 coagulase negative Staphylococci were isolated from orthopaedic patients in Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. They were further characterized into various Staphylococci species using API STAPH identification kit: Staph xylosus (31.1%), Staph lentus (10.8%), Staph hominis (10.8%), Staph cohnii cohnii (5.4%), Staph epidermidis (4.1%) others were Staph cohnii ureal., Staph hyicus, Staph lugdunensis (2.7% each) Staph caprae , Staph capitis, Staph haemolyticus, Staph scuiri, Staph chromogenes and Staph warneri (1.4% each). Microcossus spp was 8.2% while 13.5% isolates were undetermined. Kirby Baurer disk method was used for the antibiotics susceptibility test, the result showed gentamicin and ciprofloxacin to be most active (96.6%), followed by vancomycin (93.1) and pefloxacin (87.9). The isolates were resistant to ampicillin (96.6), amoxicillin clavulanic acid (65.5%), clindamycin 41.4%). The aim of this study is to classify the coagulase negative Staphylococci isolates into species and to determine their antibiotic susceptibility
Characterization of Mycobacterium Tuberculosis Complex Strains: A Multicenter...CrimsonpublishersCJMI
Characterization of Mycobacterium Tuberculosis Complex Strains: A Multicenter Retrospective Greek Study by Lamprini Gkaravela in Cohesive Journal of Microbiology & Infectious Disease
Abstract—The aim of the study was to observe the prevalence of various microorganisms from throat swab specimens in patients attending a tertiary care hospital at Chinakakani, Guntur. Throat swab specimens were collected aseptically from 100 patients and cultured on appropriate bacteriological media. Isolates were identified by biochemical tests & antimicrobial susceptibility performed by standard methods. Out of 100 Samples, culture was positive in 25 samples. So Bacterial infection was found in 25% of Pharyngitis. Streptococcus pyogenes was the commonest isolate, followed by Staphylococcus aureus and Candida albicans. Majority of bacteria were Streptococcus pyogenes, Staphylococcus aureus and Candida albicans. In 60% it was mixed infection. The susceptibility patterns varied depending on the drugs, but most of the organisms were susceptible to penicillin, erythromycin and vancomycin. Improved personal hygiene and health education of the masses on how to care for ear, nose and throat will greatly reduce these microbial infections. This study will be useful for control strategies and for predicting pathogen prevalence in throat swabs.
Determination of baseline Widal titre among apparently healthy population in ...IOSR Journals
Present study was conducted to determine the baseline widal titer of healthy population of Dehradun city. A total of 300 serum samples were collected from healthy individual with no history of fever and who had not received any vaccination for enteric fever. Tube agglutination test was done with commercially available antigens which contained the Salmonella enterica serovar typhi O and H antigens, the Salmonella enterica serovar paratyphi AH antigen and paratyphi BH antigen. In the present study an agglutination titer for TO – 1:20 is 28%, for 1:40 is 24%, followed by 1:80 and 1: 160 which is 10%, 4% respectively. The highest sample with an anti-H titre found with 1:20 (22%) followed by 1:40(17%). Based upon the results of the study it has been recommended that a single Widal can be significant in an endemic region when higher titre (1:160) is obtained.
Study of Bacterial Isolates and their Susceptibility Pattern in Chronic Suppu...iosrjce
IOSR Journal of Pharmacy and Biological Sciences(IOSR-JPBS) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of Pharmacy and Biological Science. The journal welcomes publications of high quality papers on theoretical developments and practical applications in Pharmacy and Biological Science. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
A Study on Pattern of Using Prophylactic Antibiotics in Caesarean Sectioniosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Fluoroquinolone resistant rectal colonization predicts risk of infectious com...TC İÜ İTF Üroloji AD
Fluoroquinolone resistant rectal colonization predicts risk of infectious complications after transrectal prostate biopsy. Evidence based on journal club by Samed Verep
Effect of Antibiotics on The Gut Microbiota in Children with Chronic Pancreat...JohnJulie1
Little is known about the effect of antibiotic treatment on the gut microbiota in children with chronic pancreatitis (CCP). Our objective was to identify the effect of antibiotic treatment on the gut microbiota in children with chronic pancreatitis (CCP), the main gut microbiota genera and characterize the patients’ functional mutations after using antibiotics.
Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteri...RodolfoGamarra
Expertos de la ECDC y CDC tuvieron reunión europea para determinar la posible unificación del uso de los términos relacionados con la resistencia bacteriana: multidrogorresistente (MDR), extensamente drogo resistente (XDR) y pandrogorresistente (PDR); pero sugieren mayor investigación para su correcta aplicación.
Similar to Liu2017 primary antibiotic resistance of helicobacter pylori in chinese patients a multiregion prospective 7 year study (20)
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.
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
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.
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
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
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
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
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
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!
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
3. (p 0.001). Compared to adult patients (40 years old), younger
patients (40 years old) showed lower resistance rates to CLA (p
0.008), AZI (p 0.019), LEV (p 0.001) and MOX (p 0.042). The resis-
tance rate for CLA (p 0.037) and AMO (p 0.014) were higher in
strains isolated in 2013e2016 than in those isolated in 2010e2012.
Resistance rates to LEV (p 0.009) and MOX (p 0.017) were higher in
strains isolated from gastritis patients than duodenal ulcer patients.
Furthermore, we also observed the prevalence of MET (p 0.041),
CLA (p 0.001), AZI (p 0.001) and AMO (p 0.025) resistance were
significantly different in different regions of China, and resistance
rates were high in the northeast area.
Discussion
This study included a large number of strains from 13 provinces
or cities in China collected between 2010 and 2016. Overall, the
results indicate that high rates of primary resistance to antibiotics
are still a challenge to the eradication of H. pylori in China. The
prevalence of MET and CLA resistance in China is significantly
higher than in previous decades [9], which may also induce low
eradication rates for sequential and concomitant therapies [3]. The
prevalence of AMO and CLA resistance has increased recently,
which suggests that the dynamic monitoring of AMO and CLA
susceptibility is essential. Our results also suggest that younger
patients have a lower resistance rate to CLA, AZI, LEV and MOX than
patients over 40, a phenomenon that may be related to the accu-
mulation of drug use with age as well as the fact that elderly pa-
tients are more likely experience respiratory tract and urinary
infections. In addition, the resistance rates to MET, CLA, AZI and
AMO were significantly different in different areas, indicating that
the use of these antibiotics should consider local antibiotic
resistance.
In China, antieH. pylori drugs such as bismuth, TET and FUR are
available. Therefore, quadruple therapy with proton pump in-
hibitors, bismuth and a combination of two antibioticsdspecifi-
cally FUR, TET or AMOdwould be more suitable for Chinese
patients. This treatment is also recommended in the Maastricht V/
Florence Consensus Report [3].
Conclusions
The resistance rates to MET, CLA and LEV were high in China.
Patient age, gender, disease and geographical location were asso-
ciated with the resistance of H. pylori to some antibiotics. Consid-
ering the antibiotic resistance profiles, FUR, AMO and TET are better
choices for H. pylori treatment.
Transparency Declaration
Funding was provided by grants from National Science and
Technology Major Projects for ‘Major New Drugs Innovation and
Development’ of China (2011ZX09302-007-03), National Key
Research and Development Grogram of China (2016YFC1302201);
and the National Natural Science Foundation of China (81460115),
Science and Technology Projects of Jiangxi province
(2014BBG70019). All authors report no conflicts of interest rele-
vant to this article.
Table 1
Factors associated with Helicobacter pylori resistance
Characteristic N MET CLA AZI LEV MOX AMO TCT RIF FUR
Age * * * *
40 years 522 397 (76.1) 97 (18.6) 105 (20.1) 78 (14.9) 80 (15.3) 19 (3.6) 8 (1.5) 5 (1.0) 0
40 years 595 477 (80.2) 150 (25.2) 155 (26.1) 136 (22.9) 120 (20.2) 19 (3.2) 13 (2.2) 12 (2.0) 0
Gender * *
Male 676 517 (76.5) 148 (21.9) 154 (22.8) 114 (16.9) 97 (14.3) 21 (3.1) 12 (1.8) 12 (1.8) 0
Female 441 357 (81.0) 99 (22.4) 106 (24.0) 100 (22.7) 103 (23.4) 17 (3.9) 9 (2.0) 5 (1.1) 0
Year of isolation * *
2010e2012 355 276 (77.7) 65 (18.3) 70 (19.7) 72 (20.3) 73 (20.6) 4 (1.1) 8 (2.3) 7 (2.0) 0
2013e2016 762 598 (78.5) 182 (23.9) 190 (24.9) 142 (18.6) 127 (16.7) 34 (4.5) 13 (1.7) 10 (1.3) 0
Disease * *
DU 1093 855 (78.2) 240 (22.0) 251 (23.0) 204 (18.7) 191 (17.5) 38 (3.5) 19 (1.7) 17 (1.6) 0
Gastritis 24 19 (79.2) 7 (29.2) 9 (37.5) 10 (41.7) 9 (37.5) 0 2 (8.3) 0 0
Area * * * *
Northeast 66 59 (89.4) 30 (45.5) 34 (51.5) 14 (21.2) 14 (21.2) 6 (9.1) 2 (3.0) 0 0
East 312 233 (74.7) 75 (24.0) 71 (24.4) 63 (20.2) 48 (15.4) 14 (4.5) 3 (1.0) 2 (0.6) 0
Central 683 535 (78.3) 127 (18.6) 138 (19.5) 121 (17.7) 122 (17.9) 17 (2.5) 14 (2.0) 13 (1.9) 0
West 56 47 (83.9) 15 (26.8) 17 (30.4) 13 (23.2) 16 (28.6) 1 (1.8) 2 (3.6) 2 (3.6) 0
Overall 1117 874 (78.2) 247 (22.1) 260 (23.3) 214 (19.2) 200 (17.2) 38 (3.4) 21 (1.9) 17 (1.5) 0
Data are presented as n (%).
AMO, amoxicillin; AZI, azithromycin; CLA, clarithromycin; DU, duodenal ulcer; FUR, furazolidone; LEV, levofloxacin; MET, metronidazole; MOX, moxifloxacin; RIF, rifampicin;
TCT, tetracycline.
*p 0.05.
Fig. 1. Characteristics of antibiotic resistance for Helicobacter pylori in China. M þ C,
metronidazole þ clarithromycin; M þ L, metronidazole þ levofloxacin; C þ L,
clarithromycin þ levofloxacin; A þ M, amoxicillin þ metronidazole; A þ C,
amoxicillin þ clarithromycin; A þ L, amoxicillin þ levofloxacin; A þ T,
amoxicillin þ tetracycline; A þ F, amoxicillin þ furazolidone; T þ M,
tetracycline þ metronidazole; T þ F, tetracycline þ furazolidone; M þ C þ Q,
metronidazole þ clarithromycin þ levofloxacin.
D.-S. Liu et al. / Clinical Microbiology and Infection 24 (2018) 780.e5e780.e8780.e7
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