1) Low birth weight babies are those born weighing less than 2,500 grams. They are at higher risk of neonatal death and infant mortality.
2) Management of low birth weight babies depends on their weight - babies over 1.8kg can be managed at home, those 1.5-1.8kg require hospital care, and babies under 1.5kg need intensive care in the NICU.
3) Kangaroo mother care is a way to care for low birth weight babies that promotes warmth, breastfeeding, infection prevention, and bonding between mother and baby.
This slides contain description about breast feeding, anatomy of breast, types of human milk, good position for latching, holding for the baby, advantages of breast feeding, contraindication of breast feeding, barriers and problems associated with breast feeding with their management
Every year more than 10 million children die in developing countries due to acute respiratory infections (mostly pneumonia), diarrhea, measles, malaria, or malnutrition - and often to a combination of these illnesses. In 1990s, the WHO, in collaboration with UNICEF and many other agencies, institutions and individuals, responded to this challenge by developing a strategy known as the Integrated Management of Childhood Illness (IMNCI).This strategy adopted in India as Integrated Management of Neonatal and Childhood Illness (IMNCI). IMNCI caters to two groups of children
• 0-2 months, referred to as young infants.
• 2 months to 5 years, referred to as children.
BIRTH INJURIES IN NEWBORN: Definition of birth injuries , statistics, etiology, classification of birth injuries , head injuries: cephalhematoma and Caput succedaneum, skull fractures
, nerve injuries: erb's palsy and klumpke's palsy, bone injuries: clavicular and long bone fracture , intra-abdominal and soft tissue injuries, management and prevention of birth injuries
Introduction about postnatal care
Define postnatal care
Aims & objectives postnatal care
Important conditions we should enquire in postnatal care
Schedule of postnatal care
Postnatal exercise
Advice given to the mother during discharge postnatal care
Advice regarding family planning and sterilization during puerperium
The Apgar score is a test given to newborns soon after birth. This test checks a baby's heart rate, muscle tone, and other signs to see if extra medical care or emergency care is needed. The test is usually given twice: once at 1 minute after birth, and again at 5 minutes after birth
This slides contain description about breast feeding, anatomy of breast, types of human milk, good position for latching, holding for the baby, advantages of breast feeding, contraindication of breast feeding, barriers and problems associated with breast feeding with their management
Every year more than 10 million children die in developing countries due to acute respiratory infections (mostly pneumonia), diarrhea, measles, malaria, or malnutrition - and often to a combination of these illnesses. In 1990s, the WHO, in collaboration with UNICEF and many other agencies, institutions and individuals, responded to this challenge by developing a strategy known as the Integrated Management of Childhood Illness (IMNCI).This strategy adopted in India as Integrated Management of Neonatal and Childhood Illness (IMNCI). IMNCI caters to two groups of children
• 0-2 months, referred to as young infants.
• 2 months to 5 years, referred to as children.
BIRTH INJURIES IN NEWBORN: Definition of birth injuries , statistics, etiology, classification of birth injuries , head injuries: cephalhematoma and Caput succedaneum, skull fractures
, nerve injuries: erb's palsy and klumpke's palsy, bone injuries: clavicular and long bone fracture , intra-abdominal and soft tissue injuries, management and prevention of birth injuries
Introduction about postnatal care
Define postnatal care
Aims & objectives postnatal care
Important conditions we should enquire in postnatal care
Schedule of postnatal care
Postnatal exercise
Advice given to the mother during discharge postnatal care
Advice regarding family planning and sterilization during puerperium
The Apgar score is a test given to newborns soon after birth. This test checks a baby's heart rate, muscle tone, and other signs to see if extra medical care or emergency care is needed. The test is usually given twice: once at 1 minute after birth, and again at 5 minutes after birth
At a population level, the proportion of infants with a low birth weight is an indicator of a multifaceted public health problem that includes long-term maternal malnutrition, ill-health and poor health care in pregnancy.
Low birth weight is included as a primary outcome indicator in the core set of indicators for the Global Nutrition Monitoring Framework. It is also included in the WHO Global reference list of 100 core health indicators. Low birth weight has been defined by WHO as weight at birth of < 2500 grams (5.5 pounds). Low birth weight is caused by intrauterine growth restriction, prematurity or both. It contributes to a range of poor health outcomes; for example, it is closely associated with fetal and neonatal mortality and morbidity, inhibited growth and cognitive development, and NCDs later in life. Low birth weight infants are about 20 times more likely to die than heavier infants.
Low birth weight is more common in developing than developed countries. However, data on low birth weight in developing countries is often limited because a significant portion of deliveries occur in homes or small health facilities, where cases of infants with low birth weight often go unreported. These cases are not reflected in official figures and may lead to a significant underestimation of the prevalence of low birth weight.
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.
Follow us on: Pinterest
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
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.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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
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
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.
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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- 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
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
3. Low Birth weight
• Low birth weight (LBW) is a term used to describe
babies who are born weighing less than 2,500 grams.
“Or”
Babies with a birth weight of less than 2500gm
irrespective of the period of their gestation are
classified as low birth weight babies.
• Average newborn weighs about 2.5 - < 4kg.
4. Incidence
50% of pre term are Low birth weight baby.
80% of neonatal death and 50% of infant mortality
are due to LBW.
Higher incidence of LBW babies in Bangladesh is due
to higher no. of babies with IUGR rather than
preterm.
About 10% of all LBW babies require admission to
the NICU
10. Problems of Prematurity
A. Early
Hypothermia (Temp < 95oF)
Hypoglycaemia (RBS < 2.2 mmol/L)
Respiratory Distress Syndrome / HIE
Apnoeic spells
Infection
Feeding difficulties – Inability to suck & tolerate feed
Problems of gut – NEC, GERD
Haematological problems – Anaemia, DIC, Vit. K
deficiency, Hyperbilirubinaemia
Electrolyte imbalance
11. B. Late
Cerebral Palsy
Mental Retardation & poor school performance
Seizures
Microcephaly
Retinopathy of Prematurity (ROP)
Bronchopulmonary Dysplasia (BPD)
Hearing & Visual impairment
Growth failure
Child Abuse
12. Management
Management depends on the birth weight of the
baby
1. >1.8 kg otherwise normal - requires special care
at home
2. > 1 .5 kg but < 1.8 kg - requires Hospital care
3. < 1.5 kg - Management in NICU
13. Home Management
1. Feeding : EBF
2. Thermal Regulation :
a) Proper wrapping of the baby
b) Maintenance of the room temperature
c) Kangaroo Mother Care (KMC)
d) Kangaroo Father Care (KFC)
3. Prevention of infection
4. Immunisation
5. Follow up after 2 wks or if any problem arises
14. Danger signals for early detection
and referral to hospital
Lethergy, refuse to feed
Hypothermia
Tachypnoea, grunting apnoea
Seizures
Abdominal distension
Bleeding, icteric over palms/soles
16. Principle of Management of
LBW in hospital
Correction of hypothermia
Correction of hypoglycaemia
Detection of other complications
Treatment of other complications
Follow up with all vital signs being monitored
continuously
17. Hospital Management
1. Maintenance of Airway, Breathing & Circulation
2. Feeding :
Appropriate feeding method to maintain nutrition of LBW
babies is determined by gestational age, birth wt & oral
feeding skills.
Daily fluid requirement for Preterm baby starts with 60ml/kg.
Daily requirement in preterm is increased by 20ml/kg/day and
can be raised up to 150 ml/kg/day.
Baby receiving phototherapy need 10- 15 ml/kg extra fluid
daily.
<1.5 kg Ryle’s tube feeding
> 1.5 kg EBF or by feeder
18. 3. Thermal Regulation :
4. Prevention of infection: indication for antibiotics
5. Start antibiotic therapy without any symptoms too
6. Inj. Vit K
7. Other supportive management
8. Follow up
<1.5 kg by overhead radiant warmer
> 1.5 kg Like Home management
19. Parameters to be monitored in
hospital
• Temperature
• Respiration
• Feeding
• Weight of baby
• Bladder & bowel condition
• Abdominal distention
• Appearance & extent of jaundice
• Along with the clinical assessment, investigation may
be needed.
20. Discharge Criteria
• Able to maintain temperature
• Weight > 1.8 kg and shows steady weight gain for 3
consecutive days
• Able to take & tolerate full feeding
• Parents confident enough to take care of baby at
home.
• After attainment of 34wks of gestation and weight
>1400 gm
21. Prognosis
Mortality
– inversely related to the gestation and birth weight
– Directly related to severity complications
– More than 90% of LBW babies have no
neurodevelopmental handicaps.
Morbidity
– LBW babies are more prone to infections due to
various reasons
22. Kangaroo Mother Care (KMC)
• KMC is a special way of caring of low birth weight
babies. It fosters their health and well being by
promoting effective thermal control, breastfeeding,
infection prevention and bonding.
• Kangaroo mother care was invented in 1978 by
Colombian pediatrician Edgar Rey. Faced with a
shortage of incubators, Rey found that mothers
could use their own bodies to warm premature
infants.
24. Benefits of KMC
Stabilization of the baby's heart rate.
Improved (more regular) breathing pattern.
Improved oxygen saturation levels (an indicator of
how well oxygen is being delivered to all the infants
organs and tissues)
Gain in sleep time.
More rapid weight gain.
Decreased crying.
25. At last
• In fact several renowned and famous people who
were premature and of LBW grew up to become
great personality like Sir Isaac Netwon, Sir Winston
Churchill and great painter Pablo Picasso.
• The parents of premature LBW babies therefore
should not feel despondent.