4 cases of pelvic mass are discussed .Adnexal mass invilves masses arisinf from ovary,fallopian tube,uterus,bowel and some miscellenious masses.USG is used to detect its size and the origin.Histopathological findings are diagnostic.
4 cases of pelvic mass are discussed .Adnexal mass invilves masses arisinf from ovary,fallopian tube,uterus,bowel and some miscellenious masses.USG is used to detect its size and the origin.Histopathological findings are diagnostic.
India is the highest TB burden country accounting for more than one-fourth of the global incidence .Genital TB is found in 5-10% of women with infertility problems, with low rates in Australia (1%) and high rates of up to 19% in India (ICMR,2011)
India is the highest TB burden country accounting for more than one-fourth of the global incidence .Genital TB is found in 5-10% of women with infertility problems, with low rates in Australia (1%) and high rates of up to 19% in India (ICMR,2011)
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Women Over 40: In an age of women’s empowerment, it is time we start normalizing the conversation around bladder leakage.
A shocking and recent study from Harvard University reported an estimated 45% of women experience some form of urinary incontinence at some point in their lives. That's almost half of all women and reason enough that it is time for change. And that’s why every woman reading this letter today is extraordinarily brave for taking the next few minutes to learn the simple upper body technique that will stop bladder leakage for life.
Alex Miller.
It truly doesn’t have to be this way. Women are suffering in silence and it has been ingrained in us that this is just a normal part of aging. What most women don’t realize is that there is actually an underlying condition causing this problem and once it’s fixed you’ll be able to get back to easy movements without fear of leakage, you’ll no longer have to worry about leaking every time you laugh in the movie theater or sneeze during allergy season.
You’re going to love that not only will your bladder leakage be healed, but your belly pooch will flatten and your back pain will be permanently gone.
And there are two main forms of urinary incontinence...
1Stress incontinence, which occurs when women leak urine when laughing, sneezing, coughing, jumping, or exercising—when there’s any impact or increase of pressure on the pelvic floor.
2Urgency incontinence, which occurs when women have a strong urge to go to the bathroom and urine leaks out before they get there. These women tend to go to the bathroom frequently throughout the day and even wake up to go at night.
...and they are both related to one hidden condition that was discovered by a Physical Therapist who studied at Charles University School of Medicine in Prague in 1952.
The unconventional research articles by this Physical Therapist have now been rediscovered and women from around that world have found the secret to stopping urinary incontinence in just seconds a day... I’ll be showing you this gentle technique next.
“It’s been a life saver. It’s truly been a life saver because I was kept in my house. Forget COVID, forget loc
Pelvic Floor Strong
https://pelvicfloorstrong.com/sales-page-written-b-ph-ybm-v2?__v=s&tid=
Women Over 40: In an age of women’s empowerment, it is time we start normalizing the conversation around bladder leakage.
A shocking and recent study from Harvard University reported an estimated 45% of women experience some form of urinary incontinence at some point in their lives. That's almost half of all women and reason enough that it is time for change. And that’s why every woman reading this letter today is extraordinarily brave for taking the next few minutes to learn the simple upper body technique that will stop bladder leakage for life.
It truly doesn’t have to be this way. Women are suffering in silence and it has been ingrained in us that this is just a normal part of aging. What most women don’t realize is that there is actually an underlying condition causing this problem and once it’s fixed you’ll be able to get back to easy movements without fear of leakage, you’ll no longer have to worry about leaking every time you laugh in the movie theater or sneeze during allergy season.
You’re going to love that not only will your bladder leakage be healed, but your belly pooch will flatten and your back pain will be permanently gone.
And there are two main forms of urinary incontinence...
1
Stress incontinence, which occurs when women leak urine when laughing, sneezing, coughing, jumping, or exercising—when there’s any impact or increase of pressure on the pelvic floor.
2
Urgency incontinence, which occurs when women have a strong urge to go to the bathroom and urine leaks out before they get there. These women tend to go to the bathroom frequently throughout the day and even wake up to go at night.
...and they are both related to one hidden condition that was discovered by a Physical Therapist who studied at Charles University School of Medicine in Prague in 1952.
The unconventional research articles by this Physical Therapist have now been rediscovered and women from around that world have found the secret to stopping urinary incontinence in just seconds a day... I’ll be showing you this gentle technique next.
“It’s been a life saver. It’s truly been a life saver because I was kept in my house. Forget COVID, forget lockdowns. I was stuck in my own body because I was afraid to go out because I didn’t want to pee myself. This program, it’s literally given me wings, it’s literally given me a new life.”
“I no longer have any kind of accidents. I no longer have to worry, oh my gosh, I better find that toilet quick. I don’t have to worry about that anymore. I have not had one accident since I started.”
Hi, I'm Alex Miller!
I am a fitness expert and women’s pelvic health specialist from Vancouver, Canada, known best for helping women heal their bodies. My online programs have reached hundreds of thousands of women around the world of all ages.
Since 2012, I have taught close to one million students from around the world how to get fit and healthy w
How to extract health market intelligence from the voice of the patient - Mea...MeaningCloud
How to extract health market intelligence from the voice of the patient - MeaningCloud presentation at the Real World Evidence Forum, Philadelphia 2017.
Forums are a paramount source of information when talking about the Voice of the Patient Analysis. Voice of the Patient (VoC) can be analyzed from multiple perspectives. In this presentation, we cover the point of view of the Pharma Industry.
Facts about Infertility and Ieproductive TechnologyiCliniq
Infertility is a condition where the couple is unable to conceive after 12 months of regular sexual relationship without birth control.
There are some types in infertility:
primary infertility ( never conceived couples)
Secondary infertility ( Conceived but failed soon after pregnancy and after possibilities are less)
Some more content from doctor's for your reference --> https://www.icliniq.com/articles/reproductive-fertility-health/making-a-baby-infertility-treatment
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.
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
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.
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
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
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
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
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
3. I thought……
I am a girl……
but the thought
remained as a thought
in my life…………………
4. The period when she realized that she is
different from all other girls…………
She did not have something which others
had………….
The day when she knew that she had…………
14. Signs & Symptoms……
Primary amenorrhea
Complete or partial absence of cervix, uterus and
vagina
Painful coitus
Hormonally normal
Enters puberty with development of secondary
sexual characteristics-adrenarche , thelarche
Chromosomal constellation-46XX
Ovaries intact…………ovulation
occurs………………….
15. But she cannot be………
A MOTHER
she cannot carry……….
A life in her womb
A life perhaps incomplete………
16. Forms of MRKH…..
Only absence of vagina and uterus
Absence of uterus and vagina +
40% kidney abnormalities
10% hearing problems
10-12% skeletal abnormalities
17. Solution?
No treatment to let the woman herself
become pregnant
Treatment available to make the intercourse
comfortable
18. Surgical Management
Frank technique or perineal dilation
apply progressive pressure to the
perineum using a bicycle-seat stool to hold a
dilator in place .
…………compliance may be poor………..
19. McIndoe technique
Split thickness skin graft -skin from thigh or
buttocks is used……..
PROCEDURE
Pocket created between rectum and urethra
↓
Place a cylindrical stent covered with skin graft
↓
Fix graft in place by attaching cut edges of skin
incission
20. ↓
Labia majora sutured loosely together
↓
1 week later remove stent
↓
irrigate vagina and cauterize areas of
granulation with silver nitrate sticks
21. Keep dilator in neovagina every day and night
for 3 months;
followed by
every night for next three months
………….scarring at donor site………
………….neovaginal stenosis…………
………….long term dilation……………
27. Means……
Surrogacy is an arrangement in which a woman
carries and delivers a child for another person
or couple……..
28. Surrogacy varies…….
Traditional surrogacy: woman may be child’s
genetic mother
Gestational surrogacy: carry pregnancy to
delivery after having an embryo, with no
genetic relationship, transferred to her uterus
Commercial surrogacy
Altruistic surrogacy
30. Characteristics of a
surrogate mother
Relative or close friend
Between 21 and 38 yrs of age
Given birth to one or more child previously with
no complications
No history of STDs
Good health………
31. Average weight for her height
A non-smoker who lives in a smoke free room
No illegal drug use
32. Arguements
Cost of surrogacy
Custody
Desperate needs home
Long process
Feel of Guilt