The document discusses the Medical Termination of Pregnancy Act of 1971 in India. The key points are:
1) The MTP Act legalized abortion in India and aims to improve maternal health by promoting access to safe abortion services.
2) It allows termination of pregnancy up to 20 weeks with consent, and up to 12 weeks without approval. Termination can be done if the woman's life is at risk or there are fetal abnormalities.
3) The MTP Rules specify requirements for providers, approved facilities, and the process for approving places to perform abortions. They help ensure safe and hygienic abortion services.
The Medical Termination of Pregnancy (MTP) Act 1971 — a law that was considered ahead of its times — legalized abortion in India up to 20 weeks of pregnancy, based on certain conditions and when provided by a registered medical practitioner at a registered medical facility. Conditions under the MTP Act under which a pregnancy may be terminated are continuation of the pregnancy would involve a risk to the life of the pregnant woman or cause grave injury to her physical or mental health. Also, substantial risk that the child, if born, would be seriously handicapped due to physical or mental abnormalities; pregnancy is caused by rape (presumed to constitute grave injury to mental health) and pregnancy is due to failure of contraceptive in a married woman or her husband (presumed to constitute grave injury to mental health).
The Medical Termination of Pregnancy (MTP) Act 1971 — a law that was considered ahead of its times — legalized abortion in India up to 20 weeks of pregnancy, based on certain conditions and when provided by a registered medical practitioner at a registered medical facility. Conditions under the MTP Act under which a pregnancy may be terminated are continuation of the pregnancy would involve a risk to the life of the pregnant woman or cause grave injury to her physical or mental health. Also, substantial risk that the child, if born, would be seriously handicapped due to physical or mental abnormalities; pregnancy is caused by rape (presumed to constitute grave injury to mental health) and pregnancy is due to failure of contraceptive in a married woman or her husband (presumed to constitute grave injury to mental health).
Narcotic Drugs and Psychotropic Substances Act, 1985Ganesh Shevalkar
The Narcotic Drugs and Psychotropic Substances Act, 1985, commonly referred to as the NDPS Act, is an Act of the Parliament of India that prohibits a person to produce/manufacture/cultivate, possess, sell, purchase, transport, store, and/or consume any narcotic drug or psychotropic substance.
Narcotic and Psychotropic Substance act 1985Prakash Mali
The statutory control over narcotic drugs was being exercised under The Opium Act, 1857, The Opium Act, 1878 and The Dangerous Drugs Act, 1930.
India had no legislation regarding narcotics until 1985. Cannabis smoking in India has been known since at least 2000 BC and is first mentioned in the Atharvaveda, which dates back a few hundred years BC.
Medical Termination of Pregnancy (MTP) Act,1971
Reasons for Abortion
Unwanted sex
Sexual violence
Unwanted pregnancy
Objectives
Aims to improve the maternal health scenario by preventing large number of unsafe abortions and consequent high incidence of maternal mortality & morbidity
Legalizes abortion services
Promotes access to safe abortion services to womenn
Offers protection to medical practitioners who otherwise would be penalized under the India Penall Code (sections 315-316)
Legal framework
MTP Act
Lays down when & where pregnancies can be terminated
Grants the central govt. power to make rules and the state govt. power to frame regulations
MTP Rules
Lays down who can terminate the pregnancy, training requirementss, approval process for place, etc.
MTP Regulations
Lays down forms for opinion, maintenance of records
Custody of forms and reporting of cases
Legal abortions
Termination done by a medical practitioner approvedd by the Act
Termination done at a place approved under the Act
Termination done for conditions and within the gestation prescribed by the Act
Other requirements of the rules & regulations are complied
Application
Risk to the life or grave injury to the physical or mental health of woman
Substantial risk of physical or mental abnormalities in the fetus as to render it seriously handicapped
Pregnancy caused by rape (presumed grave injury to mental health)
Contraceptive failure in married couple presumed grave injury to mental health
NARCOTIC DRUGS AND PSYCHOTROPIC SUBSTANCES ACT (NDPS), 1985 WITH RULE Sagar Savale
The Central Acts like Opium Act, 1857,the Opium Act ,1878 and the Dangerous Drugs Act,1930 were enacted a long time ago. With the changing circumstances and the developments in the field illicit drug traffic and drug abuse at national and international level ,many drawbacks have come to notice in the said Acts.
The Government of India has repealed these old Acts and passed “The Narcotic Drugs and Psychotropic Substances Act,1985’’.
These Acts established in 14 November 1985.
The Drugs and Magic Remedies (Objectionable Advertisements) Act is an Act No. 21 of 1954, which came in force on 1st of April 1955.
AIM: To control the Ad. Of drugs in certain cases, to prohibit the ads. For certain purposes for remedies alleged to possess magic qualities & to provide for related matters
The prevention of cruelty to animals act 1960Shaik Rasheed
This presentation give the complete information regarding the The Prevention of Cruelty to Animals Act 1960 including the definitions, composition of IAEC, Breeding and stocking of animals, experiments, offences and penalties.
Narcotic Drugs and Psychotropic Substances Act, 1985Ganesh Shevalkar
The Narcotic Drugs and Psychotropic Substances Act, 1985, commonly referred to as the NDPS Act, is an Act of the Parliament of India that prohibits a person to produce/manufacture/cultivate, possess, sell, purchase, transport, store, and/or consume any narcotic drug or psychotropic substance.
Narcotic and Psychotropic Substance act 1985Prakash Mali
The statutory control over narcotic drugs was being exercised under The Opium Act, 1857, The Opium Act, 1878 and The Dangerous Drugs Act, 1930.
India had no legislation regarding narcotics until 1985. Cannabis smoking in India has been known since at least 2000 BC and is first mentioned in the Atharvaveda, which dates back a few hundred years BC.
Medical Termination of Pregnancy (MTP) Act,1971
Reasons for Abortion
Unwanted sex
Sexual violence
Unwanted pregnancy
Objectives
Aims to improve the maternal health scenario by preventing large number of unsafe abortions and consequent high incidence of maternal mortality & morbidity
Legalizes abortion services
Promotes access to safe abortion services to womenn
Offers protection to medical practitioners who otherwise would be penalized under the India Penall Code (sections 315-316)
Legal framework
MTP Act
Lays down when & where pregnancies can be terminated
Grants the central govt. power to make rules and the state govt. power to frame regulations
MTP Rules
Lays down who can terminate the pregnancy, training requirementss, approval process for place, etc.
MTP Regulations
Lays down forms for opinion, maintenance of records
Custody of forms and reporting of cases
Legal abortions
Termination done by a medical practitioner approvedd by the Act
Termination done at a place approved under the Act
Termination done for conditions and within the gestation prescribed by the Act
Other requirements of the rules & regulations are complied
Application
Risk to the life or grave injury to the physical or mental health of woman
Substantial risk of physical or mental abnormalities in the fetus as to render it seriously handicapped
Pregnancy caused by rape (presumed grave injury to mental health)
Contraceptive failure in married couple presumed grave injury to mental health
NARCOTIC DRUGS AND PSYCHOTROPIC SUBSTANCES ACT (NDPS), 1985 WITH RULE Sagar Savale
The Central Acts like Opium Act, 1857,the Opium Act ,1878 and the Dangerous Drugs Act,1930 were enacted a long time ago. With the changing circumstances and the developments in the field illicit drug traffic and drug abuse at national and international level ,many drawbacks have come to notice in the said Acts.
The Government of India has repealed these old Acts and passed “The Narcotic Drugs and Psychotropic Substances Act,1985’’.
These Acts established in 14 November 1985.
The Drugs and Magic Remedies (Objectionable Advertisements) Act is an Act No. 21 of 1954, which came in force on 1st of April 1955.
AIM: To control the Ad. Of drugs in certain cases, to prohibit the ads. For certain purposes for remedies alleged to possess magic qualities & to provide for related matters
The prevention of cruelty to animals act 1960Shaik Rasheed
This presentation give the complete information regarding the The Prevention of Cruelty to Animals Act 1960 including the definitions, composition of IAEC, Breeding and stocking of animals, experiments, offences and penalties.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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.
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
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
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Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Medical Termination of Pregnancy Act
1. The Medical Termination of Pregnancy Act (MTP Rules)Act No. 34 of 1971 Prajakta V. Mayekar PR No: 10040141073 Health Regulatory Environment. MBA – HHC (2010-2012)
10. Offers protection to medical practitioners who otherwise would be penalized under the Indian Penal Code (sections 315-316)Prajakta V. Mayekar
11. Legal abortions Termination done by a medical practitioner approved by the Act. Termination done at a place approved under the Act. Termination done for conditions and within the gestation prescribed by the Act. Other requirements of the rules & regulations are complied with the act Prajakta V. Mayekar
15. MTP Act: When can pregnancies be terminated? Up to 20 weeks of gestation, with the consent of the woman. If the woman is below 18 years or is mentally ill, then with consent of a guardian With the opinion of a RMP, formed in good faith, under certain circumstances Opinion of two RMPs required for termination of pregnancy between 12 and 20 weeks Prajakta V. Mayekar
19. Contraceptive failure in married couple (presumed grave injury to mental health)Prajakta V. Mayekar
20. MTP rules: what are they for? Enable proper implementation of the provisions of the Act Ensure that MTP services are provided by qualified persons in safe and hygienic settings Help to monitor quality of services Prajakta V. Mayekar
21. MTP rules: what do they cover? Experience & training required for providers Approval of a place for terminating pregnancy under the Act Composition & tenure of District Level Committee Inspection; Cancellation or suspension of approval; Review Consent form. Prajakta V. Mayekar
22. Experience: clause (d) of section 2 Experience in the practice of Gynaecology and obstetrics for a period of not less than three years. Completed six months of house surgery in Gynaecology and obstetrics or assisted a RMP in the performance of twenty five cases of Medical termination of pregnancy in a hospital established or maintained or a training institute approved for this purpose by the Government. Prajakta V. Mayekar
23. MTP rules: Who can perform? A medical practitioner (RMP) who has a recognized medical qualification as defined in clause (h) of section 2 of Indian Medical Council Act, 1956 Whose name has been entered in a State Medical Register and Who has such experience or training in Gynecology and Obstetrics as prescribed by Rules made under the Act Prajakta V. Mayekar
24. Approval of a place : clause (b) of section – 4 For sites up to 12 weeks (1st trimester) Gynecology examination / labor table Resuscitation and sterilization equipment Drugs & parental fluids Back up facilities for treatment of shock Facilities for transportation For sites up to 20 weeks (1st & 2nd trimester) All requirements for up to 12 weeks + Operation table and instruments for performing abdominal or gynecological surgery & anesthetic equipment.
25. Approval Process Application in Form A to be addressed to CMHO by place seeking approval Verification by CMHO CMHO recommends approval to the committee Committee considers application & recommendation and approve and issue certificate of approval in Form B Prajakta V. Mayekar
26. Approval Process Place to be inspected within 2 months of receiving application Certificate to be issued within 2 months of inspection If deficiency found, within 2 months of deficiency having been rectified Prajakta V. Mayekar
29. Inspection CMHOs to inspect to ensure safe & hygienic conditions for conduction of MTPs. Call for information and seize in case found otherwise Prajakta V. Mayekar
30. Cancellation/ Suspension CMHO can report for unsafe and unhygienic conditions. Committee can suspend or cancel approval after giving the owner an opportunity for representation Owner can reapply to the committee after making additions and improvements. During suspension the place be deemed as non-approved Prajakta V. Mayekar
31. Review :- (1) The owner of a place who is aggrieved by an order made under rule 6 may make an application for review of the order to the Government within a period of sixty days from the date of such order. (2) The Government may after giving the owner an opportunity of being heard, confirm, modify or reverse the order. Prajakta V. Mayekar
32. Form of consent The Consent referred to in sub-section (4) of section 3 shall be given in Form C. Prajakta V. Mayekar
33. MTP regulations:- Power to states to make regulations regarding MTP services Regulations for Union Territories by Central Govt. Application of central govt. regulations in the absence of state regulations. Prevention of disclosure of information Prajakta V. Mayekar
34. Penalties Penalty of two to seven years in prison if termination performed by a non- registered medical practitioner. Same penalty applies to those who perform abortions outside of hospitals or other approved locations. Prajakta V. Mayekar
35. Name: Harish and Nikita Mehta's Case Date: 5th August, 2008 Court: The Bombay High Court Facts: They were pleading the case on the basis that the child is suffering from a congenital heart block that would require a permanent pace-maker, meaning that the child would have a disabled life and would also hurt them financially which they would not be able to afford in the long run. They were also citing doctor’s report that asserts that the child will suffer critical problems even with a pace-maker. Prajakta V. Mayekar
36. Judgment: The Mumbai high court held that no categorical opinion of experts had emerged to state that the child would be born with serious handicaps. The court thus denied recourse to medical termination of the pregnancy after 20 weeks and an opinion emerged that terminating the life of a viable unborn on grounds of possible handicap is akin to mercy killing. Prajakta V. Mayekar
Editor's Notes
Abortions performed by a non-medical practitioner carry a penalty of two to seven years in prison